ESBD_428405_1750275045128_Exhibit E - Respondent Reference Form.pdf
PDF 71 KB Posted
- Attached to
- FY26 APS Claims Processing
- Solicitation number
- HHS0016010
- Issued by
- Travis County, Austin City, Texas
About this file
This document is Exhibit D – Bidder Reference Form and Contract Qualifications Form dated 03/01/24, which requires bidders to provide comprehensive documentation of their company's qualifications and past performance. The form mandates that bidders submit a minimum of three verifiable references for contracts of similar size and scope completed within the last three years, with each reference requiring detailed contact information, service descriptions, and whether the work was performed as a prime or subcontractor.
The form also requests extensive company information, including years in business, employee count, geographic operational limits, industry certifications, and staff qualifications. Bidders must provide a one-page narrative describing their experience relevant to the contract, and demonstrate their ability to perform by detailing their operational capacity, including employee availability for customer service, order fulfillment, shipping, and handling, along with supervisor numbers for each location. These requirements aim to comprehensively assess the bidder's capabilities, experience, and organizational readiness to successfully execute the contract.
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Text version
Exhibit D – Bidder Reference Form and Contract Qualifications Form – 03/01/24
Exhibit E –Respondent Reference 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 E –Respondent Reference Form
File details come from the government source that posted it. Updated .