ESBD_539317_1784309766005_HHS0017647 Exhibit D Bidder Reference Qualifications_Form.docx
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- Solicitation number
- HHS0017647
- Issued by
- Texas
About this file
This is a Bidder Reference and Contractor Qualifications Form (Exhibit D) for a Document Shredding Services contract at Austin State Hospital in Texas. Bidders are required to submit a minimum of three verifiable references for contracts of similar size and scope completed within the last three years. Each reference must include the business name, point-of-contact information, service location details, and a description of services provided, along with documentation supporting the current or prior contracts. The form requires bidders to specify whether services were performed as a prime contractor or subcontractor and to provide the dates of service delivery.
The form additionally requires bidders to provide comprehensive company information including years in business, office address, employee counts (permanent full-time, permanent part-time, and total), geographic operational limits, and relevant industry certifications and licenses held by staff servicing the account. Bidders must submit a narrative not exceeding one page describing their experience and qualifications specific to the contract requirements, along with a written description of operational size and scope, including the number of employees available for customer service and order fulfillment, product shipping and handling capabilities, and supervisory staff at each location. A minimum of two 24-hour emergency contacts must be provided with names, phone numbers, and email addresses.
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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 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 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 .