6-Business References Form -Attachment 5.pdf

This is a Business References Form (Attachment 5) for the Delaware Health and Social Services Division of Public Health in support of Contract No. HSS-26-008, titled "Alliance for Adolescent Pregnancy Prevention Services." The form requires prospective vendors to submit a minimum of three business references with detailed information including contact names, titles, business names, mailing addresses, email addresses, phone numbers/fax numbers, current vendor status, years of association, and descriptions of work performed. The form explicitly prohibits the use of State of Delaware personnel as references and requires bidders who have held State contracts within the last five years to provide a separate list of those contracts.

The form serves as a qualification assessment tool to evaluate bidder capability and experience in delivering adolescent pregnancy prevention services and related programming. Bidders must complete all sections of the form as part of their proposal submission. The references provided will likely be verified by the State to assess the bidder's track record in similar work, financial stability, reliability, and quality of service delivery. This documentation is essential for the State's evaluation of vendor qualifications prior to contract award for the statewide adolescent pregnancy prevention initiative.