ESBD_371855_1723479168793_Exhibit_D_Bidder_Reference_Qualifications_Form.pdf
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- Attached to
- RSSLC seeks Imaging and Diagnostic services
- Solicitation number
- HHS0014709
- Issued by
- Fort Bend County, Texas
About this file
This document is the 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 five years, including details on the services performed, the business name, point-of-contact information, and whether the work was as a prime contractor or subcontractor. The form also requests additional company information such as years in business, office locations, number of employees, geographic limits of operations, and any industry certifications or licenses held by staff. Bidders must provide a narrative describing their experience and qualifications as they relate to the minimum requirements outlined in the solicitation.
The document further requires bidders to provide a written description of the size and scope of their operations, including the number of employees available for customer service, order fulfillment, and shipping, as well as the number of supervisors at each location. This information is intended to demonstrate the bidder's ability to perform the services required under the contract.
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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 five 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 .