2-HSS-26-026 Drug Court Diversion Services - Attachment 5 - Business References Form.docx
DOCX document 127 KB Posted
- Attached to
- Syringe Services Program
- Solicitation number
- HSS-26-026
- Issued by
- Delaware
About this file
This document is a Business References Form for the Delaware Health and Social Services Division of Substance Abuse and Mental Health (DSAMH) related to the Syringe Services Program contract (No. HSS-26-026). The form requires bidders to provide a minimum of three business references, including contact details, years of business association, and type of work performed. Notably, state employees cannot be used as references, and bidders who have held state contracts within the past 5 years must provide a separate list of those contracts.
The associated contract opportunity involves a harm reduction programming initiative for people who use drugs (PWUD) and injection drug users (IDU) in Delaware. The project stems from public health concerns, specifically addressing HIV/AIDS, with 3,786 people living with HIV/AIDS infection in the state as of 2021. DSAMH seeks a provider to implement comprehensive syringe services, with responsibilities including development and implementation of prevention and treatment plans, coordination of state and federal funding, and establishing standards for prevention and treatment programs. The division focuses on providing oversight of prevention and treatment services, with an emphasis on services for adults with addictive disorders and mental health conditions.
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Other files
| File | Type | Posted |
|---|---|---|
| 8-HSS-26-026 - Attachment 3 - Exceptions Form.docx | DOCX document | |
| 6-HSS-26-026 - Statewide Syringe Services Program final 9.11.25.docx | DOCX document | |
| 4-HSS-26-026 Drug Court Diversion Services - Attachment 4 - Confidential Information Form.docx | DOCX document | |
| 7-HSS-26-026- Attachment 2 - Non-Collusion Stmt.docx | DOCX document | |
| 1-Appendix - Budget Workbook.xlsx | XLSX spreadsheet | |
| 5-HSS-26-026 Appendix D - Templates Sample Agreements.docx | DOCX document | |
| 3-HSS-26-026 Drug Court Diversion Services - Attachment 6 - Subcontractor Information Form.docx | DOCX document |
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Text version
Delaware Health and Social Services
Division of Substance Abuse and Mental Health d
Delaware Health and Social Services
Division of Substance Abuse and Mental Health d
Attachment 5
Contract No. HSS-26-026 Contract Title: Syringe Services Program
BUSINESS REFERENCES
List a minimum of three business references, including the following information:
· Business Name and Mailing address
· Contact Name and phone number
· Number of years doing business with
· Type of work performed Please do not list any State Employee as a business reference. If you have held a State contract within the last 5 years, please provide a separate list of the contract(s).
| 1. |
| Contact Name & Title: |
Business Name:
Address:
Email:
Phone # / Fax #:
Current Vendor (YES or NO):
Years Associated & Type of Work Performed:
| 2. |
| Contact Name & Title: |
Business Name:
Address:
Email:
Phone # / Fax #:
Current Vendor (YES or NO):
Years Associated & Type of Work Performed:
| 3. |
| Contact Name & Title: |
Business Name:
Address:
Email:
Phone # / Fax #:
Current Vendor (YES or NO):
Years Associated & Type of Work Performed:
STATE OF DELAWARE PERSONNEL MAY NOT BE USED AS REFERENCES.
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