Exhibit D - Bidder Reference Qualifications Form.pdf
PDF 104 KB Posted
- Attached to
- Liquid Scintillation Counter for DSHS Lab
- Solicitation number
- HHS0017714
- Issued by
- Texas
About this file
This is a Bidder Reference and Contract Qualifications Form (Exhibit D) for a Texas state contract opportunity related to a Liquid Scintillation Counter for DSHS Lab. The form establishes the evaluation criteria and documentation requirements that prospective bidders must submit as part of their proposal response. Bidders are required to provide a minimum of three verifiable references for contracts of similar size and scope completed within the last five years, with each reference including detailed information such as business name, point of contact, address, phone, email, and a description of services provided along with dates. The form also requires bidders to disclose fundamental company information including years in business, office address, current employee counts (full-time, part-time, and total), and geographic limits of operations.
The form mandates submission of supporting documentation regarding industry certifications, qualifications, formal training programs, and applicable licenses held by staff who will service the account. Bidders must provide a narrative statement (maximum one page) describing their experience and qualifications relevant to the procurement, along with a written description of operational size and scope, including the number of employees available for customer service, order fulfillment, shipping and handling, and supervisory personnel at each location. Additionally, bidders must designate a minimum of two 24-hour contacts with associated names, phone numbers, and email addresses to facilitate communication throughout the contract period.
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Text version
Exhibit D – Bidder Reference and Contract Qualifications Form – 1/21/26
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 five (5) 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
Contact 2
Name
Phone
Exhibit D – Bidder Reference and Contractor Qualifications Form
File details come from the government source that posted it. Updated .