ESBD_565953_1791401221704_Exhibit_D_Bidder_Reference_Qualifications_Form.docx
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- Solicitation number
- HHS0018039
- Issued by
- Texas
About this file
This is a Bidder Reference and Contractor Qualifications Form (Exhibit D) for an Epoxy Floor Installation project at Building 802 Rusk State Hospital in Texas. The form establishes the minimum qualifications and documentation requirements that bidders must submit as part of their response to this state contract opportunity. Bidders are required to provide a minimum of three verifiable references for contracts of similar size and scope completed within the last three years, with each reference including the business name, point-of-contact information, service description, dates of service, and clarification of whether services were provided as a prime contractor or subcontractor. Additionally, bidders must provide information about their company operations, including years in business, office address, current staffing levels (permanent full-time and part-time employees), and geographic limits of operations.
The form requires bidders to document all industry certifications, qualifications, formal training programs, and applicable licenses held by staff who will service the account. Bidders must submit a narrative description not to exceed one page detailing their experience and qualifications relevant to Section 7.1.5, along with a written description of their operations' size and scope, including the number of employees available for customer service, order fulfillment, product shipping and handling, and supervisory staff at each location. The form mandates that bidders provide a minimum of two 24-hour emergency contacts with names, phone numbers, and email addresses to ensure continuous availability for project support and communication.
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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 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 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 .