OMESformCP076.pdf
PDF 180 KB Posted
- Attached to
- ODOC - OSP Fencing Materials
- Solicitation number
- EV00000929
- Issued by
- Pontotoc County, Manchester Town, Oklahoma
About this file
This is a Responding Bidder Information form (OMES Form CP076) from the Oklahoma Department of Central Purchasing related to a one-time purchase solicitation by the Oklahoma Department of Corrections for fencing materials at Oklahoma State Penitentiary in McAlester, Oklahoma. The form serves as a certification document that must accompany all bid responses to state and local contract opportunities in Oklahoma. Bidders are required to provide their company information, including Federal Employer Identification Number or Social Security Number, supplier ID, company name, contact details, and authorized signature with date. The form does not specify quantities, response dates, due dates, site visits, bidder meetings, award dates, or contract terms within this particular document.
The form includes several certification requirements that bidders must address: disclosure of any engagement in boycotts of goods or services from Israel, registration status with the Oklahoma Secretary of State (or submission of an exemption statement), proof of workers' compensation insurance coverage or documentation of exemption status, and indication of disabled veteran business enterprise status with supporting documentation if applicable. The form functions as a standardized compliance and eligibility verification instrument for all Oklahoma state purchasing activities and does not contain pricing terms, set-asides, incumbent information, funding amounts, or other financial details specific to this fencing materials solicitation.
View the file
Other files
| File | Type | Posted |
|---|---|---|
| Agency-Bid-Instructions.docx | DOCX document | |
| Attachment_C_-_Agency_Terms.docx | DOCX document | |
| Attachment-B-General_Terms.docx | DOCX document | |
| omes-form-cp004.docx | DOCX document | |
| Attachment-A-Agency-Purpose.docx | DOCX document | |
| Exhibit_1_-_Pricing.xlsx | XLSX spreadsheet |
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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 .