ESBD_429490_1751394040324_Exhibit D_Bidder_Reference&Qualifications_HHS0016066.pdf

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Attached to
Audiometer Calibration and Repair Services at DSHS Public Health Regions
Solicitation number
HHS0016066
Issued by
Texas

About this file

The document is Exhibit D - Bidder References & Contractor Qualifications Form for Solicitation HHS0016066, which appears to be a procurement document for a state or local government agency. The form requires potential bidders to provide detailed information about their company's qualifications, including three verifiable references for contracts of similar size and scope completed within the last five years. Bidders must supply comprehensive contact information, service descriptions, and indicate whether they served as a prime or subcontractor for each reference.

The form also requests additional company information such as years in business, employee count, geographic operational limits, industry certifications, staff licenses, and requires bidders to provide written descriptions of their experience, qualifications, and ability to perform the services outlined in the Scope of Work (SOW). Bidders are expected to demonstrate their operational capacity by detailing the number of employees available to provide services, supervisory structure, and relevant professional credentials that qualify them for the contract opportunity.

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Text version

Solicitation HHS0016066 Exhibit D – Bidder References & Contractor Qualifications Form

Name of Business:_______________________________________

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.

Solicitation HHS0016066
Exhibit D – Bidder References & Contractor Qualifications Form

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