ESBD_397678_1740082256681_Exhibit_D_Bidder_Reference_Qualifications_Form.pdf

PDF 74 KB Posted

Attached to
Revenue Generating Vending Machine Services for Rusk State Hospital
Solicitation number
HHS0015837
Issued by
Cameron County, Texas

About this file

This document is Exhibit D - Bidder Reference Form and Contract Qualifications Form for solicitation HHS0015837. 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. The form must be completed by March 1, 2024.

The form includes sections for additional company information such as years in business, office address, current employee counts (full-time and part-time), geographic limits of operations, staff certifications/qualifications, and applicable licenses. It also requires a narrative describing the bidder's experience and qualifications (maximum one page), demonstration of ability to perform including operational capabilities, and contact information for a minimum of two 24-hour contacts. The form appears designed to thoroughly evaluate bidders' qualifications, experience, and operational capacity to perform the contracted work.

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Text version

Exhibit D – Bidder Reference Form and Contract Qualifications Form – 03/01/24

HHS0015837

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

HHS0015837
Exhibit D – Bidder Reference Form & Contractor Qualifications Form

File details come from the government source that posted it. Updated .