ESBD_423000_1748371607708_HHS0016228_Exhibit_D_Bidder_Reference_Qualifications_Form.pdf

PDF 71 KB Posted

Attached to
FY26 Orthosis insoles and shoes for residents of Mexia SSLC
Solicitation number
HHS0016228
Issued by
Lampasas County, Texas

About this file

This document is Exhibit D – Bidder Reference Form and Contract Qualifications Form dated 03/01/24, which appears to be part of a solicitation process for a state or local government contract. The form requires bidders to provide three verifiable references for contracts of similar size and scope within the last three years, with detailed information including business names, contact details, services performed, and dates. The document also requests additional company information such as years in business, employee count, geographic operations, industry certifications, and staff licenses.

The form includes sections for bidders to demonstrate their experience and qualifications, specifically requesting a one-page narrative describing the bidder's relevant experience. Additionally, bidders must provide a written description of their operational capabilities, including the number of employees available for customer service, order fulfillment, safe shipping and handling, and the number of supervisors at each location. These requirements suggest the solicitation is seeking a comprehensive assessment of a potential contractor's capabilities, experience, and operational readiness to fulfill the contract requirements.

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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 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 .