ESBD_549328_1787081204607_Exhibit_D_Bidder_Reference_Qualifications_Form.pdf
PDF 92 KB Posted
- Attached to
- Mortality Resources and Services
- Solicitation number
- HHS0017352v2
- Issued by
- Texas
About this file
This is a Bidder Reference Qualifications Form (Exhibit D) for the Mortality Resources and Services contract opportunity in Texas. The form is designed to collect information about bidders' qualifications, experience, and references to assess their capability to perform the required services. The document establishes the framework for bidders to demonstrate their relevant project experience, including details about similar projects completed, the scope of work performed, client references, and key personnel involved in service delivery. Bidders are required to provide comprehensive information about their organizational capacity, financial stability, and technical expertise related to mortality resources and services. The form serves as a critical evaluation tool to determine whether prospective vendors meet the minimum qualifications and experience requirements established by the State of Texas for this procurement.
The qualifications form requires bidders to submit detailed references from previous clients who can attest to the quality and reliability of services provided. Bidders must identify project managers, staff credentials, and demonstrate experience with similar services and scale of operations. The submission of this form is mandatory for bid consideration, and the information provided will be used by the evaluation committee to assess bidder competency, financial capability, and past performance history. References provided should be from clients where services were delivered within the past three to five years, allowing evaluators to verify current capability and track record in delivering mortality resources and services.
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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 ten (10) 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 .