ESBD_File_347689_Exhibit E - Bidder Reference Form.pdf
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- Solicitation number
- HHS0014061A
- Issued by
- Wichita County, Wichita Falls City, Texas
About this file
This document is the Bidder Reference Form for a contract opportunity issued by the Texas Health and Human Services Commission (HHSC) for as-needed media advertising services to promote employment opportunities for the North Texas State Hospital (NTSH) in Wichita County and the city of Wichita Falls. The form requires bidders to 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 services were performed as a prime contractor or subcontractor, and a description of the services provided. The contract opportunity is for as-needed advertising services, but no details are provided on the specific scope, quantities, response dates, award dates, or contract term.
The document does not include any information on pricing terms, set asides, incumbents, funding sources or amounts, or other salient commercial terms. It focuses solely on the bidder reference requirements for this state and local contract opportunity.
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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 (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:
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