2-HSS-26-062 - Appendix C-Vendor Forms.xlsx

This file contains vendor forms and attachments required for submission in response to the State of Delaware's Rural Community Health Hubs solicitation (2-HSS-26-062), administered by the Office of Management and Budget, Government Support Services. The document package includes a comprehensive vendor information sheet requesting company details, diverse vendor certifications, designated contacts, and business capability statements. Vendors are required to submit a non-collusion statement affirmed by an authorized representative with legal authority to bind the organization to a state contract, along with disclosure of any federal, state, or local government suspensions or debarments within the past five years. The solicitation permits vendors to propose mobile health units (Component A), brick and mortar health hubs (Component B), or both components to address healthcare access barriers in rural Sussex and Kent Counties.

Additional required submissions include an exceptions form for any proposed deviations from solicitation terms and conditions, a confidentiality form for designating proprietary or trade secret information, and business references comprising a minimum of three references of similar size and scope per vendor and subcontractor. A subcontractor form must be completed if any subcontractors are proposed, requiring signatures from both the primary vendor and subcontractor with detailed descriptions of work assignments. The state maintains sole discretion to reject any exceptions and independently determines the validity of confidentiality designations under Delaware Code Chapter 100. All responsive vendors must affirm compliance with anti-collusion requirements and accept the state's terms and conditions as a condition of bid submission.