ESBD_524992_1781550321482_Exhibit_D_Bidder_Reference_Qualifications_Form.docx
DOCX document 32 KB Posted
- Attached to
- Sole Source – Customer Support Agreement for Apex Gamma Desktop Systems and 24-Input Alpha Analyst System.
- Solicitation number
- HHS0017358
- Issued by
- Travis County, Austin City, Texas
About this file
This is a Bidder Reference and Contractor Qualifications Form for a Texas state and local contract opportunity related to a Sole Source Customer Support Agreement for Apex Gamma Desktop Systems and 24-Input Alpha Analyst System. The form requires bidders to submit minimum qualifications and experience documentation to demonstrate their ability to perform the contracted services. Bidders must provide a minimum of three (3) verifiable references for contracts of similar size and scope completed within the last five (5) years, with each reference including the business name, point-of-contact information, address, phone number, email address, whether services were performed as prime contractor or subcontractor, and a description with dates of services provided.
The form also requires bidders to provide comprehensive company information including years in business, office address, current number of permanent full-time and part-time employees, total employee count, and geographic limits of operations. Bidders must list industry certifications, qualifications, and formal training programs relevant to staff servicing the account, as well as applicable licenses held by those staff members. Additionally, bidders must submit a narrative not exceeding one page describing their experience and qualifications per Section 7.1.5, provide a written description of operations size and scope including customer service capacity and shipping/handling capabilities, and furnish a minimum of two 24-hour emergency contact names with phone numbers and email addresses.
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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 .