ESBD_524991_1780949411287_Exhibit_D_Bidder_Reference_Qualifications_Form_(01-21-26).pdf

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Attached to
Dental Anesthesia Services, Abilene State Supported Living Center (AbSSLC)
Solicitation number
HHS0017454
Issued by
Sterling County, Texas

About this file

This is a Bidder Reference and Contract Qualifications Form (Exhibit D) for a state and local contract opportunity in Texas, effective January 21, 2026. The form establishes the minimum 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 one year, with each reference including the business name, point of contact information, service description, and dates of performance. The form also requires bidders to document whether services were performed as a prime contractor or subcontractor for each reference project.

In addition to references, bidders must provide comprehensive company information including years in business, office address, staffing levels (permanent full-time, permanent part-time, and total employees), geographic operational limits, and a complete inventory of industry certifications, qualifications, formal training programs, and applicable licenses held by staff assigned to the account. Bidders must submit a narrative statement not exceeding one page describing their experience and qualifications relevant to the contract requirements and must demonstrate their operational capacity by detailing the size and scope of operations, customer service personnel, order fulfillment capabilities, product shipping and handling procedures, and supervisor availability by location. The form requires bidders to designate a minimum of two 24-hour emergency contacts with corresponding phone numbers and email addresses to ensure round-the-clock communication capability.

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Exhibit D – Bidder Reference and Contract Qualifications Form – 1/21/26

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 one (1) 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

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