ESBD_546626_1786029185478_Exhibit_C_Pricing Sheet.xls

This is an Exhibit C Pricing Sheet for a competitive solicitation issued by the Texas Health and Human Services Commission (HHSC) for dental anesthesia services at the Brenham State Supported Living Center (BSSLC) in Brenham, Texas. The solicitation, identified as HHSTX-HHS0017572V2, is structured as a Buy Request for Proposal (RFx) in Round 1, Version 1. The post date is August 6, 2026, with bids due on August 21, 2026, at 10:30 AM CST. The event currency is US Dollar, and bids in other currencies are not permitted. Submissions must be directed to HHS Purchasing in accordance with the submission instructions outlined in Appendix A of the solicitation.

Pricing for this contract is structured in two components: the contractor's cost per hour of dental anesthesia services as described in Section 7 of the solicitation, and the cost per 15-minute increment after the first hour. Both pricing lines are indicated as required responses with a best and worst response format, though specific dollar amounts are not populated in this pricing sheet. Bidders must submit completed Exhibits A (HHS Solicitation Affirmations), C (Pricing Sheet), and D (Bidder Reference Form) as mandatory attachments, with failure to submit resulting in bid disqualification. Additional required submissions include documentation of financial capability and solvency, addendum acknowledgment forms if applicable, Public Information Act copies of bid responses, and Form 4109 Application for TIN if applicable. The contact for inquiries is Jeramy Keil at HHS Purchasing.