ESBD_551411_1787172417231_Exhibit_C_Pricing Sheetv2.xlsm

XLSM spreadsheet 24 KB Posted

Attached to
Dental services needed for Lubbock SSLC residents.
Solicitation number
HHS0017757v2
Issued by
Texas

About this file

This is a pricing sheet and solicitation document for dental services procured by the Texas Health and Human Services Commission (HHS) for the Lubbock State Supported Living Center (SSLC). The solicitation (Event ID: HHSTX-HHS0017757v2) seeks dental services for residents of the Lubbock SSLC facility. The solicitation was posted on August 19, 2026, with a bid due date of September 2, 2026, at 10:30 AM CST. Respondents must submit all completed documents to the HHS Purchasing department via mail or email at PCS.Bids@HHS.Texas.Gov; faxed submissions will be considered non-responsive. The solicitation format is a reverse auction (Sell RFx) in Round 1, Version 2.

Bidding is conducted in US Dollars with no allowance for bids submitted in other currencies. The primary evaluation criterion is the standard rate per individual appointment during regular hours, with acceptable responses ranging from $0.00 to $200,000.00. Required submissions include: completed Exhibit C Pricing Sheet (disqualifying omission), completed and signed Exhibit A HHS Solicitation Affirmations (pages 1-13, disqualifying omission), completed Exhibit D Bidder Reference Form, State of Texas Medical Board dental certification, State of Texas Medical Board anesthesia certification, current CPR certification, completed Exhibit F Form 4109 (if applicable for TIN), evidence of financial capability and solvency, and signed Addendum Acknowledgement Forms if issued. The primary contact for the solicitation is Michael Mckelvy.

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General Details

Pricing Sheet
PeopleSoft Strategic Sourcing
Event IDFormatTypeRoundVersionRespondent:
HHSTX-HHS0017757v2SellRFx12Tin
Event NameAddress
Dental services needed for Lubbock SSLC residents.Phone
Post DateDue DateFax
08/19/202609/02/2026 10:30 AM CSTEmail
Event Currency:US DollarUser Name
Bids Allowed in Other Currency:NoSubmit To:HHS Purchasing
See Solicitation Document for Submission Instructions
Allow Bidder RFx EditsNo
Reviewed RFx DocumentYesUnited States
Event DescriptionContact:Mckelvy,Michael
Lubbock State Supported Living Center seeks dental services for residents.
General Questions
General Comments
- Please DO NOT alter the Price Sheet. Return all completed documents back to PCS Bid Room by mail, email at PCS.Bids@HHS.Texas.Gov, or online bid room. Faxes are no longer accepted and will be considered non-responsive. Instructions for submittal are provided in the Appendix A of the IFB bid solicitation document.
QuestionUOMBestWorstResponse:
What is your standard rate per individual appointment during regular hours per the PCS 137 solicitation document section 7?0.0200000.0
Bid Factor Response Required: Yes
Ideal Response Required: No
Response Comments
Please attach a copy of your State of Texas Medical Board of Dental Medical Examiners dental certification.A file attachment is required to satisfy this question.
Bid Factor Response Required: Yes

Response Comments

Please attach a copy of your State of Texas Medical Board of Dental Medical Examiners anesthesia certificationA file attachment is required to satisfy this question.
Bid Factor Response Required: Yes

Response Comments

Please attach a copy of your Cardiopulmonary Resuscitation (CPR) certification.A file attachment is required to satisfy this question.
Bid Factor Response Required: Yes

Response Comments

Please attach a completed Exhibit_F form 4109 application for TIN if applicable.A file attachment is required to satisfy this question.
Bid Factor Response Required: No

Response Comments

Attach completed and signed Exhibit A HHS Solicitation Affirmations, Pages 1-13. Failure to submit will disqualify bid response.A file attachment is required to satisfy this question.
Bid Factor Response Required: Yes

Response Comments

Attach completed Exhibit C Pricing Sheet. Failure to submit will disqualify bid response.A file attachment is required to satisfy this question.
Bid Factor Response Required: Yes

Response Comments

Attach completed Exhibit D Bidder Reference Form.A file attachment is required to satisfy this question.
Bid Factor Response Required: Yes

Response Comments

Attach other information pertinent to demonstrate financial capability, financial solvency and ability to perform and capacity to fulfill the solicitation requirements.A file attachment is required to satisfy this question.
Bid Factor Response Required: Yes

Response Comments

Attach completed and signed Addendum Acknowledgement Form(s), if issued.A file attachment is required to satisfy this question.
Bid Factor Response Required: No

Response Comments

Attach Public Information Act copy of bid response, if applicable.A file attachment is required to satisfy this question.
Bid Factor Response Required: No

Response Comments

Test

Event Details
PeopleSoft Strategic Sourcing
Event IDFormatTypeRoundVersionRespondent:Item ID:
HHSTX-HHS0017757SellRFx12
Event NameSubmit To:HHS Purchasing
Dental services needed for Lubbock SSLC residents.See Part A for Submission Instructions
Post DateDue Date
08/20/2026 10:36 AM CST09/03/2026United States
Event Currency:US DollarContact:Mckelvy,Michael
Bids Allowed in Other Currency:NoPhone:
Email:

File details come from the government source that posted it. Updated .