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This is a Bidder Reference and Contractor Qualifications Form (Exhibit D) for a Texas state and local contract opportunity identified as HHS0017289, effective January 21, 2026. The form establishes qualification and experience requirements that bidders must satisfy to be considered for award. Bidders are required to submit a minimum of three verifiable references for contracts of similar size and scope performed within the last three years, with each reference including the business name, point of contact information, service description, dates of performance, and confirmation of whether services were provided as a prime contractor or subcontractor.

In addition to references, bidders must provide comprehensive company information including years in business, office location, current staffing levels (permanent full-time, permanent part-time, and total employees), geographic operational limits, and all relevant industry certifications, qualifications, formal training programs, and licenses held by staff assigned to the contract. Bidders must also submit a narrative statement (maximum one page) demonstrating their experience and qualifications relevant to the contract requirements, a written description of operational size and scope including customer service and order fulfillment capabilities, and a minimum of two 24-hour emergency contacts. This qualification form ensures bidders possess the necessary experience, staffing resources, certifications, and operational capacity to successfully perform the required services.

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Exhibit D – Bidder Reference and Contract Qualifications Form – 1/21/26

HHS0017289

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 three (3) 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

Email

Contact 2

Name

Phone

Email

File details come from the government source that posted it. Updated .