ESBD_440043_1753711116515_HHS0016528_Exhibit_D_Bidder_Reference_Qualifications_Form.docx
DOCX document 27 KB Posted
- Solicitation number
- HHS0016528
- Issued by
- Cameron County, Texas
About this file
This document is an Exhibit D - Bidder Reference Form & Contractor Qualifications Form, likely part of a state or local government solicitation. The form requires bidders to provide a minimum of three verifiable references for contracts of similar size and scope within the past ten years, with detailed information for each reference including business name, contact details, service description, and whether services were performed as a prime or subcontractor.
The form requests additional company information such as years in business, employee counts, geographic operational limits, industry certifications, and staff licenses. Bidders are also required to submit a one-page narrative describing their experience and qualifications, and provide a written description of their operational capabilities, including details on customer service, order fulfillment, shipping and handling, and supervisory structure. The document appears to be part of a comprehensive evaluation process to assess potential contractors' capabilities and past performance for a specific government contract opportunity.
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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 ten (10) plus 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:
2 | Page
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 .