1-HSS-26-035 - Substance Use Diorder Services - Attachment 6 - Subcontractor Information Form.docx

This is a Subcontractor Information Form used by the Delaware Health and Social Services Division of Substance Abuse and Mental Health for contract HSS-26-035 regarding Substance Use Disorder Services. The form serves as an attachment to the main procurement and requires proposing vendors to disclose information about any subcontractors they intend to utilize in performance of the contract. The form captures essential subcontractor details including company name, mailing address, and a description of work to be performed by the subcontractor. The document requires signatures from both the proposing vendor and the subcontractor to acknowledge the arrangement, with designated spaces for names, titles, signatures, and dates from authorized representatives of each party.

The form includes a section for documenting the subcontractor's business classifications and certifications relevant to Delaware procurement requirements. Specifically, vendors must identify whether subcontractors hold certifications as Women Business Enterprises, Minority Business Enterprises, Disadvantaged Business Enterprises, Veteran-Owned Business Enterprises, or Service-Disabled Veteran-Owned Business Enterprises. The form must be completed separately for each subcontractor intended to support the proposing vendor's response to the substance use disorder services solicitation. This documentation ensures transparency in the contracting process and allows the state to track utilization of certified small businesses and disadvantaged enterprises in the delivery of behavioral health services to uninsured and underinsured Delaware residents.