ESBD_370754_1722621705847_Exhibit D_Bidder Reference Form.pdf
PDF 160 KB Posted
- Attached to
- Lab Specimen Courier Services DSSLC
- Solicitation number
- HHS0015176
- Issued by
- Denton County, Texas
About this file
The document is an 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) for Lab Specimen Courier Services at the Denton State Supported Living Center. The solicitation requires bidders to provide a minimum of three verifiable references for similar contracts within the last two years, as well as information about the bidder's company, such as number of years in business, number of employees, geographic limits, certifications, and licenses. Bidders must also provide a narrative describing their experience and qualifications, as well as a written description of their operations, including the number of employees available for customer service, order fulfillment, and shipping.
The contract will be awarded to the qualified bidder that can best meet the requirements outlined in the solicitation. Pricing terms, set-asides, funding sources, and other salient details are not provided in this specific exhibit. The contract term and any renewal options are also not specified.
View the file
Other files
Show all 11
On GovTribe
Work with this file
- Download the original file
- Contacts named in this file
- Similar government files
- Ask GovTribe AI about this file
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 2 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 .