OMESformCP076.pdf
PDF 286 KB Posted
- Attached to
- Propane Jim E. Hamilton Correctional Center
- Solicitation number
- EV00000718
- Issued by
- Latimer County, Hitchcock Town, Oklahoma
About this file
The document is an OMES (Oklahoma Management & Enterprise Services) Central Purchasing "Responding Bidder Information" form (Form CP076) for a state contract opportunity in Oklahoma. The form is designed for potential bidders to provide essential company and compliance information when responding to a solicitation, with sections covering general company details, contact information, and several state-specific legal and business certification requirements.
The form requires bidders to disclose key information including their Federal Employer Identification Number (FEIN), company contact details, and verify compliance with specific Oklahoma state regulations. Notable requirements include confirming registration with the Oklahoma Secretary of State, providing workers' compensation insurance documentation, declaring whether the company is engaged in any boycott of goods or services from Israel, and optionally certifying as a service-disabled veteran business enterprise. Bidders must complete and sign the form, attesting to the accuracy of their provided information and meeting various state procurement guidelines.
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Other files
| File | Type | Posted |
|---|---|---|
| AttachmentC-AgencyTerms.docx | DOCX document | |
| agency-bid-instructions_(5).docx | DOCX document | |
| BID_PACKET_ATTACHMENTS_INSTRUCTIONS.pdf | ||
| Exhibit_2_-ReferenceSheet-post_with_bid.pdf | ||
| Exhibit_3_-Third_Party_Supplier_Info.xlsx | XLSX spreadsheet | |
| agency-bid-instructions_(4).docx | DOCX document | |
| OMESFormCP004.pdf | ||
| attachment-b-statewide-terms_(5).docx | DOCX document | |
| Exhibit_1_Executive_Summary_Worksheet.xlsx | XLSX spreadsheet | |
| attachment-a-agency-purpose_(3).docx | DOCX document |
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Text version
OMES Form CP076 (11/2024) RESPONDING BIDDER INFORMATION | Page 1 of 1
Central Purchasing
RESPONDING BIDDER INFORMATION
You must submit a Certification for Competitive Bid and Contract along with the response to the solicitation.
1. SOLICITATION
Solicitation #
2. BIDDER GENERAL INFORMATION
FEIN/SSN Supplier ID
Company name
3. BIDDER CONTACT INFORMATION
Address
Contact name Title
Email Phone Website Fax
4. BIDDER IS ENGAGED IN BOYCOTT OF GOODS OR SERVICES FROM ISRAEL
Yes No
5. REGISTRATION WITH THE OKLAHOMA SECRETARY OF STATE
Yes Filing number:
No Prior to the contract award, the successful bidder is required to register with the Secretary of State or must attach a signed statement that provides specific details supporting the exemption the supplier is claiming (sos.ok.gov or 405- 521-3911).
6. WORKERS’ COMPENSATION INSURANCE COVERAGE
Bidder is required to provide a certificate of insurance showing proof of compliance with the Oklahoma Administrative Workers’ Compensation Act.
Yes Include a certificate of insurance with the bid.
No Exempt from the Administrative Workers’ Compensation Act pursuant to 85A O.S. § 2(18)(b)(1-11). (Attach a written, signed and dated statement on letterhead stating the reason for the exempt status. For frequently asked questions concerning workers’ compensation insurance, visit wcc.ok.gov.)
7. DISABLED VETERAN BUSINESS ENTERPRISE ACT
Yes I am a service-disabled veteran business as defined in 74 O.S. § 85.44E.
Include the following with the bid response:
1. Certification of service-disabled veteran status as verified by the appropriate federal agency.
2. Verification of not less than 51% ownership by one or more service-disabled veterans.
3. Verification of the control of the management and daily business operations by one or more service-disabled veterans.
No I do not meet the criteria as a service-disabled veteran business.
8. SIGNATURE
Authorized signature Date
Name Title https://www.sos.ok.gov/ https://www.wcc.ok.gov/
| Central Purchasing |
| RESPONDING BIDDER INFORMATION |
| Solicitation: |
| FEINSSN: |
| Supplier ID: |
| Company name: |
| Contact name: |
| Title: |
| Email: |
| Phone: |
| Website: |
| Fax: |
| 4 BIDDER IS ENGAGED IN BOYCOTT OF GOODS OR SERVICES FROM ISRAEL: Off |
| Prior to the contract award the successful bidder is required to register with the Secretary of State or must attach a: Off |
| Compensation Act: Off |
| 7 DISABLED VETERAN BUSINESS ENTERPRISE ACT: Off |
| Date: |
| Name: |
| Title_2: |
| Filing number: |
| Address: |
File details come from the government source that posted it. Updated .