Exhibit D - Bidder Reference Qualifications Form.docx
DOCX document 38 KB Posted
- Attached to
- Check Processing Hardware and Software
- Solicitation number
- HHS0017651
- Issued by
- Texas
About this file
This is a Bidder Reference and Contractor Qualifications Form (Exhibit D) for a Texas state and local contract opportunity related to Check Processing Hardware and Software. The form requires bidders to 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 contracting business name, point-of-contact information including name and title, complete address, phone and email, specification of whether services were provided as a prime contractor or subcontractor, and a detailed description with dates of services performed. Additionally, bidders must provide company information including years in business, office address, current number of full-time and part-time employees, total employee count, geographic operational limits, and a list of industry certifications, qualifications, and formal training programs relevant to the staff servicing the account. Bidders must also list applicable licenses held by staff members who will service the account.
The form requires bidders to submit a narrative of no more than one page describing their experience and qualifications as applied to Section 7.1.5, along with a written description of operational size and scope including available customer service employees, order fulfillment capabilities, safe product shipping and handling procedures, and the number of supervisors per location as applicable. Bidders must provide a minimum of two 24-hour emergency contacts with name, phone number, and email address for each contact. This qualification submission supports the evaluation of bidder capability to perform check processing hardware and software services for the State of Texas.
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Text version
Exhibit D – Bidder Reference and Contractor Qualifications Form Comment by Parker,Kelly (HHSC): Update Section letter, as applicable.
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 .