ESBD_554318_1787948588349_HHS0017771_Exhibit D Bidder Reference Form & Contractor Qualifications Form.docx
DOCX document 31 KB Posted
- Attached to
- Concrete Services Rio Grande State Center
- Solicitation number
- HHS0017771
- Issued by
- Texas
About this file
This document is a Bidder Reference and Contractor Qualifications Form for a concrete services contract at Rio Grande State Center in Texas. Bidders are required to submit a minimum of three verifiable references for contracts of similar size and scope completed within the last five years. For each reference, bidders must provide the business name, point-of-contact information, service location address, phone number, email address, and a description of services with dates, along with documentation indicating whether the bidder served as prime contractor or subcontractor. The form also requires bidders to supply general company information including years in business, office address, current staffing levels (permanent full-time, permanent part-time, and total employees), and geographic operational limits.
The form requires bidders to document all industry certifications, qualifications, and formal training programs applicable to staff assigned to the account, as well as current licenses held by service staff. Bidders must provide a one-page narrative describing their experience and qualifications relevant to Section 7.1.5, along with a written description of operational size and scope, including the number of employees available for customer service, order fulfillment, safe shipping and handling, and supervisory personnel at each location. Additionally, bidders must provide a minimum of two 24-hour emergency contacts with name, phone number, and email address for each contact to ensure continuous communication capability throughout the contract term.
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Text version
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 five (5) 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 .