9-Appendix I HSS-26-079BHRESDEV-Checklist.docx
DOCX document 26 KB Posted
- Attached to
- Behavioral Health Resource Development
- Solicitation number
- HSS-26-079
- Issued by
- Delaware
About this file
This is a mandatory component response matrix and submission checklist for RFP HSS-26-079 Behavioral Health Resource Development issued by the State of Delaware. The RFP allows vendors to submit proposals for one or multiple components addressing behavioral health initiatives. The five available components are: Mental Health Court Peer Support, Peer Workforce Development and Certification Training, Prevention-Based and Recovery Support Non-Direct System Development Strategies, Crisis Intervention Team Training, and Community Reinforcement Approach and Family Training (CRAFT). For Component #3 specifically, vendors must identify which service functions they will address, including Prevention Activities, Community and Recovery Support Outreach Activities, and Public Education Activities. Vendors must clearly indicate which components they are proposing, identify all included narratives and attachments, confirm submission of all required technical response materials, and clearly label all component-specific proposal sections. Failure to complete the submission checklist form may result in the proposal being deemed non-responsive.
The checklist requires vendors to provide complete organizational information including legal name, DBA, primary contact details, and vendor address. All component-specific narratives, program designs, work plans, sustainability plans, and budgets must be clearly labeled and separated. Vendors must also confirm that organizational information shared across multiple components is properly cross-referenced and that all required appendices and attachments are included in the submission. An authorized representative must sign and date the checklist certification form, which serves as a binding confirmation that the proposal meets all organizational and structural requirements outlined in the RFP.
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RFP HSS-26-079
BEHAVIORAL HEALTH RESOURCE DEVELOPMENT
MANDATORY COMPONENT RESPONSE MATRIX AND SUBMISSION CHECKLIST
INSTRUCTIONS TO BIDDERS:
Vendors may submit one proposal containing responses for multiple Components under this RFP. This form must be completed and included at the beginning of the proposal submission.
For each Component proposed, Vendors must:
· Clearly indicate the Component(s) being proposed;
· Identify all included narratives and attachments;
· Confirm submission of all required technical response materials; and
· Clearly label all component-specific proposal sections.
Failure to complete this form may result in the proposal being deemed non-responsive.
SECTION 1 — VENDOR INFORMATION
| Vendor Information |
| Response |
| Legal Vendor Name |
| Click or tap here to enter text. |
| DBA (if applicable) |
| Click or tap here to enter text. |
| Primary Contact |
| Click or tap here to enter text. |
| Title |
| Click or tap here to enter text. |
| Email Address |
| Click or tap here to enter text. |
| Phone Number |
| Click or tap here to enter text. |
| Vendor Address |
| Click or tap here to enter text. |
SECTION 2 — COMPONENT SELECTION
| Component |
| Applying? |
| Component #1 – Mental Health Court Peer Support |
| ☐ Yes ☐ No |
| Component #2 – Peer Workforce Development and Certification Training |
| ☐ Yes ☐ No |
| Component #3 – Prevention-Based and Recovery Support Non-Direct System Development Strategies |
| ☐ Yes ☐ No |
| Component #4 – Crisis Intervention Team Training |
| ☐ Yes ☐ No |
| Component #5 – Community Reinforcement Approach and Family Training (CRAFT) |
| ☐ Yes ☐ No |
SECTION 3 — COMPONENT #3 SERVICE FUNCTION IDENTIFICATION
(Complete only if applying for Component #3)
| Service Function |
| Applying? |
| Prevention Activities |
| ☐ Yes ☐ No |
| Community and Recovery Support Outreach Activities |
| ☐ Yes ☐ No |
| Public Education Activities |
| ☐ Yes ☐ No |
SECTION 4 — PROPOSAL ORGANIZATION CERTIFICATION
☐ Vendor confirms all component-specific narratives are clearly labeled and separated.
☐ Vendor confirms all Program Design, Work Plans, Sustainability Plans, and Budgets are component-specific.
☐ Vendor confirms organizational information shared across Components is clearly cross-referenced.
☐ Vendor confirms all required appendices and attachments are included.
SECTION 5 — AUTHORIZED SIGNATURE
Authorized Representative
| Name |
| Click or tap here to enter text. |
| Title |
| Click or tap here to enter text. |
| Signature |
| Date |
| Click or tap here to enter text. |
File details come from the government source that posted it. Updated .