5-HSS-26-016 COMPREHENSIVE SUBSTANCE USE PRIMARY PREVENTION SERVICES FOR COMMUNITIES, ADULTS AND YOUTH- Attachment 6 - Subcontractor Information Form.docx

This is a Subcontractor Information Form for Contract No. HSS-26-016, issued by the Delaware Health and Social Services Division of Substance Abuse and Mental Health, related to comprehensive substance use primary prevention services for communities, adults and youth. The form is designed to collect information about subcontractors that proposing vendors plan to utilize in delivering prevention services across Delaware's behavioral health system, which involves collaboration between the Division of Substance Abuse and Mental Health (DSAMH) for individuals over 18 and the Division of Prevention and Behavioral Health Services (DPBHS) for youth under 18 and their families. The contract aims to support Delaware's Behavioral Health Prevention Strategy through primary prevention activities targeting tobacco, alcohol, marijuana, and fentanyl-laced substances using SAMHSA's six prevention strategy categories including education, information dissemination, environmental strategies, community-based activities, alternative activities, and problem identification and referral.

The form includes sections for capturing subcontractor business classification information, including certifications for Women Business Enterprise, Minority Business Enterprise, Disadvantaged Business Enterprise, Veteran Owned Business Enterprise, and Service Disabled Veteran Owned Business Enterprise status, along with corresponding certification numbers. The document requires detailed descriptions of work to be performed by each subcontractor and includes signature sections for both the proposing vendor and the subcontractor to acknowledge the arrangement. A separate form must be completed for each subcontractor involved in the project, indicating the state's emphasis on tracking subcontracting relationships and promoting diverse business participation in the delivery of substance use prevention services across Delaware communities.