Exhibit D Bidder Reference Qualifications Form.docx
DOCX document 41 KB Posted
- Solicitation number
- HHS0017889
- Issued by
- Texas
About this file
This is a Bidder Reference and Contractor Qualifications Form used by the Health and Human Services Commission (HHSC) to evaluate bidder eligibility and capability for state and local contract opportunities. The form requires bidders to submit a minimum of three verifiable references for contracts of similar size and scope completed within the last specified period. For each reference, bidders must provide the business name, point-of-contact information, address, phone, email, service description, dates of performance, and designation as either a prime contractor or subcontractor. The form also requests comprehensive company information including years in business, office address, current staffing levels for both permanent full-time and part-time employees, and geographic operational limits.
The qualifications section requires bidders to document all industry certifications, qualifications, formal training programs, and applicable licenses held by staff assigned to service the account. Bidders must provide a narrative (maximum one page) describing their experience and qualifications as it pertains to Section 7.1.5, along with a written description of operations size and scope, including the number of employees available for customer service, order fulfillment, and safe product shipping and handling, plus the number of supervisors at each location. The form mandates listing a minimum of two 24-hour emergency contacts with name, phone, and email information to ensure continuity of service and responsiveness requirements.
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Other files
| File | Type | Posted |
|---|---|---|
| Exhibit A HHS Solicitation Affirmations_v.2.pdf | ||
| Exhibit B PCS 111 HHS UTCs and HHS Affirmations No_DUA.pdf | ||
| Exhibit E Online Bid Room Information.docx | DOCX document | |
| ESBD_554936_1788207270777_IFB HHS0017889 PCS 137 Labware LCCP.pdf | ||
| Exhibit E-1 PCS Map Directions.pdf | ||
| Exhibit C Pricing Sheet.xlsx | XLSX spreadsheet |
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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 <insert number> 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 .