Atch H - Timesheet for Contract Service NS.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 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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Other files for this federal contract opportunity
| File | Type | Posted |
|---|---|---|
| SF 1449 REV 75H71223R00052.pdf | ||
| 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 E - Timesheet for Contract Service DV.xlsx | XLSX spreadsheet | |
| Atch D -DVNSYWC RN-LPN-NA_Scope of Work REV.pdf | ||
| SF 1449 75H71223R00052 Nursing Services.pdf |
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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 _________________________________________ | ||||||
| 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 .