ESBD_375915_1725670359142_HHS0015244_Exhibit_D_Bidder_Reference_Qual_Form.pdf
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- Solicitation number
- HHS0015244
- Issued by
- Bexar County, Texas
About this file
This document is the Exhibit D - Bidder Reference Form and Contract Qualifications Form for a state and local contract opportunity related to Fire Protection Systems at the San Antonio State Supported Living Center (SASSLC) and San Antonio State Hospital (SASH) in Texas. The contract requires bidders to provide a minimum of three verifiable references for similar contracts within the last five years, as well as information about their company's experience, qualifications, certifications, licenses, and ability to perform the required services. The Invitation for Bid (IFB) for this contract was posted on September 6, 2024, with an optional on-site visit scheduled for September 18, 2024, and a response deadline of September 27, 2024 at 10:30 AM Central Time. The anticipated contract start date is upon award.
The contract will be awarded by the Texas Health and Human Services Commission (HHSC) for the jurisdiction of Bexar County. Services required include fire protection equipment and systems, fire extinguisher maintenance, and backflow preventer testing. Bidders must demonstrate their experience and qualifications to perform these services, including the size and scope of their operations, number of employees, and supervisory capabilities.
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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 .