RFQ 2026 NYS Produce MSC - Certification Form 12-22.pdf

PDF 172 KB Posted

Attached to
NYS Produce Items – MacCormick Secure Center
Solicitation number
2130340
Issued by
Tioga County, Brookhaven CDP, New York

About this file

This is a Certification Form for Request for Quotes 2026-005 NYS Produce MSC administered by the New York State Office of Children and Family Services (OCFS). The RFQ seeks competitive quotes from farmers, processors, distributors, or other entities capable of providing various New York State produce items (fruits and vegetables) for delivery to MacCormick Secure Center. Responders may submit quotes for Lot 1, Lot 2, or both lots. Applicants must complete the RFQ Financial Response Bid Sheet, the Certification Form, and the Procurement Lobbying Form, submitting all documents via email to RFQ@ocfs.ny.gov prior to the stated deadline.

Key certification requirements include: providing 100% New York State-grown, unprocessed produce; maintaining or obtaining a New York State business license within 30 days of award; submitting quotes for all listed produce items; demonstrating delivery capacity to the specified location; and ensuring all food transport complies with applicable Federal and New York State laws, codes, rules, and regulations, including temperature-controlled transportation where required. The RFQ includes Minority/Women Business Enterprise (MWBE) contracting goals of 15% for Minority Business Enterprises (MBE) and 15% for Women Business Enterprises (WBE), as well as a Service-Disabled Veteran-Owned Business (SDVOB) goal of 6%. No incumbent contracts have been awarded for identical or substantially similar procurements within the past five years. Applicants must certify their authority to bind the organization contractually and provide organizational details, contact information, and FEIN/TIN.

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Text version

Certification Form

Request for Quotes – 2026-005 NYS Produce MSC

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 .