ESBD_518262_1779285520801_HHS0017337 - Exhibit D_Bidder_Reference_Qualifications.pdf
PDF 135 KB Posted
- Attached to
- Doors Repair at Wichita Falls State Hospital
- Solicitation number
- HHS0017337
- Issued by
- Upton County, Texas
About this file
This is a Bidder Reference and Contract Qualifications Form (Exhibit D) for a Texas Health and Human Services (HHS) contract opportunity identified as HHS0017337. The form establishes qualification and experience requirements that prospective bidders must satisfy to be considered for award. Bidders are required to demonstrate their capability to perform services related to customer service, order fulfillment, safe shipping and handling of products, and related operations. The form mandates that bidders provide a minimum of three verifiable references for contracts of similar size and scope completed within the last three years, along with detailed information about the services performed, dates of performance, and point-of-contact information for each reference.
The form requires bidders to provide comprehensive company information including years in business, office addresses, current staffing levels (permanent full-time, permanent part-time, and total employees), geographic operational limits, and relevant industry certifications and licenses held by staff servicing the account. Bidders must submit a narrative statement not to exceed one page describing their experience and qualifications applicable to Section 7.1.5, as well as a written description of their operational size, scope, and employee capacity across all locations, including supervisory personnel. Additionally, bidders must designate a minimum of two 24-hour emergency contacts with name, phone, and email information to ensure continuous communication capability throughout the contract term.
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Text version
Exhibit D – Bidder Reference and Contract Qualifications Form – 1/21/26
HHS0017337
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
Contact 2
Name
Phone
| 1. Business Name: |
| 2. Business Name: |
| 3. Business Name: |
| Additional Company Information: |
| Bidder’s Minimum Experience and Qualifications- Section 7.1.5 |
| Demonstration of the Ability to Perform |
File details come from the government source that posted it. Updated .