Exhibit_D_Bidder_Reference_Qualifications_Form_(01-21-26).docx
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- Solicitation number
- HHS0017863
- Issued by
- Bexar County, Texas
About this file
This is a Bidder Reference Qualifications Form for the State of Texas related to Podiatry Services at the San Antonio State Hospital. The form serves as a standardized document for prospective bidders to document and demonstrate their qualifications and experience relevant to providing podiatry services. The form requests bidders to provide references from previous clients or projects where similar services were delivered, including client contact information, project descriptions, contract values, and performance outcomes. Bidders are required to identify key personnel who will be assigned to the contract and provide evidence of their credentials, licensing, and relevant experience in podiatry service delivery. The form establishes baseline qualification requirements that bidders must meet to be considered responsive to the solicitation for podiatry services at the state hospital facility.
The qualifications form functions as a mandatory submission component of the bid package, allowing the State of Texas to evaluate bidder capability and past performance prior to contract award. By requiring documented references and personnel qualifications, the form enables procurement officials to assess whether bidders possess the necessary expertise, experience, and organizational capacity to successfully execute podiatry services at a state healthcare facility. Submission of a completed and comprehensive qualifications form is typically a prerequisite for bid acceptance and evaluation, making it essential for interested vendors to provide thorough and accurate information demonstrating their ability to meet the contract requirements.
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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 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
Exhibit D – Bidder Reference and Contract Qualifications Form – 1/21/26
File details come from the government source that posted it. Updated .