ESBD_534093_1782998638865_Exhibit_C_Pricing Sheet.xls
XLS spreadsheet 33 KB Posted
- Attached to
- FY27 Dental Surgery Services for AbSSLC
- Solicitation number
- HHS0017574
- Issued by
- Texas
About this file
This is an Exhibit C Pricing Sheet for a competitive bidding event issued by the Texas Health and Human Services (HHS) Commission for dental and oral surgery services at the Abilene State Supported Living Center (AbSSLC). The solicitation, identified as HHSTX-HHS0017574, seeks qualified vendors to provide comprehensive on-facility and off-facility dental services including general dentistry exams, consultations, radiographic imaging, oral surgery procedures (extractions including third molars, implants, alveolectomy/alveoplasty, retained root removal), and biopsies with pathology evaluations for the facility's residents. The event was posted on July 2, 2026, with a bid due date of July 28, 2026. The submission deadline for collaboration and RFx documents is July 17, 2026, at 5:00 PM CST. All bids must be submitted in US Dollars to HHS Purchasing, with inquiries directed to Harrison Vivian at 512/406-2460.
Bidders are required to submit pricing on a completed fee schedule for general dentistry services and any additional dental services provided, along with mandatory attachments including Exhibit A (HHS Solicitation Affirmations), Exhibit C (Pricing Sheet), Exhibit D (Bidder Reference Form), documentation of required licensures and accreditations, proof of financial capability and solvency, and any applicable addendum acknowledgement forms. Responses to qualification questions regarding experience with individuals with disabilities and possession of all required licensures are bid factors. Failure to submit the Exhibit A Affirmations, Exhibit C Pricing Sheet, and Exhibit D Bidder Reference Form will result in bid disqualification. The pricing sheet serves as the standardized format for all vendors to present their cost proposals for the dental and oral surgery services.
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General Details
| Exhibit C Pricing Sheet | ||||||||||
| PeopleSoft Strategic Sourcing | ||||||||||
| Event ID | Format | Type | Round | Version | Respondent: | |||||
| HHSTX-HHS0017574 | Buy | RFx | 1 | 1 | Bidder | |||||
| Event Name | ||||||||||
| Dental/Oral Surgery Services for AbSSLC | ||||||||||
| Post Date | Due Date | |||||||||
| 7/2/26 | 7/28/26 | |||||||||
| Event Currency: | US Dollar | |||||||||
| Bids Allowed in Other Currency: | No | Submit To: | HHS Purchasing | |||||||
| See Solicitation for Submission Instructions | ||||||||||
| United States | ||||||||||
| Contact: | Harrison,Vivian | |||||||||
| Phone: | 512/406-2460 | |||||||||
| Email: | ||||||||||
| General Comments | ||||||||||
| Event Description | ||||||||||
| Dental/Oral Surgery Services for the residents at the Abilene State Supported Living Center (AbSSLC) on-facility and off-facility dental exams, consults, x-rays, all oral surgery including extractions (including 3rd molars), implants, alveolectomy/ alvueoplasty procedures, retained root procedures and biopsies with pathology evaluations | ||||||||||
| General Questions | ||||||||||
| Question | UOM | Best | Worst | Response: | ||||||
| What is your pricing to provide general dentistry services as described in Section 7.1? | 0.0 | 0.0 | ||||||||
| Bid Factor Response Required: Yes | ||||||||||
| Ideal Response Required: No | ||||||||||
| Response Comments | ||||||||||
| Attach fee schedule(s) for any additional pricing related to all dental services that you provide. | 0.0 | 0.0 | ||||||||
| Bid Factor Response Required: Yes | ||||||||||
| Ideal Response Required: No | ||||||||||
| Response Comments | ||||||||||
| Do you have experience working with individuals with disabilities? | Yes | No | ||||||||
| Bid Factor Response Required: Yes | ||||||||||
| Ideal Response Required: No | ||||||||||
| Response Comments | ||||||||||
| Do you have all required licensures and accreditation, as described in Section 7.1.5? Please attach. | Yes | No | ||||||||
| Bid Factor Response Required: Yes | ||||||||||
| Ideal Response Required: No | ||||||||||
| Response Comments | ||||||||||
| Attach completed and signed Exhibit A HHS Solicitation Affirmations, Pages 1-14. 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 and signed Exhibit B-1 Attachment 1 Security and Privacy Initial Inquiry (SPI). | A file attachment is required to satisfy this question. | |||||||||
| Bid Factor Response Required: No | ||||||||||
| 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 | ||||||||||
| Attach completed Exhibit F Form 4109 Application for Texas Identification Number, 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-HHS0017574 | Buy | RFx | 1 | 1 | Bidder Specific RFx Document Details | ||
| Event Name | RFx Document Bidder Details | ||||||
| Dental/Oral Surgery Services for AbSSLC | Event plan cannot be posted without the Task Name. | ||||||
| Post Date | Due Date | Event plan cannot be posted without the Task Owner. | |||||
| 06/29/2026 05:00 PM CST | 07/17/2026 | Collaboration due date has ended. | |||||
| Event Currency: | US Dollar | User Name | |||||
| Bids Allowed in Other Currency: | No | Submit To: | HHS Purchasing | ||||
| See Part A for Submission Instructions | |||||||
| United States | |||||||
| Contact: | Harrison,Vivian | ||||||
| Phone: | 512/406-2460 | ||||||
| Email: |
File details come from the government source that posted it. Updated .