ESBD_373834_1724126059621_Exhibit_D_Bidder_Reference_Qualifications_Form_(03-01-24) (1).docx
DOCX document 31 KB Posted
- Attached to
- Generator Testing, Maintenance, and Repair at Corpus Christi State Supported Living Center
- Solicitation number
- HHS0015370
- Issued by
- Nueces County, Texas
About this file
This document is the Bidder Reference Form & Contractor Qualifications Form for a state and local contract opportunity. The contract is for Generator Testing, Maintenance, and Repair at the Corpus Christi State Supported Living Center in Texas. Bidders must provide a minimum of three verifiable references for contracts of similar size and scope within the last five years. The form requires details on the business name, point-of-contact, services performed as prime contractor or subcontractor, and description and dates of services provided. Additional company information is requested, including number of years in business, office address, number of employees, geographic limits of operations, industry certifications/qualifications/formal training, and applicable licenses. Bidders must also provide a narrative describing their experience and qualifications, and a written description demonstrating their ability to perform the required services. The contract opportunity is being administered by the Texas Health and Human Services Commission.
The contract will be awarded to the responsive and responsible bidder(s) that can best meet the needs of the agency. Pricing terms, funding requirements, and other salient information are not provided in this particular document.
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Text version
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.
24-Hour Contacts – Must list a minimum of 2:
Contact 1 Name Phone Email Contact 2 Name Phone Email
File details come from the government source that posted it. Updated .