Exhibit_D_Bidder_Reference_Qualifications_Form_(01-21-26).docx
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- Solicitation number
- HHS0017638
- Issued by
- Texas
About this file
Exhibit D is a Bidder Reference and Contractor Qualifications Form for Project 25-109-RLC, Insulated Pad Mount Switch Removal & Installation Services at Richmond State Supported Living Center 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, dates of performance, and designation of whether services were provided as a prime contractor or subcontractor. Additionally, bidders must document their company background, including years in business, office address, current staffing levels (permanent full-time and part-time employees), and geographic operational limits.
The form requires bidders to detail industry certifications, qualifications, and formal training programs relevant to staff assigned to the project, along with applicable professional licenses. Bidders must provide a narrative statement not to exceed one page describing their experience and qualifications as applicable to the contract requirements, and a written description of operational size and scope, including available customer service personnel, order fulfillment capacity, shipping and handling capabilities, and supervisory staffing by location. Bidders must also designate a minimum of two 24-hour emergency contacts with name, phone number, and email address for each contact. This qualifications documentation demonstrates the bidder's ability to perform the contract requirements related to insulated pad mount switch removal and installation services.
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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 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 .