ESBD_546835_1786036580755_Exhibit_C_Pricing Sheet_HHS0017597v2.xlsm

This is an Exhibit C Pricing Sheet for a strategic sourcing event issued by the Texas Department of Health and Human Services (HHS) for dental anesthesia services needed at the El Paso State Supported Living Center (SSLC). The solicitation, identified as HHSTX-HHS0017597v2, was posted on August 6, 2026, with a bid due date of August 20, 2026, at 10:30 AM CST. The event seeks dental anesthesia services for residents at the El Paso SSLC, with one line item classified under NIGP Class 94828 in a LOT quantity format. All bids must be submitted to HHS Purchasing through the PCS Bid Room by mail or email at PCS.Bids@HHS.Texas.Gov; faxed submissions are no longer accepted and will be considered non-responsive. Submission instructions are provided in Appendix A of the IFB bid solicitation document.

Bidders are required to provide hourly rates for services during both regular hours and outside regular hours, with a bid range of $0.0 to $200,000.0 per hour. Required submissions include a copy of DDS certification authorizing performance of these services in Texas, current liability insurance documentation, 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, financial solvency, and capacity to fulfill solicitation requirements. Optional submissions include completed Form 4109 application for TIN (if applicable), completed and signed Addendum Acknowledgement Form(s) if issued, and Public Information Act copies of bid responses if applicable. The event is conducted in US Dollars with no alternative currency bids permitted, and bidder RFx edits are not allowed.