ESBD_380603_1730233678851_Exhibit_D_Bidder_Reference_Qualifications_Form.docx
DOCX document 32 KB Posted
- Solicitation number
- HHS0014995V2
- Issued by
- Bexar County, Texas
About this file
This document is an Exhibit D - Bidder Reference Form & Contractor Qualifications Form issued by the Texas Health and Human Services Commission (HHSC) and the Department of State Health Services (DSHS) as part of an Invitation for Bids (IFB) for water chemical treatment, water softener and reverse osmosis systems maintenance, repairs, and inspections at the San Antonio State Hospital and San Antonio State Supported Living Center. The IFB requires bidders to provide a minimum of three verifiable references for similar contracts within the last three years and to demonstrate their experience, qualifications, and ability to perform the required services, including providing details on the size and scope of their operations. The bid is due on November 22, 2024, and the anticipated contract start date is upon award, with an initial term through August 31, 2025, and options to renew for up to two additional one-year terms.
The IFB includes a 26.0% Historically Underutilized Businesses (HUB) utilization goal, and bidders must demonstrate their good faith effort through the HUB Subcontracting Plan (HSP) submission. The contract must comply with various state and federal certifications, assurances, and affirmations, but the IFB does not mention any set-asides, incumbent contractors, or specific funding sources.
View the file
Other files
Show all 13
On GovTribe
Work with this file
- Download the original file
- Contacts named in this file
- Similar government files
- Ask GovTribe AI about this file
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 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 .