ESBD_473707_1764966585655_HHS0016711v2 Exhibit C Price Sheet.xlsx

This is an Exhibit C Price Sheet for a solicitation issued by the Texas Health and Human Services Commission (HHS) for custom wheelchairs, accessories, and parts to serve clients at Denton State Supported Living Center who are not covered by Medicare or Medicaid. The solicitation, designated HHS0016711v2, was posted on December 5, 2025, at 2:01 PM CST with a submission deadline of January 5, 2026. The procurement seeks evaluation and assessment services for fitting clients with custom manual wheelchairs and related accessories, with all pricing to be submitted on the General Tab. Bidders are required to respond to general questions regarding pricing for Assistive Technology Professional (ATP) services, including assessment, training, follow-up customer service, equipment modification, and various wheelchair components such as seat covers, contour seat covers, mounts and brackets, back cushions, inner and outer covers, plush pads, attendant wheel locks, and shipping costs.

Bidders must submit responses in US dollars with no alternative currency allowed. All bid submissions require completion and submission of Exhibit A HHS Solicitation Affirmations (pages 1-13), Exhibit D Pricing Sheet, and if applicable, Exhibit D HUB Subcontracting Plan, with failure to submit these documents resulting in bid disqualification. Addendum Acknowledgement Forms must be submitted if issued. The procurement contact is Courtney Meads at HHS Purchasing, reachable at 512/406-2478. The solicitation structure indicates this is a formal competitive process with standard evaluation criteria and compliance requirements established by the state of Texas.