Atch E - Timesheet for Contract Service.xlsx
XLSX spreadsheet 12 KB Posted
- Attached to
- Pediatrics Physician Services at WRSU Federal contract opportunity
- Solicitation number
- RFP-23-PHX-03
About this file
This solicitation is for pediatric physician services at the Whiteriver Service Unit located in Whiteriver, Arizona. The Indian Health Service seeks a firm fixed price contract for the base period of May 1, 2023 through April 30, 2024 with four optional one-year extensions. The North American Industry Classification System code is 621111 for offices of physicians, and the product service code is Q516 for medical pediatric services. The place of performance is the Whiteriver PHS Service Unit. Proposals are due electronically by email to Michele.Lodge@ihs.gov and must include the rate schedule, technical proposal, past performance data, and amendments. The solicitation sets aside this procurement for Native American firms in accordance with the Buy Indian Act of 1910.
View the file
Other files for this federal contract opportunity
| File | Type | Posted |
|---|---|---|
| Atch H - Clauses Terms and Instructions IHS1465935 REV.pdf | ||
| Atch D - Statement of Work Pediatric Services.pdf | ||
| Atch C - 2023 Tax Exemption.pdf | ||
| Atch B - Business Associate Agreement.pdf | ||
| Atch F - Wage Determination 2015-5477 dtd 27 Dec 2022.pdf | ||
| Atch A - Rate Schedule Pediatric Physicians WRSU.xlsx | XLSX spreadsheet |
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Text version
Sheet1
| WHITERIVER 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 .