ESBD_548445_1786489906662_Exhibit_D_Bidder_Reference_Qualifications_Form.pdf
PDF 92 KB Posted
- Attached to
- Mosquito Control_ Aerial Spraying
- Solicitation number
- HHS0017836
- Issued by
- Texas
About this file
This is a Bidder Reference and Contractor Qualifications Form (Exhibit D) for a Texas mosquito control aerial spraying contract opportunity. Bidders are required to submit a minimum of three verifiable references for contracts of similar size and scope completed within the last two years. For each reference, bidders must provide the business name, point-of-contact information, service description, dates of services, and specify whether services were performed as a prime contractor or subcontractor. Additionally, bidders must document current company information including years in business, office address, employee counts (full-time, part-time, and total), and geographic operational limits. The form requires bidders to list industry certifications, qualifications, formal training programs, and applicable licenses held by staff servicing the account.
The form further requires bidders to provide a maximum one-page narrative describing their experience and qualifications as specified in Section 7.1.5, along with a written description detailing the size and scope of operations, including the number of employees available for customer service, order fulfillment, and safe product shipping and handling, as well as supervisor counts for each location. Bidders must also designate a minimum of two 24-hour emergency contacts with name, phone number, and email address for each contact. This form serves as the qualification documentation component of the bidding process and does not specify pricing information, award dates, contract terms, or renewal options within its contents.
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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 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 .