ESBD_571771_1793047973567_HHS0018027v2 - Exhibit C Pricing Sheet.pdf
PDF 194 KB Posted
- Attached to
- Dental Anesthesiologist Services at Lubbock SSLC
- Solicitation number
- HHS0018027v2
- Issued by
- Texas
About this file
This is an Exhibit C Pricing Sheet for a dental anesthesia services solicitation issued by the Lubbock State Supported Living Center (SSLC), a facility under the Texas Health and Human Services (HHS) agency. The solicitation seeks dental anesthesia services for residents at the Lubbock SSLC. The solicitation was posted on October 26, 2026, with a bid due date of November 9, 2026, at 10:30 AM CST. Bidders must submit all completed documents to the HHS Purchasing department via mail, email at PCS.Bids@HHS.Texas.Gov, or through the online bid room; faxed submissions will not be accepted and deemed non-responsive.
Respondents are required to provide their standard rate per individual appointment during regular hours as specified in PCS 137 solicitation document section 7. Mandatory submittal requirements include current State of Texas Medical Board of Dental Medical Examiners dental and anesthesia certifications, Cardiopulmonary Resuscitation (CPR) certification, completed Exhibit A HHS Solicitation Affirmations (pages 1-13), completed Exhibit C Pricing Sheet, completed Exhibit D Bidder Reference Form, and documentation demonstrating financial capability, solvency, and ability to perform. An Exhibit F Form 4109 application for Tax Identification Number is required if applicable. Completed and signed Addendum Acknowledgement Forms must be submitted if any addenda were issued. Failure to submit Exhibit A or Exhibit C will result in bid disqualification.
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Text version
Pricing Sheet
Event ID Format Type Round Version
HHS0018027v2 Sell RFx 1 2
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
10/26/2026
Due Date
11/9/2026 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 .