ESBD_File_338235_Exhibit_E_Bidder_Reference_Form.pdf
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- Solicitation number
- HHS0014082
- Issued by
- Travis County, Austin City, Texas
About this file
Exhibit E - Bidder Reference Form is a document that is part of a state and local contract opportunity for Medicare Part D Claims Switching services for the Texas Health and Human Services Commission (HHSC). The contract opportunity is for competitive bids to establish contract(s) for claims switching services for HHSC in the jurisdictions of Travis County and the cities of Austin. The Bidder Reference Form requires bidders to provide a minimum of three (3) verifiable references for contracts of similar size and scope of services performed within the last five years, including the business name, point-of-contact information, services performed as a prime contractor or subcontractor, and a description and dates of the services provided.
The contract opportunity does not provide details on pricing terms, set asides, incumbents, funding requirements or sources, or contract amounts. The document focuses solely on the requirements for bidder references to be submitted as part of the bid response.
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Text version
Exhibit E – Bidder Reference Form – 09/01/21
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 five 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:
Exhibit E – Bidder Reference Form
File details come from the government source that posted it. Updated .