Exhibit_D_Bidder_Reference_Qualifications_Form.docx
DOCX document 35 KB Posted
- Attached to
- Reverse Osmosis/ Deionization (RO/DI) Water system: control panel and sensors replacement
- Solicitation number
- HHS0017295
- Issued by
- Travis County, Austin City, Texas
About this file
This is a Bidder Reference and Contractor Qualifications Form (Exhibit D) for a Texas state contract opportunity involving the replacement of a Reverse Osmosis/Deionization (RO/DI) Water system control panel and sensors. The form establishes mandatory qualification requirements that bidders must meet to be considered for award. Bidders are required to provide a minimum of three verifiable references for contracts of similar size and scope performed within the last three years, with each reference including the business name, point of contact information, address, phone, email, prime or subcontractor status, and a description of services with dates. The form also requires bidders to document their company's years in business, office address, current staffing levels (permanent full-time and part-time employees), geographic operational limits, and any industry certifications, qualifications, or formal training programs relevant to the contract.
Additional submission requirements include a narrative of no more than one page describing the bidder's experience and qualifications as applicable to the contract specifications, a written description of operational size and scope with details on customer service staff, order fulfillment capabilities, product shipping and handling procedures, and supervisory structure by location. Bidders must also provide a minimum of two 24-hour emergency contacts with names, phone numbers, and email addresses. Supporting documentation substantiating information regarding current or prior contracts must be attached to the response. These qualifications and references serve as evaluation criteria to assess bidder capability and past performance on similar projects before contract award.
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Other files
| File | Type | Posted |
|---|---|---|
| Exhibit G Scope of Work.docx | DOCX document | |
| Exhibit B PCS_111_HHS_UTCs_and_HHS_Affirmations_No_DUA.pdf | ||
| Exhibit_F_Form_4109_Application_for_TIN.pdf | ||
| Exhibit_E-1_PCS_Map_Directions.pdf | ||
| Exhibit A HHS_Solicitation_Affirmations.pdf | ||
| Exhibit C Pricing Sheet.xlsx | XLSX spreadsheet | |
| Exhibit_E_Online_Bid_Room_Information.docx | DOCX document | |
| ESBD_529526_1781897183659_53700_IFB_HHS0017295_PCS_137_Formal_IFB_nh.pdf |
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Text version
Exhibit D – Bidder Reference and Contractor Qualifications Form Comment by Parker,Kelly (HHSC): Update Section letter, as applicable.
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 .