Exhibit D Bidder Reference Qualifications Form.docx
DOCX document 34 KB Posted
- Solicitation number
- HHS0017619
- Issued by
- Texas
About this file
Exhibit D Bidder Reference Qualifications Form
This is a Bidder Reference Qualifications Form for As Needed Plumbing Services at Austin State Hospital (ASH) in Texas. The form serves as a submission requirement for contractors bidding on plumbing service contracts with the state facility. The document establishes the qualifications and experience criteria that prospective bidders must demonstrate to be considered for award. Bidders are required to provide references from previous projects, including client contact information, project descriptions, and details regarding the scope and value of plumbing work completed. The form typically requests information about project completion dates, the contractor's role in each project, and confirmation of the contractor's ability to perform similar services for the hospital.
The form functions as a pre-qualification evaluation tool to ensure that only qualified and experienced plumbing contractors proceed in the bidding process. Completion and submission of the Bidder Reference Qualifications Form is mandatory for bid consideration, and responses must meet specified standards regarding the number of references, project relevance, and contractor experience levels. The references must demonstrate the bidder's capability to handle the types of plumbing services required at Austin State Hospital, including both routine maintenance and emergency repair work.
View the file
Other files
Show all 11
On GovTribe
Work with this file
- Download the original file
- Contacts named in this file
- Similar government files
- Ask GovTribe AI about this file
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 .