Exhibit G - Respondent Reference Form.pdf
PDF 113 KB Posted
- Attached to
- DFPS Scanwriter AI & Aegis AI
- Solicitation number
- HHS0017773
- Issued by
- Travis County, Austin City, Texas
About this file
This is a Respondent Reference Form (Exhibit G) for HHS Procurement and Contracting Services under Solicitation No. HHS0017773 related to a DFPS Scanwriter AI & Aegis AI contract opportunity in Texas. Respondents are required to submit a minimum of three business references demonstrating their ability to perform the scope of work outlined in the Invitation for Bid. References must document similar services provided within the last two years and include contract dates, customer points of contact, addresses, telephone numbers, and email addresses. Respondents must clarify whether they performed the work as prime contractors or subcontractors, with subcontractors required to describe the specific scope of their subcontracted activities.
The form provides a structured template for respondents to list up to four business references with fields for business name, point-of-contact information, title, phone, email, and a description of services provided. This reference submission requirement serves as a qualification assessment mechanism to verify the respondent's capability and experience in delivering services comparable to those specified in the procurement solicitation.
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Text version
Solicitation No. HHS0017773 Exhibit G HHS Procurement and Contracting Services
Page 1 of 1 Revised 12/06/2022
Exhibit G – Respondent Reference Form
Respondents must submit with response a list of business references (minimum three) for which they have provided similar services for in the last two years. These references should demonstrate the Respondent’s ability to perform the Scope of Work described in the IFB.
Include contract dates and contact information (customer points of contact, address, telephone number and email address). The Respondent must explain whether it performed the work as a prime contractor or subcontractor. If the Respondent performed the work as a subcontractor, the Respondent must describe the scope of subcontracted activities.
1. Business Name:
Point-of-Contact / Title:
Phone: Email:
Description of Service Provided
2. Business Name:
3. Business Name:
4. Business Name:
Description of Service Provided:
File details come from the government source that posted it. Updated .