ESBD_478893_1767731636206_Exhibit_D_Bidder_Reference_Qualifications_Form_(03-01-24).pdf
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- Solicitation number
- HHS0016776
- Issued by
- Texas
About this file
This is a Bidder Reference Form and Contractor Qualifications Form (Exhibit D) for a vehicle upholstery services contract with the State of Texas, specifically for San Antonio State Hospital (SASH) and San Antonio State Supported Living Center (SASSLC). The form requires bidders to submit a minimum of three verifiable references for contracts of similar size and scope completed within the last three years. For each reference, bidders must provide the business name, point-of-contact information including name and title, address, phone, email, confirmation of whether services were performed as a prime contractor or subcontractor, and a detailed description of services with dates. Additionally, bidders must provide company background information including years in business, office address, current employee counts (permanent full-time, permanent part-time, and total), and geographic limits of operations.
Bidders are required to document all industry certifications, qualifications, and formal training programs relevant to staff servicing the account, as well as all applicable licenses held by those staff members. The form requires submission of a narrative not exceeding one page describing the bidder's experience and qualifications as they apply to the contract requirements. Bidders must also provide a written demonstration of their ability to perform, detailing the size and scope of all operations, including the number of employees available for customer service, order fulfillment, product shipping and handling, and the number of supervisors for each location as applicable. This qualification document was effective as of March 1, 2024, and serves as a baseline screening tool to assess bidder capability and experience prior to contract award.
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Text version
Exhibit D – Bidder Reference Form and Contract Qualifications Form – 03/01/24
HHS0016776_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 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.
HHS0016776_Exhibit D – Bidder Reference Form & Contractor Qualifications Form
File details come from the government source that posted it. Updated .