ESBD_480454_1767728080064_Exhibit D-Bidder Reference Form.pdf
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- Attached to
- Boiler Inspection and Services at Lufkin SSLC
- Solicitation number
- HHS0016773_V2
- Issued by
- Texas
About this file
This is a Bidder Reference Form and Contractor Qualifications Form (Exhibit D) for a Boiler Inspection and Services contract opportunity at the Lufkin Satellite Service and Learning Center in Texas, effective as of March 1, 2024. Bidders are required to submit 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, address, phone, email, and a description of services provided as either a prime contractor or subcontractor. Additionally, bidders must provide comprehensive company information including years in business, office address, current staffing levels (permanent full-time and part-time employees), geographic operating limits, and a list of relevant industry certifications, qualifications, and formal training programs applicable to staff who will service the account.
The form requires bidders to demonstrate their experience and qualifications through a narrative statement not to exceed one page, as well as provide a detailed written description of their operational capacity, including the size and scope of operations, the number of customer service and order fulfillment employees available, safe shipping and handling capabilities, and supervisory structure for each location. Bidders must also identify a minimum of two 24-hour emergency contacts with name, phone, and email information, and list any applicable licenses currently held by staff assigned to service the account.
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Text version
Exhibit D – Bidder Reference Form and Contract Qualifications Form – 03/01/24
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.
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 .