ESBD_517845_1779200292027_Exhibit_D_Bidder_Reference_Qualifications_Form.pdf
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- Solicitation number
- HHS0017290
- Issued by
- Bexar County, Texas
About this file
This is a Bidder Reference and Contractor Qualifications Form (Exhibit D) for a Texas health and human services contract opportunity (HHS0017290). The form establishes qualification requirements for bidders responding to the contract solicitation, requiring submission of minimum three verifiable references for contracts of similar size and scope performed within the last three years. For each reference, bidders must provide the contracting entity's business name, point-of-contact information, address, phone, email, service description, dates of performance, and designation of whether services were provided as prime contractor or subcontractor. The form also requires bidders to supply company background information including years in business, office address, current staffing levels (full-time, part-time, and total employees), and geographic limits of operations.
Additional requirements include documentation of industry certifications, qualifications, and formal training programs applicable to staff servicing the account, as well as current applicable licenses held by service delivery personnel. Bidders must provide a narrative statement (maximum one page) describing their experience and qualifications relative to Section 7.1.5 requirements, along with a detailed written description of operational size and scope, including the number of employees available for customer service, order fulfillment, product shipping and handling, and supervisory structure by location as applicable. The form requires bidders to designate a minimum of two 24-hour emergency contacts with name, phone number, and email address for each contact listed.
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Text version
Exhibit D – Bidder Reference and Contract Qualifications Form – 1/21/26
HHS0017290
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 .