ESBD_543191_1785183368909_Exhibit_C_Pricing Sheet.xls

This is an Exhibit C Pricing Sheet for a competitive bidding opportunity issued by the Texas Health and Human Services Commission (HHSC) for dental anesthesia services at the Brenham State Supported Living Center in Brenham, Texas. The solicitation, identified as HHSTX-HHS0017572, was posted on July 27, 2026, with a bid due date of August 17, 2026, at 10:30 AM CST. The contract seeks to establish pricing for dental anesthesia services provided to individuals residing at the facility. Bidders must submit responses through HHS Purchasing, with Jeramy Keil listed as the primary contact.

Pricing for this solicitation is structured on an hourly and incremental basis. Bidders are required to provide their cost for one hour of dental anesthesia services as described in Section 7 of the solicitation, as well as the cost for dental anesthesia services per 15-minute increments following the first hour. All bids must be submitted in US dollars, and bids in other currencies are not permitted. Submission requirements include completed and signed Exhibit A (HHS Solicitation Affirmations), Exhibit C (Pricing Sheet), Exhibit D (Bidder Reference Form), documentation of financial capability and solvency, any issued Addendum Acknowledgement Forms, and additional supporting documentation as applicable, including Form 4109 for Tax Identification Number applications where required. Failure to submit Exhibit A or the completed Exhibit C Pricing Sheet will result in bid disqualification.