Atch H - Timesheet for Contract Service NS.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 contract services and information on a related federal contract opportunity for nursing services. The timesheet template is to be used by contractors providing services to the Nevada Skies Youth Wellness Center and includes fields for contractor name, dates, hours worked, and approvals.

The related federal contract opportunity is solicitation number RFP-23-PHX-18 issued by the Department of Health and Human Services Indian Health Service to procure nursing services at the Desert Visions and Nevada Skies facilities. The opportunity type is a solicitation but few other details are provided around response date, award date, pricing terms, or set-asides.

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Text version

Sheet1

NEVADA SKIES 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 .