ESBD_520887_1780075908329_Exhibit_D_Bidder_Reference_Qualifications_Form.pdf

PDF 78 KB Posted

Attached to
FY27 Chemical Laboratory Maintenance
Solicitation number
HHS0016999v2
Issued by
Travis County, Austin City, Texas

About this file

This is a Bidder Reference Form and Contractor Qualifications Form (Exhibit D) for a Texas state and local contract opportunity, effective as of March 1, 2024. The document establishes the qualification and experience requirements that prospective bidders must demonstrate to be considered for award. Bidders are required to submit a minimum of three verifiable references for contracts of similar size and scope completed within the last three years, with each reference requiring documentation of the business name, point of contact information, address, phone, email, whether services were provided as a prime contractor or subcontractor, and a description with dates of services provided. 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 qualifications form requires bidders to document all relevant industry certifications, qualifications, formal training programs, and applicable licenses held by staff who will service the account. Bidders must provide a narrative statement not to exceed one page describing their experience and qualifications as applicable to the contract requirements, and submit a written description of the size and scope of their operations, including the number of employees available for customer service, order fulfillment, safe shipping and handling of products, and the number of supervisors for each location as applicable. This form serves to evaluate bidder capability and capacity to successfully perform the contracted services.

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Exhibit D – Bidder Reference Form and Contract Qualifications Form – 03/01/24

Exhibit D – Bidder Reference Form & 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.

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