ESBD_472668_1764086456019_HHS0016844 - Exhibit C - Pricing Sheet.xlsx

This is a pricing sheet for a formal invitation for bid (IFB) issued by the Texas Health and Human Services Commission (HHS) for household living room furniture to be delivered to Mexia State Supported Living Center in Mexia, Texas. The solicitation, numbered HHS0016844, seeks 30 sets of chocolate top-grain leather stationary living room furniture, specifically matching or equivalent to Bel Furniture SKU# LV25115-SET, which includes a sofa, loveseat, and chair without an ottoman. The response due date is December 10, 2025, at 10:30 AM. The delivery location is Mexia State Supported Living Center, 424 Mesquite Drive, Mexia, TX 76667. Standard delivery is expected within 14 days after receipt of order unless otherwise stated.

Pricing terms require quotes to be submitted on an F.O.B. Destination basis with freight prepaid and included in the unit price. If freight cannot be included, bidders must show exact delivery costs and terms separately. The pricing sheet contains line items for the furniture set and delivery as a single lot, with all costs to be consolidated into a total bid amount. No unit pricing has been entered on this blank form, indicating this is a template for bidder response. The solicitation does not specify set-asides, incumbent contractors, or specific funding sources on this exhibit.