5-HSS-26-065 - AppC-Vendor Frms.xlsx

This is a vendor forms attachment document for solicitation 5-HSS-26-065 issued by the State of Delaware, Office of Management and Budget, Government Support Services, in support of the Rural Library-Based Health Access Initiative serving Sussex and Kent Counties. The initiative aims to improve health outcomes in rural areas by reducing access barriers, expanding equitable care delivery, and strengthening local public health system capacity through community-based infrastructure and cross-sector partnerships, with particular focus on advancing telehealth access, care coordination, chronic disease management, and health equity in medically underserved areas.

The document comprises seven standardized vendor forms required for submission: a Vendor Information Sheet collecting company details, contact information, diverse vendor certifications, and business capability statements; a Non-Collusion Statement certifying the vendor has not engaged in collusive bidding practices and accepting solicitation terms and conditions; an Exceptions Form allowing vendors to propose minor modifications to terms with State discretion to accept or reject; a Confidentiality Form for designating proprietary or trade secret information; a Business References section requiring minimum three references of similar size and scope per vendor and subcontractor; and a Subcontractor Form for vendors utilizing subcontractors to provide company information, work descriptions, and dual signatures. All forms include specific dropdown selections, signature requirements from authorized representatives, and provisions for historical affirmations regarding suspension, debarment, and government action. Vendors must submit complete forms as part of their proposal package to the State of Delaware.