Exhibit D - Bidder Reference Qualifications Form.pdf
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- Attached to
- PaxeraHealth PaxeraUltimaAI-Cloud Software
- Solicitation number
- HHS0017153
- Issued by
- Bexar County, Texas
About this file
Exhibit D is a Bidder Reference and Contract Qualifications Form issued by the Texas Health and Human Services Commission (HHSC) in conjunction with the Department of State Health Services (DSHS) for IFB No. HHS0017153 regarding PaxeraHealth software solutions. The procurement seeks bids for five specific software components: PaxeraUltimaAI-Cloud CT/MRI diagnostic viewer with 5,000 annual volume capacity, PaxeraGateway with one VPN, PaxeraBroker with EMR link and MWL provision, PaxeraRIS for 5,000 studies per year, and remote hourly application training for two hours, all to be delivered remotely to the Texas Center for Infectious Disease in San Antonio. The questions and clarifications deadline was March 25, 2026, with responses to questions due by March 27, 2026, and the proposal submission deadline is April 6, 2026, at 10:30 AM Central Time. The anticipated contract start date is June 23, 2026, with an initial five-year term expiring June 24, 2031, and a possible one-year extension at HHSC's sole discretion subject to funding availability.
The form requires bidders to provide a minimum of three verifiable references for contracts of similar size and scope within the last five years, demonstrate a minimum of five years' relevant experience in providing similar services, and provide information on current staffing, industry certifications, applicable licenses, and operational capabilities. Bidders must maintain comprehensive insurance coverage including workers' compensation with $1,000,000 employer's liability limits, commercial general liability of $1,000,000 per occurrence and $2,000,000 aggregate, commercial automobile liability of $1,000,000 combined single limit, professional liability insurance of $1,000,000, and umbrella liability insurance of $1,000,000. All services must be provided as firm, fixed prices for the entire contract duration, with all costs inclusive of labor, equipment, materials, supplies, and related expenses. The incumbent vendor for the same or similar services from June 23, 2021 through June 22, 2026 was valued at $79,125.00, provided as a guideline only. No set-aside designations have been specified; however, Historically Underutilized Business (HUB) subcontracting opportunities are encouraged but not required.
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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 .