Atch E - Timesheet for Contract Service.xlsx
XLSX spreadsheet 12 KB Posted
- Attached to
- BIA Set-Aside: Radiology Technologist
- Solicitation number
- RFP-24-PHX-023
About this file
This document is a standard timesheet template for contract services related to a federal contract opportunity. The timesheet is for the Colorado River Service Unit and requires the contractor's name, department/service, signature, and details on weekly hours worked including descriptions. The timesheet must be verified by a Department Receiving Official and Contracting Officer Representative.
The related federal contract opportunity is for a 12-month base period with four 12-month option periods to acquire non-personal professional Diagnostic Radiologic Technologist-CT services for the Supai Health Clinic in Arizona. The intent is to minimize disruptions in clinical service due to staff changes and shortages. Requests for contractor coverage will be based on the clinic's changing needs. All respondents must submit the requested documents to the Contracting Officer.
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Text version
Sheet1
| COLORADO RIVER SERVICE UNIT |
| 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 .