Fillable Table for Pricing Schedule.docx

The document is a Pricing Schedule template for an Orthodontic Dental Assistant contract for the Indian Health Service (IHS) Albuquerque Indian Dental Clinic. The solicitation (RFQ No. 75H70726Q00019) is a total Indian Small Business Economic Enterprise (ISBEE) set-aside under the Buy Indian Act, seeking one Orthodontic Dental Assistant for a base year with four optional extension years. The contract is structured with five Contract Line Item Numbers (CLINs) covering the period from 2026 to 2031, with each year priced at 1 dental assistant x hourly rate x 27 hours/week x 52 weeks.

Key details include a quote submission deadline of 5:30 pm MST on January 6, 2026, with questions due by 12:30 pm MST on December 23, 2025. The place of performance is the Albuquerque Indian Dental Clinic located at 9169 Coors Blvd NW, Albuquerque, NM 87120. The solicitation is specifically targeted at Indian Small Business Economic Enterprises that are also small business concerns, with offers to be submitted via email to Stephanie.Begay3@ihs.gov. The contracting agency is the Department of Health and Human Services Indian Health Service.