ESBD_546853_1786049960638_Exhibit_C_Pricing Sheet_HHS0017238v2.xlsm

This is an Exhibit C Pricing Sheet for a Texas Health and Human Services (HHS) solicitation (PCS 137, Event ID HHSTX-HHS0017238v2) issued by San Angelo State Supported Living Center for dental services. The solicitation was posted on August 6, 2026, with a response deadline of August 20, 2026, at 10:30 AM CST. Bidders must provide dental services for residents at the facility, with pricing structured around two service categories: hourly rates for services provided during regular hours and hourly rates for services provided outside regular hours. Bidders are required to submit completed documentation including Texas State Dental Board licenses, current DEA registration, dental licenses for ancillary personnel, current CPR certification, Exhibit A HHS Solicitation Affirmations, the Exhibit C Pricing Sheet, Exhibit D Bidder Reference Form, documentation of minimum experience and qualifications, and evidence of financial capability and ability to perform.

Bidders must submit hourly rate proposals ranging from a minimum of $0.00 to a maximum of $200,000.00 per hour for both regular and outside regular hours services. All submissions must be made to HHS Purchasing in U.S. dollars only, with no alternative currency accepted. Critical submission requirements include completion and signature of all required exhibits and supporting documentation; failure to submit the Exhibit A Affirmations or Exhibit C Pricing Sheet will result in bid disqualification. Bidders are also required to demonstrate their operational capacity, including years in business, number of employees, and supervisory structure, as well as provide documentation supporting financial solvency and ability to perform the contract requirements.