ESBD_365254_1719498842786_Exhibit D - Bidder Reference and Quals.pdf
PDF 74 KB Posted
- Solicitation number
- HHS0014789
- Issued by
- Kenedy County, Texas
About this file
This document is the Exhibit D - Bidder Reference Form and Contract Qualifications Form for a contract opportunity issued by the Texas Health and Human Services Commission (HHSC) to lease dish machines and provide maintenance and repair services at the Terrell State Hospital. Bidders must provide a minimum of three (3) references for similar contracts within the last three (3) years, including details about the services provided, the point-of-contact, and whether the bidder served as the prime contractor or subcontractor. The bidder must also provide information about their company, including the number of years in business, number of employees, geographic limits of operations, and any relevant industry certifications or licenses. Bidders must demonstrate their ability to perform the required services, including the number of employees available for customer service, order fulfillment, and shipping. The contract opportunity has a response deadline of July 15, 2024 and an anticipated start date of September 1, 2024.
The procurement is for dish machine equipment leases, as-needed repair, and scheduled maintenance services at the Terrell State Hospital in Texas. The invitation for bids (IFB) does not provide any details about pricing terms, set-asides, incumbents, funding requirements, or sources of funding.
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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
HHS0014789
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 & Contractor Qualifications Form
File details come from the government source that posted it. Updated .