ESBD_368405_1721147346416_Exhibit_D_Bidder Reference Form.pdf
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- Solicitation number
- HHS0014801B
- Issued by
- Harris County, Texas
About this file
The document provided 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) for Vehicle Maintenance and Repair services in Region 06. The form requires bidders to provide a minimum of three verifiable references for similar contracts within the last 3 years, as well as details on the bidder's company, including number of years in business, number of employees, and any relevant certifications or licenses held by staff. Bidders must also provide a narrative describing their experience and qualifications as they relate to the minimum requirements outlined in Section 7.1.5 of the solicitation.
The related state and local contract opportunity is for Vehicle Maintenance and Repair services for HHSC Region 06. The procurement schedule indicates the Invitation for Bid (IFB) was posted on the Electronic State Business Daily (ESBD) on July 16, 2024, with a question and clarification submission deadline of July 24, 2024 and responses to be posted by July 26, 2024. Responses to the IFB must be received by August 1, 2024 at 10:30 AM Central Time, with an anticipated contract start date of September 1, 2024.
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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
Bidders must provide a minimum of three (3) verifiable references for contracts of similar size and scope of services within the last 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.
File details come from the government source that posted it. Updated .