Atch E - Timesheet for Contract Service.xlsx
XLSX spreadsheet 11 KB Posted
- Attached to
- Physician Assistant/Nurse Practitioner Services at PCMC Federal contract opportunity
- Solicitation number
- RFP-22-PHX-11
About this file
This document contains a federal contract opportunity solicitation for physician assistant/nurse practitioner services. The solicitation is seeking firm fixed price proposals to provide non-personal professional nurse practitioner/physician assistant services at the Primary Care Medical Center of the Phoenix Indian Medical Center. The period of performance is estimated from August 16, 2022 through August 15, 2023, with four optional one-year extensions. The solicitation is set aside for Native American firms according to the Buy Indian Act of 1910. Proposals are due electronically by email no later than the response date. The North American Industry Classification code for this acquisition is 621399 and the product service code is Q201. The place of performance will be at the Phoenix Indian Medical Center located in Phoenix, Arizona. The government will award a firm fixed price contract to the responsible and responsive offeror providing the best value based on price and other factors.
The document also includes attachments providing a rate schedule, statement of work, timesheet template for contract services, applicable wage determination, clauses and instructions, and an Indian Economic Enterprise representation form. Electronic submission of proposals is required, including the technical proposal and past performance data in addition to the rate schedule.
View the file
Other files for this federal contract opportunity
| File | Type | Posted |
|---|---|---|
| Atch H - IEE Representation Form.pdf | ||
| Atch B - Business Associate Agreement.pdf | ||
| Atch G - Clauses.Terms and Instructions.pdf | ||
| Atch F -Wage Determination 2015-5469 dtd 27 June 2022.pdf | ||
| Atch A - Rate Schedule PCMC NP.PA.xlsx | XLSX spreadsheet | |
| Atch D- Statement of Work -PCMC NP PA.pdf | ||
| Atch C - 2022 Tax Exemption.pdf |
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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 .