ESBD_372560_1723691179071_HHS0015301_Exhibit_D_Bidder_Reference_Qualifications_Form.pdf
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- Solicitation number
- HHS0015301
- Issued by
- Upton County, Texas
About this file
This document is the Exhibit D - Bidder Reference Form and Contract Qualifications Form for a Fire Protection Services contract opportunity at the Brenham State Supported Living Center (BSSLC) in Texas. It requires bidders to provide a minimum of three verifiable references for similar contracts within the last five years, including information about the services performed, contract term, and contact details. Bidders must also provide details about their company, including years in business, number of employees, industry certifications, and licenses held by staff. The document further outlines the bidder's minimum experience and qualifications, as well as a requirement to demonstrate the ability to perform the contract's scope of services.
The related state and local contract opportunity is for Fire Protection Services at the BSSLC, with the Invitation for Bid (IFB) posted on August 14, 2024. The deadline for submitting questions or clarifications is August 19, 2024, and the response deadline is September 4, 2024. The anticipated contract start date is upon award. The contract scope includes fire protection equipment and systems, fire extinguisher maintenance, and alarm equipment maintenance and repair.
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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 (5) 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 .