ESBD_361411_1717183358616_Exhibit D - Bidder Reference Form.pdf
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- Solicitation number
- HHS0014844
- Issued by
- Kaufman County, Texas
About this file
This document is an Exhibit D - Bidder Reference Form and Contract Qualifications Form for a state and local contract opportunity in Texas. The opportunity involves the installation of new cooling and freezing units at Terrell State Hospital, and is being solicited by the Health and Human Services Commission (HHSC) under an emergency purchase. Bidders must provide a minimum of three verifiable references for contracts of similar size and scope within the last ten years, as well as details on their company's background, certifications, licenses, and experience. The contract will be awarded to a prime contractor to perform the required services.
The document also includes details on the demonstration of the bidder's ability to perform the required services, including the size and scope of their operations, the number of employees available for customer service and order fulfillment, and the number of supervisors at each location. No specific pricing terms, set asides, or funding information is provided in this document.
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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 ten (10) 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 7.1.5
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.
File details come from the government source that posted it. Updated .