DISC 1258 Attachment 3 - Affirmation of Business Status LOCKED (1).docx

This is an Affirmation of Business Status form submitted to the New York State Office of Children and Family Services (OCFS), Procurement Unit, Bureau of Contract Management. The form serves as a certification document for business entities seeking to provide barbering services at Brookwood Secure Center and Highland Residential Center. Barbering services are required for approximately 115 youth monthly at Brookwood and approximately 90 youth monthly at Highland. Applicants must possess a valid New York State Barbering License, with a Master Barber license preferred. Contractors are responsible for providing all tools, materials, and supplies necessary for service delivery, while OCFS will supply one barbering chair per facility. OCFS intends to select up to two contractors for this discretionary purchase authorized under Section 163 of State Finance Law.

The Affirmation of Business Status form requires applicants to verify their legal business classification and eligibility status, including certification as a New York State business enterprise, New York State Small Business Enterprise (NYS SBE), New York State-certified Minority/Women-owned Business Enterprise (M/WBE), or New York State-certified Service-Disabled Veteran-Owned Business (SDVOB). Applicants must affirm accurate representation of their legal status to qualify for consideration under State Finance Law Section 163(6) discretionary buying thresholds. A principal officer or designated representative must sign and date the affirmation, providing company name, individual name and title, and signature to complete the submission requirements.