ESBD_564406_1790955365509_Exhibit_D_Bidder_Reference_Qualifications_Formv4.pdf
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- Solicitation number
- HHS0017696v4
- Issued by
- Texas
About this file
This is an Exhibit D Bidder Reference and Contract Qualifications Form for a Texas Health and Human Services Commission (HHSC) solid waste services contract for Region 06 offices located at 1320 E 40th Street and 5425 Polk Street in Houston, Texas. The form requires bidders to provide minimum qualifications and experience documentation to demonstrate their capability to perform waste management services using 30-yard open-top containers. Bidders must submit the completed form as part of their response package to establish their eligibility for contract consideration.
The qualifications form requires bidders to provide a minimum of three verifiable references for contracts of similar size and scope completed within the last five years, including business name, point of contact information, service descriptions, and dates of performance. Additionally, bidders must document company information including years in business, office address, employee counts (permanent full-time, permanent part-time, and total), geographic limits of operations, industry certifications, and applicable licenses held by staff assigned to the account. Bidders must provide a narrative description of their experience and qualifications, demonstrate operational capacity including employee availability for customer service and order fulfillment, and list a minimum of two 24-hour emergency contact personnel with phone and email information. The form emphasizes safe shipping and handling of products and requires detailed information about supervisory structure at each operational location.
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Text version
Exhibit D – Bidder Reference and Contract Qualifications Form – 1/21/26
HHS0017696v4 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
Contact 2
Name
Phone
File details come from the government source that posted it. Updated .