RFQ 2026-001 NYS Produce BRC - Certification Form.pdf
PDF 167 KB Posted
- Attached to
- NYS Produce Items - Brentwood Residential Center
- Solicitation number
- 2130322
- Issued by
- Suffolk County, Brookhaven CDP, New York
About this file
This is a Certification Form for RFQ 2026-001 NYS Produce BRC, a Request for Quotation issued by the State of New York for Brentwood Residential Center. The RFQ seeks competitive quotes from farmers, processors, distributors, or other entities capable of supplying various New York State produce items, including fruits and vegetables, for delivery to Brentwood Residential Center. Responders may submit quotes for Lot 1, Lot 2, or both lots as indicated on the RFQ Financial Response Quote sheet. The certification form functions as a requirement for bid submission, establishing the formal documentation needed for participation in this procurement opportunity.
The RFQ establishes specific contracting goals and set-asides to promote participation from underrepresented business categories. Service-Disabled Veteran-Owned Business (SDVOB) participation is targeted at 6.00%, while Minority-Owned Business Enterprise (MBE) and Women-Owned Business Enterprise (WBE) participation each carry goals of 15.00%. No incumbent contracts were identified from identical or substantially similar procurements within the past five years. Interested vendors must complete and submit the certification form as part of their response package, with completion of this documentation serving as a prerequisite for quote consideration in this New York State procurement.
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Other files
| File | Type | Posted |
|---|---|---|
| 2026-001 Brentwood Produce RFQ (002).pdf | ||
| RFQ 2026-001 Financial Response Quote Sheet BRC LOCKED.xlsx | XLSX spreadsheet | |
| Brentwood Produce RFQ 2026-002 Q A.pdf | ||
| OCFS-4822 Procurement Lobbying Act Certification.dot | DOT file |
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Text version
Certification Form
Request for Quotes – 2026-002 NYS Produce BRC
Applicant:
Please indicate whether the following statements described in the solicitation apply to your organization:
Yes
No*
Certify to provide 100% NYS produce (fruits and vegetables), meaning they are an unprocessed food composed of 100% raw materials that were grown, harvested or produced 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 produce food 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 location.
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
Yes
No*
The applicant agrees to provide the services requested in the Scope of Work section of the RFQ.
* 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
File details come from the government source that posted it. Updated .