ESBD_397116_1739911556865_Exhibit_C_Pricing_Sheet.pdf

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Attached to
Dental Services, Waco Center for Youth
Solicitation number
HHS0015695
Issued by
Mclennan County, Texas

About this file

This is a pricing sheet (Exhibit C) for a dental services solicitation from Texas Health and Human Services Commission (HHSC) Purchasing for the Waco Center for Youth (WCY). The solicitation (HHSTX-HHS0015695) seeks competitive bids to establish contracts for dental services for the inpatient population at WCY, with responses due by March 7, 2025, at 10:30 AM. The posting date is February 18, 2025.

The pricing sheet requires bidders to provide costs for various dental services including dental exams/evaluations, x-rays, cleanings, fluoride applications, fillings, pulpotomy, and braces/bracket removal. Vendors must be located within 15 miles of the WCY facility and must confirm their ability to perform services as described in section 7 of the solicitation. Required documentation includes Exhibit A (HHS Solicitation Affirmations), DDS or DMS degree, DEA permit if applicable, minimum experience qualifications, Exhibit D Bidder Reference Form, and demonstration of financial capability and operational capacity.

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Text version

Exhibit C- Pricing Sheet

Event ID Format Type Round Version Respondent:

HHSTX-HHS0015695 Buy RFx 1 1

Event Name Submit To: HHS Purchasing

See Solicitation for Submission Instructions

United States

Event Currency: US Dollar Contact: Keil,Jeramy

Bids Allowed in Other Currency: No

Event Description

General Questions

Bid Factor Response Required: No

What is your cost for a dental exam/evaluation?

Bid Factor Response Required: No

What is your cost for a dental x-ray?

Vendor is located within 15 miles of the Waco Center for Youth Facility.

Bid Factor Response Required: No

Question Response:

Vendor can perform services as described in section 7 of the solicitation.

Bid Factor Response Required: No

INTERNAL EVENT DETAILS

Dental Services, Waco Center for Youth

Due DatePost Date

02/18/2025 03/07/2025 10:30 AM

HHSC PCS is seeking competitive bids to establish contract(s) for Dental Services for the inpatient population at the Waco Center for Youth (WCY).

Bid Factor Response Required: No

Attach a copy of Exhibit A - HHS Solicitation Affirmations (Pages 1-13), completed and signed. Failure to submit will disqualify bid response.

What is your cost for a filling?

Bid Factor Response Required: No

What is your cost for a pulpotomy?

What is your cost for braces/bracket removal?

Bid Factor Response Required: No

What is you cost for a flouride application?

Bid Factor Response Required: No

What is your cost for a cleaning?

If applicable, provide a copy of DEA permit to prescribe controlled substances.

Bid Factor Response Required: No

Provide a copy of DDS or DMS degree in dentistry.

Bid Factor Response Required: No

Attach documentation of Minimum Experience and Qualifications, per Section 7.1.5.

Bid Factor Response Required: No

Attach completed Exhibit D Bidder Reference Form.

Bid Factor Response Required: No

Contractor may provide a list of available services and pricing.

Attach completed Exhibit C Pricing Sheet. Failure to submit will disqualify bid response.

Attach Public Information Act copy of bid response, if applicable.

Bid Factor Response Required: No

Attach completed and signed Addendum Acknowledgement Form(s), if issued.

Bid Factor Response Required: No

Attach other information pertinent to demonstrate financial capability, financial solvency and ability to perform and capacity to fulfill the solicitation requirements.

Attach demonstration of the ability to perform by a written description of the size and scope of all operations, including the number of years the Bidder has been in business and the number of employees available to provide customer service, order fulfillment, safe shipping and handling of product and the number of supervisors for each location, as applicable.

File details come from the government source that posted it. Updated .