ESBD_544348_1785354894594_Exhibit_D_Bidder_Reference_Qualifications_Form.pdf
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- Attached to
- Phlebotomy and Courier Services for El Paso SSLC
- Solicitation number
- HHS0017810
- Issued by
- Texas
About this file
This is a Bidder Reference and Contract Qualifications Form (Exhibit D) for the Phlebotomy and Courier Services contract opportunity with El Paso SSLC in Texas. The form requires bidders to demonstrate their qualifications and experience to perform the contracted services. Bidders must 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 service, and whether services were provided as a prime contractor or subcontractor. Additionally, bidders must provide information regarding their years in business, office address, current staffing levels (permanent full-time and part-time employees), geographic limits of operations, and relevant industry certifications, qualifications, formal training programs, and licenses held by staff who will service the account.
The form requires bidders to submit a narrative of no more than one page describing their experience and qualifications as they apply to the contract requirements, 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 product, and the number of supervisors at each location as applicable. Bidders must also provide a minimum of two 24-hour emergency contact names, phone numbers, and email addresses to ensure continuous communication and support throughout the contract term.
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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 .