ESBD_533661_1782915733504_Exhibit C_Pricing Sheet.pdf

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Attached to
Dental Services Corpus Christi State Supported Living Center
Solicitation number
HHS0017560
Issued by
Texas

About this file

This is an Exhibit C Pricing Sheet for a competitive bidding solicitation issued by the Texas Health and Human Services Commission (HHSC) Purchasing and Contract Services (PCS) for dental services at the Corpus Christi State Supported Living Center (CCSCLC). The solicitation seeks competitive bids to establish contract(s) for dental services, with a bid submission due date of July 16, 2026, and a contract support date of July 1, 2026. Respondents are required to submit pricing information for hourly rates applicable to services listed in Section 7 of the PCS 137 solicitation document, with separate rates specified for services performed during regular hours and outside regular hours.

Bidders must provide comprehensive documentation to support their bid responses, including current certification from the Texas State Board of Dental Examiners as a licensed dentist, a DEA permit to prescribe controlled substances, a Texas controlled substance registration certificate, and completed Exhibit A HHS Solicitation Affirmations. Additionally, bidders must submit the completed Exhibit C Pricing Sheet, the completed Exhibit D Bidder Reference Form, and documentation demonstrating financial capability, financial solvency, ability to perform, and capacity to fulfill solicitation requirements. Submission of Addendum Acknowledgement Form(s), if issued, and a Public Information Act copy of the bid response are optional. All submissions must be directed to HHS Purchasing in accordance with instructions provided in the full solicitation document. Bids are to be submitted in US dollars only.

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Text version

Exhibit C_Pricing Sheet

Event ID Format Type Round Version Respondent:

HHSTX-HHS0017560 Buy RFx 1 1

Event Name

Post Date

Event Currency: US Dollar

Bids Allowed in Other Currency: No Submit To: HHS Purchasing

See Solicitation for Submission Instructions

United States

Contact: Alvarado,Veronica

Event Description

General Questions Question Response:

Formal_Dental Services_Corpus Christi State Suppor

Due Date

7/1/2026 07/16/2026

HHSC PCS is seeking competitive bids to establish contract(s) for dental services at Corpus Christi State Supported Living Center, (CCSCLC).

What is your hourly rate for the services listed in section 7 of the PCS 137 solicitation document during regular hours?

Bid Factor Response Required: Yes

What is your hourly rate for the services listed in section 7 of the PCS 137 solicitation document during outside regular hours?

Bid Factor Response Required: Yes

Please attach a copy of your certification with the Texas State Board of Dental Examiners as a licensed dentist.

Bid Factor Response Required: Yes

Please attach a copy of your DEA permit to prescribe controlled substances.

Bid Factor Response Required: Yes

Please attach a copy of your Texas controlled substance registration certificate.

Bid Factor Response Required: Yes

Attach completed and signed Exhibit A HHS Solicitation Affirmations, Pages 1-13. Failure to submit will disqualify bid response.

Bid Factor Response Required: Yes

Attach completed Exhibit C Pricing Sheet. Failure to submit will disqualify bid response.

Attach completed Exhibit D Bidder Reference Form.

Attach other information pertinent to demonstrate financial capability, financial solvency and ability to perform and capacity to fulfill the solicitation requirements.

Bid Factor Response Required: Yes

Attach completed and signed Addendum Acknowledgement Form(s), if issued.

Bid Factor Response Required: No

Bid Factor Response Required: No

Attach Public Information Act copy of bid response, if applicable.

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