ESBD_559817_1789581145111_Exhibit_D_Bidder_Reference_Qualifications_Formv3.pdf
PDF 74 KB Posted
- Solicitation number
- HHS0017606v3
- Issued by
- Texas
About this file
This is a Bidder Reference and Contract Qualifications Form (Exhibit D) for a Glass and Window Maintenance, Repair, and Replacement Services contract at San Angelo State Supported Living Center in Texas, issued by the Health and Human Services agency under contract number HHS0017606. Bidders are required to demonstrate their qualifications and experience through submission of verifiable references, company information, certifications, licenses, and operational capabilities. The form requires a minimum of three references for contracts of similar size and scope completed within the last three years, with detailed documentation supporting each reference including the business name, point of contact, address, phone, email, and a description of services provided as either a prime contractor or subcontractor.
Bidders must provide comprehensive company information including years in business, office address, current staffing levels (permanent full-time, permanent part-time, and total employees), and geographic operational limits. Additionally, the submission requires documentation of all industry certifications, qualifications, and formal training programs applicable to staff servicing the account, along with all relevant licenses currently held. Bidders must include a narrative statement (limited to one page) describing their experience and qualifications specific to the contract requirements, a written description of their operational size and scope including available customer service and order fulfillment employees and supervisory structure by location, and a minimum of two 24-hour emergency contact names with phone numbers and email addresses.
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Text version
Exhibit D – Bidder Reference and Contract Qualifications Form – 1/21/26
HHS0017606 3
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 .