OMESFormCP076.pdf
PDF 286 KB Posted
- Attached to
- SW0500M SNOW REMOVAL
- Solicitation number
- EV00000938
- Issued by
- Oklahoma
About this file
This document is a Responding Bidder Information form (OMES Form CP076) used by the State of Oklahoma's Central Purchasing division for solicitation responses. The form serves as a certification document that bidders must submit along with their response to a solicitation. It functions as a standard intake form for capturing essential bidder identification, contact information, and compliance certifications required by the State of Oklahoma.
The form requires bidders to provide their Federal Employer Identification Number or Social Security Number, supplier ID, company name, contact person details, and website information. Bidders must certify their status regarding boycott activities related to Israel, registration with the Oklahoma Secretary of State, workers' compensation insurance coverage compliance, and disabled veteran business enterprise status. Bidders claiming exemptions from workers' compensation insurance or disabled veteran business enterprise status must provide supporting documentation. All submissions require authorized signature, date, and title of the signatory. This form ensures bidders meet Oklahoma's statutory requirements under 74 O.S. § 85.44E for service-disabled veteran businesses and 85A O.S. § 2(18)(b)(1-11) regarding workers' compensation exemptions before contract award consideration.
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Other files
| File | Type | Posted |
|---|---|---|
| 1.0_Bidders_Instructions.pdf | ||
| Attachment_C_-_Statewide_Terms.docx | DOCX document | |
| Exhibit_1_-_Executive_Summary.pdf | ||
| Exhibit_3_-_Pricing.xlsx | XLSX spreadsheet | |
| Exhibit_4_-_References.pdf | ||
| omes-form-cp004.pdf | ||
| omes-form-cp004 (1).pdf | ||
| Attachment_B_-_General_Terms.docx | DOCX document | |
| Exhibit_5_-_3rd_Party_Supplier_Info.pdf | ||
| Exhibit_2_-_Technical_Response.pdf | ||
| Attachment_A_-_Purpose_and_Scope.pdf |
Show all 11
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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 .