ESBD_404241_1742834535073_Exhibit_C_Pricing_Sheet.pdf
PDF 72 KB Posted
- Attached to
- Dental Services, Waco Center for Youth
- Solicitation number
- HHS0015695V2
- Issued by
- Loving County, Wichita Falls City, Texas
About this file
The document is a pricing sheet for a solicitation (Event ID: HHSTX-HHS0015695) issued by the Texas Health and Human Services Commission (HHSC) Purchasing Department, seeking competitive bids for Dental Services at the Waco Center for Youth (WCY). The solicitation is for a contract to provide comprehensive dental care to the inpatient youth population, with a post date of 03/24/2025 and a due date of 04/07/2025. Bidders must meet specific qualifications, including holding a DDS or DMS degree in dentistry, maintaining certifications from the Texas State Board of Dental Examiners, and ensuring all licenses and permits remain in good standing.
The pricing sheet requires bidders to quote costs for various dental procedures, including dental exams/evaluations, x-rays, cleanings, fluoride applications, pulpotomies, fillings, and braces/bracket removal. Additional submission requirements include providing a list of available services, proof of operational capabilities, documentation of minimum experience and qualifications, references, and various certifications such as a DEA permit for prescribing controlled substances. The document emphasizes that failure to submit complete documentation may result in disqualification of the bid response. Bidders must also demonstrate their ability to perform services, including detailing their years in business, number of employees, and capacity for customer service and order fulfillment.
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Text version
Exhibit C - Pricing Sheet
Event ID Format Type Round Version Respondent:
HHSTX-HHS0015695 Sell RFx 1 2
Event Name
Post Date
Submit To: HHS Purchasing
Event Currency: US Dollar See Solicitation for Submission Instructions
Bids Allowed in Other Currency: No
United States
Contact: Keil,Jeramy
Event Description
General Questions
HHSC PCS is seeking competitive bids to establish contract(s) for Dental Services for the inpatient population at the Waco Center for Youth (WCY).
Must maintain the following certifications, registrations, licenses or permits:
a) Contractor must hold a DDS or DMS degree in dentistry.
b) All services performed will meet all requirements of the Texas State Board of Dental Examiners to provide dental services.
c) Certify that license, permit or certificate has not been revoked by any Health and Human Services agency or public safety and criminal justice agency.
d) If the contractor provides anesthesia, contractor shall have a DEA permit to prescribe controlled substances.
e) All certifications, registrations, licenses or permits required by state law are to remain in good standing in the profession during the term of this Contract.
Dental Services, Waco Center for Youth
Due Date
03/24/2025 03:30 PM CST 04/07/2025
Bid Factor Response Required: No
What is your cost for a cleaning?
Bid Factor Response Required: No
What is you cost for a flouride application?
What is your cost for a dental x-ray?
Bid Factor Response Required: No
What is your cost for a dental exam/evaluation?
Bid Factor Response Required: No
Bid Factor Response Required: No
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.
Contractor may provide a list of available services and pricing.
Bid Factor Response Required: No
Attach completed Exhibit C Pricing Sheet. Failure to submit will disqualify bid response.
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.
Bid Factor Response Required: No
What is your cost for a pulpotomy?
Bid Factor Response Required: No
What is your cost for a filling?
Bid Factor Response Required: No
What is your cost for braces/bracket removal?
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.
Bid Factor Response Required: No
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.
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.
File details come from the government source that posted it. Updated .