ESBD_362659_1718376004991_Exhibit_D_Bidder_Reference_Qualifications_Form.pdf

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Attached to
Wheel and Tire Services and Goods, Vehicle Inspection Services, Waco Center for Youth
Solicitation number
HHS0014945
Issued by
Sherman County, Texas

About this file

This document is the Exhibit D - Bidder Reference Form and Contract Qualifications Form for a state and local contract opportunity issued by the Texas Health and Human Services Commission (HHSC) for Wheel and Tire Services and Goods, Vehicle Inspection Services, and Waco Center for Youth. The solicitation requires bidders to provide a minimum of three verifiable references for contracts of similar size and scope within the last five years, as well as information on the bidder's company, such as years in business, number of employees, geographic limits, certifications, and licenses. Bidders must also provide a narrative describing their experience and qualifications as they apply to the minimum requirements. The contract is anticipated to start on September 1, 2024.

The solicitation is being issued for the Waco Center for Youth located in McLennan County, Texas. The procurement schedule includes a question and clarification deadline of June 28, 2024, with responses posted by July 8, 2024, and a response deadline of July 12, 2024 at 10:30 AM Central Time.

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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 .