ESBD_535906_1783624475820_Exhibit_C_Pricing Sheet.xlsm

This is an Exhibit C Pricing Sheet for a competitive solicitation issued by the Texas Health and Human Services Commission (HHS) on behalf of the Austin State Supported Living Center (SSLC) seeking Dental Anesthesia Services. The solicitation, identified as HHSTX-HHS0017609, was posted on July 9, 2026, with a response deadline of July 27, 2026, at 10:30 AM Central Standard Time. Bidders are required to submit their pricing responses and supporting documentation through the PeopleSoft Strategic Sourcing platform to HHS Purchasing. The solicitation requests pricing for two distinct service scenarios: hourly rates for dental anesthesia services during regular business hours and hourly rates for services provided outside regular hours, as defined in Section 7 of the PCS 137 solicitation document.

Bidders must submit pricing responses with a range between $0.00 and $200,000.00 per hour for each service category. In addition to pricing, bidders are required to submit the completed Exhibit C Pricing Sheet, evidence of a valid Texas Board of Dental Examiners License, the signed Exhibit A HHS Solicitation Affirmations (Pages 1-13), completed Exhibit B-1 Security and Privacy Initial Inquiry form, Exhibit D Bidder Reference Form, and documentation demonstrating financial capability, solvency, and capacity to perform. Bidders must also acknowledge any issued addenda. All bids are to be submitted in US dollars, and alternative currency submissions are not permitted. The contact for questions regarding this solicitation is Michael McKelvy at HHS Purchasing.