ESBD_532797_1782760425251_Exhibit_C_Price Sheet.xlsm

XLSM spreadsheet 24 KB Posted

Attached to
Dental Anesthesia services needed for El Paso SSLC
Solicitation number
HHS0017597
Issued by
El Paso County, Texas

About this file

This is a pricing sheet and solicitation document for a request for proposal issued by the Texas Health and Human Services Commission (HHS) on behalf of the El Paso State Supported Living Center. The solicitation seeks qualified dental anesthesia service providers to support residents at the facility. The posting date was June 29, 2026, with a bid submission deadline of July 15, 2026, at 10:30 AM CST. A test event was posted on June 24, 2026. Bidders are required to submit responses through the HHS Purchasing department, with all submissions conducted via electronic format in US Dollars only.

The pricing structure requires bidders to submit hourly rates for services during regular operating hours and outside regular hours, with acceptable rates ranging from $0.00 to $200,000.00 per hour. Bidders must provide documentation including a current DDS (Doctor of Dental Surgery) certification confirming authorization to perform services in Texas, proof of liability insurance, completed Exhibit A HHS Solicitation Affirmations (pages 1-13), completed Exhibit C Pricing Sheet, completed Exhibit D Bidder Reference Form, and supporting documentation demonstrating financial capability and capacity to perform. Form 4109 application for TIN and Addendum Acknowledgement Forms are required if applicable. Failure to submit the affirmations, pricing sheet, and reference form will result in bid disqualification. All submissions must comply with state purchasing requirements and procedures outlined in the solicitation documents.

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General Details

Pricing Sheet
PeopleSoft Strategic Sourcing
Event IDFormatTypeRoundVersionRespondent:
HHSTX-HHS0017597SellRFx11Bidder Specific RFx Document Details
Event NameRFx Document Bidder Details
Dental Anesthesia services needed for El Paso SSLCEvent plan cannot be posted without the Task Name.
Post DateDue DateEvent plan cannot be posted without the Task Owner.
6/29/202607/15/2026 10:30AM CSTCollaboration due date has ended.
Event Currency:US DollarUser Name
Bids Allowed in Other Currency:NoSubmit To:HHS Purchasing
See Solicitation Document for Submission Instructions
United States
Contact:Mckelvy,Michael
Phone:
Email:
Event Description
El Paso State Supported Living Center seeks Dental Anesthesia services for residents.
General Questions
QuestionUOMBestWorstResponse:
What is your hourly rate for the services as described in section 7 of the PCS 137 solicitation document during regular hours?0.0200000.0
Bid Factor Response Required: Yes
Ideal Response Required: No
Response Comments
What is your hourly rate for the services as described in section 7 of the PCS 137 solicitation document during outside regular hours?0.0200000.0
Bid Factor Response Required: Yes
Ideal Response Required: No
Response Comments
Please attach a copy of your DDS certification showing authorization to perform these services in the state of Texas.A file attachment is required to satisfy this question.
Bid Factor Response Required: Yes

Response Comments

Please attach a copy of your liability insurance.A file attachment is required to satisfy this question.
Bid Factor Response Required: Yes

Response Comments

Please attach the completed Exhibit_F Form 4109 application for TIN, if applicable.A file attachment is required to satisfy this question.
Bid Factor 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 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

Test

Event Details
PeopleSoft Strategic Sourcing
Event IDFormatTypeRoundVersionRespondent:Item ID:
HHSTX-HHS0017597SellRFx11Bidder Specific RFx Document Details
Event NameRFx Document Bidder Details
Dental Anesthesia services needed for El Paso SSLCEvent plan cannot be posted without the Task Name.
Post DateDue DateEvent plan cannot be posted without the Task Owner.
06/24/2026 10:46 AM CST06/24/2026Collaboration 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:Mckelvy,Michael
Phone:
Email:

File details come from the government source that posted it. Updated .