ESBD_531522_1782404568932_Exhibit_D_Bidder_Reference_Qualifications_Form_(01-21-26).pdf
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- Attached to
- Orthotic Equipment and Services for Mexia SSLC
- Solicitation number
- HHS0017599
- Issued by
- Lampasas 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 related to Orthotic Equipment and Services for Mexia SSLC, dated January 21, 2026. The form establishes mandatory qualification requirements for bidders seeking to contract with the state entity. Bidders must submit a minimum of three verifiable references for contracts of similar size and scope performed within the last three years, with each reference including the business name, point-of-contact information, address, phone, email, and a description of services provided indicating whether the bidder served as prime contractor or subcontractor. Additionally, bidders must document their 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.
The form further requires bidders to provide narrative descriptions of their experience and qualifications, demonstration of operational capacity including employee availability for customer service and order fulfillment, and safe shipping and handling procedures with supervisor-to-location ratios. Bidders must list applicable licenses held by service staff and provide a minimum of two 24-hour emergency contacts with corresponding phone numbers and email addresses. This comprehensive qualification submission ensures that only bidders with demonstrated experience, adequate staffing resources, and proven ability to perform contract requirements are considered for the orthotic equipment and services opportunity with the Texas state entity.
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Text version
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 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:
Parker,Kelly (HHSC) Update Section letter, as applicable.
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
Exhibit D – Bidder Reference and Contractor Qualifications Form
File details come from the government source that posted it. Updated .