Exhibit D_Bidder Reference Qualifications Form.docx
DOCX document 34 KB Posted
- Attached to
- Preventative Maintenance, Diagnostic Service, & Repair of Equipment at Rio Grande State Center (RGSC)
- Solicitation number
- HHS0017658
- Issued by
- Texas
About this file
This is a Bidder Reference and Contractor Qualifications Form for a state and local contract opportunity in Texas related to Preventative Maintenance, Diagnostic Service, and Repair of Equipment at Rio Grande State Center (RGSC). The form requires 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 information, address, phone number, email address, whether services were performed as a prime contractor or subcontractor, and a description with dates of services provided. Additionally, bidders must document their company information including years in business, office address, current staffing levels (permanent full-time and part-time employees), and geographic operational limits.
Bidders are required to list industry certifications, qualifications, and formal training programs held by staff assigned to the account, as well as applicable licenses currently held by service personnel. The form mandates a narrative description not exceeding one page detailing the bidder's experience and qualifications relevant to the contract requirements, along with a written description of operations size and scope, including the number of employees available for customer service, order fulfillment, product shipping and handling, and supervisory staff per location. Bidders must also provide a minimum of two 24-hour emergency contacts with names, phone numbers, and email addresses. The form was effective as of January 21, 2026.
View the file
Other files
| File | Type | Posted |
|---|---|---|
| Exhibit A_HHS Solicitation Affirmations.pdf | ||
| ~$900 IFB HHS0017658 PCS 137 Formal IFB.docx | DOCX document | |
| Exhibit F_Form 4109 Application for TIN.pdf | ||
| Exhibit E-1_PCS Map Directions.pdf | ||
| 52900 IFB HHS0017658 PCS 137 Formal IFB.pdf | ||
| ESBD_536957_1783950569607_52900 IFB HHS0017658 PCS 137 Formal IFB.pdf | ||
| 52900 IFB HHS0017658 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 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 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 .