Exhibit_D_Bidder_Reference_Qualifications_Form.docx

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Attached to
As needed Electrical Services for the Lufkin State Supported Living Center.
Solicitation number
HHS0017304
Issued by
Angelina County, Texas

About this file

This is a Bidder Reference and Contractor Qualifications Form (Exhibit D) for an as-needed electrical services contract with the Lufkin State Supported Living Center in Texas. Bidders must submit a minimum of three verifiable references for contracts of similar size and scope completed within the last three years, with each reference including the business name, point of contact information, service description, dates of service, and designation as either prime contractor or subcontractor. The form requires bidders to provide comprehensive company information including years in business, office address, current staffing levels (permanent full-time and part-time employees), and geographic operational limits.

The qualification requirements include a narrative description not to exceed one page detailing the bidder's experience and qualifications relevant to the contract, as well as documentation of industry certifications, licenses, and formal training programs for staff assigned to the account. Bidders must demonstrate their operational capacity by describing the size and scope of operations, the number of employees available for customer service and order fulfillment, and supervisory staffing at each location. Additionally, bidders are required to provide a minimum of two twenty-four-hour emergency contacts with names, phone numbers, and email addresses to ensure round-the-clock availability for electrical service needs.

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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 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 .