Exhibit D_Bidder Reference Qualifications Form.docx
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- Solicitation number
- HHS0017520
- Issued by
- Andrews County, Texas
About this file
This is a Bidder Reference and Contractor Qualifications Form for a grounds maintenance contract at Lufkin State Supported Living Center 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, identify whether services were performed as a prime contractor or subcontractor, and describe the services provided with applicable dates. Additionally, bidders must submit company information including years in business, office address, current staffing levels (permanent full-time, permanent part-time, and total employees), and geographic operational limits.
The form requires documentation of industry certifications, qualifications, and formal training programs relevant to staff servicing the account, as well as applicable licenses held by those staff members. Bidders must provide a one-page narrative describing their experience and qualifications as it relates to the contract requirements in Section 7.1.5, along with a written description of operational size and scope, including the number of employees available for customer service, order fulfillment, and product handling, and the number of supervisors at each location. The form mandates submission of a minimum of two 24-hour emergency contacts with name, phone, and email information.
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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 .