Exhibit_D_Bidder_Reference_Qualifications_Form_(01-21-26) (2).docx
DOCX document 31 KB Posted
- Solicitation number
- HHS0018052
- Issued by
- Texas
About this file
This is a Bidder Reference and Contractor Qualifications Form (Exhibit D) for HHS0018052, a podiatry services contract with the State of Texas for Brenham State Supported Living Center (BSSLC). The form establishes qualification and experience requirements that bidders must meet to be considered for this opportunity. Bidders are required to provide a minimum of three verifiable references for contracts of similar size and scope performed within the last three years, with detailed information including business name, point of contact, address, phone, email, and a description of services provided as either a prime contractor or subcontractor. Additionally, bidders must demonstrate their ability to perform the work through documentation of their operational size, scope, employee availability for customer service and order fulfillment, and supervisory structure across locations as applicable.
The form requires bidders to provide comprehensive company information including years in business, office address, current staffing levels (permanent full-time, permanent part-time, and total employees), and geographic limits of operations. Bidders must list all relevant industry certifications, qualifications, formal training programs, and applicable licenses held by staff who will service the account. A one-page narrative is required describing the bidder's experience and qualifications, along with a written description of operational size and scope, employee availability for customer service, product shipping and handling, and supervisory personnel. The form also mandates that bidders provide a minimum of two 24-hour emergency contacts with name, phone, and email information. No specific pricing terms, set-asides, incumbent information, contract term, or renewal options are detailed in this qualification form.
View the file
Other files
| File | Type | Posted |
|---|---|---|
| ESBD_574623_1793986178629_PCS 137_HHS0018052_Podiatry_BSSLC.pdf | ||
| Exhibit B.pdf | ||
| Exhibit C Pricing Sheet.xlsx | XLSX spreadsheet | |
| Exhibit E1.pdf | ||
| Exhibit F.pdf | ||
| PCS 137_HHS0018052_Podiatry_BSSLC.docx | DOCX document | |
| Exhibit A.pdf | ||
| Exhibit E.docx | DOCX document |
On GovTribe
Work with this file
- Download the original file
- Contacts named in this file
- Similar government files
- Ask GovTribe AI about this file
Text version
Exhibit D – Bidder Reference and Contractor Qualifications Form
HHS0018052
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
Exhibit D – Bidder Reference and Contract Qualifications Form – 1/21/26
File details come from the government source that posted it. Updated .