ESBD_367432_1720557492405_Exhibit D_Bidder Reference Form.pdf
PDF 61 KB Posted
- Solicitation number
- HHS0014905
- Issued by
- Hockley County, Texas
About this file
The 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 Contract for Cepheid GeneXpert Instruments at Regional Clinical Laboratory at Austin State Hospital locations across Texas. It requires bidders to provide a minimum of three (3) verifiable references for contracts of similar size and scope within the last 5 years, along with additional company information such as years in business, number of employees, geographic limits, certifications, and licenses. Bidders must also provide a narrative describing their experience and qualifications as it applies to the minimum requirements.
The contract opportunity is for service and maintenance of Cepheid GeneXpert Instruments at multiple locations in the Austin, Texas area. Bidders must demonstrate their ability to provide customer service, order fulfillment, safe shipping and handling, and supervisory capabilities to service the contract. No pricing, set asides, incumbents, or funding details are provided in the reference form.
View the file
Other files
Show all 11
On GovTribe
Work with this file
- Download the original file
- Contacts named in this file
- Similar government files
- Ask GovTribe AI about this file
Text version
Exhibit D – Bidder Reference Form and Contract Qualifications Form – 03/01/24
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 <4> 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 .