Exhibit D_Bidder Reference Qualifications Form.docx
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- Solicitation number
- HHS0017301
- Issued by
- Angelina County, Texas
About this file
This is a Bidder Reference and Contractor Qualifications Form used to evaluate the experience and qualifications of bidders responding to a state or local contract opportunity. Bidders must submit a minimum of three verifiable references for contracts of similar size and scope completed within the last three years. For each reference, bidders must provide the business name, point-of-contact information, service location, phone and email contact details, confirmation of whether services were performed as a prime contractor or subcontractor, and a description with dates of services provided. Additionally, bidders must provide company information including years in operation, office address, current staffing levels for permanent full-time and part-time employees, geographic service limits, and a list of any industry certifications, qualifications, formal training programs, and applicable licenses held by staff assigned to the account.
Bidders must also submit a narrative statement not to exceed one page describing their experience and qualifications as they apply to the contract requirements, along with a written description of their operational capacity, including the number of employees available for customer service, order fulfillment, safe shipping and handling, and supervisory personnel by location. The form requires bidders to designate a minimum of two 24-hour emergency contacts with names, phone numbers, and email addresses. This qualification form is effective as of January 21, 2026, and serves as a mechanism to verify that bidders possess the necessary experience, resources, and responsiveness to perform the contracted services.
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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 .