ESBD_File_352473_Exhibit E Bidder Reference Form.pdf

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Attached to
Diabetes Prevention Program Software as a Service
Solicitation number
HHS0014445
Issued by
Travis County, Austin City, Texas

About this file

This document is an Exhibit E - Bidder Reference Form for a state and local contract opportunity issued by the Texas Health and Human Services Commission (HHSC) for a Diabetes Prevention Program Software as a Service (SaaS) application and Maintenance. The contract will be for a one-year term and includes the jurisdictions of Travis County and the City of Austin. The Bidder Reference Form requires bidders to provide a minimum of three (3) verifiable references for contracts of similar size and scope of services provided within the last two (2) years, including details such as business name, point-of-contact information, services performed as a prime contractor or subcontractor, and a description and dates of services provided.

The key details of the state and local contract opportunity include that HHSC PCS is seeking competitive bids to establish a contract for a Diabetes Prevention Program SaaS application and Maintenance. The contract will be for a one-year term, and the jurisdictions included are Travis County and the City of Austin.

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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 two (2) 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

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