ESBD_531740_1782828226373_Exhibit_D_Bidder_Reference_Qualifications_Form_(01-21-26).docx
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- Solicitation number
- HHS0017389
- Issued by
- Travis County, Austin City, Texas
About this file
This is a Bidder Reference and Contractor Qualifications Form (Exhibit D) for a state and local contract opportunity. Bidders are required to submit a minimum of three (3) verifiable references for contracts of similar size and scope completed within the last five (5) years. For each reference, bidders must provide the business name, point-of-contact information, address, phone, email, whether services were performed as a prime contractor or subcontractor, and a description with dates of services provided. Additionally, bidders must include company information such as years in business, office address, current number of permanent full-time and part-time employees, total employee count, and geographic limits of operations. Bidders are also required to list industry certifications, qualifications, formal training programs, and applicable licenses held by staff servicing the account, along with a narrative not exceeding one page describing their experience and qualifications as it applies to Section 7.1.5.
The form requires bidders to provide a written description of their operations' size and scope, including the number of employees available for customer service, order fulfillment, safe shipping and handling of products, and the number of supervisors at each location as applicable. Bidders must also provide a minimum of two (2) twenty-four-hour emergency contacts with name, phone, and email information. The form does not specify pricing terms, set-aside provisions, incumbent information, funding sources, or contract term and renewal options, as these details are not included in this qualification document.
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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 .