ESBD_440250_1754330071676_HHS0016050v2 - Exhibit D_Bidder_Reference_Qualifications.pdf
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- Solicitation number
- HHS0016050v2
- Issued by
- Texas
About this file
This document is Exhibit D – Bidder Reference Form & Contractor Qualifications Form for contract HHS0016050v2, dated March 1, 2024, issued by a Health and Human Services agency. The form requires bidders to provide a minimum of three verifiable references for contracts of similar size and scope within the last three years, along with comprehensive company information including years in business, employee counts, geographic operational limits, and staff certifications and licenses. Bidders must also provide a one-page narrative describing their experience and qualifications as it applies to Section 7.1.5, and demonstrate their ability to perform by detailing the size and scope of operations, including staffing levels for customer service, order fulfillment, safe shipping and handling of products, and supervisory structure.
The form serves as a qualification and capability assessment tool, focusing on operational capacity rather than pricing. It emphasizes product-related services including customer service, order fulfillment, and safe shipping and handling, suggesting this procurement involves supply chain or distribution services. The document requires detailed documentation of staff qualifications, industry certifications, formal training programs, and applicable licenses, indicating specialized expertise may be required for contract performance. The reference requirement specifically seeks contracts of similar size and scope from the past three years, establishing minimum experience thresholds for bidder eligibility.
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Exhibit D – Bidder Reference Form and Contract Qualifications Form – 03/01/24
HHS0016050v2 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.
| HHS0016050 |
| Exhibit D – Bidder Reference Form & Contractor Qualifications Form |
File details come from the government source that posted it. Updated .