6-HSS-26-020 - Enhanced Communication - Attachment 5 - Business References Form.docx
DOCX document 132 KB Posted
- Attached to
- ENHANCED COMMUNICATION State and local contract opportunity
- Solicitation number
- HSS-26-020
- Issued by
- Delaware
About this file
This document is a Business References Form for the Delaware Health and Social Services Division of Developmental Disabilities (DDDS) related to contract HSS-26-020 for Enhanced Communication services. The contract seeks a vendor to provide facilitated communication opportunities for Deaf service recipients receiving residential habilitation services, including communication support with housemates and staff, and education for Direct Support Professionals about Deaf Culture and functional American Sign Language (ASL) vocabulary. The services are specifically not for traditional direct interpreter services and require compliance with all applicable State and Federal laws, rules, policies, and procedures.
The reference form requires vendors to list a minimum of three business references, including business name, contact information, years of association, and type of work performed. Vendors are explicitly prohibited from listing state employees as references, and if they have held a state contract within the last 5 years, they must provide a separate list of those contracts. The form provides space for three separate reference entries, each requiring detailed information about the business relationship, contact details, and work performed.
View the file
Other files for this state and local contract opportunity
| File | Type | Posted |
|---|---|---|
| 3-HSS-26-020 - Enhanced Communication - Attachment 2 - Non-Collusion Statement.docx | DOCX document | |
| 4-HSS-26-020 - Enhanced Communication - Attachment 3 - Exceptions Form.docx | DOCX document | |
| 7-HSS-26-020 - Enhanced Communication - Attachment 6 - Subcontractor Information Form.docx | DOCX document | |
| 1-HSS-26-020 - Enhanced Communication - Final.docx | DOCX document | |
| 8-HSS-26-020 - Enhanced Communication - Appendix C - PSA, BAA DTI TCs.docx | DOCX document | |
| 2-HSS-26-020 - Enhanced Communication - Attachment 1 - No Proposal Reply Form.docx | DOCX document | |
| 5-HSS-26-020 - Enhanced Communication - Attachment 4 - Confidential Information.docx | DOCX document |
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Text version
Delaware Health and Social Services
Division of Developmental Disabilities d
Delaware Health and Social Services
Division of Developmental Disabilities d
Attachment 5
CONTRACT NO: HSS-26-020
CONTRACT TITLE: Enhance Communication
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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