ESBD_370780_1722952304711_Exhibit_D_Bidder_Reference_Qualifications_Form.pdf
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- Attached to
- Biomedical services needed for North Texas SH
- Solicitation number
- HHS0015081
- Issued by
- Sterling County, Texas
About this file
This document is the Exhibit D - Bidder Reference Form and Contract Qualifications Form for a state and local government contract opportunity. It requires bidders to provide a minimum of three verifiable references for similar contracts performed within the last two years, including details such as the business name, point of contact, services performed, and dates of service. The document also requests additional company information, including the number of years in business, number of employees, geographic limits of operations, industry certifications, and applicable licenses held by staff. Bidders must provide a narrative describing their experience and qualifications as they apply to the contract requirements, as well as a written description of their operations, customer service capabilities, order fulfillment, and shipping and handling procedures.
The document does not provide specifics on pricing terms, set asides, incumbent information, funding requirements, or other financial details. It focuses primarily on the bidder qualifications, references, and operational capabilities required to perform the contracted services.
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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 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 .