7-Subcontractor Information -Attachment 6.pdf

This is a Subcontractor Information Form (Attachment 6) issued by the Delaware Department of Health and Social Services, Division of Public Health, for contract HSS-26-014 pertaining to School-Based Health Centers for Adolescents in Nineteen School Districts. The form serves as a disclosure document requiring proposing vendors to identify and provide detailed information about any subcontractors they intend to utilize in the performance of this contract. The form captures essential subcontractor data including company name, mailing address, and a description of work to be performed by the subcontractor. Vendors must complete a separate form for each subcontractor and obtain acknowledgment signatures from designated representatives of both the proposing vendor and the subcontractor, thereby establishing mutual understanding and commitment to the subcontractor relationship.

The form requires vendors to identify subcontractor certifications and classifications, including designations as Women Business Enterprises, Minority Business Enterprises, Disadvantaged Business Enterprises, Veteran-Owned Business Enterprises, and Service-Disabled Veteran-Owned Business Enterprises, along with corresponding certification numbers from the Office of Small Business (OSD). This information collection mechanism enables the state to track participation of certified businesses and small enterprises in the School-Based Health Centers program, facilitating compliance with any applicable set-aside or participation goals established for this procurement opportunity.