ESBD_524783_1780941602060_HHS0017337v2 - Exhibit D_Bidder_Reference_Qualifications.pdf
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- Attached to
- Doors Repair for Wichita Falls State Hospital
- Solicitation number
- HHS0017337v2
- Issued by
- Upton County, Texas
About this file
This is a Bidder Reference and Contract Qualifications Form (Exhibit D) for a Texas state and local contract opportunity issued by the Health and Human Services (HHS) department under solicitation number HHS0017337v2. The form establishes the qualifications and experience requirements that bidders must demonstrate to be considered for award. Bidders are required to provide a minimum of three verifiable references for contracts of similar size and scope completed within the last three years, including detailed information about the contracting entity, point of contact, service descriptions, and dates of performance. Additionally, bidders must document their current operational capacity, including the number of permanent full-time and part-time employees, geographic service areas, and relevant industry certifications and licenses held by staff assigned to the account.
The form requires bidders to provide a narrative statement of their experience and qualifications and demonstrate their ability to perform through a written description of operational scope, staffing levels for customer service and order fulfillment, and supervisory capacity at each location. Bidders must also designate a minimum of two 24-hour emergency contacts for account management purposes. The qualification form does not specify pricing structures, set-asides, or contract term details within this exhibit, as those elements are typically addressed in other sections of the solicitation documents.
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Text version
Exhibit D – Bidder Reference and Contract Qualifications Form – 1/21/26
HHS0017337v2 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 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.
24-Hour Contacts – Must list a minimum of 2:
Contact 1
Name
Phone
Contact 2
Name
Phone
| 1. Business Name: |
| 2. Business Name: |
| 3. Business Name: |
| Additional Company Information: |
| Bidder’s Minimum Experience and Qualifications- Section 7.1.5 |
| Demonstration of the Ability to Perform |
File details come from the government source that posted it. Updated .