ESBD_435760_1752591663628_Exhibit D_Bidder Reference and Qualification Form.pdf

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Attached to
Dental Services_Denton State Supported Living Cntr
Solicitation number
HHS0016093v2
Issued by
Denton County, Texas

About this file

This document is an Exhibit D Bidder Reference Form and Contract Qualifications Form dated 03/01/24, designed for potential contractors to provide detailed information about their business capabilities and previous contract experience. The form requires bidders to submit three verifiable references for contracts of similar size and scope within the past year, including contact information, service descriptions, and whether work was performed as a prime or subcontractor. Additionally, bidders must provide comprehensive company information such as years in business, number of employees, geographic operational limits, staff certifications, and licenses.

The form includes sections for bidders to demonstrate their minimum experience and qualifications, specifically requesting a one-page narrative describing the bidder's relevant experience. Bidders are also asked to provide a written description of their operational capacity, detailing the number of employees available for customer service, order fulfillment, product shipping and handling, and supervisory personnel at each location. This detailed form appears intended to comprehensively assess a potential contractor's professional competence, operational capabilities, and past performance before being considered for a contract opportunity.

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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 one (1) year.

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 .