Atch E - Timesheet for Contract Service.xlsx

XLSX spreadsheet 12 KB Posted

Attached to
Buy Indian Set Aside for MRI Technician/Imaging at PIMC Federal contract opportunity
Solicitation number
RFP-23-PHX-33
Issued by
Department of Health and Human Services Indian Health Service

About this file

This document contains a timesheet template for contract services and information about a related federal contract opportunity. The timesheet template requires contractors to track their name, department, dates and hours worked, and includes spaces for contractor and official signatures to certify time worked matches contract terms.

The related federal contract opportunity is a Buy Indian Set Aside solicitation for an MRI Technician/Imaging position at Phoenix Indian Medical Center. The solicitation number is RFP-23-PHX-33 and is issued by the Department of Health and Human Services Indian Health Service. The opportunity type is a solicitation and additional details include the required services, response deadline, or award date are not provided.

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Other files for this federal contract opportunity

Other files attached to Buy Indian Set Aside for MRI Technician/Imaging at PIMC, newest first.
File Type Posted
Atch H - Clauses Terms and Instructions RFP-23-PHX-33REV.pdf PDF
Atch G - IHS IEE Representation Form.pdf PDF
Atch D - PWS - MRI and Rad Tech - RFP-23-PHX-33.pdf PDF
Atch B - Business Associate Agreement.pdf PDF
Atch C - 2023 Tax Exemption.pdf PDF
Atch H - Clauses Terms and Instructions RFP-23-PHX-33.pdf PDF
Atch F - Wage Determination 2015-5469 dtd 21 July 2023.pdf PDF
Atch A - Rate Schedule RFP-23-PHX-33.xlsx XLSX spreadsheet

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Text version

Sheet1

PHOENIX INDIAN MEDICAL CENTER
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 _________________________________________
WeekdayDateTime InLunchTime OutTotal HoursDescription of Hours
Week of _________________________________
WeekdayDateTime InLunchTime OutTotal HoursDescription 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 .