ESBD_493261_1772229547980_Exhibit D_Bidder_Reference_Qualifications_Form.docx
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- Solicitation number
- HHS0016909v2
- Issued by
- Travis County, Austin City, Texas
About this file
This document is a Bidder Reference Form and Contractor Qualifications Form for a Texas state and local contract opportunity. Bidders are required to submit a minimum of three verifiable references for contracts of similar size and scope performed within the last three to five years. For each reference, bidders must provide the business name, point-of-contact information including name and title, complete address, phone number, email address, identification of whether services were performed as a prime contractor or subcontractor, and a description with dates of services provided. The form also requests additional company information including years in business, office address, current staffing levels (permanent full-time employees, permanent part-time employees, and total employees), and geographic limits of operations.
The form requires bidders to list all industry certifications, qualifications, and formal training programs completed by staff who will service the account, along with applicable licenses currently held by service staff and corresponding license numbers. Bidders must provide a narrative of no more than one page describing their experience and qualifications as applicable to Section 7.1.5 of the contract opportunity. Additionally, bidders must submit a written description demonstrating their ability to perform, including details on the size and scope of operations, the number of employees available for customer service and order fulfillment, safe shipping and handling of product capabilities, and the number of supervisors at each location as applicable. The form was effective as of March 1, 2024.
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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 3-5 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 product and the number of supervisors for each location, as applicable.
Exhibit D – Bidder Reference Form and Contract Qualifications Form – 03/01/24
File details come from the government source that posted it. Updated .