ESBD_545503_1785936873573_Exhibit_D_Bidder_Reference_Qualifications_Form.pdf
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- Solicitation number
- HHS0017743
- Issued by
- Nueces County, Texas
About this file
This is a Bidder Reference and Contract Qualifications Form (Exhibit D) for the Texas Department of State Health Services (DSHS) related to repair and maintenance of equipment used for high-volume mycobacteria growth, detection, and susceptibility testing at the South Texas Laboratory. The form requires bidders to provide a minimum of three verifiable references for contracts of similar size and scope completed within the last three years. For each reference, bidders must document the business name, point-of-contact information, address, phone number, email address, whether services were provided as a prime contractor or subcontractor, and a detailed description with dates of services performed. Additionally, bidders must provide comprehensive company information including years in operation, office address, current staffing levels (permanent full-time, permanent part-time, and total employees), and geographic limits of operations.
The form further requires bidders to document all industry certifications, qualifications, and formal training programs relevant to their staff servicing this account, along with applicable licenses currently held by service personnel. Bidders must provide a maximum one-page narrative describing their experience and qualifications as they apply to the contract requirements, and a written description of their operational capacity including the size and scope of operations, 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. The form also mandates that bidders provide a minimum of two 24-hour emergency contacts with names, phone numbers, and email addresses to ensure continuity of service and responsiveness to operational needs.
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Text version
Exhibit D – Bidder Reference and Contract Qualifications Form – 1/21/26
HHS0017743
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 three (3) 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 .