Exhibit_D_Bidder_Reference_Qualifications_Form_(01-21-26).docx
DOCX document 31 KB Posted
- Solicitation number
- HHS0017570
- Issued by
- Texas
About this file
This is a Bidder Reference and Contractor Qualifications Form (Exhibit D) for a Kitchen Equipment Preventative Maintenance contract at the Austin State Hospital in Texas. The form requires bidders to provide a minimum of three verifiable references for contracts of similar size and scope completed within the last three years. For each reference, bidders must document the business name, point-of-contact information, service location, whether services were provided as a prime contractor or subcontractor, and a detailed description with dates of services performed. Additionally, bidders must submit comprehensive company information including years in business, office address, current staffing levels (permanent full-time, permanent part-time, and total employees), and geographic service limits.
Bidders are required to list all industry certifications, qualifications, and formal training programs held by staff assigned to service the account, as well as applicable licenses. The form mandates a narrative statement (maximum one page) describing the bidder's experience and qualifications specific to the contract requirements, along with a written description of operational capabilities including employee availability for customer service, order fulfillment, product shipping and handling, and supervisory structure by location. Bidders must also provide a minimum of two 24-hour emergency contact names, phone numbers, and email addresses to ensure continuous communication during the contract term.
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Other files
| File | Type | Posted |
|---|---|---|
| Exhibit_B_PCS_111_HHS_UTCs_and_HHS_Affirmations_No_DUA_March_2026.pdf | ||
| ESBD_544588_1785442265817_52900_IFB_HHS0017570_PCS_137_Formal_IFB.pdf | ||
| Exhibit_A_HHS_Solicitation_Affirmations_v._2.10_March_2026.pdf | ||
| Exhibit_E_Online_Bid_Room_Information.docx | DOCX document | |
| Exhibit_F_Kitchen_Equipment_List.xlsx | XLSX spreadsheet | |
| Exhibit_G_Form 4109.pdf | ||
| Exhibit_C_Pricing Sheet.xlsx | XLSX spreadsheet | |
| Exhibit_E1_PCS_Map_Directions.pdf |
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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 .