ESBD_422465_1749758090891_Exhibit_D_Bidder_Reference_Qualifications_Form.pdf
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- Attached to
- Preventive Maintenance and As Needed Repair Services for Patient Care Equipment, Denton State
- Solicitation number
- HHS0016137
- Issued by
- Denton County, Texas
About this file
This document is an Exhibit D Bidder Reference Form and Contract Qualifications Form dated 03/01/24, designed for potential bidders to provide detailed company and contract experience information. The form requires bidders to submit three verifiable references from contracts of similar size and scope completed within the last three years, including business names, contact information, service descriptions, and whether services were performed as a prime or subcontractor. Additionally, the document requests comprehensive company information such as years in business, number of employees, geographic operational limits, industry certifications, and staff qualifications.
The form includes sections for bidders to demonstrate their minimum experience and qualifications, requiring a one-page narrative describing the company's relevant experience. Bidders must also provide a written description of their operational capabilities, including details about employees available for customer service, order fulfillment, shipping and handling, and supervisory structure. The document is structured to comprehensively assess a bidder's competence, experience, and organizational capacity to perform the contracted services, allowing the contracting entity to thoroughly evaluate potential vendors.
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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 .