Exhibit D_Bidder Reference Qualifications Form.docx
DOCX document 34 KB Posted
- Solicitation number
- HHS0017701
- Issued by
- Texas
About this file
This is a Bidder Reference Qualifications Form for the Texas state entity managing the Wheelchair Vehicle Parts & Repair contract at Richmond State Supported Living Center (RSSLC). The form establishes evaluation criteria for bidders seeking to provide wheelchair vehicle maintenance, repair, and parts services to support the facility's operations. Bidders are required to demonstrate relevant experience and qualifications through documented references and project history. The form serves as a standardized submission document to assess contractor capability and past performance in similar service delivery environments, particularly within state-supported residential facilities.
The qualifications form requests bidders to provide detailed information about previous contracts of similar scope and magnitude, including client references, project descriptions, contract values, and contact information for past clients who can verify performance quality. Bidders must demonstrate experience with wheelchair vehicle maintenance and repair services, preferably with state or government entities. The form includes sections for listing multiple reference projects completed within a specified timeframe, typically the preceding three to five years, to establish a track record of reliability and technical competency. Submission of completed reference forms is mandatory for bid consideration, and responses should clearly document the bidder's experience managing fleet maintenance operations and customer service standards applicable to the RSSLC contract requirements.
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Other files
| File | Type | Posted |
|---|---|---|
| Exhibit F_Form 4109 Application for TIN.pdf | ||
| Exhibit E-1_PCS Map Directions.pdf | ||
| Exhibit G_Vehicles with Wheelchair Lifts.xlsx | XLSX spreadsheet | |
| 52900_IFB_HHS0017701_PCS_137_Formal_IFB.pdf | ||
| 52900_IFB_HHS0017701_PCS_137_Formal_IFB.docx | DOCX document | |
| Exhibit E_Online Bid Room Information.docx | DOCX document | |
| Exhibit B_HHS UTCs and HHS Affirmations.pdf | ||
| Exhibit A_Solicitation Affirmations.pdf | ||
| ESBD_536958_1783952945929_52900_IFB_HHS0017701_PCS_137_Formal_IFB.pdf | ||
| Exhibit C - Pricing Sheet.xlsx | XLSX spreadsheet |
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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 .