ESBD_494230_1772742938961_Exhibit_D_Bidder_Reference_Qualifications_Form.pdf
PDF 75 KB Posted
- Solicitation number
- HHS0017125
- Issued by
- Travis County, Austin City, Texas
About this file
This is a Bidder Reference and Contract Qualifications Form (Exhibit D) for a Texas state and local contract opportunity (HHS0017125) issued on January 21, 2026. Bidders are required to demonstrate their qualifications and experience through the submission of verifiable references and company information. The form requires a minimum of three references for contracts of similar size and scope completed within the last ten years, with each reference including the business name, point-of-contact information, address, phone, email, whether services were provided as a prime contractor or subcontractor, and a description of services with dates. Additionally, bidders must provide current company information including years in business, office address, number of permanent full-time and part-time employees, total employee count, and geographic limits of operations.
Bidders are required to list any industry certifications, qualifications, formal training programs, and applicable licenses held by staff who will service the account. The form also requires a narrative of no more than one page describing the bidder's experience and qualifications, followed by a written description of the size and scope of operations, including the number of employees available for customer service, order fulfillment, and safe shipping and handling of products, along with the number of supervisors per location. Additionally, bidders must provide a minimum of two 24-hour contact names, phone numbers, and email addresses for emergency or ongoing communication purposes.
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Text version
Exhibit D – Bidder Reference and Contract Qualifications Form – 1/21/26
HHS0017125
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 (10) ten 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
Contact 2
Name
Phone
File details come from the government source that posted it. Updated .