ESBD_404241_1742834613973_Exhibit_D_Bidder_Reference_Qualifications_Form.pdf
PDF 54 KB Posted
- Attached to
- Dental Services, Waco Center for Youth
- Solicitation number
- HHS0015695V2
- Issued by
- Loving County, Wichita Falls City, Texas
About this file
This document is an Exhibit D - Bidder Reference Form and Contract Qualifications Form dated 03/01/24, designed to collect comprehensive information from potential bidders. The form requires bidders to provide three verifiable references for contracts of similar size and scope within the past two years, including detailed contact information, service descriptions, and whether services were performed as a prime or subcontractor. Additionally, the form requests extensive company information such as years in business, employee counts, geographic operational limits, industry certifications, formal training programs, and staff licenses.
The form also requires bidders to submit a one-page narrative describing their experience and qualifications relevant to Section 7.1.5, as well as a detailed description of their operational capabilities. This includes providing information about the number of employees available for customer service, order fulfillment, safe shipping and handling, and the number of supervisors at each location. The comprehensive nature of the form suggests a thorough vetting process for potential contractors, focusing on establishing the bidder's competence, experience, and operational capacity to successfully execute the contract.
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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 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 .