9-HSS-26-040 Business References -Attachment 5.pdf
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- Solicitation number
- HSS-26-040
- Issued by
- Delaware
About this file
This is a Business References attachment form for a state contract opportunity issued by the Delaware Health and Social Services Division of Public Health for the Delaware Statewide Birth to Three Early Intervention Services contract (HSS-26-040). The form requires prospective bidders to submit a minimum of three business references that demonstrate relevant experience and capability to deliver early intervention services for infants and toddlers with disabilities and developmental delays. Each reference must include the business name and mailing address, contact name and phone number, years of business association, type of work performed, and current vendor status. The form explicitly prohibits the listing of any State of Delaware employees as references and requires bidders who have held State contracts within the last five years to provide a separate list of those contracts.
The Business References form serves as a qualification and evaluation tool to assess bidder capability and track record in delivering services aligned with Delaware's Birth to Three Early Intervention Program mission, which emphasizes family-centered, integrated, and cost-effective service delivery. Bidders must complete the form in its entirety and provide accurate contact information for each reference to allow the State to conduct due diligence during the selection process. This document is a standard requirement in the competitive procurement process and supports the State's evaluation of bidder experience and reliability in managing early intervention programs across the state.
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Text version
Delaware Health and Social Services Division of Public Health
Attachment 5
CONTRACT NO: HSS-26-040
CONTRACT TITLE: Delaware Statewide Birth to Three Early Intervention Services
BUSINESS REFERENCES (COMPLETE THIS FORM IN ITS ENTIRELY)
List a minimum of three business references, including the following information:
Business Name and Mailing address Contact Name and phone number Number of years doing business with Type of work performed Please do not list any State Employee as a business reference. If you have held a State contract within the last 5 years, please provide a separate list of the contract(s).
1. Contact Name & Title:
Business Name:
Address:
Email:
Phone # / Fax #:
Current Vendor (YES or NO):
Years Associated & Type of Work Performed:
2. Contact Name & Title:
3. Contact Name & Title:
STATE OF DELAWARE PERSONNEL MAY NOT BE USED AS REFERENCES.
File details come from the government source that posted it. Updated .