SCHEDULE OF CHARGES_ Fillable.docx

This is a Schedule of Charges pricing template for a pediatric dentist services contract. The document establishes the pricing structure for one full-time Pediatric Dentist position at the Albuquerque Indian Dental Clinic, with service delivery calculated as 27 hours per week over 50 weeks annually. The contract includes a base year (TBD/2026-TBD/2027) and four option years (TBD/2027-2031), with bidders required to fill in hourly rates for each contract period. The total contract value will be calculated by multiplying the hourly rate by 1,350 annual hours (27 hours/week × 50 weeks) for each year, with a grand total encompassing all five years of potential performance.

This pricing template is part of Solicitation No. 75H70726Q00034, issued by the Department of Health and Human Services Indian Health Service as a Request for Quotation (RFQ). Quotes must be submitted via email to Stephanie.Begay3@ihs.gov by 12:30 p.m. MST on Tuesday, February 24, 2026. The service will be provided at the Albuquerque Indian Dental Clinic in Albuquerque, New Mexico, and this is an unrestricted solicitation with no set-asides.