6-HSS-26-007 Emergency Response System - Attachment 5 - Business References Form.docx

The document is a Business References Form for Contract No. HSS-26-007 issued by the Delaware Health and Social Services Division of Services for Aging and Adults with Physical Disabilities for an Emergency Response Systems contract. The form requires bidders to provide a minimum of three business references, including contact details, years of business association, and type of work performed. The referenced contract is for an Emergency Response System (ERS), an electronic device enabling high-risk participants to secure immediate help during physical, emotional, or environmental emergencies by signaling a response center when the help button is activated or when a participant fails to make scheduled contact.

The Emergency Response System is designed to promote home safety by reducing the need for extensive in-home supervision and providing a mechanism to alert service providers during emergencies, potentially preventing institutionalization. The references form explicitly prohibits listing state employees as references and requires separate documentation for any state contracts held within the previous five years. The form provides structured fields for three reference entries, including business name, contact information, vendor status, years of association, and type of work performed, indicating a comprehensive approach to vendor qualification and background verification for this critical health and social services initiative.