ESBD_520044_1779479725081_Exhibit_D_Bidder_Reference_Qualifications_Form.docx
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- Attached to
- Mold Remediation Bldg. 802, Rusk State Hospital
- Solicitation number
- HHS0017319
- Issued by
- Schleicher County, Texas
About this file
This is a Bidder Reference and Contractor Qualifications Form (Exhibit D) for a Texas state and local contract opportunity. The form requires bidders to submit a minimum of three verifiable references for contracts of similar size and scope completed within the last five years. For each reference, bidders must provide the business name, point-of-contact information, address, phone, email, a description of services performed, and dates of service, along with documentation indicating whether the work was performed as a prime contractor or subcontractor. The form also requests additional 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.
The form requires bidders to document all industry certifications, qualifications, and formal training programs applicable to staff servicing the account, as well as current licenses held by those staff members. Bidders must provide a narrative description, not to exceed one page, demonstrating their experience and qualifications relevant to the contract requirements under Section 7.1.5. Additionally, bidders must describe the size and scope of their 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 at each location. The form requires submission of a minimum of two 24-hour emergency contacts with name, phone, and email information.
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Text version
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 five (5) 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
Exhibit D – Bidder Reference and Contract Qualifications Form – 1/21/26
File details come from the government source that posted it. Updated .