ESBD_432782_1753894510471_HHS0016275_Exhibit D Bidder Reference Form & Contractor Information Form.docx
DOCX document 38 KB Posted
- Solicitation number
- HHS0016275
- Issued by
- Travis County, Austin City, Texas
About this file
This document is an Exhibit D Bidder Reference Form and Contractor Information Form, likely associated with a state or local government procurement opportunity. The form requires bidders to provide a minimum of three verifiable references for contracts of similar size and scope completed within the last three years, with detailed contact information and service descriptions for each reference. Bidders must also complete a comprehensive company profile section, including years in business, employee count, geographic operational limits, industry certifications, and professional licenses.
The form emphasizes contractor qualifications by requesting a one-page narrative describing the bidder's experience, a detailed description of operational capabilities including customer service, order fulfillment, and shipping processes, and the provision of 24-hour contact information. Additional requirements include listing industry certifications, professional training programs, and licenses held by staff who will service the account. The document appears to be a standard pre-qualification template designed to assess a contractor's capability, experience, and professional readiness to perform services for a government or public sector entity.
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Text version
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.
24-Hour Contacts – Must list a minimum of 2:
Contact 1 Name Phone Email Contact 2 Name Phone Email
Exhibit D – Bidder Reference Form and Contract Qualifications Form – 03/01/24
File details come from the government source that posted it. Updated .