ESBD_485362_1769545622233_HHS0016711v3 Exhibit C Price Sheet.xlsx

This is an Exhibit C Price Sheet for a Request for Proposal issued by the Texas Health and Human Services Commission (HHS) for custom wheelchair, accessories, and parts for clients at Denton State Supported Living Center. The procurement (Event ID: HHS0016711v3) seeks evaluation and assessment services for fitting clients with custom manual wheelchairs and related accessories not covered by Medicare or Medicaid. The solicitation was posted on January 27, 2026, with a response due date of February 17, 2026. The contract involves a single line item (Line 1, NIGP Class 47080) with an expected quantity of one lot. Respondents must provide pricing for services including Assistive Technology Professional (ATP) assessments, training, follow-up customer service, equipment servicing, and modifications.

Bidders are required to submit pricing for multiple wheelchair-related components and services, including seat covers, contour seat covers, mounts and brackets, back cushions, covers, pads, attendant wheel locks, and shipping costs. All prices must be submitted in US dollars with no alternative currency allowed. Mandatory submission requirements include completed and signed Exhibit A (HHS Solicitation Affirmations), Exhibit D Pricing Sheet, Exhibit D HUB Subcontracting Plan, and any issued Addendum Acknowledgement Forms. Failure to submit required exhibits will result in bid disqualification. The contact for this solicitation is Courtney Meads at HHS Purchasing, telephone 512/406-2478.