2026-023 NYS Meat Taberg Tubman - Certification Form.pdf

Certification Form

Request for Quotes – 2026-023 NYS Meat (Taberg & Tubman)

Applicant:

Please indicate whether the following statements described in the solicitation apply to your organization:

Yes

No*

Certify to provide 100% NYS meat items meaning composed of 100% raw materials that were grown, harvested or produced in NYS. Also, processed meat must contain 51% or more (by weight or volume) raw materials grown, harvested, or produced in NYS, and the processing must have taken place in NYS.

The applicant is licensed to do business in the State of New York or provides a commitment to become licensed in New York State within 30 calendar days of the date of the award letter, if selected for the award.

Yes

No*

Provide a quote for every meat item listed on the bid sheet.

Yes

No*

The applicant agrees to provide the services requested in the Scope of Work section of the RFQ.

Yes

No*

Certify to having the capacity to make deliveries to requested locations.

Certify that all food transport complies with applicable Federal and NYS Laws, Codes, Rules, and Regulations. (Example, use of a refrigerated vehicle to transport certain food(s) at a safe temperature

* A response of “no” to any question marked with an asterisk will disqualify the applicant.

Certification Form

Submit the following completed documents prior to the deadline via email to RFQ@ocfs.ny.gov :

□ Attachment 1 – RFQ Financial Response Bid Sheet

□ Attachment 2 – Certification Form

□ Attachment 3 – Procurement Lobbying Form

By signing below, I attest that I have express authority to sign these statements on behalf of the applicant and am authorized by law to bind the applicant contractually.

Print Name:

Signature:

Title:

Organization:

Address:

Email: Phone:

FEIN/TIN: Date:

SFS Vendor ID (if applicable):

Please indicate the name and email address of an additional contact person below:

mailto:RFQ@ocfs.ny.gov