Atch E - Timesheet for Contract Service.xlsx
XLSX spreadsheet 12 KB Posted
- Solicitation number
- RFP-25-PHX-07A
About this file
The attached file is a standard timesheet template for contract services at Phoenix Indian Medical Center. The timesheet provides spaces for a contractor to record daily work hours, including time in, lunch, and time out, along with a description of hours worked. The template requires signatures from the contractor and verification by a Department Receiving Official and Contracting Officer Representative.
The related federal contract opportunity is a solicitation (RFP-25-PHX-07A) for Maternal Fetal Medicine Physician Services, set aside specifically for Native American firms under the Buy Indian Act of 1910. The contract is for professional medical services at the Phoenix Indian Medical Center, with an estimated base period from 24 August 2025 through 23 August 2026 and four potential option years. The procurement will be a firm fixed-price contract, with proposals to be submitted electronically to specified Indian Health Service email addresses. Contractors must be registered in the System for Award Management (SAM) and will be evaluated based on best value to the government.
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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
Sheet3
File details come from the government source that posted it. Updated .