ESBD_File_332637_HHS003348_Exhibit_E_Bidder_Reference_Form.pdf

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Attached to
IV Infusion Pump Machine Rental
Solicitation number
HHS0013348
Issued by
Travis County, Austin City, Texas

About this file

This document is an Exhibit E - Bidder Reference Form for a state and local contract opportunity in Texas. The contract opportunity is for the rental of IV Infusion Pump Machines, with the jurisdictions involved being Travis County and the City of Austin. Bidders must provide a minimum of three (3) verifiable references for contracts of similar size and scope of services provided within the last three (3) years. The solicitation was posted on the Electronic State Business Daily (ESBD) on August 14, 2023, with a questions or clarifications submission deadline of August 21, 2023, and a response deadline of August 28, 2023 at 10:30 AM Central Time. The anticipated contract start date is the date of award.

The pricing terms, set asides, incumbents, funding requirements and sources, and other salient information are not provided in this document. The focus is on the bidder reference requirements for this contract opportunity.

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Text version

Exhibit E – Bidder Reference Form – 09/01/21

HHS0013348 Exhibit E – Bidder Reference 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:

HHS0013348 Exhibit E – Bidder Reference Form

File details come from the government source that posted it. Updated .