3-HSS-26-020 - Enhanced Communication - Attachment 2 - Non-Collusion Statement.docx
DOCX document 128 KB Posted
- Attached to
- ENHANCED COMMUNICATION State and local contract opportunity
- Solicitation number
- HSS-26-020
- Issued by
- Delaware
About this file
This document is a Non-Collusion Statement for a contract (No. HSS-26-020) issued by the Delaware Health and Social Services Division of Developmental Disabilities, with a response deadline of October 31, 2025, at 1:00 PM EST. The contract involves Enhanced Communication services, specifically providing facilitated communication opportunities for Deaf service recipients in residential habilitation services. The vendor will conduct communication facilitation with service recipients, their housemates, and staff, as well as provide education to Direct Support Professionals about Deaf Culture and functional American Sign Language (ASL) vocabulary.
The document includes a vendor classification section that allows businesses to self-identify as Minority Business Enterprise (MBE), Woman Business Enterprise (WBE), Disadvantaged Business Enterprise (DBE), Veteran Owned Business Enterprise (VOBE), or Service-Disabled Veteran Owned Business Enterprise (SDVOBE). The form requires vendors to affirm whether they have been subject to federal, state, or local government suspension or debarment within the past five years. Vendors must provide authorized representative information and agree to comply with all applicable state and federal laws, rules, policies, and procedures related to developmental disabilities services.
View the file
Other files for this state and local contract opportunity
| File | Type | Posted |
|---|---|---|
| 1-HSS-26-020 - Enhanced Communication - Final.docx | DOCX document | |
| 8-HSS-26-020 - Enhanced Communication - Appendix C - PSA, BAA DTI TCs.docx | DOCX document | |
| 4-HSS-26-020 - Enhanced Communication - Attachment 3 - Exceptions Form.docx | DOCX document | |
| 7-HSS-26-020 - Enhanced Communication - Attachment 6 - Subcontractor Information Form.docx | DOCX document | |
| 2-HSS-26-020 - Enhanced Communication - Attachment 1 - No Proposal Reply Form.docx | DOCX document | |
| 5-HSS-26-020 - Enhanced Communication - Attachment 4 - Confidential Information.docx | DOCX document | |
| 6-HSS-26-020 - Enhanced Communication - Attachment 5 - Business References Form.docx | DOCX document |
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Text version
Delaware Health and Social Services
Division of Developmental Disabilities d
Attachment 2
| CONTRACT NO.: | HSS-26-020 |
| CONTRACT TITLE: | Enhanced Communication |
DEADLINE TO RESPOND: 10/31/2025, at 1:00 PM EST
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 proposal, and further certifies that it is not a sub-contractor to another Vendor who also submitted a proposal as a primary Vendor in response to this solicitation submitted this date to the State of Delaware, Division of Developmental Disabilities Services.
It is agreed by the undersigned Vendor that the signed delivery of this bid represents, subject to any express exceptions set forth at Attachment 3, 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, Division of Developmental Disabilities Services.
Corporation
Partnership
Individual
COMPANYNAME (Check one)
NAME OF AUTHORIZED REPRESENTATIVE
(Please type or print)
SIGNATURE TITLE
COMPANY ADDRESS
PHONE NUMBER FAX NUMBER
| EMAIL ADDRESS | ______________________________ | ||
| STATE OF DELAWARE | |||
| FEDERAL E.I. NUMBER | LICENSE NUMBER_____________________________ |
COMPANY CLASSIFICATIONS:
CERT. NO.: __________________
| Certification type(s) |
| Circle all that apply |
| Minority Business Enterprise (MBE) | |
| Yes | No |
| Woman Business Enterprise (WBE) | |
| Yes | No |
| Disadvantaged Business Enterprise (DBE) | |
| Yes | No |
| Veteran Owned Business Enterprise (VOBE) | |
| Yes | No |
| Service-Disabled Veteran Owned Business Enterprise (SDVOBE) | |
| Yes | No |
[The above table is for informational and statistical use only.]
PURCHASE ORDERS SHOULD BE SENT TO:
(COMPANY NAME)
ADDRESS
CONTACT
PHONE NUMBER FAX NUMBER
EMAIL ADDRESS
AFFIRMATION: Within the past five 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?
YES NO if yes, please explain image1.png image2.png
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