ESBD_522297_1780689878157_HHS0017345_Exhibit D - Bidder_Reference_Qualifications_Form.pdf
PDF 144 KB Posted
- Attached to
- Waste Disposal Services for Lubbock SSLC
- Solicitation number
- HHS0017345
- Issued by
- Texas
About this file
This is a Bidder Reference Qualifications Form (Exhibit D) for a Texas state and local contract opportunity issued by the Health and Human Services agency (HHS0017345). The form establishes the qualifications and reference requirements that bidders must meet to be considered eligible for the contract award. Bidders are required to provide detailed information about their organization's experience, capabilities, and past performance on similar projects. The form requests comprehensive references from previous clients or contracting agencies that can verify the bidder's ability to perform the contracted services satisfactorily and meet all contractual obligations.
The form serves as a critical evaluation tool to assess bidder competency prior to contract award. Submission of completed reference qualifications documentation is mandatory for bid consideration, and bidders must demonstrate relevant experience and provide verifiable references that attest to their organizational capacity, financial stability, and successful project delivery. This qualification requirement ensures that only capable vendors with proven track records of performance are selected for contract award.
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Text version
Exhibit D – Bidder Reference and Contract Qualifications Form – 1/21/26
HHS0017345
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
Contact 2
Name
Phone
| HHS0016848 |
| Exhibit D – Bidder Reference and Contractor Qualifications Form |
File details come from the government source that posted it. Updated .