ESBD_436779_1752849745914_HHS0016228_Exhibit_D_Bidder_Reference_Qualifications_Form.pdf

PDF 71 KB Posted

Attached to
FY26 Orthosis insoles and shoes for residents of Mexia SSLC
Solicitation number
HHS0016228V3
Issued by
Lampasas 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 detailed company and performance information. The form requires bidders to submit three verifiable references for contracts of similar size and scope within the last three years, with each reference requiring comprehensive contact details, service descriptions, and whether the work was performed as a prime or subcontractor.

The form also requests extensive company information, including years in business, office address, employee counts (full-time and part-time), geographic operational limits, staff certifications/qualifications, and applicable licenses. Additionally, bidders must provide a one-page narrative describing their experience and qualifications, as well as a written description of their operational capabilities, including details about customer service, order fulfillment, shipping, handling, and supervisory structure. These requirements suggest the document is part of a thorough vendor qualification and selection process for a state or local government contract.

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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 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 D – Bidder Reference Form & Contractor Qualifications Form

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