ESBD_532913_1782916130987_HHS0017485 - Exhibit D - Bidder_Reference_Qualifications.pdf
PDF 162 KB Posted
- Attached to
- HVAC Maintenance Austin State Hospital
- Solicitation number
- HHS0017485
- Issued by
- Texas
About this file
This is a Bidder Reference and Contractor Qualifications Form (Exhibit D) for a Texas state contract opportunity related to HVAC Maintenance at Austin State Hospital, issued by the Health and Human Services agency under contract number HHS0017485. The form requires bidders to submit minimum qualifications documentation including three verifiable references for contracts of similar size and scope completed within the last three years. For each reference, bidders must provide the contracting business name, point-of-contact information, service description, dates of performance, and whether services were provided 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 industry certifications, qualifications, or formal training programs held by staff assigned to the account.
The form further requires bidders to provide a narrative description of their experience and qualifications, demonstrate their operational capability including details on customer service staff, order fulfillment capacity, shipping and handling procedures, and supervisory structure across locations. Bidders must also list minimum industry licenses held by assigned staff and provide a minimum of two 24-hour emergency contacts with names, phone numbers, and email addresses. No specific pricing information, set-asides, funding amounts, or contract terms are outlined in this qualifications form, as it serves solely to establish bidder capability and experience requirements for the procurement evaluation process.
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Text version
Exhibit D – Bidder Reference and Contract Qualifications Form – 1/21/26
HHS0017485
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 three (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:
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
| HHS0017461 |
| Exhibit D – Bidder Reference and Contractor Qualifications Form |
File details come from the government source that posted it. Updated .