ESBD_370273_1722455816449_Exhibit D Bidder Reference Form.pdf
PDF 72 KB Posted
- Attached to
- Fire Alarm Systems Maintenance and Repair Services for San Angelo State Supported Living Center (SGSSLC)
- Solicitation number
- HHS0015247
- Issued by
- Tom Green County, San Marcos City, Texas
About this file
The document provided is the Exhibit D - Bidder Reference Form and Contract Qualifications Form for a state and local contract opportunity issued by the Texas Health and Human Services Commission (HHSC) PCS. The contract is for fire alarm maintenance and repair services at the San Angelo State Supported Living Center (SGSSLC) located in Tom Green County and San Marcos City, Texas. The awarded contractor will be required to provide all necessary labor, tools, transportation, equipment, materials, and supplies to replace and/or repair the Notifier-based fire alarm and sprinkler systems on the SGSSLC campus. Bidders must provide a minimum of three verifiable references for similar contracts performed within the last three years, along with details on the bidder's company, its experience, qualifications, and ability to perform the required services.
The document does not provide specific details on pricing, set-asides, incumbents, funding sources, or other financial information. The contract appears to be an as-needed service agreement, with the award date and term not specified.
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Text version
Exhibit D – Bidder Reference Form and Contract Qualifications Form – 03/01/24
HHS0015247
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.
| HHS0015247 |
| Exhibit D – Bidder Reference Form & Contractor Qualifications Form |
File details come from the government source that posted it. Updated .