ESBD_546846_1786048338424_Exhibit_D_Bidder_Reference_Qualifications_Form.pdf
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- Solicitation number
- HHS0017696
- Issued by
- Harris County, Texas
About this file
This document is a Bidder Reference and Contract Qualifications Form (Exhibit D) for the Texas Health and Human Services Commission (HHSC) Region 06 Solid Waste Services contract, which covers 30-yard open top container services for HHSC offices located at 1320 E 40th Street and 5425 Polk Street in Houston, Texas. The form requires bidders to submit a minimum of three verifiable references for contracts of similar size and scope completed within the last five years. For each reference, bidders must provide the business name, point-of-contact information, address, phone number, email address, whether services were performed as a prime contractor or subcontractor, and a detailed description with dates of services provided. The form is effective as of January 21, 2026, and is identified under contract number HHS0017696.
In addition to reference documentation, bidders must complete additional company information sections including years in business, office address, current staffing numbers (permanent full-time, permanent part-time, and total employees), and geographic limits of operations. Bidders are required to list industry certifications, qualifications, and formal training programs applicable to staff servicing the account, along with relevant licenses held by those personnel. The form requires a narrative description not to exceed one page addressing the bidder's experience and qualifications, a written description of operational capacity including employee availability for customer service and order fulfillment, and a minimum of two 24-hour emergency contacts with names, phone numbers, and email addresses.
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Text version
Exhibit D – Bidder Reference and Contract Qualifications Form – 1/21/26
HHS0017696
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 .