ESBD_508652_1776719702890_Exhibit_D_Bidder_Reference_Qualifications_Form.pdf
PDF 75 KB Posted
- Solicitation number
- HHS0017260
- Issued by
- Travis County, Texas
About this file
This is a Bidder Reference and Contract Qualifications Form (Exhibit D) for a Texas state contract opportunity (HHS0017260) issued on January 21, 2026. The form requires bidders to submit minimum qualifications and experience documentation to demonstrate their capability to perform contract services. Bidders must provide a minimum of three verifiable references for contracts of similar size and scope completed within the last three years, including business name, point-of-contact information, service descriptions, and dates of performance. Additionally, bidders must submit company information detailing years in business, office address, current staffing levels (full-time and part-time employees), geographic operating limits, and relevant industry certifications and licenses held by staff who will service the account.
The form also requires bidders to provide a narrative description of their experience and qualifications, limited to one page, along with a written description of their operational capacity including the number of employees available for customer service, order fulfillment, safe shipping and handling, and the number of supervisors at each location as applicable. Bidders must designate a minimum of two 24-hour emergency contacts with name, phone number, and email address. This qualification submission serves as the mechanism through which the state evaluates bidder eligibility and organizational capability prior to contract award.
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Text version
Exhibit D – Bidder Reference and Contract Qualifications Form – 1/21/26
HHS0017260
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 (3) three 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 .