ESBD_369240_1721759636069_Exhibit_D_Bidder_Reference_Qualifications_Form_(03-01-24) (1).docx
DOCX document 32 KB Posted
- Attached to
- Fire Door Repairs at San Antonio State Hospital and San Antonio State Supported Living Center
- Solicitation number
- HHS0014999
- Issued by
- Bexar County, San Antonio City, Texas
About this file
This document is the Bidder Reference Form & Contractor Qualifications Form for a contract opportunity related to Fire Door Repairs at San Antonio State Hospital and San Antonio State Supported Living Center. The request is being issued by the Texas Health and Human Services Commission (HHSC) PCS division. Bidders must provide a minimum of three verifiable references for similar contracts performed within the last three years, including the business name, point of contact, services performed, and dates of service. Bidders must also provide information about their company, including years in business, office locations, number of employees, geographic limits, industry certifications, and applicable staff licenses. Additionally, bidders must provide a narrative describing their experience and qualifications as they apply to the stated requirements, as well as a written description of their operations, staffing, and 24-hour contacts.
The contract opportunity covers the jurisdictions of Bexar County and the City of San Antonio, Texas. The contract term and any renewal options are not specified in the provided documentation.
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 & 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.
24-Hour Contacts – Must list a minimum of 2:
Contact 1 Name Phone Email Contact 2 Name Phone Email
File details come from the government source that posted it. Updated .