7-HSS-26-048 - PROMISE Personal Care Services - Attachment 6 - Subcontractor Information Form.docx

This is a Subcontractor Information Form attachment for contract HSS-26-048, issued by the Delaware Department of Health and Social Services (DHSS), Division of Substance Abuse and Mental Health (DSAMH), in connection with the PROMISE Personal Care Services solicitation. The form serves as the mechanism for proposing vendors to identify and provide detailed information about any subcontractors they intend to utilize in performing the contract work. The form requires vendors to document subcontractor names, mailing addresses, and descriptions of work to be performed by each subcontractor, along with signatures from authorized representatives of both the proposing vendor and the subcontractor acknowledging their participation.

The form includes fields for vendors to identify relevant business classifications and certifications held by subcontractors, including minority business enterprise (MBE), women business enterprise (WBE), disadvantaged business enterprise (DBE), veteran-owned business enterprise (VOBE), and service-disabled veteran-owned business enterprise (SDVOBE) designations. A separate form must be completed for each subcontractor, and both the proposing vendor and the subcontractor must acknowledge and sign the form, with designated spaces for the names, titles, signatures, and dates of authorized signatories from each party.