ESBD_365246_1719441516063_HHS0014837_Exhibit D Bidder Reference Form.docx
DOCX document 38 KB Posted
- Solicitation number
- HHS0014837
- Issued by
- Travis County, Austin City, Texas
About this file
This document is the Bidder Reference Form and Contractor Qualifications Form from the state and local contract opportunity for General Construction Services for Austin State Hospital (ASH) in Texas. The solicitation requires bidders to provide a minimum of three verifiable references for contracts of similar size and scope within the last three years, along with details on the bidder's company, including years in business, number of employees, geographic limits, industry certifications, and licenses. Bidders must also provide a narrative describing their experience and qualifications, as well as a written description of their operations and staffing capabilities. The contract will be awarded to the successful bidder(s) to provide general construction services for the ASH facility located in Travis County and the city of Austin.
The document does not provide specific details on pricing, set-asides, incumbent contractors, funding sources, or other financial terms. It focuses solely on the requirements for bidder qualifications, references, and company information to be submitted as part of the response.
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Text version
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 three (3) 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.
24-Hour Contacts – Must list a minimum of 2:
Contact 1 Name Phone Email Contact 2 Name Phone Email
Exhibit D – Bidder Reference Form and Contract Qualifications Form – 03/01/24
File details come from the government source that posted it. Updated .