ESBD_542563_1784926428126_Exhibit_C_Pricing Shet.xlsm

XLSM spreadsheet 21 KB Posted

Attached to
Audiology services needed for residents of RSSLC
Solicitation number
HHS0017735
Issued by
Texas

About this file

This is a pricing sheet and event details document for a Request for Quote issued by the Texas Health and Human Services Commission (HHS) for audiology services at Richmond State Supported Living Center (RSSLC). The solicitation seeks audiology services for residents during both normal and outside normal business hours as detailed in Section 7 of the PCS 137 solicitation document. The solicitation was posted on July 24, 2026, with a bid due date of August 10, 2026, at 10:30 AM CST. Bidders are required to submit responses through HHS Purchasing in accordance with Part A submission instructions. The event is identified as HHSTX-HHS0017735 and is conducted as a Sell RFx (Request for Quote) in Round 1.

Pricing shall be submitted in US dollars only, with per-individual pricing required for audiology services during normal hours and outside normal hours, with acceptable bid ranges from $0.00 to $200,000.00 for each category. Required submission documents include a copy of the bidder's Texas Audiology license, completed Exhibit A (HHS Solicitation Affirmations, Pages 1-13), completed Exhibit C Pricing Sheet, completed Exhibit D Bidder Reference Form, and documentation demonstrating financial capability and solvency. Optional submissions include Exhibit F (Form 4109 for TIN application if applicable), Addendum Acknowledgement Form(s) if issued, and Public Information Act copies of bid responses. Failure to submit Exhibits A and C will result in bid disqualification.

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General Details

Pricing Sheet
PeopleSoft Strategic Sourcing
Event IDFormatTypeRoundVersionRespondent:
HHSTX-HHS0017735SellRFx11Bidder Name
Event NameTin
Audiology services needed for residents of RSSLCAddress
Post DateDue DatePhone
7/24/202608/10/2026 10:30 AM CSTFax
Event Currency:US DollarEmail
Bids Allowed in Other Currency:NoSubmit To:HHS Purchasing
See Solicitation Document for Submission Instructions
United States
Contact:Mckelvy,Michael
Phone:
Email:
Event Description
Richmond State Supported Living Center seeks audiology services for residents.
General Questions
QuestionUOMBestWorstResponse:
Please provide your per individual pricing for the audiology services as described in section 7 of the PCS 137 solicitation document during normal hours?0.0200000.0
Bid Factor Response Required: Yes
Ideal Response Required: No
Response Comments
Please provide your per individual pricing for the audiology services as described in section 7 of the PCS 137 solicitation document during outside normal hours?0.0200000.0
Bid Factor Response Required: Yes
Ideal Response Required: No
Response Comments
Please attach a copy of your state of Texas Audiology license.A file attachment is required to satisfy this question.
Bid Factor Response Required: Yes

Response Comments

Please fill out exhibit_F form 4109 for application for a 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-HHS0017735SellRFx11Bidder Specific RFx Document Details
Event NameRFx Document Bidder Details
Audiology services needed for residents of RSSLCEvent plan cannot be posted without the Task Name.
Post DateDue DateEvent plan cannot be posted without the Task Owner.
07/16/2026 04:13 PM CST07/30/2026Collaboration 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 .