Exhibit_D_Bidder_Reference_Qualifications_Form.docx
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- Solicitation number
- HHS0018136
- Issued by
- Texas
About this file
This is a Bidder Reference and Contractor Qualifications Form for the Plumbing and Sewer Line Repairs contract opportunity at the Brenham State Supported Living Center in Texas. Bidders responding to this solicitation must demonstrate their qualifications and experience through submission of minimum required documentation. The form requires bidders to provide a minimum of three (3) verifiable references for contracts of similar size and scope completed within the last three (3) years, with each reference including the business name, point-of-contact information, service description, dates of service, and designation of whether work was performed as prime contractor or subcontractor. Additionally, bidders must provide company information including years in business, office address, current employee counts (permanent full-time, permanent part-time, and total), geographic limits of operations, and relevant industry certifications and licenses held by staff assigned to the account.
The form requires bidders to submit a maximum one-page narrative describing their experience and qualifications as they apply to the contract requirements, along with a written description of their operational capabilities including employee availability for customer service, order fulfillment, shipping and handling, and supervisory structure by location. Bidders must also designate a minimum of two (2) twenty-four-hour emergency contacts with name, phone, and email information. The form does not specify pricing terms, set-asides, incumbent status, or contract term details, as it functions solely as a qualifications and reference verification document to be submitted as part of the overall bid response.
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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 .