ESBD_465792_1762537602772_Exhibit_D_Bidder_Reference.pdf
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- Solicitation number
- HHS0016150_V2
- Issued by
- Travis County, Texas
About this file
Exhibit D – Bidder Reference Form and Contractor Qualifications
Exhibit D is a bidder qualification and reference form for solicitation HHS0016150_V2, issued by a health and human services agency. The form requires bidders to demonstrate their qualifications, experience, and capacity to perform the contracted services. Bidders must submit a minimum of three verifiable references for contracts of similar size and scope completed within the last five years. For each reference, bidders must provide business name, point-of-contact information, address, phone, email, designation as prime contractor or subcontractor, and a description of services with dates performed. Additionally, bidders must complete a narrative (not to exceed one page) describing their experience and qualifications as applied to Section 7.1.5, and provide a written description demonstrating their ability to perform, including operational size, scope, employee availability for customer service and order fulfillment, and the number of supervisors at each location.
The form also requires bidders to provide company information including years in business, office address, current number of permanent full-time and part-time employees, total employee count, and geographic limits of operations. Bidders must list industry certifications, qualifications, and formal training programs applicable to staff servicing the account, along with any applicable licenses held by personnel. Additionally, bidders must supply a minimum of two 24-hour emergency contacts with names, phone numbers, and email addresses. Supporting documentation for all references and qualifications must be attached to the bid response to verify the information provided.
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Exhibit D – Bidder Reference Form and Contract Qualifications Form – 03/01/24
Solicitation HHS0016150_V2 Exhibit D – Bidder Reference Form & Contractor Qualifications
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.
24-Hour Contacts – Must list a minimum of 2:
Contact 1
Name
Phone
Contact 2
Name
Phone
File details come from the government source that posted it. Updated .