ESBD_556912_1788553667819_HHS0017988_Exhibit D_Bidder_Reference_Qualifications_Form.docx
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- Attached to
- Pest Control Services at Terrell State Hospital
- Solicitation number
- HHS0017988
- Issued by
- Texas
About this file
This is a Bidder Reference and Contractor Qualifications Form (Exhibit D) for a pest control services contract at Terrell State Hospital in Texas. The form requires bidders to submit a minimum of three verifiable references for contracts of similar size and scope completed within the last three years. For each reference, bidders must provide the business name, point-of-contact information, address, phone, email, whether services were provided as prime contractor or subcontractor, and a description with dates of services rendered. Additionally, bidders must include a maximum one-page narrative describing their experience and qualifications relevant to Section 7.1.5 of the solicitation, along with a written description demonstrating their ability to perform, including details on operations size and scope, available customer service and order fulfillment personnel, safe shipping and handling capabilities, and the number of supervisors at each location.
The form also requires bidders to provide general company information including years in business, office address, current staffing levels (permanent full-time, permanent part-time, and total employees), geographic operational limits, industry certifications and formal training programs for staff assigned to the account, and applicable licenses held by servicing personnel. Bidders must identify a minimum of two 24-hour emergency contacts with names, phone numbers, and email addresses. The form does not specify pricing information, contract term details, set-asides, or award dates within this exhibit, as those elements are typically contained in other sections of the solicitation documents.
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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 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 .