Exhibit_D_Bidder_Reference_Qualifications_Form_(01-21-26).docx

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Attached to
Project 26-127-MLC Roof Replacement at the Mexia State Supported Living Center (MSSLC), General Store, Bldg. 673
Solicitation number
HHS0017200
Issued by
Lampasas County, Texas

About this file

This is a Bidder Reference and Contractor Qualifications Form (Exhibit D) for a Texas state and local contract opportunity. Bidders are required to submit a minimum of three verifiable references for contracts of similar size and scope completed within the last five years. For each reference, bidders must provide the business name, point-of-contact information, address, phone number, email address, designation as prime contractor or subcontractor, and a detailed description with dates of services provided. Additionally, bidders must complete a company information section that includes the number of years in business, office address, current staffing levels (permanent full-time and part-time employees), geographic limits of operations, and any industry certifications, qualifications, or formal training programs relevant to the staff servicing the account. Bidders must also list applicable licenses held by staff who will service the account and provide a narrative of no more than one page describing their experience and qualifications as they apply to Section 7.1.5.

Bidders must demonstrate their ability to perform by submitting a written description of their operations' size and scope, including the number of employees available for customer service, order fulfillment, safe shipping and handling of products, and the number of supervisors at each location as applicable. The form requires bidders to provide minimum 24-hour contacts with a minimum of two designated contacts, including name, phone number, and email address for each. This form serves as a qualification assessment tool to evaluate contractor capacity, experience, and responsiveness before contract award.

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Text version

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 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:

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 .