ESBD_485480_1769629450271_HHS0016339v3 - Exhibit D Reference Form _Qualifications.docx
DOCX document 34 KB Posted
- Solicitation number
- HHS0016339v3
- Issued by
- Angelina County, Texas
About this file
This is a Bidder Reference Form and Contractor Qualifications exhibit for a Texas state and local contract opportunity (HHS0016339v3). The document establishes the submission requirements for bidders seeking to qualify for contract consideration. Bidders must provide a minimum of three verifiable references for contracts of similar size and scope completed within the last three years, with each reference requiring documented details including the business name, point of contact information, service description, dates of service, and clarification of whether services were provided as a prime contractor or subcontractor. Additionally, bidders must submit comprehensive company information including years in business, office address, current staffing levels (permanent full-time, permanent part-time, and total employees), geographic operational limits, and a complete inventory of relevant industry certifications, qualifications, formal training programs, and applicable licenses held by staff assigned to the account.
The qualifications submission must also include a narrative description not exceeding one page detailing the bidder's experience and qualifications as applied to Section 7.1.5 of the contract specifications, along with a written demonstration of the ability to perform that describes the size and scope of all operations, customer service capacity, order fulfillment capabilities, product handling and shipping procedures, and supervisory structure by location. Bidders are required to provide a minimum of two 24-hour emergency contacts with name, phone number, and email address for each contact listed on the form, enabling the contracting agency to maintain continuous communication access throughout the contract term.
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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 .