7-HSS-26-013 - Personal Attendant Services - Attachment 6 - Subcontractor Information Form.docx

This document is a Subcontractor Information Form issued by the Delaware Health and Social Services Division of Services for Aging and Adults with Physical Disabilities for contract HSS-26-013 related to Personal Attendant Services. The form is designed to capture detailed information about potential subcontractors participating in the personal attendant services program, which provides support to individuals with disabilities needing assistance with daily living activities such as bathing, dressing, personal hygiene, meal preparation, shopping, housekeeping, transportation, and communication.

The form includes sections for vendors to provide comprehensive subcontractor details, including business classification options such as Women Business Enterprise, Minority Business Enterprise, Disadvantaged Business Enterprise, Veteran Owned Business Enterprise, and Service-Disabled Veteran Owned Business Enterprise. Subcontractors are required to complete both Part I (Statement by Proposing Vendor) and Part II (Acknowledgement by Subcontractor), with space for signatures, dates, and identifying information. The form allows for multiple subcontractors to be listed, with a separate form recommended for each subcontractor, facilitating a transparent and structured approach to identifying and documenting potential service providers in the personal attendant services program.