ESBD_389162_1736373291947_Exhibit D Bidder Reference Qualifications Form.pdf
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- Solicitation number
- HHS0015581
- Issued by
- Texas
About this file
This is a Bidder Reference Form and Contract Qualifications Form (Exhibit D) from the Texas Health and Human Services Commission for the EchoSpan 360 Feedback Enterprise Edition Licenses procurement (IFB No. HHS0015581). The form requires bidders to provide a minimum of three verifiable references for contracts of similar size and scope performed within the last three years. For each reference, bidders must provide detailed contact information including business name, point of contact, address, phone, email, and whether services were performed as prime contractor or subcontractor. Additionally, bidders must describe their experience and qualifications in a one-page narrative addressing Section 7.1.5 of the solicitation.
The form includes sections for bidders to provide comprehensive company information including years in business, office address, current employee counts (full-time and part-time), geographic operating limits, and staff certifications/qualifications. Bidders must also demonstrate their ability to perform by providing a written description of their operational size and scope, including details about customer service staffing, order fulfillment capabilities, shipping/handling procedures, and supervisory structure across all locations. The form includes tables for listing staff certifications, qualifications, formal training programs, and applicable professional licenses held by personnel who will service the account.
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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 three (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.
Exhibit D – Bidder Reference Form & Contractor Qualifications Form
File details come from the government source that posted it. Updated .