HSS26021D-HCBS_appC.xlsx

XLSX spreadsheet 31 KB Posted Oct 9, 2026

Attached to: HCB Services for Individuals with Intellectual & Developmental Disabilities State and local contract opportunity
Solicitation number: HSS26021D-HCBS
Issued by: Delaware

About this file

Written by GovTribe AI · Oct 2, 2026

This is a pricing and budget spreadsheet related to HCB (Home and Community-Based) Services for individuals with intellectual and developmental disabilities in Delaware. The document appears to be Appendix C of the HSS26021D solicitation and contains detailed financial data, cost breakdowns, and pricing structures associated with service delivery across multiple service categories and provider types.

The spreadsheet outlines unit costs, service utilization rates, and financial projections for various HCBS service categories. It provides comprehensive pricing information necessary for bidders to understand the financial framework and cost expectations for service provision under this contract. The document includes pricing matrices, cost calculations, and budget allocations that establish the financial parameters for service delivery reimbursement rates and overall program funding structure for the state of Delaware's intellectual and developmental disabilities services.

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Other files for this state and local contract opportunity

Other files attached to HCB Services for Individuals with Intellectual & Developmental Disabilities, newest first.
File	Type	Posted
HSS26021D-HCBS_appE.docx	DOCX document	Oct 9, 2026
HSS26021D-HCBS_rfp.pdf	PDF	Oct 9, 2026
HSS26021D-HCBS_appD.docx	DOCX document	Oct 9, 2026

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Athmt2 Vendor Information Sheet

Vendor Information Sheet

Company Name

DBA (if applicable)

Purchase Order Address

Website

Diverse Vendor Self-Identification

State Certified

tc={B2C2CF43-B014-7241-88B8-559DBC63FF35}: [Threaded comment]

Your version of Excel allows you to read this threaded comment; however, any edits to it will get removed if the file is opened in a newer version of Excel. Learn more: https://go.microsoft.com/fwlink/?linkid=870924

Comment:

Please select "Yes" or "No" in the drop down option	If yes, which State(s):
	Federal Certified

tc={CDD3F9C5-6723-8A44-AB78-482A55CA25D8}: [Threaded comment]

Comment:

Please select "Yes" or "No" in the drop down option tc={43ED5A80-B261-1848-B2FA-ADCC29D047C8}: [Threaded comment]

Comment:

Please enter the State	Desginated Contacts	Primary	Secondary
	Contact Name
	Role/Title
	Phone Number
	Email
	Business Capability Statement
	(Provide a short capability statement about your business and its capabilities and skills to advertise who you are and what you do.)

Please select "Yes" or "No" in the drop down option

Please enter the State

Please select "Yes" or "No" in the drop down option

Athmt3 Non-Collusion Statement

Non-Collusion Statement

This is to certify that the undersigned Vendor has neither directly nor indirectly, entered into any agreement, participated in any collusion or otherwise taken any action in restraint of free competitive bidding in connection with this solicitation, and further certifies that it is not a sub-contractor to another Vendor who also submitted a bid/proposal as a primary Vendor in response to this solicitation submitted this date to the State of Delaware, Office of Management and Budget, Government Support Services.

It is agreed by the undersigned Vendor that the signed submission of this bid/proposal represents, subject to any express exceptions set forth on the Exception form, the Vendor’s acceptance of the terms and conditions of this solicitation including all specifications and special provisions.

NOTE: Signature of the authorized representative MUST be of an individual who legally may enter his/her organization into a formal contract with the State of Delaware, Office of Management and Budget, Government Support Services.

Company Name

DBA (if applicable)

Name of Authorized Representative

Title

Phone Number

Email Address

Company Address

Phone Number

Email Address

Tax ID Number

AFFIRMATION: Within the past five (5) years, has your firm, any affiliate, any predecessor company or entity, owner, Director, officer, partner or proprietor been the subject of a Federal, State, Local government suspension or debarment?

tc={1E99C451-E115-904F-8443-F2FB63721C69}: [Threaded comment]

Comment:

Please select "Yes" or "No" in the drop down option	If yes, explain
	THIS PAGE SHALL BE SIGNED FOR YOUR BID/PROPOSAL TO BE CONSIDERED.
	Signature of Authorized Representative

REQUIRED

Note:

Signature of Authorized Representative Please sign electronically or If signed manually (NOT electronically), complete the form, print so it can be signed manually and upload as a .PDF file under "Manually Signed Non-Collusion Statement" Please select "Yes" or "No" in the drop down option

Athmt4 Confidentiality Form

Confidentiality Form
Responding vendor may elect to designate sections of their proposal as confidential, intellectual property, trade secrets, and other confidential business information. Vendor shall explain below how the redacted information is not “public record” as defined by 29 Del. C. § 10002. The State shall independently determine the validity of any vendor designation as set forth in this section. Any vendor submitting a bid/proposal herein expressly accepts the State’s absolute right and duty to independently assess the legal and factual validity of any information designated as confidential business information.
	(Please click in cell B5 and select "yes" or "no" )
Confidential Information

tc={CC44AC1B-749D-D549-9CE9-7F551B329F7F}: [Threaded comment]

Comment:

Please select the reply for "Yes" or "No" in the drop down menu Confidentiality and Proprietary Information (please list item in column A and detail in column B) Please provide an unredacted and a redacted version of the document(s) noted within Bonfire.

Please select the reply for "Yes" or "No" in the drop down menu

Athmt 5 Exceptions Form

Exceptions Form
Responding Vendors may elect to take minor exceptions to the terms and conditions of this solicitation. All exceptions must be submitted below. Exceptions found elsewhere in the solicitation response will not be considered. Government Support Services maintains sole discretion to reject any exceptions.
	In Cell B5, please click into cell and select "yes" or "no" on the drop down.
Exceptions
Paragraph & Page #	Current Language	Proposed Alternative	Justification

Athmt6 Business References

Business References

List a minimum of three business references of similar size and scope. Please do not list any State Employee(s) as a business reference. If Subcontractors are identified, a minimum of three business references must also be provided for each subcontractor.

Reference One

Contact Name

Contact Title

Business Name

Address

Phone

Current Vendor?

Work Performed

Reference Two

Contact Name

Contact Title

Business Name

Address

Phone

Current Vendor?

Work Performed

Reference Three

Contact Name

Contact Title

Business Name

Address

Phone

Current Vendor?

Work Performed

Note: If you have more than 3 references, please make a copy of the above template and paste below starting in Row 38 of this Workbook to include the additional references.

Athmt7 Subcontractor Form

Subcontractor Form
Are you proposing the use of any subcontractors in the fulfillment of the requirements as outlined in the solicitation?		Please click in cell D2 and using the drop down menu and select "Yes" or "No"
If yes, complete this form.
Responding Vendor Information
Company Name
DBA (if applicable)
Company Address
Subcontractor Information
Company Name
DBA (if applicable)
Company Address
Diverse Vendor Self-Identification
State Certified	If yes, which State(s):
Federal Certified
Description of Work by Subcontractor

Once completed, this form must be signed by both vendors.
Proposing Vendor	Subcontractor
Authorized Signature:	Authorized Signature:	Note:

Sign electronically or If not signed electronically, complete form, print and signed manually; then upload as a .PDF file under "Signed Subcontractor Form(s)"

Name:	Name:
Title:	Title:
Date:	Date:

DropDowns

YES

YES - Vendor is providing any information they declare to be confidential or proprietary for the purpose of production under 29 Del. C. Ch. 100, Delaware Freedom of Information Act.

NO - Vendor is not providing any information they declare to be confidential or proprietary for the purpose of production under 29 Del. C. Ch. 100, Delaware Freedom of Information Act.

YES - Vendor is submitting exceptions for consideration.

NO - Vendor is not submitting any exceptions to the specifications, terms, or conditions found in this solicitation.

File details come from the government source that posted it. Updated Oct 2, 2026.