ESBD_423207_1748376974391_Exhibit D_Bidder Reference_Qualifications Form.pdf

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Attached to
Remote Pharmacy Services for El Paso Psychiatric Center (EPPC)
Solicitation number
HHS0016184
Issued by
El Paso County, Texas

About this file

This document is Exhibit D – Bidder Reference Form and Contract Qualifications Form dated 03/01/24, designed for potential bidders to provide comprehensive information about their company and previous contract experience. The form requires bidders to submit three verifiable references for contracts of similar size and scope within the last five years, including detailed contact information, services performed, and dates of service. Additionally, the form requests extensive company information such as years in business, number of employees, geographic operational limits, industry certifications, and staff qualifications.

The document also requires bidders to provide a narrative describing their experience and qualifications, along with a detailed description of their operational capabilities, including the number of employees available for customer service, order fulfillment, product shipping and handling, and supervisory staff. The form is structured to allow bidders to demonstrate their organizational capacity, professional expertise, and track record of successfully completing contracts comparable to the one being bid upon, giving the contracting agency a comprehensive view of the bidder's capabilities and reliability.

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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 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.

File details come from the government source that posted it. Updated .