ESBD_485044_1769461054339_Exhibit D_Bidder_Reference_Qualifications_Form.docx
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- Solicitation number
- HHS0016909
- Issued by
- Travis County, Austin City, Texas
About this file
This is a Bidder Reference Form and Contractor Qualifications Form for a Texas state or local contract opportunity. The document requires bidders to submit a minimum of three verifiable references for contracts of similar size and scope completed within the last three to five years. For each reference, bidders must provide the business name, point-of-contact information, address, phone number, email address, whether services were performed as a prime contractor or subcontractor, and a detailed description with dates of services provided. Additionally, bidders are required to provide company information including years in business, office address, current number of permanent full-time and part-time employees, total employee count, geographic limits of operations, and any industry certifications, qualifications, or formal training programs relevant to staff servicing the account.
The form also requires bidders to list applicable licenses held by staff who will service the account and submit a narrative (not to exceed one page) describing their experience and qualifications as they apply to Section 7.1.5 of the solicitation. Bidders must demonstrate their ability to perform by providing a written description of their operations' 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. This form was effective as of March 1, 2024, and serves as a critical evaluation tool for assessing contractor qualifications and capacity to perform the contracted services.
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Text version
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 3-5 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.
Exhibit D – Bidder Reference Form and Contract Qualifications Form – 03/01/24
File details come from the government source that posted it. Updated .