2-HSS-26-069 - AppC-Vendor Frms.xlsx

XLSX spreadsheet 34 KB Posted

Attached to
​Health Promotion Advocates
Solicitation number
HSS-26-069
Issued by
Delaware

About this file

This file is a vendor forms attachment (Attachment 2 through Attachment 7) for Delaware's Office of Management and Budget, Government Support Services, related to the Health Promotion Advocates solicitation (2-HSS-26-069). The forms constitute standardized submission requirements for vendors responding to this state contract opportunity. The solicitation pertains to health promotion and cancer screening services, including assistance with Screening for Life and Health Care Connection applications, cancer screening outreach and early detection promotion, care coordination, data tracking, and statewide cancer prevention initiatives. The attachment package includes seven distinct forms that vendors must complete as part of their bid submission: a Vendor Information Sheet, a Non-Collusion Statement, an Exceptions Form, a Confidentiality Form, a Business References form, and a Subcontractor Form. No specific response date, due date, site visit information, bidder's conference details, award date, or contract term details are provided within this attachment.

The vendor forms require submission of company information, designated primary and secondary contacts, and a business capability statement. Vendors must certify non-collusion and confirm whether their firm has experienced any federal, state, or local government suspension or debarment within the past five years. Vendors may submit exceptions to solicitation terms and conditions through the Exceptions Form, subject to sole discretion of Government Support Services to reject any proposed exceptions. The Confidentiality Form allows vendors to designate proposal sections as confidential, intellectual property, or trade secrets under Delaware Code. Vendors must provide a minimum of three business references of similar size and scope, excluding state employees, and must complete a Subcontractor Form if proposing use of subcontractors, with subcontractors required to provide their own minimum three business references. No pricing information, set-asides, incumbent information, or funding sources are specified within these vendor forms.

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Other files

File Type Posted
5-HSS 26 069 - AppF-Proj Cost Template.docx DOCX document
3-HSS-26-069 - AppD-Templates PSA, BAA DTI TCs.docx DOCX document
4-HSS 26 069 - AppE-Workplan Template.docx DOCX document
1-HSS-26-069 - Health Promo Advocates Resp.docx DOCX document

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Text version

Attachment2Vendor Info Sheet

Vendor Information Sheet
Company Name
DBA (if applicable)
Purchase Order Address
Website
Diverse Vendor Self-Identification
State Certified (select drop down of "Yes" or "No")If yes, which State(s):
Federal Certified (select drop down of "Yes" or "No")
Desginated ContactsPrimarySecondary
Contact Name
Role/Title
Phone Number
Email
Business Capability Statement
(Provide a short capability statement about your business and its capabilities and skills to advertise who you are and what you do.)

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Attachment3Non-Collusion Stmt

Non-Collusion Statement
This is to certify that the undersigned Vendor has neither directly nor indirectly, entered into any agreement, participated in any collusion or otherwise taken any action in restraint of free competitive bidding in connection with this solicitation, and further certifies that it is not a sub-contractor to another Vendor who also submitted a bid/proposal as a primary Vendor in response to this solicitation submitted this date to the State of Delaware, Office of Management and Budget, Government Support Services.
It is agreed by the undersigned Vendor that the signed submission of this bid/proposal represents, subject to any express exceptions set forth on the Exception form, the Vendor’s acceptance of the terms and conditions of this solicitation including all specifications and special provisions.
NOTE: Signature of the authorized representative MUST be of an individual who legally may enter his/her organization into a formal contract with the State of Delaware, Office of Management and Budget, Government Support Services.
Company Name
DBA (if applicable)
Name of Authorized Representative
Title
Phone Number
Email Address
Company Address
Phone Number
Email Address
Tax ID Number
AFFIRMATION: Within the past five (5) years, has your firm, any affiliate, any predecessor company or entity, owner, Director, officer, partner or proprietor been the subject of a Federal, State, Local government suspension or debarment?
Select "Yes" or "No" from the drop down menu
If yes, explain

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Attachment4Exceptions Form

Exceptions Form
Responding Vendors may elect to take minor exceptions to the terms and conditions of this solicitation. All exceptions must be submitted below. Exceptions found elsewhere in the solicitation response will not be considered. Government Support Services maintains sole discretion to reject any exceptions.
Exceptions
Paragraph & Page # of DocumentCurrent Language stated in the documentProposed Alternative languageJustification for proposed changeState of Delaware's responseBidder's response

If addition space is needed, please copy the format of this worksheet and attach as an additional file in your submission

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Attachment5Confidentiality Form

Confidentiality Form
Responding vendor may elect to designate sections of their proposal as confidential, intellectual property, trade secrets, and other confidential business information. Vendor shall explain below how the redacted information is not “public record” as defined by 29 Del. C. § 10002. The State shall independently determine the validity of any vendor designation as set forth in this section. Any vendor submitting a bid/proposal herein expressly accepts the State’s absolute right and duty to independently assess the legal and factual validity of any information designated as confidential business information.
Confidential Information (select "Yes" or "No" on the dropdown)
Confidentiality and Proprietary Information

If addition space is needed, please copy the format of this worksheet and attach as an additional file in your submission

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Attachment 6Business References

Business References
List a minimum of three business references of similar size and scope. Please do not list any State Employee(s) as a business reference. If Subcontractors are identified, a minimum of three business references must also be provided for each subcontractor.
Reference One
Contact Name
Contact Title
Business Name
Address
Email
Phone
Current Vendor?
Work Performed
Reference Two
Contact Name
Contact Title
Business Name
Address
Email
Phone
Current Vendor?
Work Performed
Reference Three
Contact Name
Contact Title
Business Name
Address
Email
Phone
Current Vendor?
Work Performed

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Attachment7Subcontractor Form

Subcontractor Form
Are you proposing the use of any subcontractors in the fulfillment of the requirements as outlined in the solicitation? (Please select "Yes" or "No" in the drop down meniu)
If yes, complete this form.
Responding Vendor Information
Company Name
DBA (if applicable)
Company Address
Subcontractor Information
Company Name
DBA (if applicable)
Company Address
Diverse Vendor Self-Identification
State CertifiedIf yes, which State(s):
Federal Certified
Description of Work by Subcontractor
Once completed, this form must be signed by both vendors.
Proposing VendorSubcontractor
Authorized Signature:Authorized Signature:
Name:Name:
Title:Title:
Date:Date:

DropDowns

YES
NO
YES - Vendor is providing any information they declare to be confidential or proprietary for the purpose of production under 29 Del. C. Ch. 100, Delaware Freedom of Information Act.
NO - Vendor is not providing any information they declare to be confidential or proprietary for the purpose of production under 29 Del. C. Ch. 100, Delaware Freedom of Information Act.
YES - Vendor is submitting exceptions for consideration.
NO - Vendor is not submitting any exceptions to the specifications, terms, or conditions found in this solicitation.

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