ESBD_369546_1721764023100_HHS0014056v3 Exhibit F Bidder Reference Form.pdf
PDF 56 KB Posted
- Attached to
- HHS0014056v3 Breast pump contract for WIC
- Solicitation number
- HHS0014056v3
- Issued by
- Travis County, Austin City, Texas
About this file
This document is the Bidder Reference Form for a state and local government contract opportunity in Texas. The contract is for the Texas Special Supplemental Nutrition Program for Women, Infants, and Children (WIC) to provide breast pumps, accessories, and technical support. Bidders must provide a minimum of three verifiable references for similar contracts within the last 5 years, including the business name, point-of-contact information, services provided as a prime contractor or subcontractor, and a description of the services and dates. The contract opportunity ID is HHS0014056v3.
The contract is for the state of Texas, and the scope of services includes but is not limited to breast pumps, breast pump accessories, and technical support. No additional details are provided regarding pricing terms, set asides, incumbents, funding requirements, or other salient information.
View the file
Other files
Show all 21
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 E – Bidder Reference Form – 09/01/21
Exhibit F – Bidder Reference Form HHS0014056v3
Bidders must provide a minimum of three (3) verifiable references for contracts of similar size and scope of services within the last 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]
Exhibit E – Bidder Reference Form – 09/01/21
Description and Dates of Services Provided:
Exhibit E – Bidder Reference Form
File details come from the government source that posted it. Updated .