ESBD_479301_1766517779899_HHS0016946_Exhibit D Bidder Reference Form & Contractor Qualifications Form.docx

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Attached to
Emergency Mold Remediation Health and Human Services Tyler
Solicitation number
HHS0016946
Issued by
Sterling County, Texas

About this file

This is a Bidder Reference Form and Contractor Qualifications Form for the Emergency Mold Remediation Health and Human Services contract opportunity in Tyler, Texas. The document establishes the qualifications and experience requirements that bidders must demonstrate to be considered for award. Bidders are required to provide a minimum of three verifiable references for contracts of similar size and scope completed within the last three years, with each reference including the business name, point-of-contact information, service description, dates of performance, and designation of whether services were provided as a prime contractor or subcontractor. Additionally, bidders must submit comprehensive company information including years in business, office address, current staffing levels for both full-time and part-time permanent employees, geographic operational limits, and a list of industry certifications and licenses held by staff who will service the account.

The qualifications section requires bidders to provide a narrative statement not to exceed one page describing their experience and qualifications relevant to the contract requirements, along with a written description of operational size and scope, including the number of employees available for customer service, order fulfillment, safe shipping and handling, and supervisory personnel at each location as applicable. Bidders must also designate a minimum of two 24-hour emergency contacts with names, phone numbers, and email addresses. The form was last updated on March 1, 2024, and serves as a standardized mechanism for evaluating contractor capability and experience prior to award.

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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

Exhibit D – Bidder Reference Form and Contract Qualifications Form – 03/01/24

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