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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General Details

Pricing Sheet
PeopleSoft Strategic Sourcing
Event IDFormatTypeRoundVersionRespondent:
HHSTX-HHS0018095SellRFx11Bidder Name
Event NameTin
FY27 Dental Services for RGSCAddress
Post DateDue DatePhone
11/3/2611/19/2026 10:30 AM CSTFax
Event Currency:US DollarEmail
Bids Allowed in Other Currency:NoSubmit 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
QuestionUOMBestWorstResponse:
What is your total cost for dental services for 4-5 patients per half-day session?0.0200000.0
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?0.0200000.0
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 applicableA 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-HHS0018095SellRFx11Bidder Specific RFx Document Details
Event NameRFx Document Bidder Details
FY27 Dental Services for RGSCEvent plan cannot be posted without the Task Name.
Post DateDue DateEvent plan cannot be posted without the Task Owner.
10/23/2026 11:38 AM CST11/09/2026Collaboration due date has ended.
Event Currency:US DollarUser Name
Bids Allowed in Other Currency:NoSubmit 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 .