ESBD_369997_1722291271810_Exhibit D_Bidder_Reference_Qualifications_Form.pdf
PDF 54 KB Posted
- Attached to
- Cable_Internet_Services_Rusk State Hospital
- Solicitation number
- HHS0015245
- Issued by
- Cherokee County, Rowlett City, Texas
About this file
This document is an Exhibit D - Bidder Reference Form and Contract Qualifications Form related to a state and local contract opportunity for Cable and Internet Services at Rusk State Hospital in Texas. The form requires bidders to provide a minimum of three verifiable references for similar contracts performed within the last three years, including the business name, point-of-contact information, description and dates of services provided, and whether the bidder served as a prime contractor or subcontractor. The form also requests additional company information such as number of years in business, office address, number of employees, geographic limits of operations, industry certifications, and applicable staff licenses.
The related state and local contract opportunity involves establishing contracts for basic cable television services for residential homes and broadband business internet services at Rusk State Hospital located in the jurisdictions of Cherokee County and Rowlett City in Texas. No specific details on quantities, response dates, award dates, or contract term are provided in the documentation.
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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
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:
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.
File details come from the government source that posted it. Updated .