ESBD_File_347573_HHS0014056 Exhibit E Bidder Reference Form Formal IFB.pdf
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- Attached to
- HHS0014056 Breast pump contract for WIC
- Solicitation number
- HHS0014056
- Issued by
- Travis County, Austin City, Texas
About this file
This document is Exhibit E - Bidder Reference Form related to the HHS0014056 Breast pump contract for the Texas special supplemental nutrition program for women, infants, and children (WIC). The contract is to provide service and/or goods that include, but not limited to, breast pumps, breast pump accessories, and technical support. Bidders must provide a minimum of three (3) verifiable references for contracts of similar size and scope of services within the last 5 years. The reference details required include the business name, point-of-contact, address, phone, email, whether the services were performed as a prime contractor or subcontractor, and a description and dates of the services provided.
The state and local contract opportunity is for the jurisdictions of Travis County and various locations within the city of Austin, Texas. No additional details are provided regarding pricing terms, set asides, incumbents, funding requirements, or contract term.
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Text version
Exhibit E – Bidder Reference Form – 09/01/21
Exhibit E – Bidder Reference Form
HHS0014056
Bidders must provide a minimum of three (3) verifiable references for contracts of similar size and scope of services within the last 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]
Exhibit E – Bidder Reference Form – 09/01/21
Description and Dates of Services Provided:
Exhibit E – Bidder Reference Form
File details come from the government source that posted it. Updated .