ESBD_488558_1771360434188_HHS0016848_Exhibit D - Bidder_Reference_Qualifications_Form.pdf
PDF 104 KB Posted
- Attached to
- Wastewater Testing for DSHS
- Solicitation number
- HHS0016848
- Issued by
- Texas
About this file
This is a Bidder Reference and Contractor Qualifications Form (Exhibit D) for a Texas state contract opportunity designated HHS0016848. The form establishes qualification and experience requirements that bidders must satisfy to be considered for contract award. Bidders are required to provide a minimum of three verifiable references for contracts of similar size and scope performed within the last one year, with each reference including the business name, point of contact information, address, phone, email, whether services were performed as prime contractor or subcontractor, and a description and dates of services provided. Additionally, bidders must provide information regarding years in business, office address, current staffing levels for permanent full-time and part-time employees, and geographic limits of operations.
Bidders must demonstrate their qualifications through submission of industry certifications, formal training programs, and applicable licenses held by staff who will service the account. The form requires a one-page narrative describing the bidder's experience and qualifications as specified in Section 7.1.5, along with a written description of operational size and scope, including the number of employees available for customer service, order fulfillment, safe shipping and handling of product, and the number of supervisors at each location. Bidders must also provide a minimum of two 24-hour emergency contacts with names, phone numbers, and email addresses to ensure continuous operational support and communication capabilities throughout the contract term.
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Text version
Exhibit D – Bidder Reference and Contract Qualifications Form – 1/21/26
HHS0016848
Exhibit D – Bidder Reference and 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 one (1) 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
| HHS0016848 |
| Exhibit D – Bidder Reference and Contractor Qualifications Form |
File details come from the government source that posted it. Updated .