ESBD_488349_1772569803856_Exhibit D_Bidder Reference Form.pdf
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- Attached to
- Medical Gas Inspection/Maintenance at TCID
- Solicitation number
- HHS0016830
- Issued by
- Bexar County, Texas
About this file
This is a Bidder Reference Form and Contractor Qualifications Form (Exhibit D) for a Texas state and local contract opportunity, effective as of March 1, 2024. The document establishes the qualification and experience requirements that bidders must meet to be considered for the contract award. Bidders are required to submit a minimum of three verifiable references from contracts of similar size and scope completed within the last two years, with each reference including the business name, point of contact information, service description, dates of service, and whether the bidder performed as prime contractor or subcontractor. Additionally, bidders must provide company background information including years in business, office address, current staffing levels (permanent full-time, permanent part-time, and total employees), and geographic limits of operations.
Bidders must also demonstrate their qualifications through submission of industry certifications, formal training programs, and applicable licenses held by staff designated to service the account. The form requires a one-page narrative describing the bidder's experience and qualifications relevant to the contract scope, as well as a written description of operational capacity including the number of employees available for customer service, order fulfillment, shipping and handling, and supervisory personnel by location. Bidders must provide a minimum of two 24-hour emergency contact names with phone numbers and email addresses. The form does not specify pricing terms, set-asides, contract duration, renewal options, or funding sources, as these details are contained in other contract documents.
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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 2 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 Contact Information (Must list a minimum of 2):
Contact 1:
Name
Phone
Contact 2:
Name
Phone
File details come from the government source that posted it. Updated .