Atch E - Timesheet for Contract Service.xlsx
XLSX spreadsheet 11 KB Posted
- Attached to
- Nurse Practitioner/Physician Services at Elko Southern Bands Federal contract opportunity
- Solicitation number
- RFP-22-PHX-05
About this file
This document includes a solicitation for nurse practitioner and physician assistant services. The Indian Health Service seeks these services to support the Elko Southern Bands Health Center through an anticipated firm fixed price contract from August 15, 2022 through August 14, 2023 with an option to extend for one additional year. Offerors must be Native American firms per the Buy Indian Act and registered in the System for Award Management, with proposals due before the unspecified deadline to Michele.Lodge@ihs.gov. The solicitation describes the required services, provides rate and wage schedules as attachments, and indicates this opportunity is set aside specifically for Native American vendors.
View the file
Other files for this federal contract opportunity
| File | Type | Posted |
|---|---|---|
| Atch H - IEE Representation Form.pdf | ||
| Atch D - Statement of Work Elko REV.pdf | ||
| Atch A - Rate Schedule NP.PA Services Elko 2 YR.xlsx | XLSX spreadsheet | |
| Atch G - Clauses.Terms and Instructions.pdf | ||
| Atch F - Wage Determination 2015-5601 dtd 14 Mar 2022.pdf | ||
| Atch C - 2022 Tax Exemption.pdf | ||
| Atch B - Business Associate Agreement.pdf |
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Text version
Sheet1
| Elko Service Unit |
| 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 .