ESBD_532917_1782933467516_HHS0017408_Exhibit D Bidder Reference Form & Contractor Qualifications Form.docx
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- Attached to
- Boiler Preventative Maintenance, Inspections, and Parts Richmond State Supported Living Center
- Solicitation number
- HHS0017408
- Issued by
- Texas
About this file
This is a Bidder Reference and Contractor Qualifications Form (Exhibit D) for a boiler preventative maintenance, inspections, and parts contract with the State of Texas for Richmond State Supported Living Center. The form requires bidders to submit a minimum of three verifiable references for contracts of similar size and scope completed within the last five years. For each reference, bidders must provide the business name, point-of-contact information, service location address, phone and email contact details, confirmation of whether services were provided as prime contractor or subcontractor, and a description with dates of services provided. Additionally, bidders must document their company's years in business, office address, current staffing levels for permanent full-time and part-time employees, geographic operational limits, and any relevant industry certifications, qualifications, and formal training programs applicable to staff servicing the account.
The form further requires bidders to list all applicable licenses held by staff assigned to the contract, provide a one-page narrative describing their experience and qualifications relevant to the contract requirements, and submit a written description detailing the size and scope of operations including available customer service employees, order fulfillment capacity, safe shipping and handling procedures, and supervisory structure by location. Bidders must also designate a minimum of two 24-hour emergency contacts with name, phone, and email information. This qualification submission demonstrates the bidder's ability to perform the required boiler maintenance, inspection, and parts services while establishing the organizational capacity and experience necessary for successful contract execution.
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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 .