ESBD_File_353728_Exhibit_D_Bidder_Reference_Form_Formal_IFB.pdf
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- Attached to
- DSHS seeks Cores Backround Check Module
- Solicitation number
- HHS0014500
- Issued by
- Travis County, Austin City, Texas
About this file
This document is an Exhibit D - Bidder Reference Form for a formal Invitation for Bid (IFB) issued by the Texas Department of State Health Services (DSHS). The IFB is seeking the CORES Responder Management System (RMS) Automated Background Check Module and Implementation, which will be provided to Travis County and the City of Austin. Bidders must provide a minimum of three verifiable references for contracts of similar size and scope performed within the last five years, including the business name, point-of-contact, address, phone, email, and details on whether the services were performed as a prime contractor or subcontractor, as well as a description and dates of the services provided.
The pricing terms, funding requirements, and other salient details are not included in this document. The incumbent provider, if any, is also not specified. This Exhibit D is focused solely on the bidder reference requirements for this state and local contract opportunity in Texas.
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Text version
Exhibit E – Bidder Reference Form – 09/01/21
Exhibit D – 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 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 D – Bidder Reference Form
File details come from the government source that posted it. Updated .