ESBD_439292_1753384146556_Exhibit D Bidder Reference&Contractor Qual.pdf

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Attached to
Wound Care Services for residents of Richmond State Supported Living Center (RSSLC)
Solicitation number
HHS0016441
Issued by
Fort Bend County, Round Rock City, Texas

About this file

The document is an Exhibit D - Bidder Reference and Contractor Qualifications Form for Solicitation HHS0016441, issued by a state or local government agency. The form requires potential bidders to provide comprehensive information about their business qualifications, including three verifiable references for contracts of similar size and scope performed within the last five years. Bidders must detail the services provided, whether as a prime or subcontractor, and include contact information for each reference.

The form also requests additional company information such as years in business, number of employees, geographic operational limits, industry certifications, staff qualifications, and licenses. Bidders are required to submit a detailed description of their experience and qualifications as they relate to the Scope of Work, along with a demonstration of their ability to perform the services. The document provides space for bidders to explain their operational size, employee availability, and supervisory structure to support their bid submission.

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Solicitation HHS0016441

Exhibit D – Bidder Reference and Contractor Qualifications Form

Name of Business:____________________________________________________

Texas Vendor ID No. or Federal 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:

Solicitation HHS0016441

Exhibit D – Bidder Reference and Contractor Qualifications Form

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:

List any 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 Scope of Work, and the number of supervisors for each location, as applicable. Additional pages may be added as needed.

Solicitation HHS0016441
Exhibit D – Bidder Reference and Contractor Qualifications Form

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