ESBD_485361_1770240541236_HHS0016271_Exhibit D Bidder Reference Form & Contractor Qualifications Form.docx
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- Attached to
- As-Needed Boiler/HVAC Maintenance and Repair Services Corpus Christi State Supported Living Center
- Solicitation number
- HHS0016271
- Issued by
- Orange County, Texas
About this file
This is a Bidder Reference Form and Contractor Qualifications Form for a Texas state and local contract opportunity (HHS0016271). The document serves as an exhibit to the solicitation and requires bidders to demonstrate their qualifications and experience to perform the contracted services. Bidders must submit a minimum of three verifiable references for contracts of similar size and scope completed within the last three years, with each reference requiring detailed information including the business name, point-of-contact details, service description, and dates of performance. Additionally, bidders must provide comprehensive company information such as years in business, office location, employee counts (full-time, part-time, and total), geographic service areas, and relevant industry certifications and licenses held by staff who will service the account.
The form requires bidders to provide a narrative statement (maximum one page) describing their experience and qualifications as applicable to Section 7.1.5 of the solicitation, along with a detailed written description of their operational capacity, including the size and scope of operations, number of customer service employees available, order fulfillment capabilities, safe shipping and handling procedures, and supervisory structure by location. Bidders must also designate a minimum of two 24-hour emergency contacts with name, phone, and email information. The form is dated March 1, 2024, and is designed to assess the bidder's ability to perform and demonstrate operational readiness to fulfill the contract requirements.
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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 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 .