ESBD_530056_1782161460142_Exhibit_C_Pricing Sheet.xlsx

This is an Exhibit C Pricing Sheet for a Request for Bids issued by the Texas Health and Human Services Commission (HHS) on behalf of the Austin State Supported Living Center (AuSSLC). The solicitation, identified as HHSTX-HHS0017561, seeks qualified vendors to provide on-site Total Intravenous Anesthesia (TIVA) services for dental procedures. The solicitation was posted on June 22, 2026, with a due date of July 8, 2026. Bidders must submit responses through the HHS Purchasing department, with inquiries directed to Byron Carl Wright at 512/406-2512.

Bidders are required to provide pricing for two distinct service categories: dental anesthesia services during regular hours and dental anesthesia services outside regular hours, with rates quoted on a per 15-minute increment basis. All pricing must be all-inclusive with no additional hidden costs. Required submissions include a completed Exhibit C Pricing Sheet, completed Exhibit A HHS Solicitation Affirmations (Pages 1-14), completed Exhibit D Bidder Reference Form, a Texas State Board of Dental Examiners (TSBDE) anesthesia permit with sedation endorsement, a fee schedule on company letterhead for any additional services, documentation of financial capability and solvency, and completed Addendum Acknowledgement Forms if applicable. The contract is denominated in US dollars, and bids in other currencies are not permitted. The procurement is classified under NIGP Class Item 94828.