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
The document provided is an Exhibit E - Bidder Reference Form, which is part of a larger 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 seeking competitive bids to establish contract(s) for claims switching services for HHSC, and it covers multiple jurisdictions within the state of Texas, including Travis County and the city 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 provided within the last five years, including details such as business name, point-of-contact information, services performed as a prime contractor or subcontractor, and a description of the services provided.
The contract opportunity does not provide any additional details regarding pricing terms, set asides, incumbents, funding requirements or sources, or other salient information. The document focuses solely on the bidder reference requirements as part of the overall bid submission process.
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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 .