ESBD_492850_1772570361421_Exhibit_D_Bidder_Reference_Qualifications_Form_(01-21-26).pdf
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- Attached to
- 5-Year Contract for Services Needed to Continue SCID-SMA Screening as Part of the Newborn Screening Program
- Solicitation number
- HHS0017038
- Issued by
- Travis County, Austin City, Texas
About this file
This is a Bidder Reference and Contract Qualifications Form (Exhibit D) dated January 21, 2026, used to evaluate contractor qualifications for a state or local contract opportunity. Bidders are required to submit a minimum of three verifiable references for contracts of similar size and scope completed within the last five years. For each reference, bidders must provide the business name, point-of-contact information, address, phone, email, whether services were performed as a prime contractor or subcontractor, and a detailed description with dates of services provided. Additionally, bidders must document company information including years in business, office address, current staffing levels (full-time and part-time permanent employees), and geographic limits of operations.
The form requires bidders to list industry certifications, qualifications, formal training programs, and applicable licenses held by staff assigned to service the account. Bidders must provide a narrative of no more than one page describing their experience and qualifications relevant to the contract requirements, along with a written description demonstrating their ability to perform, including details on operational size and scope, customer service capacity, order fulfillment capabilities, safe shipping and handling procedures, and supervisory structure by location. The form mandates that bidders provide a minimum of two 24-hour emergency contacts with name, phone number, and email address to ensure continuous communication availability throughout the contract term.
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Text version
Exhibit D – Bidder Reference and Contract Qualifications Form – 1/21/26
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 5 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 products 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
Exhibit D – Bidder Reference and Contractor Qualifications Form
File details come from the government source that posted it. Updated .