ESBD_549443_1786978282327_Exhibit_D_Bidder_Reference_Qualifications_Formv2.pdf
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- Solicitation number
- HHS0017745v2
- Issued by
- Texas
About this file
This is a Bidder Reference and Contract Qualifications Form (Exhibit D) for a Texas state contract opportunity related to Traceable Calibration of Mammography and X-ray Radiation Evaluation Equipment. The form requires bidders to submit a minimum of three verifiable references for contracts of similar size and scope completed within the last two years, with each reference including business name, point of contact information, address, phone, email, and a description of services provided as either prime contractor or subcontractor. Additionally, bidders must provide company information including years in business, office address, current staffing levels (full-time and part-time permanent employees), geographic operational limits, and a comprehensive list of industry certifications, qualifications, and formal training programs relevant to the staff servicing the account.
The form also requires bidders to demonstrate their qualifications through a narrative of no more than one page and to provide a detailed written description of their operational size and scope, including the number of employees available for customer service, order fulfillment, safe shipping and handling of products, and the number of supervisors at each location. Bidders must further provide minimum of two 24-hour emergency contacts with names, phone numbers, and email addresses. This qualification form serves as a critical component of the bidding process to assess contractor capability and experience in delivering the specialized services required for mammography and x-ray radiation evaluation equipment calibration.
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Text version
Exhibit D – Bidder Reference and Contract Qualifications Form – 1/21/26
HHS0017745v2 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 .