ESBD_385334_1734364861977_Exhibit_D_Bidder_Reference_Qualifications.pdf
PDF 71 KB Posted
- Attached to
- Waco CFY seeks vending machine services.
- Solicitation number
- HHS0015692
- Issued by
- Loving County, Wichita Falls City, Texas
About this file
This is a Bidder Reference Form and Contractor Qualifications Form (Exhibit D) issued by the Texas Health and Human Services Commission for vending machine services at the Waco Center For Youth. The form requires bidders to provide a minimum of three verifiable references for contracts of similar size and scope completed within the last five years. Each reference must include detailed business contact information, specify whether services were performed as prime contractor or subcontractor, and provide descriptions and dates of services provided.
The form includes sections for additional company information such as years in business, office address, current employee counts (full-time and part-time), geographic operational limits, staff certifications/qualifications, and applicable licenses. Bidders must also provide a narrative (maximum one page) describing their experience and qualifications per Section 7.1.5, along with a written description demonstrating their ability to perform, including details on staffing for customer service, order fulfillment, shipping/handling, and supervision across locations.
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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 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.
Exhibit D – Bidder Reference Form & Contractor Qualifications Form
File details come from the government source that posted it. Updated .