Atch E - Timesheet for Contract Service DV.xlsx
XLSX spreadsheet 12 KB Posted
- Attached to
- Nursing Services at Desert Visions & Nevada Skies Federal contract opportunity
- Solicitation number
- RFP-23-PHX-18
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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Other files for this federal contract opportunity
| File | Type | Posted |
|---|---|---|
| SF 1449 REV 75H71223R00052.pdf | ||
| Atch H - Timesheet for Contract Service NS.xlsx | XLSX spreadsheet | |
| Atch A - Rate Schedule RFP-23-PHX-18.xlsx | XLSX spreadsheet | |
| Atch C - 2023 Tax Exemption.pdf | ||
| Atch B - Business Associate Agreement.pdf | ||
| Continuation SF 1449 75H71223R00052.pdf | ||
| Atch I - Wage Determination 2015-5595 dtd 27 Dec 22 NS.pdf | ||
| Atch G - IHS IEE Representation Form.pdf | ||
| Atch F- Wage Determination 2015-5469 dtd 26 Dec 22 DV.pdf | ||
| Atch D -DVNSYWC RN-LPN-NA_Scope of Work REV.pdf | ||
| SF 1449 75H71223R00052 Nursing Services.pdf |
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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 _________________________________________ | ||||||
| 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 .