ESBD_431260_1750957640159_HHS0016265_Exhibit_C_Pricing Sheet.pdf
PDF 129 KB Posted
- Attached to
- Dental services at San Angelo SLC
- Solicitation number
- HHS0016265A
- Issued by
- Travis County, Texas
About this file
The document is an Exhibit C Pricing Sheet for a dental services solicitation issued by HHS Purchasing for the San Angelo State Supported Living Center (SGSSLC), located at 11640 US 87 North, Carlsbad, TX 76903. The solicitation (Event ID HHSTX-HHS0016265) seeks a dental services provider for the inpatient population, with a post date of 06/26/2025 and a response due date of 07/16/2025. The event is a Request for Proposal (RFx) using US Dollars as the currency, with bids not allowed in other currencies.
The pricing sheet requires bidders to provide pricing for various dental services, including comprehensive oral evaluations, in-person and phone consultations, general dentistry services during and outside regular hours, and to demonstrate experience working with individuals with disabilities. Bidders must also submit several required attachments, such as the HHS Solicitation Affirmations, Pricing Sheet, Security and Privacy Initial Inquiry, Bidder Reference Form, and documentation demonstrating financial capability and operational capacity. The solicitation emphasizes the need for bidders to have Texas State Board of Dental Examiners certification and includes requirements for proving financial solvency and ability to perform the contracted services.
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Text version
Exhibit C pricing Sheet
Event ID Format Type Round Version Respondent:
HHSTX-HHS0016265 Buy RFx 1 1 Bidder Specific
Event Name RFx Document
Event Currency: US Dollar User Name
Bids Allowed in Other Currency: No Submit To: HHS Purchasing
See Solicitation for Submission Instructions
Contact: Wright,Byron Carl
Event Description
General Questions
Dental services at San Angelo SSLC (SGSSLC)
Due DatePost Date
06/26/2025 11:22 AM CST 07/16/2025
Dental Services for the inpatient population at the San Angelo SSLC (SGSSLC), 11640 US 87 North, Carlsbad, TX, 76903.
Question Response:
What is your price for a comprehensive oral evaluation for general dentistry services
Bid Factor Response Required: No
What is your price for in person consultations for general dentistry services
Bid Factor Response Required: No
What is your price for phone consultations outside of regular hours for general dentistry services
Bid Factor Response Required: No
What is your price to provide general dentistry services.
Bid Factor Response Required: No
What is your price to provide general dentistry service for outside of regular hours.
Bid Factor Response Required: No
Do you have experience working with individuals with disabilities?
Bid Factor Response Required: No
Please attach a copy of your certification with the Texas State Board of Dental Examiners as a licensed dentist. and any other certifications.
Bid Factor Response Required: No
Attach completed and signed Exhibit A HHS Solicitation Affirmations, Pages 1-13. Failure to submit will disqualify bid response.
Bid Factor Response Required: Yes
Attach completed Exhibit D Pricing Sheet. Failure to submit will disqualify bid response.
Bid Factor Response Required: Yes
Attach completed and signed Exhibit B-1 Attachment 1 Security and Privacy Initial Inquiry (SPI).
Bid Factor Response Required: No
Attach completed Exhibit D Bidder Reference Form.
Bid Factor Response Required: Yes
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
Attach other information pertinent to demonstrate financial capability, financial solvency and ability to perform and capacity to fulfill the solicitation requirements.
Bid Factor Response Required: Yes
Attach completed and signed Addendum Acknowledgement Form(s), if issued.
Bid Factor Response Required: No
Bid Factor Response Required: No
Attach Public Information Act copy of bid response, if applicable.
General Details
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