ESBD_531295_1782323171372_Exhibit_D_Bidder_Reference_Qualifications_Form.pdf
PDF 75 KB Posted
- Attached to
- Preventative Maintenance and Repair services for two High-Performance Liquid Chromatography Infinity Systems
- Solicitation number
- HHS0017547
- Issued by
- Travis County, Austin City, Texas
About this file
This is a Bidder Reference and Contractor Qualifications Form (Exhibit D) for a Texas state and local contract opportunity related to preventative maintenance and repair services for two High-Performance Liquid Chromatography Infinity Systems under HHS contract number 0017547. The form establishes mandatory qualification requirements for prospective bidders interested in providing these services. Bidders must submit a minimum of three verifiable references for contracts of similar size and scope completed within the last two years, with each reference requiring documented support including business name, point-of-contact information, address, phone, email, contractor status (prime or subcontractor), and detailed descriptions of services provided with corresponding dates.
The form additionally requires bidders to provide comprehensive company information including years in business, office address, current staffing levels (permanent full-time and part-time employees), geographic operational limits, and any relevant industry certifications, qualifications, and formal training programs held by staff assigned to the account. Bidders must document all applicable licenses held by service staff, provide a maximum one-page narrative describing experience and qualifications per Section 7.1.5, and submit a written description of operational size and scope detailing available employees for customer service, order fulfillment, and safe product shipping and handling, along with supervisor counts by location. The form mandates submission of at minimum two 24-hour emergency contacts with corresponding names, phone numbers, and email addresses to ensure continuous operational support capability.
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Text version
Exhibit D – Bidder Reference and Contract Qualifications Form – 1/21/26
HHS0017547
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 two (2) 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
File details come from the government source that posted it. Updated .