Exhibit D_Bidder Reference Qualifications Form.docx
DOCX document 34 KB Posted
- Attached to
- Generator Maintenance & Repair Services at Lufkin State Supported Living Center (LFSSLC)
- Solicitation number
- HHS0017573
- Issued by
- Angelina County, Texas
About this file
This is a Bidder Reference and Contractor Qualifications Form (Exhibit D) for a Generator Maintenance & Repair Services contract at Lufkin State Supported Living Center in Texas. The form requires all bidders to submit a minimum of three verifiable references for contracts of similar size and scope completed within the last five years. For each reference, bidders must provide the business name, point of contact with title, complete address, phone number, email address, specification of whether services were provided as a prime contractor or subcontractor, and a detailed description with dates of services performed. Additionally, bidders must document their current operational capacity, including years in business, office address, number of permanent full-time and part-time employees, total employee count, and geographic service limits. The form requires bidders to list all industry certifications, qualifications, and formal training programs applicable to staff assigned to the account, as well as all relevant licenses held by service personnel.
The qualifications section requires bidders to provide a narrative statement not to exceed one page describing their experience and qualifications as specified in Section 7.1.5 of the solicitation, along with a written description of operational size and scope, including customer service personnel availability, order fulfillment capacity, safe product shipping and handling procedures, and the number of supervisors at each location. Bidders must also designate a minimum of two 24-hour emergency contacts with names, phone numbers, and email addresses to support contract performance. This form serves as the primary mechanism for evaluating bidder capability and responsiveness to the technical requirements of the generator maintenance and repair services contract.
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Other files
| File | Type | Posted |
|---|---|---|
| Exhibit F_Form 4109 Application for TIN.pdf | ||
| 52900_IFB_HHS0017573_PCS_137_Formal_IFB.pdf | ||
| Exhibit A_HHS Solicitation Affirmations.pdf | ||
| 52900_IFB_HHS0017573_PCS_137_Formal_IFB.docx | DOCX document | |
| ~$900_IFB_HHS0017573_PCS_137_Formal_IFB.docx | DOCX document | |
| ESBD_534930_1783454783034_52900_IFB_HHS0017573_PCS_137_Formal_IFB.pdf | ||
| Exhibit B_HHS UTCs and HHS Affirmations.pdf | ||
| Exhibit G - Generator Listing & Locations.xlsx | XLSX spreadsheet | |
| Exhibit E__Online Bid Room Information.docx | DOCX document | |
| 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 five (5) 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 .