Atch E - Timesheet for Contract Service.xlsx
XLSX spreadsheet 12 KB Posted
- Solicitation number
- RFP-24-PHX-10
About this file
This document is a Standard Timesheet for Contract Services for the Elko Southern Bands Health Center contract. The timesheet is used to record the hours worked by a contractor providing Podiatry Physician services under the contract. It requires the signature of the contractor and verification by the Department Receiving Official and the Contracting Officer Representative.
The related federal contract opportunity is a Request for Proposal (RFP) to provide non-personal professional Podiatry Physician services for the Elko Southern Bands Health Center located in Elko, Nevada. The contract is a firm-fixed price contract set-aside for Native American firms under the Buy Indian Act of 1910. The period of performance is estimated to be from September 17, 2024 to September 16, 2025. Proposals are due by September 12, 2024 at 3:00 PM ET and should be submitted electronically. The North American Industry Classification System (NAICS) code for this acquisition is 621391 for Office of Podiatrists.
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Text version
Sheet1
| ELKO SOUTHERN BANDS HEALTH 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):________________________________________________________________________________
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File details come from the government source that posted it. Updated .