ESBD_541811_1784816376696_Exhibit_D_Bidder_Reference_Qualifications_Form.pdf
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- Solicitation number
- HHS0017745
- Issued by
- Travis County, Austin City, Texas
About this file
This is a Bidder Reference Qualifications Form related to a Texas state and local contract opportunity for traceable calibration of mammography and x-ray radiation evaluation equipment. The form establishes the qualification requirements and reference standards that bidders must meet to be considered for award. Prospective vendors must demonstrate relevant experience in calibration services for medical radiation equipment, specifically in mammography and x-ray systems. The form requires bidders to provide documented evidence of their technical capabilities, past performance on similar projects, and certifications or accreditations necessary to perform calibration work that meets traceability standards for radiation measurement equipment.
The qualifications form serves as a screening mechanism to ensure only qualified bidders with demonstrated expertise in medical equipment calibration proceed in the procurement process. Bidders must submit references from previous clients who can attest to their capability to deliver calibration services that maintain proper traceability standards required by regulatory agencies. The form likely includes specific requirements regarding equipment certifications, personnel qualifications, laboratory accreditation status, and quality assurance procedures. Submission of this completed form is typically a mandatory requirement for bid consideration, and failure to meet the stated qualifications may result in rejection of the proposal regardless of pricing or other factors.
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Text version
Exhibit D – Bidder Reference and Contract Qualifications Form – 1/21/26
HHS0017745
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 .