5-HSS-26-048 - PROMISE Personal Care Services- Attachment 5 - Business References Form.docx

This is a Business References Form attachment for Contract No. HSS-26-048, issued by the Delaware Department of Health and Social Services (DHSS), Division of Substance Abuse and Mental Health (DSAMH), for the PROMISE Personal Care Services contract. The form requires prospective vendors to submit a minimum of three business references that demonstrate their capacity to perform personal care services for individuals enrolled in the Promoting Optimal Mental Health for Individuals through Supports and Empowerment (PROMISE) program. For each reference, bidders must provide the business name and mailing address, contact name and title, phone number and fax, email address, designation of current vendor status, and a description of years associated with and type of work performed. The form explicitly prohibits the use of any State of Delaware employee as a business reference.

Bidders who have held a state contract within the last five years must submit a separate list of those contracts in addition to the three standard business references. The form provides a structured template with three numbered sections for reference information submission, ensuring standardized presentation of vendor experience and track records that DSAMH will use to evaluate organizational capability and reliability in delivering personal care services under the PROMISE program.