ESBD_367431_1720716594601_Exhibit D - Bidder Reference and Qualifications.pdf
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- Solicitation number
- HHS0014767
- Issued by
- Liberty County, Texas
About this file
This document is the Bidder Reference Form and Contract Qualifications Form (Exhibit D) for a competitive bid issued by the Texas Health and Human Services Commission (HHSC) for cable television and internet services at the Mexia State Supported Living Center. The bid requires bidders to provide a minimum of three verifiable references for contracts of similar size and scope within the last two years, and to provide additional company information such as years in business, number of employees, and relevant certifications and licenses. Bidders must also provide a narrative describing their experience and qualifications, as well as a written description of their operations and ability to perform the required services. The bid has a response deadline of August 2, 2024, with an anticipated contract start date of September 1, 2024.
The related state and local contract opportunity is for cable television and broadband internet services at the Mexia State Supported Living Center, located in Limestone County, Texas. The procurement is being managed by the Procurement and Contracting Services (PCS) division of HHSC, with the IFB posted on the Electronic State Business Daily (ESBD) on July 11, 2024. The contract term and any potential renewal options are not specified in the provided information.
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Text version
Exhibit D – Bidder Reference Form and Contract Qualifications Form – 03/01/24
Exhibit D – HHS0014767 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 two (2) 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 – HHS0014767 Bidder Reference Form & Contractor Qualifications Form
File details come from the government source that posted it. Updated .