Exhibit D_Bidder Reference Qualifications Form.docx
DOCX document 34 KB Posted
- Solicitation number
- HHS0017483
- Issued by
- Travis County, Austin City, Texas
About this file
This is a Bidder Reference and Contractor Qualifications Form that establishes the evaluation criteria and required documentation for vendor submissions in a state or local procurement opportunity. The form mandates that all bidders submit a minimum of three verifiable references for contracts of similar size and scope completed within the preceding three years. Each reference must include complete business information, point-of-contact details, service descriptions with dates, and clarification of whether services were provided as a prime contractor or subcontractor. Additionally, bidders must provide comprehensive company information including years in business, office locations, current staffing levels (permanent full-time, permanent part-time, and total employees), geographic operational limits, and all relevant industry certifications, qualifications, and formal training programs applicable to staff who will service the account.
The form requires bidders to document all applicable licenses held by staff assigned to the account and provide a maximum one-page narrative describing their experience and qualifications as specified in Section 7.1.5 of the procurement documents. Bidders must also submit a detailed written description of their operational capacity, including the size and scope of all operations, the number of employees available for customer service, order fulfillment, and safe product shipping and handling, as well as the number of supervisors at each operational location. The form additionally requires submission of a minimum of two 24-hour emergency contacts with names, phone numbers, and email addresses to ensure service continuity and responsiveness to the contracting agency.
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Other files
| File | Type | Posted |
|---|---|---|
| ESBD_532277_1782746832995_52900_IFB_HHS0017483_PCS_137_Formal_IFB.pdf | ||
| Exhibit G_Equipment Inventory Form.docx | DOCX document | |
| Exhibit F_Form 4109 Application for TIN.pdf | ||
| Exhibit E_Online Bid Room Information.docx | DOCX document | |
| Exhibit B_HHS_UTCs_and_HHS_Affirmations.pdf | ||
| 52900_IFB_HHS0017483_PCS_137_Formal_IFB.docx | DOCX document | |
| Exhibit A_HHS Solicitation Affirmations.pdf | ||
| 52900_IFB_HHS0017483_PCS_137_Formal_IFB.pdf | ||
| Exhibit C - Pricing Sheet.xlsx | XLSX spreadsheet | |
| Exhibit E-1_PCS Map Directions.pdf |
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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 .