12-HSS-26-033 - Indigent Burial - Attachment 6 - Subcontractor Information Form.docx

This is a Subcontractor Information Form for the Delaware Health and Social Services Division of Social Services' Indigent Burial and Cremation Services contract (HSS-26-033). The form is used to document subcontractor participation in proposals submitted by vendors responding to this procurement opportunity. The form requires proposing vendors to identify any subcontractors they intend to utilize, including the subcontractor's name, mailing address, and a detailed description of the work the subcontractor will perform. The document establishes a two-part acknowledgment process: Part I requires signature and authorization from the proposing vendor, while Part II requires acknowledgment and signature from the subcontractor itself, confirming their understanding of and agreement to participate in the contract work.

The form requests comprehensive subcontractor classification information, including certification numbers and designations for Women Business Enterprise (WBE), Minority Business Enterprise (MBE), Disadvantaged Business Enterprise (DBE), Veteran Owned Business Enterprise (VOBE), and Service-Disabled Veteran Owned Business Enterprise (SDVOBE) status, along with OSD classification details. Vendors must complete a separate form for each subcontractor involved in their proposal, ensuring transparent identification of all parties participating in the delivery of indigent burial and cremation services to Delaware.