ESBD_369593_1721923074647_Exhibit D Bidder Reference Qualifications.pdf
PDF 71 KB Posted
- Attached to
- FY25 Mortuary and Burial Services
- Solicitation number
- HHS0015185
- Issued by
- Kaufman County, Texarkana City, Texas
About this file
This document is an Exhibit D - Bidder Reference Form and Contract Qualifications Form from the ESBD_369593 procurement opportunity. It is for a contract to provide mortuary and burial services for Terrell State Hospital, which is located in the state of Texas and the jurisdictions of Kaufman County and Texarkana City. Bidders must provide a minimum of three verifiable references for similar contracts within the past five years and provide details on their company, including years in business, number of employees, geographic limits, and relevant certifications and licenses. Bidders must also demonstrate their ability to perform the required services, including their capacity for customer service, order fulfillment, and safe shipping and handling.
The procurement opportunity is for a FY25 Mortuary and Burial Services contract, with the State of Texas HHSC PCS as the issuing agency. No further details are provided on pricing terms, set asides, incumbents, funding requirements, or contract term and renewal options.
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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 (5) five 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 .