ESBD_522069_1780694736713_HHS0017375_Exhibit D - Bidder_Reference_Qualifications_Form.pdf
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- Attached to
- General Construction at Lubbock SSLC
- Solicitation number
- HHS0017375
- Issued by
- Hunt 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 (HHS0017375). The form requires bidders to submit a minimum of three verifiable references for contracts of similar size and scope completed within the last two years. For each reference, bidders must provide the business name, point-of-contact information, service address, phone and email contact details, confirmation of whether services were provided as a prime contractor or subcontractor, and a description with dates of services performed. The form also requests additional company information including years in business, office address, current staffing levels (permanent full-time, permanent part-time, and total employees), and geographic limits of operations. Bidders must list industry certifications, qualifications, formal training programs, and applicable licenses held by staff who will service the account.
The form further requires bidders to provide a maximum one-page narrative describing their experience and qualifications as they apply to Section 7.1.5, as well as a written description of the size and scope of all operations, including the number of employees available for customer service, order fulfillment, safe shipping and handling of products, and the number of supervisors at each location. Additionally, bidders must provide a minimum of two 24-hour emergency contact names with corresponding phone numbers and email addresses. This qualification form establishes baseline requirements for contractor capability and responsiveness to support the HHS contract operations in Texas.
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Text version
Exhibit D – Bidder Reference and Contract Qualifications Form – 1/21/26
HHS0017375
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 two (2) 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
| HHS0016848 |
| Exhibit D – Bidder Reference and Contractor Qualifications Form |
File details come from the government source that posted it. Updated .