ESBD_369546_1721764023100_HHS0014056v3 Exhibit F Bidder Reference Form.pdf
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- 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 the HHS0014056v3 Breast pump contract for the Texas Special Supplemental Nutrition Program for Women, Infants, and Children (WIC). The form requires bidders to provide a minimum of three verifiable references for contracts of similar size and scope of services within the last 5 years. For each reference, the bidder must provide the business name, point-of-contact information, whether the services were performed as a prime contractor or subcontractor, and a description of the services provided along with the dates.
The contract is for the provision of breast pumps, breast pump accessories, and technical support for the Texas WIC program. No other details about the contract requirements, quantities, response due dates, award dates, or contract term are provided in this document.
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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 .