Exhibit_G_Respondent_Reference_Form.pdf

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Attached to
Quetech Annual Support Plan (Annual Server Hosting Service)
Solicitation number
HHS0017704
Issued by
Travis County, Austin City, Texas

About this file

This is a Respondent Reference Form (Exhibit G) for Solicitation No. HHS0017704 issued by the Texas Health and Human Services (HHS) Procurement and Contracting Services department for the Quetech Annual Support Plan (Annual Server Hosting Service). The form requires all respondents to submit a minimum of three business references demonstrating their ability to perform the scope of work outlined in the invitation for bids. References must be from services provided within the two years preceding the submission and should include contract dates, customer points of contact with complete contact information (address, telephone number, and email address), and detailed descriptions of services rendered.

Respondents must clearly indicate whether work was performed as a prime contractor or subcontractor on each reference. In cases where work was performed as a subcontractor, respondents are required to provide a comprehensive description of the scope of subcontracted activities. The form provides space for up to four business references, with each entry requiring the business name, point of contact title, phone number, email address, and a detailed description of services provided. This documentation requirement ensures the evaluation committee can verify the respondent's qualifications and relevant experience prior to contract award.

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Text version

Solicitation No. HHS0017704 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 .