ESBD_541078_1784842246680_Exhibit_D_Bidder_Reference_Qualifications_Form.pdf
PDF 76 KB Posted
- Attached to
- For Tire Repairs and Maintenance as needed for the Brenham State Supported Living Center.
- Solicitation number
- HHS0017695
- Issued by
- Upton County, Texas
About this file
This is a Bidder Reference and Contract Qualifications Form (Exhibit D) for a tire repairs and maintenance contract with the Brenham State Supported Living Center in Texas under HHS contract number HHS0017695.
Bidders are required to submit a minimum of three verifiable references for contracts of similar size and scope completed within the last two years. For each reference, bidders must provide the contracting business name, point-of-contact information, service location, phone and email details, whether services were provided as a prime contractor or subcontractor, and a description of services with dates performed. Additionally, bidders must provide company information including years in business, office address, current staffing levels (permanent full-time and part-time employees), geographic operating limits, and relevant industry certifications, qualifications, and formal training programs applicable to staff servicing the account. Bidders must also list applicable licenses held by staff who will service the account and provide a maximum one-page narrative describing their experience and qualifications as it applies to the relevant section 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, and safe product shipping and handling, as well as the number of supervisors at each location. Bidders must also designate a minimum of two 24-hour emergency contacts with name, phone, and email information. No specific pricing terms, set-asides, or funding information is addressed in this qualifications form.
View the file
Other files
On GovTribe
Work with this file
- Download the original file
- Contacts named in this file
- Similar government files
- Ask GovTribe AI about this file
Text version
Exhibit D – Bidder Reference and Contract Qualifications Form – 1/21/26
HHS0017695
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
File details come from the government source that posted it. Updated .