ESBD_544018_1785272214513_Exhibit_D_Bidder_Reference_Qualifications_Form.pdf
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- Solicitation number
- HHS0017466v2
- Issued by
- Texas
About this file
This is a Bidder Reference and Contract Qualifications Form (Exhibit D) for a Texas state and local contract opportunity related to Orientation and Mobility Services for the Visually Impaired. The form establishes the qualifications and experience requirements that bidders must demonstrate to be considered for award. Bidders are required to provide a minimum of three verifiable references for contracts of similar size and scope completed within the last five years, with each reference including the business name, point of contact information, service description, dates of performance, and designation as either prime contractor or subcontractor. Additionally, bidders must provide comprehensive company information including years in business, office address, current staffing levels (full-time and part-time employees), geographic operational limits, and all relevant industry certifications, qualifications, and formal training programs applicable to staff assigned to the account.
The form further requires bidders to submit a narrative statement (limited to one page) describing their experience and qualifications relevant to the contract requirements, along with a detailed written description of operations size and scope, including the number of employees available for customer service, order fulfillment, and safe product shipping and handling, plus supervisor allocations by location as applicable. Bidders must also provide a minimum of two 24-hour emergency contacts with names, phone numbers, and email addresses. The form does not specify pricing terms, set-asides, funding amounts, or contract term details, as it functions solely as a qualifications and reference verification document within the broader procurement process.
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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 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
Contact 2
Name
Phone
File details come from the government source that posted it. Updated .