ESBD_480458_1772567898517_Exhibit C - Pricing Sheet.xlsx

XLSX spreadsheet 29 KB Posted

Attached to
Funds Disbursement Services
Solicitation number
HHS0016249
Issued by
Travis County, Austin City, Texas

About this file

This is an Exhibit C Pricing Sheet for a Funds Disbursement Services solicitation (HHSTX-HHS0016249) issued by the Texas Health and Human Services Commission (HHSC) through a PeopleSoft Strategic Sourcing platform. The procurement seeks a vendor to provide funds disbursement services with the capacity to wire funds throughout Texas via established financial institutions such as Western Union or MoneyGram. Bidders must demonstrate a minimum of two years of relevant experience, possess required key personnel at implementation, and meet specified payment and reimbursement processing requirements. The solicitation was posted on March 3, 2026, with a bid submission deadline of May 28, 2025 at 11:27 AM CST. The contract term extends from the implementation date through August 31, 2030, with pricing divided into five annual periods.

Pricing is structured as a flat fee per transaction for services rendered across five contract years: through August 31, 2026; September 1, 2026 through August 31, 2027; September 1, 2027 through August 31, 2028; September 1, 2028 through August 31, 2029; and September 1, 2029 through August 31, 2030. Bidders must demonstrate financial capacity to perform pending reimbursement from HHSC for services rendered and must provide financial capability documentation, references via the completed Exhibit D Bidder Reference Form, and submission of all required exhibits including the HHS Solicitation Affirmations (Exhibit A), the Security and Privacy Initial Inquiry (Exhibit B-1), and the completed pricing sheet. Failure to submit required exhibits, including Exhibit A and the Pricing Sheet, will result in bid disqualification.

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General Details

Event Details
PeopleSoft Strategic Sourcing
Event IDFormatTypeRoundVersionRespondent:
HHSTX-HHS0016249BuyRFx11Bidder Specific RFx Document Details
Event NameRFx Document Bidder Details
Funds Disburment ServicesEvent plan cannot be posted without the Task Name.
Post DateDue DateEvent plan cannot be posted without the Task Owner.
3/3/2605/28/2025Collaboration due date has ended.
Event Currency:US DollarUser Name
Bids Allowed in Other Currency:NoSubmit To:HHS Purchasing
See Part A for Submission Instructions
United States
Contact:Naiser,Taylor
Phone:
Email:
Event Description
HHSC PCS is seeking Funds Disbursement Services
General Questions
QuestionUOMBestWorstResponse:
Do you currently contract with, or have contracted with in the past, a financial institution with the capacity to wire funds throughout the state of Texas, e.g., Western Union, MoneyGram, etc.? Per Section 7.1.YesNo
Bid Factor Response Required: No
Ideal Response Required: No
Response Comments
Do you have at least two (2) years of required experience? Per Section 7.1.5.YesNo
Bid Factor Response Required: No
Ideal Response Required: No
Response Comments
Do you have or will you have the required key personnel required at time of implementation? Per Section 7.1(C)(V).YesNo
Bid Factor Response Required: No
Ideal Response Required: No
Response Comments
Do you have the required experience to meet the specified payment processing requirements? Per Section 7.1(C)(VI).YesNo
Bid Factor Response Required: No
Ideal Response Required: No
Response Comments
Do you have the financial capacity to meet the requirements of this solicitation, pending HHSC reimbursement for services rendered? Per Section 7.1(C)(VI)(a).YesNo
Bid Factor Response Required: No
Ideal Response Required: No
Response Comments
Do you have the required experience to meet the specified reimbursement requirements? Per Section 7.1(C)(VII).YesNo
Bid Factor Response Required: No
Ideal Response Required: No
Response Comments
Flat fee per transaction for services rendered till August 31st, 20260.00.0
Bid Factor Response Required: No
Ideal Response Required: No
Response Comments
Flat fee per transaction for services rendered till from September 1st, 2026, August 31st, 20270.00.0
Bid Factor Response Required: No
Ideal Response Required: No
Response Comments
Flat fee per transaction for services rendered till from September 1st, 2027, August 31st, 20280.00.0
Bid Factor Response Required: No
Ideal Response Required: No
Response Comments
Flat fee per transaction for services rendered till from September 1st, 2028, August 31st, 20290.00.0
Bid Factor Response Required: No
Ideal Response Required: No
Response Comments
Flat fee per transaction for services rendered till from September 1st, 2029, August 31st, 20300.00.0
Bid Factor Response Required: No
Ideal Response Required: No
Response Comments
Attach completed and signed Exhibit A HHS Solicitation Affirmations, Pages 1-13. Failure to submit will disqualify bid response.A file attachment is required to satisfy this question.
Bid Factor Response Required: Yes

Response Comments

Attach completed Exhibit C Pricing Sheet. Failure to submit will disqualify bid response.A file attachment is required to satisfy this question.
Bid Factor Response Required: Yes

Response Comments

Attach completed and signed Exhibit B-1 Attachment 1 Security and Privacy Initial Inquiry (SPI).A file attachment is required to satisfy this question.
Bid Factor Response Required: No

Response Comments

Attach completed Exhibit D Bidder Reference Form.A file attachment is required to satisfy this question.
Bid Factor Response Required: Yes

Response Comments

Attach other information pertinent to demonstrate financial capability, financial solvency and ability to perform and capacity to fulfill the solicitation requirements.A file attachment is required to satisfy this question.
Bid Factor Response Required: Yes

Response Comments

Attach completed and signed Addendum Acknowledgement Form(s), if issued.A file attachment is required to satisfy this question.
Bid Factor Response Required: No

Response Comments

Attach Public Information Act copy of bid response, if applicable.A file attachment is required to satisfy this question.
Bid Factor Response Required: No

Response Comments

Line Details

Event Details
PeopleSoft Strategic Sourcing
Event IDFormatTypeRoundVersionRespondent:
HHSTX-HHS0016249BuyRFx11Bidder Specific RFx Document Details
Event NameRFx Document Bidder Details
Funds Disburment ServicesEvent plan cannot be posted without the Task Name.
Post DateDue DateEvent plan cannot be posted without the Task Owner.
05/28/2025 11:27 AM CST05/28/2025Collaboration due date has ended.
Event Currency:US DollarUser Name
Bids Allowed in Other Currency:NoSubmit To:HHS Purchasing
See Part A for Submission Instructions
United States
Contact:Naiser,Taylor
Phone:
Email:
Line Details
For "No Bid", LEAVE BLANK
Line: 1NIGP Class Item:Expected Qty: 0UOM:Quantity:
Bid Required: YesReserve Price: NoVendor Response :0
Line Description :

Test

Event Details
PeopleSoft Strategic Sourcing
Event IDFormatTypeRoundVersionRespondent:Item ID:
HHSTX-HHS0016249BuyRFx11Bidder Specific RFx Document Details
Event NameRFx Document Bidder Details
Funds Disburment ServicesEvent plan cannot be posted without the Task Name.
Post DateDue DateEvent plan cannot be posted without the Task Owner.
05/28/2025 11:27 AM CST05/28/2025Collaboration due date has ended.
Event Currency:US DollarUser Name
Bids Allowed in Other Currency:NoSubmit To:HHS Purchasing
See Part A for Submission Instructions
United States
Contact:Naiser,Taylor
Phone:
Email:

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