ESBD_357743_1714511712992_Exhibit E - Bidder Reference Form.docx

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Attached to
Pharmaceutical Waste Disposal Services for State Hospitals and State Supported Living Centers Throughout the State of Texas
Solicitation number
HHS0014153-2
Issued by
Travis County, Austin City, Texas

About this file

This document is the Bidder Reference Form for a state and local contract opportunity. Bidders must provide at least three verifiable references for contracts of similar size and scope of services within the last three years. The reference information required includes the business name, point-of-contact name and title, address, phone, email, whether the services were performed as a prime contractor or subcontractor, and a description and dates of the services provided.

The contract appears to be for ongoing service provision, but the specific products or services, quantities, response dates, award dates, and contract term are not provided in this document. Pricing terms, set-asides, funding sources, and other salient information are also not included in this Bidder Reference Form.

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Text version

Exhibit E – Bidder Reference Form Bidders must provide a minimum of three (3) verifiable references for contracts of similar size and scope of services within the last three (3) years.

For each reference, provide the following and attach to the Response any documentation to support the information regarding current or prior contracts.

1. Business Name:

Point-of-Contact Name and Title:

Address (City, State, Zip):

Phone:

Email address:

Services Performed as Prime Contractor or as Subcontractor?

[Prime Contractor] or [Subcontractor] Description and Dates of Services Provided:

2. Business Name:

Point-of-Contact Name and Title:

Address (City, State, Zip):

Phone:

Email address:

Services Performed as Prime Contractor or as Subcontractor?

[Prime Contractor] or [Subcontractor] Description and Dates of Services Provided:

3. Business Name:

Point-of-Contact Name and Title:

Address (City, State, Zip):

Phone:

Email address:

Services Performed as Prime Contractor or as Subcontractor?

[Prime Contractor] or [Subcontractor] Description and Dates of Services Provided:

Exhibit E – Bidder Reference Form – 09/01/21

File details come from the government source that posted it. Updated .