REVISED_-_Exhibit_1_-_CP076_Responding_Bidder-Mustang.pdf

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Attached to
Mustang AFRC Landscaping/Lawn Care Beg 05-2025
Solicitation number
EV00000689
Issued by
Carter County, Oklahoma

About this file

This document is an OMES (Oklahoma Management and Enterprise Services) Form CP076 Responding Bidder Information form for a state procurement solicitation. The form requires bidders to provide comprehensive company and compliance information for participation in a state contract opportunity. Key sections include company contact details, registration with the Oklahoma Secretary of State, workers' compensation insurance status, and verification of business classification.

The form includes several critical compliance certifications, such as confirmation of whether the bidder is engaged in a boycott of goods or services from Israel, workers' compensation insurance coverage verification, and optional declaration as a service-disabled veteran business enterprise. Bidders must complete sections detailing their business information, contact details, and attest to various state-specific regulatory requirements. To be considered for the contract, respondents must provide appropriate documentation, such as insurance certificates, service-disabled veteran status verification, and potential exemption statements for specific requirements.

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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: EV00000689 - Mustang
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 .