Exhibit_D_Bidder_Reference_Qualifications_Form_(03-01-24).docx
DOCX document 35 KB Posted
- Solicitation number
- HHS0017159
- Issued by
- Texas
About this file
This is a Bidder Reference Qualifications Form (Exhibit D) for Project 25-109-RLC, Insulated Pad Mount Switch Removal & Installation Services at Richmond State Supported Living Center in Texas. Bidders are required 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 service, and specify whether services were performed as a prime contractor or subcontractor, along with supporting documentation. Additionally, bidders must complete a Contractor Qualifications Form requesting company information including years in business, office address, number of permanent full-time and part-time employees, geographic limits of operations, and any industry certifications or licenses held by staff who will service the account.
The form requires bidders to provide a narrative statement (maximum one page) describing their experience and qualifications relevant to the project, along with a written description of operational capacity including the size and scope of operations, number of employees available for customer service and order fulfillment, and supervisory structure by location. Bidders must also designate a minimum of two 24-hour emergency contacts with names, phone numbers, and email addresses. The form does not specify pricing terms, set-asides, funding amounts, or contract award and performance dates, as it functions as a qualification and reference submission document rather than a comprehensive procurement notice.
View the file
Other files
On GovTribe
Work with this file
- Download the original file
- Contacts named in this file
- Similar government files
- Ask GovTribe AI about this file
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 .