ESBD_506027_1776090483688_Exhibit_C_Pricing Sheet.xlsm
XLSM spreadsheet 24 KB Posted
- Attached to
- Dental Services needed for SGSSLC
- Solicitation number
- HHS0017238
- Issued by
- Travis County, Texas
About this file
This is a pricing sheet for a Request for Proposal (RFP) issued by the Texas Health and Human Services Commission (HHS) for dental services at the San Angelo State Supported Living Center. The solicitation, identified as HHSTX-HHS0017238, seeks dental services for residents and was posted on April 13, 2026, at 10:00 AM CST with a submission deadline of April 28, 2026, at 10:30 AM CST. The solicitation requires bidders to provide hourly rates for services described in Section 7 of the Scope of Work (PCS 137) for both regular business hours and outside regular hours, with rates ranging from $0.00 to $200,000.00 per hour as acceptable bid parameters.
Bidders must submit comprehensive documentation to qualify, including a Texas State Dental Board License with current annual registration, current DEA registration, dental licenses for ancillary personnel, current CPR certification, and completed Exhibits A (HHS Solicitation Affirmations), C (Pricing Sheet), and D (Bidder Reference Form). Additionally, bidders must provide documentation of minimum experience and qualifications, demonstration of operational capability including years in business and employee availability, and evidence of financial capability and solvency. All responses must be submitted in US dollars, and bidder RFx edits are not permitted. Failure to submit the required Exhibit A affirmations and Exhibit C pricing sheet will result in bid disqualification.
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Text version
General Details
| Pricing Sheet | ||||||||
| PeopleSoft Strategic Sourcing | ||||||||
| Event ID | Format | Type | Round | Version | Respondent: | |||
| HHSTX-HHS0017238 | Sell | RFx | 1 | 1 | ||||
| Event Name | Submit To: | HHS Purchasing | ||||||
| Dental Services needed for SGSSLC | See Solicitation Document for Submission Instructions | |||||||
| Post Date | Due Date | |||||||
| 04/13/2026 10:00 AM CST | 04/28/2026 10:30 AM CST | United States | ||||||
| Event Currency: | US Dollar | Contact: | Mckelvy,Michael | |||||
| Bids Allowed in Other Currency: | No | Phone: | ||||||
| Email: | ||||||||
| Allow Bidder RFx Edits | No | |||||||
| Reviewed RFx Document | Yes | |||||||
| Event Description | ||||||||
| San Angelo State Supported Living Center seeks dental services for residents. | ||||||||
| General Questions | ||||||||
| Question | UOM | Best | Worst | Response: | ||||
| What is your hourly rate for the services as described in the PCS 137 solicitation document in section 7 SOW during regular hours? | 0.0 | 200000.0 | ||||||
| Bid Factor Response Required: Yes | ||||||||
| Ideal Response Required: No | ||||||||
| Response Comments |
| What is your hourly rate for the services as described in the PCS 137 solicitation document in section 7 SOW during outside regular hours? | 0.0 | 200000.0 |
| Bid Factor Response Required: Yes | ||
| Ideal Response Required: No | ||
| Response Comments |
| Please attach a copy of your Texas State Dental Board License and current annual registration certificate. | A file attachment is required to satisfy this question. |
| Bid Factor Response Required: Yes |
Response Comments
| Please attach a copy of your current DEA registration. | A file attachment is required to satisfy this question. |
| Bid Factor Response Required: Yes |
Response Comments
| Please attach copies of Current Dental Licenses for the ancillary personnel practicing under the scope of service of the Contractor. | A file attachment is required to satisfy this question. |
| Bid Factor Response Required: Yes |
Response Comments
| Please attach a copy of Current Cardiopulmonary Resuscitation (CPR) Certification. | A file attachment is required to satisfy this question. |
| Bid Factor Response Required: Yes |
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
| DAttach completed Exhibit D Bidder Reference Form. | A file attachment is required to satisfy this question. |
| Bid Factor Response Required: Yes |
Response Comments
| Attach documentation of Minimum Experience and Qualifications, per Section 7 of the PCS 137 solicitation document. | A file attachment is required to satisfy this question. |
| Bid Factor Response Required: Yes |
Response Comments
| 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. | A file attachment is required to satisfy this question. |
| Bid Factor Response Required: No |
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
Test
| Event Details | |||||||
| PeopleSoft Strategic Sourcing | |||||||
| Event ID | Format | Type | Round | Version | Respondent: | Item ID: | |
| HHSTX-HHS0017238 | Sell | RFx | 1 | 1 | |||
| Event Name | Submit To: | HHS Purchasing | |||||
| Dental Services needed for SGSSLC | See Part A for Submission Instructions | ||||||
| Post Date | Due Date | ||||||
| 04/13/2026 10:00 AM CST | 04/28/2026 | United States | |||||
| Event Currency: | US Dollar | Contact: | Mckelvy,Michael | ||||
| Bids Allowed in Other Currency: | No | Phone: | |||||
| Email: |
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