Amended Attachment #2 Bidder's Certified Form IFB 2026 Auto Injector (14).docx

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Attached to
2026 Epinephrine Auto-Injectors
Solicitation number
2136373
Issued by
New York

About this file

This is a Bidder's Certification Form for Invitation for Bid 2026 Epinephrine Auto-Injectors issued by the New York State Office of Children and Family Services. The solicitation requests approximately 72,000 twin-pack epinephrine auto-injectors in three varying dosages: 0.1 mg (24,000 units) for children weighing 16.5–33 pounds, 0.15 mg (24,000 units) for children weighing 33–66 pounds, and 0.3 mg (24,000 units) for children weighing over 66 pounds. The auto-injectors will be distributed to eligible childcare facilities throughout New York State. Bids were due July 29, 2026, at 4:00 p.m. to 52 Washington Street, Room 202 South, Rensselaer, NY 12144. The contract term spans two years with a maximum total contract value not to exceed $15 million.

Bidders must certify compliance with multiple mandatory requirements, including New York State business licensure or commitment to obtain it if awarded, manufacturer or authorized reseller status with at least one year of relevant experience, FDA compliance for all devices, retractable needle specifications, and capability to interface with OCFS's Child Care Facility System via compatible API technology. Direct shipping to eligible childcare programs and ongoing tele-outreach support were initially required but the tele-outreach component has been removed from the IFB. Pricing must be submitted on the financial response bid sheet with unit pricing for each dosage lot, and any bid exceeding the $15 million ceiling will be rejected. Minority-owned and women-owned business enterprise contracting goals of 15 percent each apply. H.F Acquisition Co, LLC was awarded a substantially similar contract within the past five years. All responses marked with an asterisk that receive a "no" answer result in automatic disqualification. Required submissions include the OCFS-0910 Request for Bid Form, Attachment 1 financial response bid sheet, Attachment 2 certification form, and Attachment 3 Procurement Lobbying Form, to be submitted via email to RFQ@ocfs.ny.gov prior to the deadline.

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Text version

Invitation for Bid 2026 Epinephrine Auto -Injectors Applicant: Please indicate whether the following statements described in the solicitation apply to your organization:

|_| Yes

|_| No * Certify to be licensed to do business in NYS or will become licensed in NYS if awarded.

|_| Yes

Certify that I am manufacturer of the products being requested, or an authorized representative (i.e. dealer/re-seller) of the manufacturer’s products being requested.

Certify having at least 1 year of experience manufacturing and delivering the product being requested, or as an authorized representative (i.e. dealer/re-seller), having at least 1 year of experience supplying and delivering the product being requested.

Years

Months Please indicate how much experience manufacturing and delivering; or as an authorized representative (i.e. dealer/re-seller) supplying and delivering the product that is being requested. Response must include years and months.

|_| Yes
|_| No *
Certify that the auto-injectors to be provided adhere to FDA rules and regulations.
|_| Yes
|_| No *
Certify that the auto-injector device to be provided has a retractable needle. Also, in the event of a product recall, if selected, awarded responder will replace the recalled devices at no cost to NYS or the childcare program.
|_| Yes
|_| No *
Certify that you have and utilize a compatible technology solution that will allow you the ability to interface with the application programming interface (API) offered by OCFS Division of Child Care Services (DCCS) electronic system of record, and the Child Care Facility System (CCFS).

Certify that you can provide ongoing support to childcare providers by implementing a tele-outreach program promoting the initiative which includes telephone and email correspondence to childcare programs. This component has been removed from the IFB

|_| Yes
|_| No *
Certify to directly ship the auto-injector twin packs to the eligible childcare program across NYS.
|_| Yes
|_| No *
Certify to be able to provide approximately 72,000 twin packs of auto-injectors of varying dosages for a two-year term.

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

Attachment #2 Bidder’s Certified Form

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

· OCFS-0910, Request for Bid Form

· 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:

File details come from the government source that posted it. Updated .