Atch E - Timesheet for Contract Service.xlsx
XLSX spreadsheet 12 KB Posted
- Attached to
- IAW Buy Indian Act of 1910 for ED and Primary Care Physician Services at Whiteriver Service Unit
- Solicitation number
- RFP-25-PHX-12
About this file
The file is a standard timesheet template for contract services at Phoenix Indian Medical Center. The timesheet requires contractors to record daily work hours, including time in, lunch, and time out, with spaces for the contractor's signature, department/service, and verification by a department receiving official and Contracting Officer Representative. This specific timesheet is associated with a federal contract opportunity (RFP-25-PHX-12) for Emergency Department and Primary Care Physician Services at the Whiteriver Service Unit, which is set aside for Native American firms under the Buy Indian Act of 1910. The solicitation seeks physician services for a base performance period from 16 September 2025 through 15 September 2026, located in Whiteriver, Arizona, with proposals due by 29 August 2025 at 3 PM Eastern Time. The contract will be awarded as a firm, fixed-price agreement through the Indian Health Service, targeting physicians for medical services with a NAICS code of 621111 and a size standard of $16 million.
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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 .