ESBD_386170_1734468657802_HHS0015533_Exhibit D Bidder Reference Form & Contractor Qualifications Form.docx
DOCX document 38 KB Posted
- Solicitation number
- HHS0015533
- Issued by
- Fort Bend County, Round Mountain Town, Texas
About this file
This document is Exhibit D, a Bidder Reference Form and Contractor Qualifications Form, issued by the Texas Health and Human Services Commission for the Richmond State Supported Living Center freezer door replacement project. 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, including detailed contact information and descriptions of services provided for each reference. Additionally, bidders must specify whether they served as a prime contractor or subcontractor for each referenced project.
The form also requires companies to provide comprehensive organizational information, including years in business, office address, current employee counts (both full-time and part-time), geographic operational limits, and relevant industry certifications and licenses held by staff who will service the account. Bidders must submit a one-page narrative describing their experience and qualifications, demonstrate their operational capabilities through a written description of their organization's size and scope, and provide at least two 24-hour contact persons with their respective phone numbers and email addresses.
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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 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 7.1.5 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
Exhibit D – Bidder Reference Form and Contract Qualifications Form – 03/01/24
File details come from the government source that posted it. Updated .