ESBD_536622_1783691507634_HHS0017583 - Exhibit C - Pricing Sheet.xlsx

This is a Pricing Sheet (Exhibit C) for a formal Invitation for Bid (IFB) issued by the State of Texas for Medical Gases and Cylinder Rentals services to support Terrell State Hospital located at 1200 E Brin, Terrell, TX 75160. The solicitation number is HHS0017583 with a response due date of July 27, 2026 at 10:30 AM. The contract is structured as a blanket order with a primary term from the date of award through August 31, 2027, followed by two renewal options. The vendor must provide medical gas refills including Oxygen 180L refills for tanks, Oxygen AM 24USPOT refills, and Carbon Dioxide (CO2) 50-pound cylinders, with monthly cylinder rentals for both oxygen and CO2. The vendor is also responsible for delivery services and hazmat handling. Service requirements include 24-hour delivery for routine orders, 2-hour emergency delivery response, and special arrangements during inclement weather conditions, with the vendor maintaining direct contact availability through a designated account representative.

The pricing sheet indicates a total blanket order amount of $31,520.00 for the contract term, though individual unit prices and extensions are listed as zero dollars on the form, suggesting this is a template awaiting vendor pricing submissions. The quote terms require F.O.B. Destination with freight prepaid and included in the pricing, or vendors must specify exact delivery costs separately. Standard delivery is considered 14 days after receipt of order unless otherwise stated. The pricing sheet does not specify set-asides, incumbent information, or funding sources within the document itself.