ESBD_416061_1746461389120_HHS0015888V3_Exhibit_D_Bidder_Reference_Qualifications_Form.pdf
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- Solicitation number
- HHS0015888V3
- Issued by
- Johnson County, Texas
About this file
Exhibit D is a Bidder Reference Form and Contract Qualifications Form issued by the Texas Health and Human Services Commission (HHSC) for Document Shredding and Disposal Services in Region 3. The document requires bidders to provide a minimum of three verifiable references for contracts of similar size and scope within the last three years, along with detailed information about their business operations, including years in business, number of employees, geographic limits of operations, industry certifications, and applicable staff licenses. Bidders must also submit a one-page narrative describing their experience and qualifications, and provide a written description of their operational capabilities, including the number of employees available for customer service, order fulfillment, and safe shipping and handling.
The form is part of a comprehensive solicitation process that emphasizes demonstrating business capacity, technical expertise, and previous performance in document destruction services. Bidders are expected to provide detailed information about their organizational structure, employee composition, and professional qualifications, with specific sections dedicated to listing certifications, training programs, and licenses held by staff who will service the account. The documentation aims to help HHSC evaluate potential contractors' ability to meet the rigorous security and operational requirements of the document shredding and disposal services contract, which requires compliance with HIPAA, IRS, and Texas state regulations.
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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 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.
Exhibit D – Bidder Reference Form & Contractor Qualifications Form
File details come from the government source that posted it. Updated .