ESBD_538010_1784318740557_HHS0017423_Exhibit D Bidder Reference Form & Contractor Qualifications Form.docx
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- Attached to
- HVAC Repair Services, System Diagnostics, and Preventive Maintenance Austin State Supported Living Center
- Solicitation number
- HHS0017423
- Issued by
- Texas
About this file
This document is a Bidder Reference Form and Contractor Qualifications Form (Exhibit D) for the State of Texas Health and Human Services Commission related to HVAC repair services, system diagnostics, and preventive maintenance at Austin State Supported Living Center. The form requires bidders to provide detailed information about their company qualifications, experience, and references to demonstrate capability in performing HVAC services. Bidders must submit evidence of relevant experience with similar scope of work, including system diagnostics and preventive maintenance services, along with at least three professional references from previous clients who can attest to the quality and reliability of services rendered.
The qualifications form serves as a critical evaluation tool for the state to assess bidder capability prior to contract award. Bidders are required to provide company information, years in business, relevant project experience, personnel qualifications, and reference contacts with detailed descriptions of comparable work performed. The form establishes baseline requirements ensuring that only qualified contractors with demonstrated HVAC expertise and a track record of successful project completion are eligible for consideration. Submission of complete and accurate information on this form is mandatory, and failure to provide adequate documentation of qualifications may result in bid rejection or disqualification from the procurement process.
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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 .