ESBD_438120_1753130692151_HHS0016359_Exhibit_C_ Pricing_Sheet.pdf

Exhibit C Pricing Sheet

Event ID Format Type Round Version Respondent:

HHSTX-HHS0016359 Sell RFx 1 2

Event Name Submit To: HHS Purchasing

See Solicitation for Submission Instructions

Post Date

Event Currency: US Dollar Contact: Wright,Byron Carl

Bids Allowed in Other Currency: No

Event Description

General Questions

Attach fee schedule(s), on your company letterhead for any additional pricing related to all dental services that you provide.

Bid Factor Response Required: No

What is your pricing to provide general dentistry services as described in Section 7.1? Attach pricing on your company letterhead.

Bid Factor Response Required: No

Dental/Oral Surgery Services for Abilene State Sup

Due Date

07/21/2025 09:46 AM CST 8/4/2025

Dental/Oral Surgery Services for the residents at the Abilene State Supported Living Center (ABSSLC) on-facility and off-facility dental exams, consults, x-rays, all oral surgery including extractions (including 3rd molars), implants, alveolectomy/ alvueoplasty procedures, retained root procedures and biopsies with pathology evaluations

Question Response:

Bid Factor Response Required: Yes

Bid Factor Response Required: Yes

Attach completed Exhibit D Bidder Reference Form.

Bid Factor Response Required: Yes

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

Bid Factor Response Required: No

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

Do you have experience working with individuals with disabilities?

Bid Factor Response Required: No

Do you have all required licensures and accreditation, as described in Section 7.1.5? Please attach.

Bid Factor Response Required: No

Bid Factor Response Required: No

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: 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.

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

General Details