ESBD_File_354515_HHS0014471A_Exhibit E Bidder Reference Form.docx
DOCX document 27 KB Posted
- Attached to
- Freezer Door Repair Big Spring Hospital
- Solicitation number
- HHS0014471A
- Issued by
- Howard County, Texas
About this file
This document is an Exhibit E - Bidder Reference Form for a state and local contract opportunity in Texas. The contract is for the repair of three (3) freezer doors at the Big Spring State Hospital, located in Howard County. 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. The reference details required include the business name, point-of-contact information, whether the services were performed as a prime contractor or subcontractor, and a description of the services provided along with the dates.
The state and local contract opportunity is being sought by the Texas Health and Human Services Commission (HHSC) PCS. No additional details are provided regarding pricing terms, set asides, incumbents, funding requirements or sources, or the contract term and renewal options.
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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 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:
Exhibit E – Bidder Reference Form – 09/01/21
File details come from the government source that posted it. Updated .