ESBD_374550_1724794411869_Exhibit_D_Bidder_Reference_Qualifications_Form.docx

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Attached to
Water Chemical Treatment, and Water Softener and Reverse Osmosis Systems Maintenance, Repairs, and Inspections at San Antonio State Hospital and San Antonio State Supported Living Center
Solicitation number
HHS0014995
Issued by
Bexar County, Texas

About this file

This document is an Exhibit D - Bidder Reference Form & Contractor Qualifications Form for a state and local government contract opportunity. The document requires bidders to provide a minimum of three (3) verifiable references for contracts of similar size and scope of services within the last three (3) years. It also requests information about the bidder's company, including number of years in business, office location, number of employees, geographic limits of operations, industry certifications/qualifications/formal training programs, and applicable licenses held by staff. Bidders must demonstrate their experience and qualifications as well as the ability to perform the required services, including providing customer service, order fulfillment, safe shipping and handling, and the number of supervisors for each location. The document also requires bidders to provide 24-hour contact information for two contacts.

The document does not provide details on pricing terms, set asides, incumbents, funding requirements and sources, or other financial information. It focuses solely on the bidder qualification requirements for this state and local government contract opportunity.

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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 three (3) 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 .