ESBD_369872_1722373468645_HHS0014780 - Exhibit D -Bidder_Reference.pdf
PDF 72 KB Posted
- Attached to
- RENTAL, REPAIR, AND PM SERVICES OF RESPIRATORY AND OTHER MEDICAL EQUIPMENT FOR Denton SSLC
- Solicitation number
- HHS0014780
- Issued by
- Denton County, Denton City, Texas
About this file
This document is an Exhibit D - Bidder Reference Form and Contract Qualifications Form for a state and local contract opportunity with the Texas Health and Human Services (HHS) department. The form requires bidders to provide a minimum of three verifiable references for contracts of similar size and scope of services within the last five years, including details on the business name, point-of-contact, services performed, and dates of service. The form also requests additional company information such as years in business, office address, number of employees, geographic limits, staff certifications and licenses. Bidders must provide a narrative describing their experience and qualifications as it applies to the contract requirements, as well as a written description of their operations and ability to perform the required services.
The related state and local contract opportunity is for RENTAL, REPAIR, AND PM SERVICES OF RESPIRATORY AND OTHER MEDICAL EQUIPMENT FOR Denton SSLC in the state of Texas. No additional details are provided regarding the specific scope, quantities, timelines, or contract term.
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Text version
Exhibit D – Bidder Reference Form and Contract Qualifications Form – 03/01/24
Exhibit D – Bidder Reference Form & Contractor Qualifications Form
HHS0014780
Bidders must provide a minimum of three (3) verifiable references for contracts of similar size and scope of services within the last five (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]
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 .