Exhibit D_Bidder Reference Qualifications Form.docx
DOCX document 34 KB Posted
- Solicitation number
- HHS0017847
- Issued by
- Tom Green County, Texas
About this file
This is a Bidder Reference and Contractor Qualifications Form for a state and local contract opportunity in Texas related to Facility Doors Repair & Installation at Terrell State Hospital (TSH). 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 business name, point-of-contact information including name and title, complete address, phone number, email address, confirmation of whether services were performed as a prime contractor or subcontractor, and a detailed description with dates of services provided. Bidders must also complete additional company information sections including the number of years in business, office address, current staffing levels (permanent full-time, permanent part-time, and total employees), and geographic limits of operations.
The form additionally requires bidders to provide documentation of industry certifications, qualifications, and formal training programs for staff assigned to the account, as well as applicable licenses held by service personnel. Bidders must submit a narrative of no more than one page describing their experience and qualifications as they apply to the contract requirements, including a written description of the size and scope of operations, the number of employees available for customer service and order fulfillment, safe shipping and handling capabilities, and the number of supervisors at each applicable location. The form mandates the submission of a minimum of two 24-hour emergency contacts with name, phone number, and email address for each contact listed.
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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 .