ESBD_380603_1730233678851_Exhibit_D_Bidder_Reference_Qualifications_Form.docx

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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
HHS0014995V2
Issued by
Bexar County, Texas

About this file

The document is an Exhibit D - Bidder Reference Form & Contractor Qualifications Form for a state and local government contract opportunity. It requires bidders to provide a minimum of three verifiable references for contracts of similar size and scope within the last three years, as well as additional information about the bidder's company, including number of years in business, office address, number of employees, geographic limits of operations, industry certifications, and applicable staff licenses.

The document also outlines the bidder's minimum experience and qualifications requirements, including a narrative description of the bidder's experience and qualifications, as well as a written description of the size and scope of the bidder's operations, including the number of employees and supervisors available to provide customer service, order fulfillment, and safe shipping and handling of the product. Bidders must also provide contact information for a minimum of two 24-hour contacts.

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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 .