ESBD_562593_1790605622697_Exhibit_D_Bidder_Reference_Qualifications_Formv3.pdf
PDF 74 KB Posted
- Attached to
- For Tire Repairs and Maintenance as needed for the Brenham State Supported Living Center
- Solicitation number
- HHS0017695v3
- Issued by
- Texas
About this file
This is a Bidder Reference and Contract Qualifications Form (Exhibit D) for a tire repair and maintenance contract with the Brenham State Supported Living Center in Texas under HHS requisition number HHS0017695. The form establishes mandatory qualification requirements for bidders to demonstrate their capability to perform the requested services. Bidders must provide a minimum of three verifiable references for contracts of similar size and scope completed within the last two years, with each reference requiring specific documentation including business name, point of contact information, service descriptions, and dates of performance. Additionally, bidders must identify whether they served as prime contractor or subcontractor on each referenced project.
The qualifications form requires bidders to provide comprehensive company information including years in business, office address, current staffing levels (full-time, part-time, and total employees), and geographic operational limits. Bidders must document all relevant industry certifications, formal training programs, and applicable licenses held by staff who will service the account. The form requires a one-page narrative describing the bidder's experience and qualifications specific to the contract requirements and a written description of operational capabilities addressing employee availability for customer service, order fulfillment, product handling and shipping, and supervisory structure. Bidders must also designate a minimum of two 24-hour emergency contacts with name, phone, and email information to ensure continuous operational support for the tire repair and maintenance services.
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Text version
Exhibit D – Bidder Reference and Contract Qualifications Form – 1/21/26
HHS0017695 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 two (2) 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 .