ESBD_388284_1735680495544_Exhibit_D_Bidder_Reference_Qualifications_Form.docx
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- Solicitation number
- HHS0015604V2
- Issued by
- Nueces County, Texas
About this file
This is a Bidder Reference and Contractor Qualifications Form (Exhibit D) for the Texas Health and Human Services Commission's solicitation for general maintenance and repair services at the Corpus Christi State Supported Living Center. The form requires bidders to provide three verifiable references from contracts of similar size and scope within the past three years, including detailed contact information and descriptions of services provided for each reference. Bidders must specify whether they served as prime contractor or subcontractor for each reference.
The form also requires bidders to provide comprehensive company information including years in business, office address, current employee counts (full-time and part-time), geographic operation limits, and industry certifications/qualifications/formal training programs for staff who will service the account. Additionally, bidders must submit applicable staff licenses, a one-page narrative describing their experience and qualifications, details about their operational capabilities including customer service and order fulfillment capacity, and at least two 24-hour emergency contacts with 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 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 .