6-HSS-26-017 - DHSS Strategic Plan Development - Attachment 5 - Business References Form.docx
DOCX document 134 KB Posted
- Attached to
- DHSS STRATEGIC PLAN DEVELOPMENT State and local contract opportunity
- Solicitation number
- HSS-26-017
- Issued by
- Delaware
About this file
This is a business references form for Contract No. HSS-26-017 issued by the Delaware Health and Social Services Office of the Secretary for DHSS Strategic Plan Development services. The form requires vendors to provide a minimum of three business references, including complete contact information, relationship duration, and type of work performed for each reference. Vendors must also separately list any Delaware state contracts held within the last five years, and the form explicitly prohibits using any state employees as references.
The form is structured to collect detailed reference information including business name, mailing address, contact name and phone number, email, fax number, current vendor status, years of association, and specific types of work performed. The reference requirement supports the broader strategic planning contract opportunity that involves conducting comprehensive needs assessments, optimizing resource allocation, streamlining practices, and developing implementation and monitoring plans for DHSS, with the project allocated up to $500,000 and scheduled to run from November 2025 through August 2026.
View the file
Other files for this state and local contract opportunity
| File | Type | Posted |
|---|---|---|
| 3-HSS-26-017 - DHSS Strategic Plan Development - Attachment 2 - Non-Collusion Statement.docx | DOCX document | |
| 5-HSS-26-017 - DHSS Strategic Plan Development - Attachment 4 - Confidential Information Form.docx | DOCX document | |
| 1-HSS-26-017 - DHSS Strategic Plan Development - Final.docx | DOCX document | |
| 4-HSS-26-017 - DHSS Strategic Plan Development - Attachment 3 - Exceptions Form.docx | DOCX document | |
| 8-HSS-26-017 - DHSS Strategic Plan Development - Appendix C - Templates-PSA, BAA and DTI TCs.docx | DOCX document | |
| 2-HSS-26-017 - DHSS Strategic Plan Development - Attachment 1 - No Proposal Reply Form.docx | DOCX document | |
| 7-HSS-26-017 - DHSS Strategic Plan Development - Attachment 6 - Subcontractor Information Form.docx | DOCX document |
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Text version
Delaware Health and Social Services
Office of the Secretary d
Delaware Health and Social Services
Office of the Secretary d
Attachment 5
CONTRACT NO: HSS-26-017
CONTRACT TITLE: DHSS STRATEGIC PLAN DEVELOPMENT
BUSINESS REFERENCES
List a minimum of three business references, including the following information:
· Business Name and Mailing address
· Contact Name and phone number
· Number of years doing business with
· Type of work performed Please do not list any State Employee as a business reference. If you have held a State contract within the last 5 years, please provide a separate list of the contract(s).
| 1. |
| Contact Name & Title: |
Business Name:
Address:
Email:
Phone # / Fax #:
Current Vendor (YES or NO):
Years Associated & Type of Work Performed:
| 2. |
| Contact Name & Title: |
Business Name:
Address:
Email:
Phone # / Fax #:
Current Vendor (YES or NO):
Years Associated & Type of Work Performed:
| 3. |
| Contact Name & Title: |
Business Name:
Address:
Email:
Phone # / Fax #:
Current Vendor (YES or NO):
Years Associated & Type of Work Performed:
STATE OF DELAWARE PERSONNEL MAY NOT BE USED AS REFERENCES.
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