ESBD_File_344057_HHS0014151 Exhibit E Bidder Reference Form.pdf
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- Solicitation number
- HHS0014151
- Issued by
- Cherokee County, Round Rock City, Texas
About this file
This document is an Exhibit E - Bidder Reference Form for the state and local contract opportunity titled "As Needed CPAP and BiPAP Machine Rental Services, Rusk State Hospital" issued by the Texas Health and Human Services Commission (HHSC). The contract will provide continuous positive airway pressure (CPAP) and bilevel positive airway pressure (BiPAP) machine rental services and applicable accessories on an as-needed basis to support the Rusk State Hospital. Bidders must provide a minimum of three verifiable references for similar contracts performed within the last five years, including the business name, point-of-contact, address, phone, email, whether the work was as a prime contractor or subcontractor, and a description of the services provided.
The contract will serve the jurisdictions of Cherokee County and the City of Round Rock, Texas. No other details regarding pricing, set-asides, incumbents, funding, or contract term are provided in this document.
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Text version
Exhibit E – Bidder Reference Form – 09/01/21
HHS0014151
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 (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:
File details come from the government source that posted it. Updated .