ESBD_548672_1786572472442_Exhibit_C Pricing Sheet_HHS0017609v2.xlsm

This is an Exhibit C Pricing Sheet for a Texas Health and Human Services (HHS) solicitation issued by the Austin State Supported Living Center (SSLC) seeking dental anesthesia services for residents. The solicitation was posted on August 12, 2026, with a due date of August 26, 2026, at 10:30 AM CST. The bidding process is conducted through PeopleSoft Strategic Sourcing, and submissions must be returned to the HHS Purchasing department via mail, email at PCS.Bids@HHS.Texas.Gov, or through the online bid room. Faxed submissions are no longer accepted and will be deemed non-responsive.

Bidders are required to provide hourly rates for dental anesthesia services during regular hours and outside regular hours, with acceptable rates ranging from $0.00 to $200,000.00 per hour. All bid responses must include mandatory documentation, including a Texas Board of Dental Examiners License, completed Exhibit A (HHS Solicitation Affirmations), Exhibit C (Pricing Sheet), Exhibit B-1 (Security and Privacy Initial Inquiry), and Exhibit D (Bidder Reference Form). Bidders may be required to submit additional documentation demonstrating financial capability, solvency, and capacity to perform. Optional submissions include Form 4109 (Application for TIN) and Addendum Acknowledgement Forms if applicable. The solicitation specifies that failure to submit certain required documents will result in bid disqualification.