ESBD_443665_1754512354701_Exhibit_D_Bidder_Reference_Qualifications_Form.pdf
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- Solicitation number
- HHS0016361V2
- Issued by
- Travis County, Austin City, Texas
About this file
This document is an Exhibit D - Bidder Reference Form and Contract Qualifications Form dated March 1, 2024, which appears to be part of a state or local government procurement process, though the specific agency is not identified in this exhibit. The form requires bidders to provide a minimum of three verifiable references for contracts of similar size and scope performed within the last five years, with each reference including detailed contact information, contractor role (prime or subcontractor), and description of services provided with dates. The document also requires bidders to provide a maximum one-page narrative describing their experience and qualifications as they relate to Section 7.1.5 of the procurement documents, and a demonstration of their ability to perform by describing the size and scope of operations including staffing details for customer service, order fulfillment, and safe shipping and handling of products.
The form includes sections for additional company information such as years in business, office address, current employee counts (full-time and part-time), geographic limits of operations, and tables for listing industry certifications, qualifications, formal training programs, and applicable licenses held by staff who will service the account. The document appears to be focused on product supply and distribution services based on the emphasis on order fulfillment, shipping, handling, and customer service capabilities. No specific pricing terms, set-aside requirements, incumbent information, or funding details are included in this particular exhibit, as it serves as a qualification and reference verification form rather than a comprehensive solicitation document.
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Text version
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 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:
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 .