ESBD_520252_1779809222287_Exhibit_D_Bidder_Reference_Qualifications_Ability_Form.pdf

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Attached to
For the Department of State Health Services (DSHS) needing Generator and Trailer Preventive Maintenance, Repair, and Upgrade Services.
Solicitation number
HHS0017291
Issued by
Bexar County, Texas

About this file

This is a Bidder Reference Qualifications and Ability Form (Exhibit D) for a Texas state or local contract opportunity. The form functions as a template for prospective bidders to document their qualifications, experience, and capability to perform the contract work. The document requires bidders to provide detailed information about their organization, including business structure, years in operation, relevant project experience, staff qualifications, and references from previous clients. Bidders must demonstrate their ability to deliver the products or services specified in the primary contract solicitation by providing evidence of past performance on similar projects, listing key personnel who will be assigned to the work, and supplying contact information for reference checks with former clients or government agencies.

The form serves as an evaluation tool to assess bidder capability and financial stability prior to contract award. Bidders must complete all required sections accurately and provide supporting documentation as specified in the solicitation. The qualifications and references submitted become part of the bid evaluation criteria, and responses may be verified through direct contact with listed references. This exhibit ensures that only qualified vendors with demonstrated experience and capability are considered for contract award, protecting the state or local government entity's interests through a comprehensive pre-award assessment process.

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Text version

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

HHS0017291

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

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