ESBD_369214_1721682184913_HHS0015212_Exhibit_D_Bidder_Reference_Qual_Form.pdf
PDF 72 KB Posted
- Attached to
- Alchemer Survey Annual Licenses DSHS
- Solicitation number
- HHS0015212
- Issued by
- Travis County, Austin City, Texas
About this file
This document is an Exhibit D - Bidder Reference Form and Contract Qualifications Form related to a state and local contract opportunity for Alchemer Survey Annual Licenses for the Texas Department of State Health Services (DSHS). The contract requires bidders to provide a minimum of three verifiable references for similar contracts within the past five years, and to describe their company's experience, qualifications, size, and scope of operations. The contract solicitation has an IFB (Invitation for Bid) No. of HHS0015212, NIGP Class/Item No. 208 - 32 Customer Relationship Management Software (CRM), Microcomputer, with a response deadline of August 5, 2024 and an anticipated contract start date of September 1, 2024.
The contract does not provide specific pricing terms, set asides, or funding requirements. However, it does require bidders to list any industry certifications, qualifications, formal training programs, and applicable licenses held by staff that will service the account. Bidders must also demonstrate their ability to provide customer service, order fulfillment, and safe shipping and handling of the product, as well as the number of supervisors for each location.
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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 (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- 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 .