DISC 1264 Attachment 3 - Affirmation of Business Status FINAL.docx

This is an Affirmation of Business Status form issued by the New York State Office of Children and Family Services (OCFS), Procurement Unit, Bureau of Contract Management, to be completed by organizations seeking to provide developmental writing and technology training services under DISC 1264. The form requires applicant organizations to declare their legal business structure—including options such as corporation, LLC, sole proprietorship, partnership, or other entity types—and to affirm their classification status relative to New York State business enterprise categories. Organizations must identify whether they qualify as a New York State Small Business Enterprise (NYS SBE) employing 100 or fewer persons and domiciled in New York State; a New York State-certified Minority/Women-owned Business Enterprise (MWBE) under Article 15-A of State Executive Law; or a New York State-certified Service-Disabled Veteran-Owned Business (SDVOB) pursuant to Article 3 of Veterans' Services Law. The affirmation must be signed by a principal officer or designated representative and serves as an accurate legal representation of the applicant's business status for purposes of providing services to OCFS under State Finance Law Section 163(6) discretionary buying thresholds.

The form requires no pricing information, as it functions solely as a certification mechanism for business classification and status verification. This document applies to the underlying contract opportunity for a developmental writing and technology seminar targeting blind high school seniors in the Pre-College Program, a four-week on-campus experience emphasizing assistive and mainstream technology instruction alongside college writing preparation. Completion and submission of this affirmation form is mandatory for organizations responding to the DISC 1264 solicitation and represents a prerequisite certification rather than a standalone procurement instrument with independent funding or award implications.