ESBD_552560_1787351826676_HHS0017920_Exhibit D Bidder Reference Form & Contractor Qualifications Form.docx
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- Solicitation number
- HHS0017920
- Issued by
- Texas
About this file
Hazardous Waste Disposal Services - Austin State Supported Living Center
This is a Bidder Reference Form and Contractor Qualifications Form for hazardous waste disposal services at Austin State Supported Living Center in Texas. The document establishes qualification requirements and reference criteria that prospective bidders must meet to be considered for this contract opportunity. The form requires bidders to provide detailed information about their experience, capabilities, and past performance in hazardous waste disposal operations. Bidders must demonstrate relevant experience handling hazardous materials, compliance with environmental regulations, and successful project completion at similar facilities. The document serves as a screening and evaluation tool to ensure only qualified contractors capable of managing the specific waste disposal needs of a state-supported living center are selected.
The form requires bidders to submit references from previous clients, organizational qualifications documentation, and evidence of proper licensing and certifications for hazardous waste handling. Bidders must demonstrate financial stability, appropriate insurance coverage, and past performance metrics showing successful contract completion. The qualification form evaluates contractor capacity to handle the volume and types of hazardous waste generated by the facility, as well as compliance history with state and federal environmental regulations. This document functions as part of the broader procurement evaluation process to identify contractors with the technical expertise, operational experience, and proven track record necessary for safe and compliant hazardous waste disposal services.
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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 Email Contact 2 Name Phone Email
Exhibit D – Bidder Reference and Contract Qualifications Form – 1/21/26
File details come from the government source that posted it. Updated .