Exhibit D_Bidder Reference Qualifications Form.docx
DOCX document 34 KB Posted
- Solicitation number
- HHS0018173
- Issued by
- Texas
About this file
This Bidder Reference Qualifications Form is associated with a building repairs project at San Antonio State Supported Living Center (SASSLC) in Texas. The form is designed to collect and evaluate the qualifications and references of bidders seeking to perform construction or repair work on the facility. Bidders are required to provide documentation of their experience, credentials, and past performance on similar projects, along with references from previous clients who can attest to the quality and reliability of their work. The form establishes baseline qualifications that prospective contractors must meet to be considered for award of the contract.
The form serves as a screening and evaluation tool to ensure that only qualified contractors with demonstrated experience in similar building repair and construction work are selected for contract performance. Bidders must complete all required sections of the form, providing detailed information about their organizational capacity, relevant project experience, and professional references. The submission of this form is typically a mandatory requirement for bid consideration, and the evaluation of bidder qualifications may be a determining factor in contract award decisions at SASSLC.
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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 .