ESBD_File_347957_HHS0014151A Exhibit E Bidder Reference Form.pdf
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- Solicitation number
- HHS0014151A
- Issued by
- Cherokee County, Round Rock City, Texas
About this file
The file provided is an Exhibit E - Bidder Reference Form related to a contract opportunity issued by the Texas Health and Human Services Commission (HHSC) PCS to establish contract(s) for as needed rental services for continuous positive airway pressure (CPAP) and bilevel positive airway pressure (BiPAP) machines and applicable accessories. The contract will serve Rusk State Hospital located in Texas, and the jurisdictions of Cherokee County, Round Rock City, and Round Rock City. Bidders must provide a minimum of three (3) verifiable references for contracts of similar size and scope of services performed within the last five (5) 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 document does not provide details on pricing terms, set asides, incumbents, funding requirements and sources, or contract term and renewal options. It focuses solely on the bidder reference requirements for this contract opportunity.
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Text version
Exhibit E – Bidder Reference Form – 09/01/21
HHS0014151A
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 .