Exhibit_D_Bidder_Reference_Qualifications_Form_(03-01-24).docx
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- Solicitation number
- HHS0016802v2
- Issued by
- Fort Bend County, Texas
About this file
This is a Bidder Reference Qualifications Form (Exhibit D) used to evaluate contractor qualifications for a state and local contract opportunity. 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 comprehensive documentation including the business name, point-of-contact information, service location details, phone and email contact information, confirmation of whether services were provided as a prime contractor or subcontractor, and a detailed description of services with dates of performance. The form also requires bidders to document their company's operational history, including years in business, office address, current staffing levels (permanent full-time employees, permanent part-time employees, and total employee count), and geographic operational limits.
Bidders must demonstrate their qualifications through submission of industry certifications, formal training programs, and applicable licenses held by staff members who will service the account. The form requires a narrative statement of no more than one page describing the bidder's experience and qualifications specific to the contract requirements. Additionally, bidders must provide a written description detailing the size and scope of their operations, including the number of employees available for customer service, order fulfillment, safe shipping and handling of products, and the number of supervisors at each operational location. Finally, bidders are required to provide a minimum of two 24-hour contact names, phone numbers, and email addresses for emergency communication purposes.
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Text version
Exhibit D – Bidder Reference Form & 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
File details come from the government source that posted it. Updated .