ESBD_553278_1787668970092_Exhibit_D_Bidder_Reference_Qualifications_Formv2.pdf
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- Solicitation number
- HHS0017743v2
- Issued by
- Orange County, Texas
About this file
This is a Bidder Reference and Contract Qualifications Form (Exhibit D) for a contract opportunity with the Texas Department of State Health Services (DSHS) involving repair and maintenance of equipment used for high-volume mycobacteria growth, detection, and susceptibility testing at the South Texas Laboratory. Bidders are required to submit a minimum of three verifiable references for contracts of similar size and scope completed within the last three years, with each reference including the business name, point-of-contact information, address, phone, email, whether services were provided as prime contractor or subcontractor, and a description of services with dates. The form requests bidders provide additional company information including years in business, office address, current staffing levels (permanent full-time and part-time employees), and geographic limits of operations.
The form requires bidders to document industry certifications, qualifications, formal training programs, and applicable licenses held by staff who will service the account. Bidders must provide a narrative of maximum one page describing their experience and qualifications as applicable to the contract requirements, along with a written description of their operational size and scope, including the number of employees available for customer service, order fulfillment, safe shipping and handling, and supervisory staff at each location as applicable. Bidders must also designate a minimum of two 24-hour contacts with name, phone, and email information, demonstrating their ability to provide responsive support and maintenance services for the specialized laboratory equipment referenced in the contract opportunity.
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Text version
Exhibit D – Bidder Reference and Contract Qualifications Form – 1/21/26
HHS0017743v2 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
Contact 2
Name
Phone
File details come from the government source that posted it. Updated .