ESBD_473242_1768343103842_Exhibit_D_Bidder_Reference_Qualifications_Form.docx

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Attached to
As needed plumbing services, testing, repairs, and emergency response calls at the Texas Center for Infectious Disease located in San Antonio, TX
Solicitation number
HHS0016775
Issued by
Bexar County, Texas

About this file

This is a Bidder Reference Qualifications Form (Exhibit D) for a state and local contract opportunity. The document establishes mandatory qualification requirements for bidders seeking to demonstrate their capability to perform contracted services. Bidders must provide a minimum of three verifiable references for contracts of similar size and scope completed within the last three years. For each reference, bidders must supply comprehensive documentation including the business name, point-of-contact information with title, complete address, phone number, email address, clarification of whether services were performed as prime contractor or subcontractor, and detailed descriptions with specific dates of services provided.

The form requires bidders to provide additional company information including years in business, office address, current staffing levels (permanent full-time employees, permanent part-time employees, and total employee count), and geographic limits of operations. Bidders must document all relevant industry certifications, qualifications, formal training programs, and applicable licenses held by staff assigned to service the account. The form mandates a narrative statement not to exceed one page describing bidder experience and qualifications specific to the contract requirements, along with a written demonstration of operational capability detailing the size and scope of operations, available customer service employees, order fulfillment capacity, product shipping and handling procedures, and supervisor coverage by location. Additionally, bidders must provide a minimum of two 24-hour emergency contacts with names, phone numbers, and email addresses.

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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.

24-Hour Contacts – Must list a minimum of 2:

Contact 1 Name Phone Email Contact 2 Name Phone Email

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