ESBD_484825_1769195965511_Exhibit_D_Bidder_Reference_Qualifications_Form.pdf
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- Solicitation number
- HHS0016993
- Issued by
- Texas
About this file
This is a Bidder Reference Form and Contractor Qualifications Form (Exhibit D) for a Texas state or local contract opportunity, requiring bidders to demonstrate their experience and capability to perform contracted services. Bidders must submit a minimum of three verifiable references for contracts of similar size and scope completed within the last five years, with each reference including business name, point-of-contact information, address, phone, email, whether services were provided as prime contractor or subcontractor, and a description of services with dates. The form also requires bidders to provide general company information including years in business, office address, current staffing levels (permanent full-time, permanent part-time, and total employees), and geographic operational limits. Additionally, bidders must list all relevant industry certifications, qualifications, formal training programs, and applicable licenses held by staff assigned to service the account.
Bidders are required to provide a narrative description (maximum one page) of their experience and qualifications as applicable to the contract requirements, along with a written description of their operational size and scope, including the number of employees available for customer service, order fulfillment, and safe product shipping and handling, as well as the number of supervisors at each location if applicable. The form requires bidders to designate a minimum of two 24-hour emergency contacts with name, phone, and email for each contact. This qualification submission demonstrates a standard evaluation approach focused on contractor capability, past performance, staffing capacity, and continuous availability to support contract performance.
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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 five (5) 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
Exhibit D – Bidder Reference Form & Contractor Qualifications Form
File details come from the government source that posted it. Updated .