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 provided is the Exhibit D - Bidder Reference Form and Contract Qualifications Form for a state and local contract opportunity related to Lab Specimen Courier Services for the Denton State Supported Living Center in Texas. The form requires bidders to provide a minimum of three verifiable references for contracts of similar size and scope within the last 2 years, along with details on the bidder's company, including number of years in business, number of employees, geographic limits of operations, relevant certifications and licenses. Bidders must also provide a narrative describing their experience and qualifications as they apply to the contract requirements.
The related state and local contract opportunity is for courier delivery service to transport specimens to labs on behalf of the Denton State Supported Living Center in Texas. The contract is being sought by the Texas Health and Human Services Commission. No other details on pricing terms, set asides, incumbents, funding, or contract duration are provided in the given information.
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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 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 .