ESBD_363515_1718663067739_HHS0014668 Exhibit D Bidder Reference Form_Contr Qual.pdf
PDF 162 KB Posted
- Attached to
- Service Agreement for Agilent Instruments
- Solicitation number
- HHS0014668
- Issued by
- Texas
About this file
This document is 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 a service agreement to repair and maintain Agilent Instruments used to protect drinking water quality and for rapid tuberculosis identification. Bidders must provide a minimum of three verifiable references for similar contracts within the past five years, including the business name, point-of-contact details, and a description of the services provided as either a prime contractor or subcontractor. The form also requires the bidder to provide information about their company, including years in business, office location, number of full-time and part-time employees, geographic limits of operations, industry certifications, and applicable staff licenses.
The contract opportunity seeks to establish a full-service contract for the repair and maintenance of Agilent Instruments to support the Safe Drinking Water Act and rapid tuberculosis identification. The contract will be awarded to the most qualified bidder(s) based on the criteria outlined in Section 7.1.5. Bidders must demonstrate their ability to perform the required services, including the size and scope of their operations, the number of employees available for customer service, order fulfillment, safe shipping and handling, and the number of supervisors for each location.
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Text version
Exhibit D – Bidder Reference Form and Contract Qualifications Form – 03/01/24
HHS0014668
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 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 .