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 an Exhibit D - Bidder Reference Form & Contractor Qualifications Form related to a state and local contract opportunity for Fire Door Repairs at San Antonio State Hospital and San Antonio State Supported Living Center issued by the Texas Health and Human Services Commission (HHSC). The solicitation requires bidders to provide a minimum of three verifiable references for contracts of similar size and scope within the last 3 years. Bidders must also provide information about their company, including number of years in business, office address, number of employees, geographic limits of operations, industry certifications, and applicable licenses of staff who will service the account. Bidders are required to demonstrate their ability to perform the services by providing a written description of the size and scope of their operations.
The contract opportunity covers fire door repairs at the specified state facilities located in Bexar County and the City of San Antonio, Texas. The solicitation does not provide details on pricing terms, set asides, incumbents, funding requirements and sources, or contract term and renewal options.
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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 .