ESBD_442805_1754328419150_HHS0016138v2 - Exhibit D - Bidder_Reference_Qualifications.pdf

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Attached to
Fire Protection Services for LufkinSSLC
Solicitation number
HHS0016138v2
Issued by
Angelina County, Texas

About this file

This document is Exhibit D – Bidder Reference Form and Contract Qualifications Form (HHS0016138v2) dated March 1, 2024, associated with a Health and Human Services procurement opportunity. The form requires bidders to provide a minimum of three verifiable references for contracts of similar size and scope of services performed within the last three years, along with comprehensive company information including years in business, employee counts, geographic operating limits, and staff certifications or 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 for customer service, order fulfillment, safe shipping and handling of products, and supervisory structure.

The form focuses on qualifying bidders' operational capacity and past performance rather than specific pricing terms or contract award details. It appears to be part of a larger procurement for services involving product fulfillment and distribution, as evidenced by requirements for information about shipping, handling, and customer service capabilities. The document does not specify contract values, funding sources, set-aside categories, or incumbent contractor information, suggesting this qualification form is one component of a multi-part solicitation package where such details would be found in other exhibits or sections.

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Exhibit D – Bidder Reference Form and Contract Qualifications Form – 03/01/24

HHS0016138v2 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.

HHS0016049
Exhibit D – Bidder Reference Form & Contractor Qualifications Form

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