ESBD_File_355863_Exhibit_D_Bidder_Reference_Qualifications_Form.docx
DOCX document 32 KB Posted
- Solicitation number
- HHS0014576
- Issued by
- Titus County, Mission City, Texas
About this file
The document is the Exhibit D - Bidder Reference Form & Contractor Qualifications Form for a state and local contract opportunity. The contract is for repairing the concrete sidewalks at the HHSC Region 04 - Mt. Pleasant, TX Facility. The jurisdictions involved are Titus County and Mission City in Texas. The form requires bidders to provide a minimum of three verifiable references for contracts of similar size and scope completed within the last two years. Bidders must also provide information about their company, including number of years in business, office address, number of full-time and part-time employees, geographic limits of operations, industry certifications, and applicable staff licenses.
The form also requires bidders to demonstrate their ability to perform the contract by providing a written description of the size and scope of their operations, including the number of employees available for customer service, order fulfillment, and safe shipping and handling, as well as the number of supervisors. Bidders must also provide a minimum of two 24-hour contacts.
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Text version
Exhibit D – Bidder Reference Form & Contractor Qualifications 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:
Additional Company Information:
Number of Years in Business:
Office Address:
Current Number of Permanent, Full-Time Employees:
Current Number of Permanent, Part-Time Employees:
Current Total Number of Employees:
Geographic Limits of Operations:
List any Industry Certifications/Qualifications/Formal Training Programs that your staff (who will be servicing this account) have been certified in:
| Name |
| Certifications/Qualifications/Formal Training |
List any applicable licenses currently held by staff that will service this account:
| Name |
| License |
| Number |
Bidder’s Minimum Experience and Qualifications- Section 7.1.5 Provide a narrative (maximum of one page) describing the bidder’s experience and qualifications as it applies to this Section.
Demonstration of the Ability to Perform Provide a written description of the size and scope of all operations, including the number of Bidder’s employees available to provide customer service, order fulfillment, safe shipping and handling of product and the number of supervisors for each location, as applicable.
24-Hour Contacts – Must list a minimum of 2:
Contact 1 Name Phone Email Contact 2 Name Phone Email
File details come from the government source that posted it. Updated .