ESBD_417901_1746825333527_HHS0015981_Exhibit D Bidder Reference Form.docx
DOCX document 38 KB Posted
- Solicitation number
- HHS0015981
- Issued by
- Henderson County, Wichita Falls City, Texas
About this file
The file is an Exhibit D Bidder Reference Form for a state or local contract opportunity, likely related to HHS (Health and Human Services). The document requires bidders to provide a minimum of three verifiable references for contracts of similar size and scope within the last five years, with detailed contact information, service descriptions, and performance details. Bidders must also provide comprehensive company information including years in business, employee counts, geographic operational limits, industry certifications, and staff licenses.
Additional requirements include a one-page narrative describing the bidder's experience and qualifications, a written description of operational capabilities including customer service, order fulfillment, and shipping capacities, and the provision of at least two 24-hour contacts. The form seeks to assess bidder competence through detailed documentation of past performance, organizational structure, technical capabilities, and professional qualifications. While specific contract details are not fully elaborated, the document appears designed to comprehensively evaluate potential contractors' ability to successfully perform contracted services.
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Text version
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
Exhibit D – Bidder Reference Form and Contract Qualifications Form – 03/01/24
File details come from the government source that posted it. Updated .