ESBD_541077_1784919126857_Exhibit_D_Bidder_Reference_Qualifi_Form.pdf
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- Solicitation number
- HHS0017702
- Issued by
- Texas
About this file
This is a Bidder Reference and Contractor Qualifications Form (Exhibit D) for a pest control services contract at the Lubbock State Supported Living Center in Texas, issued by the Health and Human Services agency (HHS0017702). Bidders must submit a minimum of three verifiable references for contracts of similar size and scope completed within the last three years, with each reference requiring documentation including the business name, point-of-contact information, address, phone, email, service description, and dates of performance. Additionally, bidders must provide company information such as years in business, office address, current staffing levels (permanent full-time, part-time, and total employees), geographic limits of operations, and a list of relevant industry certifications, qualifications, formal training programs, and applicable licenses held by staff who will service the account. Bidders must include a narrative not exceeding one page describing their experience and qualifications relevant to the contract, along with a written description of their operational 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.
The form requires bidders to provide a minimum of two 24-hour emergency contact names with corresponding phone numbers and email addresses. The qualification requirements establish baseline standards to ensure bidders possess adequate experience, staffing capacity, certifications, and responsiveness to perform pest control services at this state-supported facility. No specific pricing terms, set-asides, award dates, or contract duration information is contained within this qualification form, as it serves solely to establish bidder eligibility and experience criteria.
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Text version
Exhibit D – Bidder Reference and Contract Qualifications Form – 1/21/26
HHS0017702
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 three (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
Contact 2
Name
Phone
File details come from the government source that posted it. Updated .