ESBD_421359_1747673170695_Exhibit D Bidder Reference&Qualifications.pdf
PDF 104 KB Posted
- Solicitation number
- HHS0016103
- Issued by
- Texas
About this file
This document is Exhibit D - Bidder Reference Form & Contractor Qualifications Form from a Texas state and local contract opportunity with the solicitation number HHS0016103. The form requires bidders to provide three verifiable references for contracts of similar size and scope completed within the last five years, including details such as business name, point of contact, address, contact information, and description of services performed as either a prime or subcontractor.
The document also requests additional company information including years in business, office address, employee counts, geographic operational limits, industry certifications and qualifications, staff licenses, minimum experience details, and a demonstration of the ability to perform the requested services. Bidders are expected to provide comprehensive information about their organizational capabilities, staff qualifications, and prior relevant contract experience to demonstrate their competence for the potential contract opportunity.
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Text version
HHS0016103
Exhibit D – Bidder Reference Form & Contractor Qualifications Form
Name of Bidder:_______________________________________
Texas Vendor ID No. :____________________________________
References:
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:
3. Business Name:
Point-of-Contact Name and Title:
Address (City, State, Zip):
Phone:
Email address:
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: Provide a description of the bidder’s experience and qualifications as it applies to the Scope of Work. Additional pages may be added as needed.
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 the services in the SOW, and the number of supervisors for each location, as applicable. Additional pages may be added as needed.
| HHS0016103 |
| Exhibit D – Bidder Reference Form & Contractor Qualifications Form |
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