Exhibit D - Bidder Reference Form.pdf

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Attached to
Fire Systems Inspection, Maintenance, and Repair at Terrell State Hospital
Solicitation number
HHS0017811
Issued by
Texas

About this file

This is a Bidder Reference and Contract Qualifications Form (Exhibit D) for a Fire Systems Inspection, Maintenance, and Repair contract at Terrell State Hospital in Texas. The form requires bidders to submit a minimum of three verifiable references for contracts of similar size and scope completed within the last three years. For each reference, bidders must provide the contracting business name, point-of-contact information, service description with dates, and clarification of whether services were provided as a prime contractor or subcontractor. Additionally, bidders must document their years in business, office location, current staffing levels (permanent full-time and part-time employees), geographic operational limits, and relevant industry certifications and licenses held by staff assigned to the account.

The form requires bidders to provide a narrative of no more than one page describing their experience and qualifications as applied to the contract requirements. Bidders must also submit a written description of their operational capacity, including the number of employees available for customer service, order fulfillment, and product shipping and handling, along with the number of supervisors at each location. The form mandates that bidders list a minimum of two 24-hour emergency contacts with names, phone numbers, and email addresses to ensure continuous availability for support and emergency response related to fire systems services.

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Exhibit D – Bidder Reference and Contract Qualifications Form – 1/21/26

Exhibit D – Bidder Reference and 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 three (3) 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 .