ESBD_489654_1771359647840_HHS0016932A Exhibit D - Bidder Reference Qualifications Form.pdf
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- Attached to
- Certified Orientation and Mobility Specialist for Corpus Christi State Supported Living Center
- Solicitation number
- HHS0016932A
- Issued by
- Orange County, Texas
About this file
This is a Bidder Reference Qualifications Form (Exhibit D) for a Texas state and local contract opportunity, effective March 1, 2024. The form establishes qualification and experience requirements for bidders responding to the contract solicitation. Bidders must submit a minimum of three verifiable references for contracts of similar size and scope performed within the last two years. For each reference, bidders must provide the contracting business name, point-of-contact information, address, phone and email contact details, clarification of whether services were provided as a prime contractor or subcontractor, and a detailed description with dates of services provided. The form also requires bidders to document current company operational information, including years in business, office address, current permanent and part-time employee counts, total employee count, and geographic limits of operations.
Bidders must additionally demonstrate qualifications through submission of industry certifications, formal training programs, and applicable licenses held by staff assigned to service the account. The form requires a narrative statement not to exceed one page describing the bidder's relevant experience and qualifications as applied to Section 7.1.5 of the solicitation. Bidders must provide a written description demonstrating their ability to perform, detailing the size and scope of all operations, including the number of employees available for customer service, order fulfillment, safe shipping and product handling, and the number of supervisors designated for each location as applicable. These qualification submissions are required attachments to the bidder's response.
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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 two (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.
Exhibit D – Bidder Reference Form & Contractor Qualifications Form
File details come from the government source that posted it. Updated .