ESBD_358303_1715100331555_Exhibit E Bidder References & Qualifications.pdf
PDF 133 KB Posted
- Attached to
- Contingency Contract(s) for Oxygen
- Solicitation number
- HHS0014396
- Issued by
- Bexar County, Texas
About this file
This document is Exhibit E - Bidder Reference Form and Contract Qualifications Form related to a contract opportunity for the Texas Department of Health and Human Services (HHSC). The contract seeks to establish contingency contracts to provide oxygen cylinders and oxygen refilling services to the Department of State Health Services (DSHS) State Medical Operations Center (SMOC) for disaster, emergency, or exercise response in the state of Texas. Bidders must provide a minimum of three references for similar contracts performed within the last two years, as well as additional company information such as number of years in business, number of employees, and applicable certifications and licenses of staff that will service the account. Bidders must also provide a narrative describing their experience and qualifications, and a written description of the size and scope of their operations, including the number of employees and supervisors available to provide the required services.
The contract will be awarded to qualified bidders, with no specific set-aside or incumbent information provided. The pricing terms, funding requirements, and sources are not included in this document. The contract term and renewal options are also not specified.
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Text version
Exhibit E – Bidder Reference Form and Contract Qualifications Form – 03/01/24
HHS0014396
Exhibit E – Bidder Reference & Contractor Qualifications Form
References:
Bidders must provide a minimum of three (3) verifiable references for contracts of similar size and scope of services within the last two (2) 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:
Additional Company Information:
Number of Years in Business:
Office Address:
Current Number of Permanent, Full-Time Employees:
Current Number of Permanent, Part-Time Employees:
Current Total Number of Employees:
Geographic Limits of Operations:
List any Industry Certifications/Qualifications/Formal Training Programs that your staff (who will be servicing this account) have been certified in:
Name Certifications/Qualifications/Formal Training
List any applicable licenses currently held by staff that will service this account:
Name License Number
Bidder’s Minimum Experience and Qualifications- Section 7.1.4
Provide a narrative (maximum of one page) describing the bidder’s experience and qualifications as it applies to this Section.
Demonstration of the Ability to Perform
Provide a written description of the size and scope of all operations, including the number of Bidder’s employees available to provide customer service, order fulfillment, safe shipping and handling of product and the number of supervisors for each location, as applicable.
| HHS0014396 |
| Exhibit D – Bidder Reference & Contractor Qualifications Form |
File details come from the government source that posted it. Updated .