ESBD_573386_1793745647359_Exhibit_C_Pricing Sheet_HHS0018095.xlsm
XLSM spreadsheet 18 KB Posted
- Attached to
- FY27 Dental Services for RGSC
- Solicitation number
- HHS0018095
- Issued by
- Texas
About this file
This is a pricing sheet for a Request for Proposal (RFP) issued by the Texas Health and Human Services (HHS) agency for dental services at Rio Grande State Center (RGSC) in fiscal year 2027. The solicitation, identified as HHSTX-HHS0018095, was posted on November 3, 2026, with a submission deadline of November 19, 2026, at 10:30 AM Central Standard Time. Bidders are required to provide pricing for dental services accommodating 4-5 patients per half-day session during both normal and outside normal operating hours. The event is structured as a single round RFP conducted through PeopleSoft Strategic Sourcing, with all bids required to be submitted in U.S. dollars. Contact for the solicitation is Jordan Kristian Laughlin with HHS Purchasing.
Bidders must submit responses that include completed Exhibits A (HHS Solicitation Affirmations), C (Pricing Sheet), and D (Bidder Reference Form), along with mandatory supporting documentation including current licenses from the Texas Board of Dental Examiners and the Drug Enforcement Administration, valid liability insurance certificates, and evidence of financial capability and solvency. The pricing sheet establishes a cost range from $0.00 to $200,000.00 for the primary service question and the same range for outside normal hours services. A separate bidder-specific RFx document details indicate a collaboration due date of October 23, 2026, at 11:38 AM CST, with document submission required by November 9, 2026. Addendum acknowledgement forms must be submitted if issued, and bidders are required to demonstrate financial capability and capacity to fulfill all solicitation requirements.
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Text version
General Details
| Pricing Sheet | ||||||
| PeopleSoft Strategic Sourcing | ||||||
| Event ID | Format | Type | Round | Version | Respondent: | |
| HHSTX-HHS0018095 | Sell | RFx | 1 | 1 | Bidder Name | |
| Event Name | Tin | |||||
| FY27 Dental Services for RGSC | Address | |||||
| Post Date | Due Date | Phone | ||||
| 11/3/26 | 11/19/2026 10:30 AM CST | Fax | ||||
| Event Currency: | US Dollar | |||||
| Bids Allowed in Other Currency: | No | Submit To: | HHS Purchasing | |||
| See Solicitation Document for Submission Instructions |
| United States | ||||||
| Contact: | Laughlin,Jordan Kristian | |||||
| Phone: | ||||||
| Email: | ||||||
| Event Description | ||||||
| Request to provide dental services for Rio Grande State Center | ||||||
| General Questions | ||||||
| Question | UOM | Best | Worst | Response: | ||
| What is your total cost for dental services for 4-5 patients per half-day session? | 0.0 | 200000.0 | ||||
| Bid Factor Response Required: Yes | ||||||
| Ideal Response Required: No | ||||||
| Response Comments |
| What is your total cost for dental services for 4-5 patients per half-day session during outside normal hours? | 0.0 | 200000.0 |
| Bid Factor Response Required: Yes | ||
| Ideal Response Required: No | ||
| Response Comments |
| Please attach a copy of your current license with the State of Texas Board of Dental Examiners. | A file attachment is required to satisfy this question. |
| Bid Factor Response Required: Yes |
Response Comments
| Please attach a current license with the Department of Justice Drug Enforcement Administration. | A file attachment is required to satisfy this question. |
| Bid Factor Response Required: Yes |
Response Comments
| Please attach a valid certificate of Liability Insurance. | A file attachment is required to satisfy this question. |
| Bid Factor Response Required: Yes |
Response Comments
| Please attach a copy of 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 ID | Format | Type | Round | Version | Respondent: | Item ID: | |
| HHSTX-HHS0018095 | Sell | RFx | 1 | 1 | Bidder Specific RFx Document Details | ||
| Event Name | RFx Document Bidder Details | ||||||
| FY27 Dental Services for RGSC | Event plan cannot be posted without the Task Name. | ||||||
| Post Date | Due Date | Event plan cannot be posted without the Task Owner. | |||||
| 10/23/2026 11:38 AM CST | 11/09/2026 | Collaboration due date has ended. | |||||
| Event Currency: | US Dollar | User Name | |||||
| Bids Allowed in Other Currency: | No | Submit To: | HHS Purchasing | ||||
| See Part A for Submission Instructions |
| United States | |
| Contact: | Laughlin,Jordan Kristian |
| Phone: | |
| Email: |
File details come from the government source that posted it. Updated .