8-HSS-26-028 - PROMISE Mental Health Group Homes - Attachment 6 - Subcontractor Information Form.docx

This document is a Subcontractor Information Form for the Delaware Health and Social Services Division of Substance Abuse and Mental Health, associated with Contract No. HSS-26-028 for the PROMISE Mental Health Group Homes project. The form is designed to capture detailed information about potential subcontractors, including their business classifications, contact information, and scope of work. The form provides checkboxes for various business enterprise certifications such as Women Business Enterprise, Minority Business Enterprise, Disadvantaged Business Enterprise, Veteran Owned Business Enterprise, and Service Disabled Veteran Owned Business Enterprise.

The form requires vendors to complete two parts: Part I, which is a statement by the proposing vendor, and Part II, which is an acknowledgement by the subcontractor. While specific details about the project's full scope are not provided in this document, it appears to be related to mental health group home services in Delaware. The form allows for multiple subcontractors to be listed, with each requiring a separate completed form. The document includes signature lines and date fields for both the proposing vendor and the subcontractor, indicating a formal procurement process for identifying and qualifying potential subcontractors for the mental health group homes project.