Atch E - Timesheet for Contract Service DV.xlsx

XLSX spreadsheet 12 KB Posted

Attached to
Nursing Services at Desert Visions & Nevada Skies
Solicitation number
RFP-23-PHX-18
Issued by

About this file

This document contains a timesheet template for tracking hours worked under a contract for services with the Desert Visions Youth Wellness Center, as well as information on a related federal contract opportunity for nursing services. The timesheet template requires contractors to track their name, department, hours worked each day including time in and out with a lunch notation, total hours, and description of work. It includes certifications by the contractor and representatives from the receiving department and contracting officer.

The solicitation is for nursing services at the Desert Visions and Nevada Skies facilities. It is being issued by the Department of Health and Human Services Indian Health Service as an RFP with an opportunity type listed as a solicitation. No other details on products, response dates, pricing terms, set asides, or incumbent are provided.

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Text version

Sheet1

DESERT VISIONS YOUTH WELLNESS 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 _________________________________________
WeekdayDateTime InLunchTime OutTotal HoursDescription of Hours
Week of _________________________________
WeekdayDateTime InLunchTime OutTotal HoursDescription 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 .