ESBD_535805_1784920461152_HHS0017422_Exhibit D Bidder Reference Form & Contractor Qualifications Form.docx
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- Solicitation number
- HHS0017422
- Issued by
- Texas
About this file
Exhibit D is a Bidder Reference and Contractor Qualifications Form required for submission in response to the Swimming Pool Maintenance and Repairs contract opportunity at Richmond State Supported Living Center in Texas. Bidders must provide a minimum of three verifiable references for contracts of similar size and scope completed within the last five years, with each reference including the business name, point-of-contact information, address, phone, email, whether services were provided as prime contractor or subcontractor, and a description of services with dates. The form requests comprehensive company information including years in business, office address, current employee counts (full-time permanent, part-time permanent, and total), and geographic limits of operations.
The form requires bidders to document industry certifications, qualifications, and formal training programs relevant to staff servicing the account, as well as applicable licenses held by those staff members. Bidders must provide a narrative of no more than one page describing experience and qualifications as specified in Section 7.1.5, along with a written description of operations size and scope, including available customer service employees, order fulfillment capacity, safe shipping and handling procedures, and the number of supervisors at each location. Additionally, bidders must list a minimum of two 24-hour emergency contacts with name, phone, and email information for each contact.
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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 .