ESBD_368420_1721159934204_Exhibit_D_Bidder_Reference_Qualifications_Form.pdf
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- Attached to
- Counseling services needed for Brenham SSLC
- Solicitation number
- HHS0015000
- Issued by
- Washington County, Brownsville City, Texas
About this file
This document is Exhibit D - Bidder Reference Form and Contract Qualifications Form for a state and local contract opportunity. The opportunity is for Counseling services needed for Brenham State Supported Living Center in Texas. Bidders are required to provide a minimum of three verifiable references for similar contracts within the last five years, including business name, point-of-contact information, description and dates of services provided, and whether they served as the prime contractor or subcontractor. The document also requires bidders to provide additional company information such as years in business, number of employees, geographic limits, industry certifications, and applicable staff licenses. Bidders must also provide a narrative describing their experience and qualifications as it applies to the minimum requirements outlined in the solicitation.
The contract opportunity appears to be for an indefinite term, as no specific contract length or renewal options are provided. Pricing terms, set asides, funding requirements, and other salient commercial details are not included in this document, which focuses primarily on bidder qualifications and references.
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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 five 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.
Exhibit D – Bidder Reference Form & Contractor Qualifications Form
File details come from the government source that posted it. Updated .