6-26089 Form 1 Data Sheet.pdf

This is a Form 1 Data Sheet for DHHS26089, a Utah Department of Health and Human Services solicitation for employment training curriculum and mentoring services. The Division of Services for People with Disabilities (DHHS/DSPD) seeks an expert vendor to develop and deliver quality training programs focused on improving Competitive Integrated Employment supports and Customized Employment Supports. The training will serve multiple audiences including persons with disabilities, their families, providers, and the broader employment community. Additionally, the vendor must provide peer-to-peer consultation and technical assistance to agencies, staff, legal guardians, and families to support persons in obtaining, maintaining, and advancing in competitive integrated employment while improving community integration during day support and residential services.

The data sheet requires vendors to provide standard business information including legal business name and address, business mailing address, email, phone number, and designated contact person details. Vendors must certify whether they have outstanding tax liens in the State of Utah. The form requires the signature and date of the person completing the submission along with their position or title. No specific pricing, contract term, award date, or other financial details are included in this data sheet, which serves as a preliminary vendor information collection document.