ESBD_397119_1739914508822_Exhibit_D_Bidder_Reference_Quals_Form.pdf
PDF 75 KB Posted
- Solicitation number
- HHS0015803
- Issued by
- Lampasas County, Texas
About this file
This document is Exhibit D - Bidder Reference Form and Contract Qualifications Form (dated 03/01/24) for solicitation HHS0015803. 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, including business names, points of contact, addresses, and descriptions of services provided as either prime contractor or subcontractor.
The form includes sections for additional company information such as years in business, office address, employee counts (full-time, part-time, and total), geographic limits of operations, staff certifications/qualifications/training, and applicable licenses. Bidders must provide a narrative describing their experience and qualifications (limited to one page), demonstrate their ability to perform by describing operational capacity and staffing, and list a minimum of two 24-hour contacts. The form appears to be part of a larger solicitation package, though specific pricing terms, set-asides, and funding details are not included in this exhibit.
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Text version
Exhibit D – Bidder Reference Form and Contract Qualifications Form – 03/01/24
HHS0015803
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.
24-Hour Contacts – Must list a minimum of 2:
Contact 1 Name Phone Email
Contact 2 Name Phone Email
| HHS0015803 |
| Exhibit D – Bidder Reference Form & Contractor Qualifications Form |
File details come from the government source that posted it. Updated .