ESBD_529947_1782750031369_Form 3 - References.pdf
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- Solicitation number
- 3202600177
- Issued by
- Texas
About this file
This is a References Form (Form 3) for RFP No. 3202600177 issued by the Texas Workforce Commission (TWC) for the PPD State Use Program. Respondents must submit a minimum of three professional references documenting their ability to perform the requested services. The first reference must demonstrate experience with similar contracts or projects completed within the past five years from state, federal, or local governmental entities, excluding TWC. The second reference must verify the organization's financial capacity to operate a project at the total dollar amount requested in the solicitation. The third reference may be a general reference attesting to the company's qualifications, history, values, and experience. Each reference must include the project description, contact name, organization name, contact number, email address, original and final contract amounts, and description of services provided by the respondent.
The form also requires respondents to disclose any cancelled contracts within the past five years and provide detailed information regarding sanctions, liquidated damages, disciplinary actions, unethical practices, civil or criminal litigation, settlement agreements, consent decrees, or contract terminations for default or convenience. Respondents must explain any such incidents with relevant details and party information. By submitting the form, respondents release all referenced companies and their agents from liability related to the disclosure of reference information. The form emphasizes that respondents are not required to violate confidentiality provisions but must provide all non-prohibited information.
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Text version
RFP No. 3202600177 Page 1 of 5 Form 3: References (including Cancelled Contract References) v. Dec 2025
Request for Proposal (RFP) Form 3 –
References
3202600177 PPD State Use Program Must Be Completed and Returned.
Respondent must provide a minimum of three (3) references who are willing and able to provide documentation about Respondent’s ability to perform similar requested services.
1. One (1) reference must relate to similar contracts or projects performed as described in Section 2.2 Description of Services within the last five (5) years, and must be from state, federal, and/or local governmental entities. Do not include TWC as a reference.
2. One (1) reference must verify your organization’s financial capacity to operate a project in the total dollar amount requested in this solicitation.
3. One (1) reference may be a general reference of your organization’s qualifications and should include companies’ history, values, and experience working with the organization.
By submitting this document, the Respondent releases the below-named companies providing a reference, its agents, employees, and all persons, natural or corporate, in privity with above-named company providing a reference from any and all liability, claims or causes of action arising from their disclosure of information pursuant to this request for a business reference.
RFP No. 3202600177 Page 2 of 5
#1-Project Description:
Contact Name:
Name of the organization to which the service was provided:
Reason for contract termination/expiration, if contract is no longer in effect:
Contact Number: Contact E-Mail Address:
Original Contract Amount: Final Contract Amount:
Types of services directly provided by the Respondent and whether the Respondent was the contractor or Subcontractor:
#2-Project Description:
Contact Name:
Name of the organization to which the service was provided:
Reason for contract termination/expiration, if contract is no longer in effect:
Original Contract Amount: Final Contract Amount:
RFP No. 3202600177 Page 3 of 5
#3-Project Description:
Contact Name:
Name of the organization to which the service was provided:
Reason for contract termination/expiration, if contract is no longer in effect:
Contact Number: Contact E-Mail Address:
Original Contract Amount: Final Contract Amount:
RFP No. 3202600177 Page 4 of 5
Canceled Contracts:
#1-Project 1:
Start Date: Projected Completion Date: Actual Completion Date:
Has the Respondent been assessed any Sanctions, including liquidated damages or other such monetary remedies, under any existing or past contracts during the last five (5) years? If so, note the reason for and the amount assessed or paid for each incident.
Was the Respondent the subject of (i) any threatened, pending, or resolved disciplinary action for substandard work and/or unethical practices; or (ii) any order, judgment or decree of any federal or state authority barring, suspending or otherwise limiting the right of the Respondent to engage in any business, practice, or activity, during the last five (5) years? If so, explain.
RFP No. 3202600177 Page 5 of 5
#1-Project 1:
Has the Respondent been involved in any civil or criminal litigation and/or entered into any compromise agreement, settlement agreement, or resulting consent decree or judgements, if applicable, related to contract performance, the goods and/or services sought by this Solicitation, or that a reasonable person knowledgeable of the applicable industry would consider relevant to the work under the Contract? If so, explain. Respondents are not required to violate any confidentiality provision but must provide information not prohibited from disclosure.
Has the Respondent had a project terminated, stopped in the middle, or contract terminated for default or convenience within the past five (5) years? Yes or No. If yes, provide an explanation with details including the others party’s name, address, and telephone number.
Request for Proposal (RFP) Form 3 – References
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