ESBD_489658_1770999766453_Exhibit_D_Bidder_Reference_Qualifications_Form.pdf
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- Solicitation number
- HHS0016375V3
- Issued by
- Texas
About this file
This is a Bidder Reference Form and Contractor Qualifications Form (Exhibit D) for a state and local contract opportunity in Texas. The document requires bidders to submit a minimum of three verifiable references for contracts of similar size and scope completed within the last ten years. For each reference, bidders must provide the contracting business name, point of contact information, service address, phone and email contact details, confirmation of whether services were provided as a prime contractor or subcontractor, and a description with dates of services rendered. The form also requests comprehensive company information including years in business, office address, current staffing levels broken down by permanent full-time and part-time employees, geographic operational limits, and relevant industry certifications and licenses held by staff assigned to the account.
The qualification form additionally requires bidders to provide a narrative statement not to exceed one page describing their experience and qualifications as they apply to the specific requirements outlined in Section 7.1.5 of the solicitation. Bidders must also demonstrate their ability to perform by submitting a written description detailing the size and scope of their operations, including the number of employees available for customer service, order fulfillment, and safe product shipping and handling, along with the number of supervisors assigned to each location where applicable. The form was effective as of March 1, 2024, and serves as a standardized qualification and experience assessment document for evaluating bidder capability and relevant contract history.
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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 ten (10) 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 .