ESBD_369595_1721927697536_Exhibit D Bidder Reference Form.pdf
PDF 72 KB Posted
- Attached to
- Fire Alarm Systems Maintenance and Repair Services North Texas State Hospital-Wichita Falls Campus
- Solicitation number
- HHS0015175
- Issued by
- Wichita County, Wichita Falls City, Texas
About this file
This document is the Exhibit D - Bidder Reference Form and Contract Qualifications Form for the fire alarm systems maintenance and repair services contract at the North Texas State Hospital (NTSH) Wichita Falls Campus, issued by the Texas Health and Human Services Commission (HHSC). The contract requires bidders to provide a minimum of three verifiable references for similar services performed within the last three years, as well as details on the bidder's company information, including number of years in business, number of employees, and industry certifications. Bidders must also provide a narrative describing their experience and qualifications in relation to the contract requirements.
The fire alarm systems maintenance and repair services contract is for the NTSH Wichita Falls Campus, located in Wichita County and Wichita Falls City, Texas. The contract will be awarded on an as-needed basis, and all services must comply with NFPA-72 National Fire Alarm and Signaling Code, 2010 Edition.
View the file
Other files
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 and Contract Qualifications Form – 03/01/24
HHS0015175
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 three (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:
Parker,Kelly (HHSC) Update Section letter, as applicable.
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.
| HHS0015175 |
| Exhibit D – Bidder Reference Form & Contractor Qualifications Form |
File details come from the government source that posted it. Updated .