Atch E - Timesheet for Contract Service.xlsx
XLSX spreadsheet 11 KB Posted
- Attached to
- Emergency Room Physicians at CRSU Federal contract opportunity
- Solicitation number
- RFP-22-PHX-04
About this file
This document includes a timesheet template and a solicitation for emergency room physician services. The solicitation seeks proposals for emergency room physician services to be provided at the Parker IHS Indian Hospital in Parker, Arizona. The period of performance is an estimated base period from September 15, 2022 through September 14, 2023 with four optional one-year extensions. The solicitation will result in a firm fixed price contract awarded to the responsible and responsive offeror providing the best value based on price and other factors. Proposals are due electronically by email no later than the response date of May 15, 2022. The North American Industry Classification code is 621111 for offices of physicians and the size standard is $12 million.
The timesheet template is to be used by contractors providing services under the related contract to track hours worked by week according to the terms of the contract. Contractors must certify the timesheet and it must be verified by the department and contracting officer representatives.
View the file
Other files for this federal contract opportunity
| File | Type | Posted |
|---|---|---|
| Questions and Answers RFP-22-PHX-04.pdf | ||
| Atch C - 2022 Tax Exemption.pdf | ||
| Atch A - Rate Schedule - ER PHY Parker.xlsx | XLSX spreadsheet | |
| Atch B - Business Associate Agreement.pdf | ||
| Atch D - Statement of Work ER PHY.pdf | ||
| Atch H - IHS IEE Representation Form.pdf | ||
| Atch G - Clauses.Terms and Instructions.pdf | ||
| Atch F - Wage Determination 2015-5479 dtd 20 Jul 2022.pdf |
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Text version
Sheet1
| COLORADO RIVER SERVICE UNIT |
| STANDARD TIMESHEET FOR CONTRACT SERVICES |
| Contract Number:_____________________________ |
| PRINTED CONTRACTOR'S NAME:____________________________________DEPT/SERVICE__________________________________________ |
"I hereby certify that the hours worked during the weeks noted below are correct and are in accordance to the terms of the contract"
SIGNATURE OF CONTRACTOR: _________________________________________________ DATE SIGNED: ____________________________
| WEEK OF _________________________________________ | ||||||
| Weekday | Date | Time In | Lunch | Time Out | Total Hours | Description of Hours |
| Week of _________________________________ | ||||||
| Weekday | Date | Time In | Lunch | Time Out | Total Hours | Description of Hours |
"I hereby certify that the contract services provided in this timesheet are correct and are in accordance to the terms of the contract"
VERIFIED BY Department Receiving Official (Printed Name/Signature):_______________________________________________________________________
Contracting Officer Representative (Printed Name/Signature):________________________________________________________________________________
Sheet2
Sheet3
File details come from the government source that posted it. Updated .