ESBD_484595_1769098208531_Exhibit_D_Bidder_Reference_Qualifications_Form.docx
DOCX document 39 KB Posted
- Solicitation number
- HHS0016884
- Issued by
- Travis County, Texas
About this file
This is a Bidder Reference and Contractor Qualifications Form (Exhibit D) for a Texas state and local contract opportunity administered by HHSC (Health and Human Services Commission). 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, service description, dates of services, and clarification of whether services were provided as a prime contractor or subcontractor. Additionally, bidders must complete a comprehensive company information section that includes the number of years in business, office address, current employee counts (full-time, part-time, and total), geographic limits of operations, and relevant industry certifications and licenses held by staff who will service the account.
The qualifications section requires bidders to provide a one-page narrative demonstrating experience and qualifications, 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 of products, and the number of supervisors at each location as applicable. Bidders must also identify a minimum of two 24-hour emergency contacts with name, phone number, and email address. The form was last updated on March 1, 2024, and serves to establish baseline contractor qualifications and references to evaluate bidder capability to perform contractual obligations.
View the file
Other files
On GovTribe
Work with this file
- Download the original file
- Contacts named in this file
- Similar government files
- Ask GovTribe AI about this file
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 .