DISC 1258 Attachment 2 - Submission Checklist FINAL (2).pdf
PDF 253 KB Posted
- Solicitation number
- 2139330
- Issued by
- Clinton County, Ulster County, New York
About this file
This submission checklist attachment pertains to a Discretionary Opportunity (DISC) 1258 issued by the New York State Office of Children & Family Services (OCFS) for barbering services at two secure youth facilities. The solicitation seeks qualified barbering service providers for Brookwood Secure Center, serving approximately 115 male juvenile offenders monthly, and Highland Residential Center, serving approximately 90 male juvenile delinquents monthly, ages 13-21. OCFS intends to select up to two contractors to provide these services. Applicants must submit a Letter of Interest along with required documentation by the specified deadline to funding@ocfs.ny.gov. The facilities will provide one barbering chair each, while selected contractors must supply all tools, materials, and supplies necessary for service delivery.
The submission checklist establishes mandatory eligibility requirements that disqualify applicants who do not meet them, including possession of a valid New York State Barbering License, minimum three years of barbering experience, business licensure in New York State, and three professional references with at least one dated within the past twelve months. Preferred qualifications include possession of a valid Master Barber License and prior experience providing barbering services to youth ages 12-21. Applicants must affirm their business status and may qualify as New York State certified M/WBE, SDVOB, and/or SBE entities. The submission requires completion of four attachments: Letter of Interest, Submission Checklist, Affirmation of Business Status, and References, along with proof of valid licensing credentials.
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Other files
| File | Type | Posted |
|---|---|---|
| DISC 1258 Attachment 4 - References LOCKED (1).docx | DOCX document | |
| DISC 1258 Attachment 3 - Affirmation of Business Status LOCKED (1).docx | DOCX document | |
| DISC 1258 Attachment 1 - Letter of Interest FINAL (1).docx | DOCX document | |
| DISC 1258 Barbering Services at Brookwood and Highland FINAL.pdf |
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ATTACHMENT 2
SUBMISSION CHECKLIST
Discretionary Opportunity (DISC) 1258
Barbering Services at Brookwood and Highland
Applicant: __________________________________________________________________
Please indicate whether the following statements described in the solicitation apply to your organization:
Mandatory Requirements
Yes
No*
The applicant agrees to provide the services requested in the Scope of Work section of the solicitation document.
Yes
No*
The applicant is licensed to do business in the state of New York, or agrees to become licensed in the state of New York, if selected for award.
Yes
No*
The applicant is an NYS certified M/WBE, SDVOB and/or SBE as evidenced by completing and providing an Attachment 3 – Affirmation of Business Status.
Yes
No*
The applicant has a minimum of three (3) years of experience performing barbering services to individuals.
Yes
No*
The applicant possesses a valid NYS Barbering License.
Yes
No*
The applicant provided three (3) professional references, one of which was received within the past twelve (12) months. This should be provided using Attachment 4 – References.
* A response of “no” to any question marked above with an asterisk will disqualify the applicant.
Preferred Qualifications (OPTIONAL)
Yes
No
The applicant has experience providing barbering services to youth ages 12-21.
Yes
No
The applicant possesses a valid NYS Master Barber License.
Submit the following completed documents prior to the deadline to funding@ocfs.ny.gov:
□ Attachment 1 – Letter of Interest
□ Attachment 2 – Submission Checklist
□ Attachment 3 – Affirmation of Business Status
□ Attachment 4 – References
□ Proof of valid NYS Barbing License or valid NYS Master Barber License
Please complete the signature authorization on the next page.
mailto:funding@ocfs.ny.gov
ATTACHMENT 2
SUBMISSION CHECKLIST
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: _________________________
Please indicate the name and email address of an additional contact person below:
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