Exhibit D_Bidder_Reference_Qualifications_Form.docx

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Attached to
Exhaust Fan Upgrades & Installation at Rio Grande State Supported Living Center
Solicitation number
HHS0016989_V2
Issued by
Cameron County, Texas

About this file

This is a Bidder Reference Qualifications Form issued by the Texas Health and Human Services Commission (HHSC) Procurement and Contracting Services division in conjunction with the Department of State Health Services (DSHS) for exhaust fan upgrades and installation services at Rio Grande State Supported Living Center in Harlingen, Texas. Bidders must submit a minimum of three verifiable references for contracts of similar size and scope completed within the last three years, along with detailed company information including years in business, office address, employee counts, geographic operational limits, and industry certifications and licenses held by staff servicing the account. The solicitation requires qualified bidders to demonstrate a minimum of three years of relevant experience, with assigned personnel possessing at least two years of relevant experience. Key project dates include an optional on-site visit on March 3, 2026, at 10:30 a.m., a questions and clarifications deadline of March 6, 2026, with responses posted by March 11, 2026, and a solicitation due date of March 18, 2026, at 10:30 a.m. Central Time. The initial contract term extends from the award date through August 31, 2026, with one optional one-year extension available at HHSC's discretion.

Bidders must respond to service calls within four hours during regular business hours (Monday-Friday, 8 a.m. to 5 p.m. Central Time) and within one hour for declared emergencies. Contractors must comply with E-Verify requirements and maintain comprehensive insurance coverage including workers' compensation, commercial general liability, commercial automobile liability, professional liability, and umbrella liability, each at $1,000,000 minimum. All personnel must wear company uniforms with identification badges and maintain 24-hour contact capability, with bidders subject to background checks covering statewide criminal and sex offender records. The solicitation does not identify specific set-aside designations, incumbent contractor information, or an estimated contract value. Price adjustments are permitted only at HHSC's discretion and must correlate with the Consumer Price Index as published by the Bureau of Labor Statistics. The contract is subject to appropriations and availability of funds with no volume guarantees.

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Exhibit D – Bidder Reference Form & 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.

Exhibit D – Bidder Reference Form and Contract Qualifications Form – 03/01/24

File details come from the government source that posted it. Updated .