ESBD_473258_1764797745583_Exhibit_D_Bidder_Reference_Qualifications_Form_.docx
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- Solicitation number
- HHS0016885
- Issued by
- Sterling County, Texas
About this file
This is a Bidder Reference Form and Contractor Qualifications Form (Exhibit D) for a state and local contract opportunity with the State of Texas, specifically for the removal and replacement of two existing Raypak heat units and circulator pumps at the Abilene State Supported Living Center. The form requires bidders to demonstrate their capability to perform the requested services through submission of relevant experience and organizational information.
Bidders must provide a minimum of three verifiable references for contracts of similar size and scope completed within the last three years, with each reference including business name, point-of-contact information, address, phone, email, and a description of services provided as either a prime contractor or subcontractor. Additionally, bidders must submit company information including years in business, office address, current employee counts (permanent full-time, permanent part-time, and total), geographic limits of operations, and any industry certifications, qualifications, and formal training programs held by staff assigned to service the account. Bidders are required to provide a one-page narrative describing their experience and qualifications, demonstrate their operational capacity including employee availability for customer service and order fulfillment, list any applicable licenses held by staff, and provide a minimum of two 24-hour emergency contacts. The form was updated as of March 1, 2024, and serves as the standard qualification document for evaluating bidder competency for this contract opportunity.
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Text version
Exhibit D – Bidder Reference Form & Contractor Qualifications Form Comment by Parker,Kelly (HHSC): Update Section letter, as applicable.
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
Exhibit D – Bidder Reference Form and Contract Qualifications Form – 03/01/24
File details come from the government source that posted it. Updated .