ESBD_564403_1790951262021_HHS0018027 - Exhibit C Pricing Sheet.pdf
PDF 145 KB Posted
- Attached to
- Dental Anesthesia Services Lubbock SSLC
- Solicitation number
- HHS0018027
- Issued by
- Texas
About this file
This is an Exhibit C Pricing Sheet for a Request for Proposals (RFP) issued by the Texas Health and Human Services Commission (HHS) on behalf of Lubbock State Supported Living Center (SSLC). The solicitation seeks dental anesthesia services for residents at the facility. The event was posted on October 2, 2026, with a due date of October 19, 2026, at 10:30 AM Central Standard Time. Bidders must submit all completed documents to the PCS Bid Room by mail, email to PCS.Bids@HHS.Texas.Gov, or through the online bid room; faxed submissions will not be accepted. The solicitation requires respondents to provide a standard rate per individual appointment during regular hours as referenced in PCS 137 solicitation document section 7.
Bidders are required to submit several supporting documents as part of their proposal, including State of Texas Medical Board of Dental Medical Examiners dental certification, anesthesia certification, Cardiopulmonary Resuscitation (CPR) certification, completed Exhibit A HHS Solicitation Affirmations (pages 1-13), the completed Exhibit C Pricing Sheet, and Exhibit D Bidder Reference Form. Bidders must also provide documentation demonstrating financial capability, financial solvency, ability to perform, and capacity to fulfill solicitation requirements. Optional submissions include a completed Exhibit F form 4109 application for Taxpayer Identification Number (if applicable), completed and signed Addendum Acknowledgement Form(s) if issued, and a Public Information Act copy of the bid response if applicable. The solicitation is conducted in U.S. dollars with no alternative currency bids permitted, and the primary contact for general questions is Kimberly Andrew.
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Text version
Pricing Sheet
Event ID Format Type Round Version
HHS0018027 Sell RFx 1 1
Event Name
Post Date
Event Currency: US Dollar
Bids Allowed in Other Currency: No
Respondent:
Submit To: HHS Purchasing
See Solicitation Document for Submission Instructions
United States
Event Description Contact: Andrew,Kimberly
General Questions
General Comments
Dental Anesthesia Services Lubbock SSLC
10/02/2026
Due Date
10/19/2026 10:30 AM CST
Lubbock State Supported Living Center seeks dental services for residents.
- 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.
Question Response:
What is your standard rate per individual appointment during regular hours per the PCS 137 solicitation document section 7?
Bid Factor Response Required: Yes
Please attach a copy of your State of Texas Medical Board of Dental Medical Examiners dental certification.
Bid Factor Response Required: Yes
Please attach a copy of your State of Texas Medical Board of Dental Medical Examiners anesthesia certification
Bid Factor Response Required: Yes
Please attach a copy of your Cardiopulmonary Resuscitation (CPR) certification.
Bid Factor Response Required: Yes
Please attach a completed Exhibit_F form 4109 application for TIN if applicable.
Bid Factor Response Required: No
Attach completed and signed Exhibit A HHS Solicitation Affirmations, Pages 1-13. Failure to submit will disqualify bid response.
Bid Factor Response Required: Yes
Attach completed Exhibit C Pricing Sheet. Failure to submit will disqualify bid response.
Bid Factor Response Required: Yes
Attach completed Exhibit D Bidder Reference Form.
Bid Factor Response Required: Yes
Attach other information pertinent to demonstrate financial capability, financial solvency and ability to perform and capacity to fulfill the solicitation requirements.
Bid Factor Response Required: Yes
Attach completed and signed Addendum Acknowledgement Form(s), if issued.
Bid Factor Response Required: No
Bid Factor Response Required: No
Attach Public Information Act copy of bid response, if applicable.
File details come from the government source that posted it. Updated .