Atch E - Timesheet for Contract Service.xlsx
XLSX spreadsheet 11 KB Posted
- Solicitation number
- RFP-24-PHX-06
About this file
This document is a federal solicitation (RFP-24-PHX-06) for Radiology Physician Services at the Phoenix Indian Medical Center (PIMC). The Department of Health and Human Services' Indian Health Service is seeking a firm fixed-price contract for non-personal professional radiology physician services at PIMC in Phoenix, Arizona. The contract period is estimated to be a 1-year base period from 17 September 2024 to 16 September 2025, with four 1-year option periods. This solicitation is set-aside for Native American firms under the Buy Indian Act of 1910. Proposals are due by 13 September 2024 at 3PM ET, and questions will be accepted until 30 August 2024 at 3PM ET. The government will award the contract to the responsive and responsible offeror that provides the best value, price and other factors considered.
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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):________________________________________________________________________________
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File details come from the government source that posted it. Updated .