ESBD_370267_1722446537537_HHS0015071A - Exhibit D -Bidder Reference Qualifications.pdf
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- Solicitation number
- HHS0015071A
- Issued by
- Cameron County, Texas
About this file
This document is Exhibit D - Bidder Reference Form and Contract Qualifications Form for the state of Texas Health and Human Services Commission (HHSC) and the Department of State Health Services (DSHS) Invitation for Bids (IFB) for preventive maintenance and internal repair services for forklifts and pallet jacks at the Rusk State Hospital. The contract requires a minimum of three years' experience providing similar services and the submission of qualifications and references. Bidders must provide a minimum of three verifiable references for contracts of similar size and scope within the last five years, including details on the services provided, whether as a prime contractor or subcontractor, and the dates of service. The contract term is one year with the option to renew for up to four additional one-year terms.
The IFB does not mention any set-aside designations or restrictions on the types of organizations that can respond. There are no listed incumbent vendors or current contractors, and the IFB does not provide any details on existing infrastructure or technology that requires integration. The IFB also does not specify the award value or budget range for this contract opportunity.
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Text version
Exhibit D – Bidder Reference Form and Contract Qualifications Form – 03/01/24
HHS0015071A
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 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.
| HHS0015071 |
| Exhibit D – Bidder Reference Form & Contractor Qualifications Form |
File details come from the government source that posted it. Updated .