ESBD_401270_1741611270612_HHS0015915_Exhibit_D_Bidder_Reference_Qualifications_Form_.pdf
PDF 72 KB Posted
- Attached to
- Service Agreement for Artel Liquid Han
- Solicitation number
- HHS0015915
- Issued by
- Travis County, Austin City, Texas
About this file
This document is an Exhibit D - Bidder Reference Form and Contract Qualifications Form, seemingly related to a solicitation by Health and Human Services (HHS). The form requires bidders to provide a minimum of three verifiable references for contracts of similar size and scope within recent years, with detailed contact information for each reference, including business name, point of contact, address, phone, email, and whether services were performed as a prime or subcontractor. Bidders must also specify the description and dates of services provided.
The form requests comprehensive company information, including years in business, office address, employee count (permanent full-time and part-time), geographic operational limits, and staff certifications/qualifications. Additionally, bidders are required to submit a one-page narrative describing their experience and qualifications, and provide a written description of their operational capabilities, including details about customer service, order fulfillment, shipping and handling, and supervisory structure. The document appears to be part of a qualification assessment process for a potential contract, with an emphasis on demonstrating the bidder's professional capabilities and past performance.
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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 <insert number> 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:
Parker,Kelly (HHSC) Update Section letter, as applicable.
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 .