Exhibit D_Bidder Reference Qualifications Form.docx
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- Solicitation number
- HHS0017301V2
- Issued by
- Texas
About this file
This is a Bidder Reference and Contractor Qualifications Form for a kitchen appliances and ice machines repair and preventative maintenance contract at Lufkin State Supported Living Center 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 supply the business name, point-of-contact information, address, phone number, email address, clarification of whether services were performed as a prime contractor or subcontractor, and a description with dates of services provided. Additionally, bidders must provide current company information including years in business, office address, current permanent full-time and part-time employee counts, total employee count, geographic limits of operations, industry certifications held by staff servicing the account, and applicable licenses currently held by service staff.
The form also requires bidders to submit a one-page narrative describing their experience and qualifications as applicable to Section 7.1.5, along with a written description of the size and scope of all operations, including the number of employees available for customer service, order fulfillment, safe shipping and handling of products, and the number of supervisors for each location. Bidders must provide a minimum of two 24-hour contacts with name, phone number, and email address for each contact listed.
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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 .