ESBD_488563_1772827447177_HHS0016052v3_Exhibit D Bidder Reference Form & Contractor Qualifications Form.docx
DOCX document 38 KB Posted
- Attached to
- Windows and Glass Repair San Antonio State Hospital and San Antonio State Supported Living Center
- Solicitation number
- HHS0016052v3
- Issued by
- Bexar County, Texas
About this file
This is a Bidder Reference Form and Contractor Qualifications Form for a Texas health and human services contract opportunity (HHS0016052v3). The document serves as an exhibit to the bid response requirements, establishing baseline qualification standards and documentation needs for interested bidders. 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 including detailed contact information, service descriptions, dates, and clarification of whether services were provided as prime contractor or subcontractor. The form requires bidders to provide comprehensive company background information including years in operation, office locations, current staffing levels (permanent full-time, permanent part-time, and total employees), and geographic service areas.
Additionally, bidders must document all relevant industry certifications, qualifications, formal training programs, and applicable licenses held by staff assigned to the account. A narrative statement of no more than one page must demonstrate the bidder's experience and qualifications specific to Section 7.1.5 requirements, along with a written description detailing operational scope, employee availability for customer service and order fulfillment, shipping and handling capabilities, and supervisory structure by location. The form requires submission of a minimum of two 24-hour emergency contacts with name, phone, and email information. This qualification documentation must be attached to the bid response to verify the bidder's ability to perform the requested services competently and reliably.
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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 .