Exhibit D - Vendor Information Evaluation Preferences 03.07.2024.docx
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- Solicitation number
- 5510000794-A
- Issued by
- Texas
About this file
This document is an Exhibit D Vendor Information and Evaluation Preferences form issued by the Texas Department of Agriculture (TDA) for the Texas Farmer Mental Health and Suicide Prevention Helpline and Educational Services contract opportunity. The RFP solicits comprehensive mental health services targeting agricultural workers, requiring the establishment and operation of a 24-hour, 7-days-a-week crisis helpline staffed by behavioral health specialists with agriculture-specific expertise, delivery of Question, Persuade, Refer (QPR) suicide prevention training to community groups, and FarmResponse training to healthcare professionals. A pre-proposal vendor conference is scheduled for April 9, 2026, with written questions due by April 13, 2026, and sealed proposals due electronically by 3:00 PM CT on May 4, 2026. Contract award is estimated for May 22, 2026, with an initial term running from September 1, 2026, through August 31, 2027, and renewal options available for up to three additional one-year periods at TDA's sole discretion.
The form requires vendors to provide complete respondent information including entity name, business structure, Federal Employee Identification Number, and contact details for primary and secondary representatives. Respondents must indicate whether they qualify for any evaluation preferences under Texas Administrative Code, Title 34, Part 1, Chapter 20, Subchapter C, Rules 20.306-20.307, which include preferences for Texas-produced supplies, Texas-based vendors, service-disabled veteran-owned businesses, USA-produced materials, products from persons with disabilities, environmentally sensitive materials, energy-efficient products, and vendors meeting air quality standards. TDA will evaluate proposals using a best-value standard with weighted criteria of 30 percent for respondent qualifications and past performance, 40 percent for the proposed service delivery plan, and 30 percent for cost reasonableness. Contractors must obtain accreditations from the American Association of Suicidology (AAS) and the Alliance of Information and Referral Systems (AIRS), maintain appropriate insurance coverage, provide three professional references from the past three years, and submit quarterly performance reports and Progress Assessment Reports documenting hotline metrics and subcontractor utilization for VetHUB compliance.
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Text version
Texas Department of Agriculture – Exhibit D
Exhibit D Vendor Information and Evaluation Preferences
SECTION 1 – RESPONDENT INFORMATION
Entity Name:
D.B.A. Name (if applicable)
| Respondent’s Social Media links, if any | ||
| Web | ||
| Other: |
Type of Business (check one):
|_| Corporation |_| Limited Liability Co. |_| Limited Partnership |_| General Partnership |_| Sole Proprietor |_| Cooperative |_| Other (specify)
Federal Employee Identification Number (must be nine (9) digits and match W-9)
| Texas Identification Number (if sole proprietor) |
| - - |
SECTION 2A. PRIMARY CONTACT – List the full legal name (no aliases or nicknames) of the primary person (Partner, Manager or Owner) responsible for the business and can enter into legal agreements on behalf of the business.
First Name Last Name |_| Mr. |_| Dr.
|_| Ms. |_| Other
Mailing Address City State Zip County
| Business Phone ( ) - |
| Cell Phone ( ) - |
| E-mail Address |
| Title |
| Respondent’s Website |
SECTION 2B. SECONDARY CONTACT INFORMATION – This person can answer day-to-day questions about the organization.
| First Name |
| Last Name |
| |_| Mr. |_| Dr. |
|_| Ms. |_| Other
Contact phone number Contact E-mail Address
Title
SECTION 3. BUSINESS PRODUCTS
Check below if preference in the evaluation process is claimed under Texas Administrative Code, Title 34, Part 1, Chapter 20, Subchapter C, Rule 20.306-.307.
(__) Supplies, materials, or equipment: Produced in Texas/offered by Texas bidders (__) Agricultural products produced or grown in Texas (__) Agricultural products and services offered by Texas bidders (__) Products offered by Texas Bidder owned by a Texas resident service-disabled veteran (__) USA Produced supplies, materials, or equipment (__) Products of persons with mental or physical disabilities (__) Products made of recycled, re-manufactured, or environ-sensitive materials including recycled steel (__) Energy efficient products (__) Rubberized asphalt paving material (__) Recycled motor oil and lubricants (__) Products produced at facilities located on formerly contaminated property (__) Products and services from economically depressed or blighted areas (__) Vendors that meet or exceed air quality standards (__) Recycled or Reused Computer Equipment of Other Manufacturers (__) Foods of Higher Nutritional Value
SIGNATURE AND DATE
I hereby attest that all information provided is complete and accurate to the best of my knowledge.
| Vendor Signature |
| Date |
| Printed Name |
| Company Represented |
Exhibit D – rev. 03/07/2024 Page 1 of 18
File details come from the government source that posted it. Updated .