ESBD_381064_1730829029607_Exhibit D - Bidder Reference.pdf
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- Solicitation number
- HHS0014976
- Issued by
- Travis County, Texas
About this file
The document is Exhibit D - Bidder Reference Form and Contract Qualifications Form for a state and local contract opportunity in Texas. The Texas Health and Human Services Commission (HHSC) and the Department of State Health Services (DSHS) have issued an Invitation for Bids (IFB) to solicit competitive bids for biomedical preventive maintenance and repair services for durable medical equipment (DME) located at two DSHS facilities in Austin and Waco, Texas. The required services include preventive maintenance, calibration, testing, and as-needed parts and repair services for approximately 1,152 pieces of equipment such as ventilators, EKGs, and patient monitors. The contract term is from January 1, 2025, to August 31, 2025, with up to four one-year renewal options. Responses are due by December 3, 2024, and the award will be a significant factor in the evaluation. Bidders must demonstrate relevant experience, qualified personnel, and the ability to meet the performance requirements outlined in the IFB.
The anticipated contract value is not specified, but the IFB requires detailed pricing for the requested services. The HHSC HUB Coordinator has determined that subcontracting opportunities are probable, and bidders must submit a Historically Underutilized Business (HUB) Subcontracting Plan (HSP). The state has established an annual HUB utilization goal of 26% for the "Other Services" procurement category applicable to this solicitation.
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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 7.1.6
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.
File details come from the government source that posted it. Updated .