ESBD_521000_1780001376249_HHS0017401_Exhibit D Bidder References & Contractor Qualifications Form.docx
DOCX document 31 KB Posted
- Solicitation number
- HHS0017401
- Issued by
- Cameron County, Texas
About this file
This is an Exhibit D Bidder References and Contractor Qualifications Form for a Texas Health and Human Services (HHS) contract opportunity (HHS0017401). The document serves as a qualification submission requirement for bidders interested in competing for state contract work with HHS. The form requests that prospective contractors provide detailed information about their qualifications, experience, and references to demonstrate their capability to perform the contracted services. Bidders are required to complete this form as part of their bid submission package, with the form establishing minimum qualification standards and evaluation criteria for contractor selection. The specific services, quantities, project timelines, bidder meetings, and contract terms are referenced in the primary solicitation documents rather than detailed within this qualification form itself.
The form functions as a standardized evaluation tool to assess bidder credentials, past performance, relevant experience, and professional references prior to contract award. Contractors must demonstrate their qualifications through documented evidence of similar work completion, relevant certifications or licenses, financial stability, and references from previous clients or agencies. This qualification form is a critical component of the procurement process, allowing the HHS to verify that bidders meet established capability requirements and possess the necessary expertise to successfully execute the contracted deliverables. The form does not contain pricing information or set-aside details, as those elements are typically addressed in separate solicitation sections.
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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 .