ESBD_370299_1722523034524_Exhibit_D_Bidder_Reference_Qualifications_Form.pdf
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- Solicitation number
- HHS0015062A
- Issued by
- Lampasas County, Texas
About this file
The document is Exhibit D - Bidder Reference Form and Contract Qualifications Form for a state and local contract opportunity related to the rental of 150# chlorine gas cylinders for the Mexia State Supported Living Center (SSLC) in Texas. The form requires bidders to provide a minimum of three verifiable references for similar contracts within the last five years, as well as details about their company such as the number of years in business, number of employees, geographic service areas, industry certifications, and applicable staff licenses. Bidders must also provide a narrative (maximum one page) describing their experience and qualifications as they apply to the contract requirements. Additionally, the form requests a written description of the bidder's operations, including the number of employees available for customer service, order fulfillment, safe shipping and handling, and the number of supervisors.
The related state and local contract opportunity is for the rental of 150# chlorine gas cylinders for the Mexia SSLC's wastewater treatment plant in Texas. The procurement schedule includes an IFB posting date of August 1, 2024, a questions/clarifications deadline of August 12, 2024, and a response deadline of August 19, 2024, with an anticipated contract start date of September 1, 2024.
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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 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 .