Atch E - Timesheet for Contract Service.xlsx
XLSX spreadsheet 11 KB Posted
- Solicitation number
- RFP-24-PHX-09
About this file
This document is a Request for Proposal (RFP) for the provision of non-personal professional maternal fetal medicine physician services at the Phoenix Indian Medical Center in Phoenix, Arizona. The contract is set-aside for Native American firms under the Buy Indian Act of 1910. The proposed contract is for a firm-fixed price with an estimated base period of 17 September 2024 through 16 September 2025, with four one-year option periods. The North American Industry Classification System (NAICS) code is 621111 for Office of Physicians, with a size standard of $16M. Proposals must be submitted electronically by the specified due date. The government will award the contract to the responsive and responsible offeror whose proposal provides the best value. Offerors must be registered in the System for Award Management (SAM) prior to award.
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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 _________________________________________ | ||||||
| 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
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File details come from the government source that posted it. Updated .