ESBD_370780_1722952304711_Exhibit_D_Bidder_Reference_Qualifications_Form.pdf
PDF 90 KB Posted
- Attached to
- Biomedical services needed for North Texas SH
- Solicitation number
- HHS0015081
- Issued by
- Sterling County, Texas
About this file
This document is an Exhibit D - Bidder Reference Form and Contract Qualifications Form related to a state and local contract opportunity for biomedical services needed by the North Texas State Hospital in Texas. The form requires bidders to provide a minimum of three verifiable references for similar contracts within the last two years, including details on the services performed, the client business name, point-of-contact information, and a description of the work. The form also requests additional company information such as years in business, number of employees, geographic limits of operations, industry certifications, and applicable staff licenses. Additionally, bidders must provide a narrative describing their experience and qualifications to meet the minimum requirements outlined in Section 7.1.5 of the contract, as well as a written description of their ability to perform the required services, including the number of employees and supervisors.
The related state and local contract opportunity is for biomedical services needed by the North Texas State Hospital, located in the state of Texas and the jurisdiction of Van Zandt County. No other details about the pricing terms, set asides, incumbents, funding requirements, or contract term are provided in the given information.
View the file
Other files
Show all 26
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 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 .