Exhibit D_Bidder Reference Qualifications Form.docx
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- Solicitation number
- HHS0017138
- Issued by
- Schleicher County, Texas
About this file
This is a Bidder Reference and Contractor Qualifications Form issued by the Texas Health and Human Services Commission (HHSC) in conjunction with the Department of State Health Services (DSHS) for the installation of a new paging system at Building 643 of Rusk State Hospital in Rusk, Texas. The procurement requires bidders to submit a complete new paging system installation including 36 speakers (with anti-ligatured options for patient care areas), two paging phones, four-zone configuration, cabling, hardware, and full system commissioning. The mandatory on-site visit was conducted on March 16, 2026, at 10:30 AM, with a questions and clarifications deadline of March 19, 2026, and responses posted as an addendum on March 24, 2026. The final response deadline is March 31, 2026, at 10:30 AM Central Time, with an anticipated contract start date upon award and a completion deadline of August 31, 2026. Services must be performed Monday through Friday between 8:00 AM and 5:00 PM Central Time, with contractors required to respond to service calls within four hours and conduct a final system walkthrough upon completion.
The qualifications form requires bidders to provide a minimum of three verifiable references for contracts of similar size and scope within the last three years, including business name, point-of-contact information, address, phone, email, services performed as prime or subcontractor, and description and dates of services. Bidders must also submit company information including years in business, office address, current staffing levels, geographic operational limits, industry certifications held by staff, applicable licenses, and a narrative describing experience and qualifications. Additionally, bidders must provide a written description of operational size and scope, employee availability for customer service and order fulfillment, and a minimum of two 24-hour emergency contacts. Contractors must demonstrate a minimum of three years of relevant experience with one year required for assigned personnel and must obtain and maintain comprehensive insurance coverage including workers' compensation, commercial general liability ($1,000,000 per occurrence), commercial automobile liability ($1,000,000 combined single limit), professional liability ($1,000,000), and umbrella liability insurance ($1,000,000).
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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 <insert number> 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 .