7-HSS-26-037 -Subcontractors -Attachment 6.pdf

This is a Subcontractor Information Form (Attachment 6) issued by the Delaware Health and Social Services Division of Public Health for contract HSS-26-037, which pertains to Interviewing Services for the Delaware Adult Tobacco Survey. The form serves as a two-part document requiring disclosure of subcontractor information from the proposing vendor. Part I requires the vendor to provide details about any subcontractors, including the subcontractor's name, mailing address, and a description of work to be performed. The form also requires the vendor to identify the subcontractor's business classifications and certifications, along with designations for Women Business Enterprise, Minority Business Enterprise, Disadvantaged Business Enterprise, Veteran Owned Business Enterprise, and Service-Disabled Veteran Owned Business Enterprise status. Part II requires acknowledgement and signature from the subcontractor, confirming their participation and agreement to the terms outlined.

The form is designed to ensure transparency and compliance with state contracting requirements by documenting all subcontractor relationships involved in the delivery of the Delaware Adult Tobacco Survey services. The survey itself is an annual telephone interview administered to non-institutionalized Delaware residents age 18 and older, assessing tobacco use prevalence and related factors to support the Division's Tobacco Prevention and Control Program. The selected vendor will be responsible for calculating sampling, conducting interviews via both landline and cell phone samples, and performing data analysis. A separate subcontractor information form must be completed for each subcontractor involved in contract performance.