ESBD_366872_1720524455131_EXHIBI~1.PDF
PDF 153 KB Posted
- Solicitation number
- HHS0014777
- Issued by
- Terrell County, Texas
About this file
This document is an Exhibit D - Bidder Reference Form & Contractor Qualifications Form related to a contract opportunity from the Texas Department of Health and Human Services (HHS) for Equipment Preventive Maintenance and Repair Services at the Abilene State Supported Living Center. The form requires bidders to provide a minimum of three verifiable references for similar contracts performed within the last five years, as well as details about the bidder's company, including years in business, number of employees, geographic limits of operations, certifications, and licenses. Bidders must also provide a description of their experience and qualifications, as well as a written demonstration of their ability to perform the scope of work, including the number of available employees and supervisors.
The contract opportunity is for an initial term with the potential for renewal. The scope of work includes providing equipment preventive maintenance and repair services at the Abilene State Supported Living Center in Texas. Pricing terms, set-asides, and funding details are not provided in this document.
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Text version
HHS0014777
Exhibit D – Bidder Reference Form & Contractor Qualifications Form
Name of Business:_______________________________________
Texas Vendor ID No. :____________________________________
References:
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: Provide a description of the bidder’s experience and qualifications as it applies to the Scope of Work. Additional pages may be added as needed.
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 the services in the SOW, and the number of supervisors for each location, as applicable. Additional pages may be added as needed.
| HHS0014815 |
| Exhibit D – Bidder Reference Form & Contractor Qualifications Form |
File details come from the government source that posted it. Updated .