ESBD_535261_1783523658168_Exhibit_D_Bidder_Reference_Qualifications.pdf
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- Attached to
- LbSSLC seeks Dietician for facility
- Solicitation number
- hhs0017578
- Issued by
- Harris County, Texas
About this file
This is a Bidder Reference and Contractor Qualifications Form (Exhibit D) for a state and local contract opportunity in Texas involving a facility dietician position. The form requires bidders to provide a minimum of three verifiable references for contracts of similar size and scope completed within the last five years. For each reference, bidders must document the business name, point-of-contact information, service location, phone number, email address, whether services were provided as a prime contractor or subcontractor, and a description with dates of services provided. Additionally, bidders must provide company information including years in business, office address, current staffing levels (permanent full-time and part-time employees), geographic operational limits, and relevant industry certifications and licenses held by staff servicing the account.
The form also requires bidders to submit a narrative not to exceed one page describing their experience and qualifications as they apply to the specific requirements, along with a written description of operational size and scope, including available customer service employees, order fulfillment capacity, product shipping and handling capabilities, and supervisory structure by location. Bidders must provide a minimum of two 24-hour emergency contacts with name, phone, and email information. The form is dated January 21, 2026, and serves as a standardized qualification assessment tool to evaluate contractor capability and experience prior to contract award.
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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 five 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
Exhibit D – Bidder Reference and Contractor Qualifications Form
File details come from the government source that posted it. Updated .