Atch E - Timesheet for Contract Service.xlsx
XLSX spreadsheet 12 KB Posted
- Solicitation number
- RFP-25-PHX-15
About this file
The file is a standard timesheet template for contract services at the Hopi Health Care Center. The timesheet is designed to document daily work hours, including time in, lunch, time out, total hours, and a description of hours worked. It requires signatures from the contractor and a department receiving official or Contracting Officer Representative to verify the accuracy of services provided.
This timesheet is directly related to a specific federal contract opportunity (RFP-25-PHX-15) for non-personal professional Emergency Room Registered Nursing Services at the Hopi Health Care Center. The solicitation is set aside for Native American firms under the Buy Indian Act of 1910, with a proposed contract period from 23 September 2025 through 22 September 2026. The service will be performed at the Hopi Health Care Center in Polacca, Arizona, under the Indian Health Service, with a NAICS code of 621399 and a size standard of $10M.
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Text version
Sheet1
| HOPI HEALTH CARE 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 .