ESBD_370765_1722631118251_Exhibit D_Bidder_Reference_Qualifications_Form.pdf
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- Attached to
- Mop Supply & Delivery Pickup Services_CCSSLC
- Solicitation number
- HHS0015172
- Issued by
- Nueces County, Texas
About this file
This document is an Exhibit D - Bidder Reference Form and Contract Qualifications Form for a state and local contract opportunity issued by the Health and Human Services Commission (HHSC) for Mop Supply & Delivery Pickup Services for the Corpus Christi State Supported Living Center (CCSSLC) located in Texas. The contract requires bidders to provide a minimum of three verifiable references for similar contracts performed within the last two years, as well as details on the bidder's company, experience, and qualifications. Bidders must also provide a written description of their operational capabilities, including the number of employees and supervisors available to fulfill the contract requirements.
The contract opportunity covers the state of Texas, specifically the jurisdictions of Nueces County and the city of Corpus Christi. No additional details are provided regarding the specific products or services, quantities, response dates, award dates, or contract term.
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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 two (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.
Exhibit D – Bidder Reference Form & Contractor Qualifications Form
File details come from the government source that posted it. Updated .