ESBD_397116_1739911577500_Exhibit_D_Bidder_Reference_Qualifications_Form.pdf
PDF 54 KB Posted
- Attached to
- Dental Services, Waco Center for Youth
- Solicitation number
- HHS0015695
- Issued by
- Mclennan County, Texas
About this file
This document is Exhibit D - Bidder Reference Form and Contract Qualifications Form dated March 1, 2024. The form requires bidders to provide a minimum of three verifiable references for contracts of similar size and scope completed within the last two years. Bidders must include detailed contact information for each reference including business name, point of contact, address, phone, email, and whether services were performed as a prime contractor or subcontractor, along with descriptions and dates of services provided.
The form also requires additional company information including years in business, office address, current employee counts (full-time, part-time, and total), geographic operational limits, staff certifications/qualifications/training, and applicable licenses. Bidders must provide a one-page narrative describing their experience and qualifications per Section 7.1.5, as well as demonstrate their ability to perform by describing their operational capacity including customer service, order fulfillment, shipping/handling capabilities, and supervisory structure 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 two (2) 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 .