Attachment E. - Timesheet for Contract Services.xlsx
XLSX spreadsheet 11 KB Posted
- Attached to
- LPN CMA CST CNA Services Federal contract opportunity
- Solicitation number
- IHS1460974
About this file
This document contains a timesheet template and information on a federal contract opportunity for healthcare staffing services. The timesheet template is to be used by contractors providing services under the contract and requires the contractor's signature, verification by the receiving department, and approval by the contracting officer representative.
The federal contract opportunity is to provide Licensed Practical Nurses, Certified Medical Assistants, Certified Surgical Technicians, and Certified Nursing Assistants for the Phoenix Indian Medical Center. The solicitation is identified as IHS1460974 and seeks these healthcare services. The opportunity was posted by the Department of Health and Human Services Indian Health Service. The timesheet template appears to correspond to the staffing services required under this contract and would be used to track and validate hours worked by contracted personnel.
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Text version
Sheet1
| PHOENIX INDIAN MEDICAL CENTER |
| STANDARD TIMESHEET FOR CONTRACT SERVICES |
| Contract Number:_____________________________ |
| PRINTED CONTRACTOR'S NAME:____________________________________DEPT/SERVICE__________________________________________ |
"I hereby certify that the hours worked during the weeks noted below are correct and are in accordance to the terms of the contract"
SIGNATURE OF CONTRACTOR: _________________________________________________ DATE SIGNED: ____________________________
| WEEK OF _________________________________________ | ||||||
| Weekday | Date | Time In | Lunch | Time Out | Total Hours | Description of Hours |
| Week of _________________________________ | ||||||
| Weekday | Date | Time In | Lunch | Time Out | Total Hours | Description of Hours |
"I hereby certify that the contract services provided in this timesheet are correct and are in accordance to the terms of the contract"
VERIFIED BY Department Receiving Official (Printed Name/Signature):_______________________________________________________________________
Contracting Officer Representative (Printed Name/Signature):________________________________________________________________________________
Sheet2
Sheet3
File details come from the government source that posted it. Updated .