ESBD_566785_1791574891006_Exhibit_C_Pricing Sheet_HHS0018063.xlsm

This is a Pricing Sheet for a Request for Proposal (RFP) issued by the Texas Health and Human Services Commission (HHS) for dental services at the San Angelo State Supported Living Center (SSLC). The solicitation, identified as HHSTX-HHS0018063, seeks dental services for individual resident care at the facility. The solicitation was posted on October 9, 2026, with a due date of October 26, 2026, at 10:30 AM CST. The contract period runs from September 1, 2026, through August 31, 2027, covering fiscal year 2027. Bidders must submit responses through the HHS Purchasing department, with Michael McKelvy listed as the primary contact for the solicitation.

Pricing for the dental services is structured on an hourly rate basis, with separate rates required for regular hours and outside regular hours, with acceptable bids ranging from $0.00 to $200,000.00 per hour. Bidders must submit numerous supporting documents as conditions of bid qualification, including a Texas State Dental Board License and current registration certificate, DEA registration, current dental licenses for ancillary personnel, current CPR certification, completed Exhibit A HHS Solicitation Affirmations (pages 1-13), completed Exhibit D Pricing Sheet, Exhibit D Bidder References and Qualifications, and documentation demonstrating financial capability and capacity to perform. Failure to submit the Exhibit A Solicitation Affirmations and Exhibit D Pricing Sheet will result in bid disqualification. The solicitation also allows for submission of Addendum Acknowledgement Forms and Public Information Act copies if applicable. All bids must be submitted in U.S. dollars, with no alternative currency accepted.