ESBD_361795_1717787578041_HHS0014805_Exhibit_D_Bidder_Reference_Qualifications.pdf
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- Solicitation number
- HHS0014805
- Issued by
- Fort Bend County, Texas
About this file
This document is an Exhibit D - Bidder Reference Form and Contract Qualifications Form related to a contract opportunity for Imaging and Diagnostics services for the Richmond State Supported Living Center in Texas. The contract requires bidders to provide a minimum of three verifiable references for similar contracts within the last five years, including information on the services performed, the role as a prime contractor or subcontractor, and a description of the services provided. The document also requests additional company information such as years in business, office location, number of employees, geographic limits of operations, industry certifications, and licenses held by staff. Bidders are required to provide a narrative describing their experience and qualifications as they apply to the contract requirements.
The related contract opportunity is for Imaging and Diagnostics services for the Richmond State Supported Living Center, located in Richmond, Texas, which is within Fort Bend County. The contract is being offered by the state of Texas.
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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 five (5) 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 .