ESBD_File_349747_HHS0014418_Exhibit E Bidder Reference Form.docx

DOCX document 27 KB Posted

Attached to
Dock/Pier Demolition and Replacement Mexia State Supported Living Center
Solicitation number
HHS0014418
Issued by
Limestone County, Texas

About this file

This document is an Exhibit E - Bidder Reference Form for a state and local contract opportunity in Texas. The HHSC PCS (Health and Human Services Commission Procurement and Contracting Services) is seeking competitive bids to establish contract(s) for the demolition and replacement of a dock/pier at the Mexia State Supported Living Center, which is located in Limestone County. Bidders must provide a minimum of three (3) verifiable references for contracts of similar size and scope of services provided within the last three (3) years, including the business name, point-of-contact information, whether the services were performed as a prime contractor or subcontractor, and a description and dates of the services provided.

The contract opportunity does not provide any additional details on pricing terms, set asides, incumbents, funding requirements or sources, or other salient information beyond the Bidder Reference Form requirements.

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Text version

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 three (3) 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 – 09/01/21

File details come from the government source that posted it. Updated .