ESBD_File_355129_Exhibit E - Bidder Reference Form.pdf

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Attached to
Dishwasher Lease, As-needed repair, & Preventative Maintenance Services at Rusk State Hospital
Solicitation number
HHS0014296
Issued by
Cherokee County, Round Rock City, Texas

About this file

This document is the Exhibit E - Bidder Reference Form for a state and local contract opportunity posted by the Texas Health and Human Services Commission (HHSC) to establish contract(s) for dishwasher lease, as-needed repair, and preventative maintenance services at Rusk State Hospital. The contract will be available for use by both HHSC and the Texas Department of State Health Services (DSHS) agencies. The solicitation requires bidders to provide a minimum of three verifiable references for similar services performed within the last five years, including the business name, point-of-contact information, whether the services were provided as a prime contractor or subcontractor, and a description of the services and dates. The solicitation was posted on the Electronic State Business Daily (ESBD) on April 5, 2024, with a question/clarification deadline of April 12, 2024, a response deadline of April 29, 2024, and an anticipated contract start date upon award.

The contract will cover the jurisdictions of Cherokee County and the City of Round Rock. Pricing terms, set-asides, incumbent information, funding requirements, and other salient details were not provided in the Exhibit E - Bidder Reference Form document.

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Exhibit E – Bidder Reference Form – 09/01/21

HHS0014296

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]

Exhibit E – Bidder Reference Form – 09/01/21

Description and Dates of Services Provided:

HHS0014296
Exhibit E – Bidder Reference Form

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