ESBD_361410_1717183210359_Exhibit_D_Bidder_Reference_Qualifications_Form.pdf
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- Solicitation number
- HHS0014861
- Issued by
- Texas
About this file
This document is the Bidder Reference Form and Contract Qualifications Form, which is an exhibit for a state and local contract opportunity in Texas. The contract is for the Preventative Maintenance and Repair of two X-Ray Machines. Bidders must provide a minimum of three verifiable references for similar contracts within the last 3 years, including the business name, point-of-contact information, and a description of the services provided as either a prime contractor or subcontractor. Bidders must also provide information about their company, such as the number of years in business, office location, number of employees, geographic limits of operations, industry certifications, and licenses held by staff. Additionally, bidders must provide a narrative describing their experience and qualifications as they apply to the requirements in Section 7.1.5 of the solicitation, as well as a written description of the size and scope of their operations. The solicitation was posted on the ESBD on 05/31/2024, with a question and clarification deadline of 06/07/2024 and a response deadline of 06/14/2024 at 10:30 AM Central Time. The anticipated contract start date is the date of award.
The document does not provide details on pricing terms, set asides, incumbents, funding requirements and sources, or any other salient information beyond the bidder qualification requirements and solicitation timeline.
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Text version
Exhibit D – Bidder Reference Form and Contract Qualifications Form – 03/01/24
Exhibit D – Bidder Reference Form & Contractor Qualifications Form
Bidders must provide a minimum of three (3) verifiable references for contracts of similar size and scope of services within the last 3years.
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 7.1.5
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.
Exhibit D – Bidder Reference Form & Contractor Qualifications Form
File details come from the government source that posted it. Updated .