Exhibit_D_Bidder_Reference_Qualifications_Form_(03-01-24).docx
DOCX document 35 KB Posted
- Solicitation number
- HHS0016836v4
- Issued by
- Cameron County, Texas
About this file
This is a Bidder Reference Qualifications Form (Exhibit D) for a state and local contract opportunity 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 including name, title, address, phone, and email, specify whether services were performed as a prime contractor or subcontractor, and include a description and dates of services provided. The form requests supporting documentation to verify the information regarding current or prior contracts.
The document also requires bidders to provide additional company information including years in business, office address, current number of permanent full-time and part-time employees, total employee count, and geographic limits of operations. Bidders must list industry certifications, qualifications, and formal training programs completed by staff servicing the account, as well as applicable licenses held by service staff. The form requires a narrative not to exceed one page describing bidder experience and qualifications per Section 7.1.5, a written description of operational size and scope including available customer service and order fulfillment employees and supervisory staff by location, and a minimum of two 24-hour emergency contacts with name, phone, and email for each contact.
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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 .