ESBD_383828_1733261136959_Exhibit_D_Bidder_Reference_Qualifications_Form.pdf
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- Solicitation number
- HHS0015605
- Issued by
- Travis County, Texas
About this file
This is a Bidder Reference Form and Contract Qualifications Form (Exhibit D) for the Texas Health and Human Services Commission's IFB for pickup and disposal of expired sanitizing products. The form requires bidders to provide a minimum of three verifiable references for contracts of similar size and scope performed within the last five years. The form includes sections for detailed company information, including current staffing levels, geographic operation limits, and industry certifications.
The form requests comprehensive documentation of the bidder's operational capabilities through multiple sections: a reference section requiring business names, contact information, and service descriptions; an additional company information section collecting data on years in business, employee counts, and geographic scope; a qualifications section for staff certifications and licenses; and a demonstration of ability to perform section requiring details about operational capacity for customer service, order fulfillment, and safe product handling. The form includes blank tables for listing staff certifications, qualifications, formal training programs, and applicable licenses, with space for a one-page narrative describing the bidder's experience and qualifications per Section 7.1.5.
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Text version
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 (5) five 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.
File details come from the government source that posted it. Updated .