ESBD_540157_1784577202364_HHS0017484 Exhibit D - Bidder Reference and Quals Form.pdf
PDF 104 KB Posted
- Solicitation number
- HHS0017484
- Issued by
- Travis County, Austin City, Texas
About this file
This is a Bidder Reference and Contractor Qualifications Form (Exhibit D) for an as-needed motor pool repair and maintenance contract with the Austin State Supported Living Center in Texas. Bidders must submit a minimum of three verifiable references for contracts of similar size and scope completed within the last two years, with each reference requiring business name, point-of-contact information, address, phone, email, prime contractor or subcontractor designation, and a description of services with dates. The form requires bidders to provide additional company information including years in business, office address, current employee counts (full-time, part-time, and total), geographic limits of operations, and a list of industry certifications and qualifications held by staff assigned to the account. Bidders must also document applicable licenses held by service staff and provide a narrative of no more than one page describing their experience and qualifications as they apply to the contract requirements.
The form requires bidders to demonstrate their ability to perform by providing a written description of their operations' size and scope, including the number of employees available for customer service, order fulfillment, safe shipping and handling of products, and the number of supervisors at each location as applicable. Additionally, bidders must designate a minimum of two 24-hour contacts with names, phone numbers, and email addresses. The form does not specify pricing information, set-asides, incumbent contractor details, funding amounts, or contract term and renewal options within the document itself, as these details would be contained in other sections of the solicitation materials.
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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 two (2) 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 .