ESBD_541393_1784676254054_HHS0017453_Exhibit D Bidder Reference Form & Contractor Qualifications Form.docx
DOCX document 31 KB Posted
- Solicitation number
- HHS0017453
- Issued by
- Bexar County, Texas
About this file
This is a Bidder Reference and Contractor Qualifications Form (Exhibit D) for a flooring replacement project at San Antonio State Supported Living Center in Texas. Bidders are required to submit a minimum of three verifiable references for contracts of similar size and scope completed within the last five years. Each reference must include the business name, point-of-contact information, service location details, and a description of services provided, along with clarification of whether the bidder served as prime contractor or subcontractor. Additionally, bidders must provide company background information including years in business, office address, current staffing levels (permanent full-time and part-time employees), geographic service areas, and relevant industry certifications and licenses held by staff assigned to the account.
Bidders must also submit a one-page narrative demonstrating their experience and qualifications relevant to the contract requirements, along with a written description of operational capacity including the number of employees available for customer service, order fulfillment, shipping and product handling, and supervisory staff at each location. The form requires submission of a minimum of two 24-hour emergency contact names, phone numbers, and email addresses. This qualification submission is a standard requirement for evaluating bidder capability to perform the contracted services.
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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 .