ARFQ WEH2600000004 OSA - 43.pdf
PDF 136 KB Posted
- Attached to
- Lease Agreement Endoscopic System
- Solicitation number
- ARFQ-0512-WEH2600000004-1
- Issued by
- Mingo County, West Virginia
About this file
This is a Request for Quotations (RFQ) issued by the West Virginia Office of Shared Administration (WVOSA), Purchasing Division on behalf of the Department of Health Facilities for Welch Community Hospital. The document solicits bids for establishing a lease agreement for one (1) NEW ELUXEO Endoscopic System or equivalent for Welch Community Hospital, located at 454 McDowell Street in Welch, WV 24801. The bid is to be delivered to the OSA Purchasing Division by 10/22/2025 at 1:30 P.M., with the requisition number ARFQ WEH260000004.
The document provides a standard RFQ template with spaces for vendor information, delivery requirements, and pricing, but no specific pricing or vendor details are currently filled in. The RFQ includes general terms and conditions, with the vendor required to certify understanding and agreement to the OSA Master Terms and Conditions. The document emphasizes that this is not an order, but a request for quotations, and requires the authorized vendor representative to sign, certifying review of all requirements, terms, and conditions, and affirming proper state registration.
View the file
Other files
| File | Type | Posted |
|---|---|---|
| ARFQ WEH2600000004 DoHS Exempt TCA.pdf | ||
| ARFQ WEH2600000004 Specifications.docx | DOCX document | |
| ARFQ WEH2600000004 WV HIPAA BAA.pdf | ||
| Final_ARFQ_0512_WEH2600000004_1_WV_ARFQ_FORM.PDF | ||
| ARFQ WEH2600000004 PAffidavit.pdf | ||
| ARFQ WEH2600000004 WV-36.pdf | ||
| Federal Funds Addendum.pdf | ||
| ARFQ WEH2600000004 Pricing Page.xlsx | XLSX spreadsheet |
On GovTribe
Work with this file
- Download the original file
- Contacts named in this file
- Similar government files
- Ask GovTribe AI about this file
Text version
OSA-43 (REV. 03/21/24)
Vendor w
Address w
Telephone Number w ( )
Date Acct. No.
Return by ______________ on ______________
Item Number Quantity Unit Price AmountDescription
Delivery Requirements F.O.B.
REQUEST FOR QUOTATIONS
THIS IS NOT AN ORDER
Req. No.
Delivery DateTermsFEIN
TOTAL $
Vendor - Authorized Representative Signature of Authorized Representative
Bid To Be Delivered To:
Goods/Services To Be Shipped To:
GENERAL TERMS AND CONDITIONS: The OSA Master Terms and Conditions are hereby made a part of this agreement and are specifically incorporated herein by reference. By signing this document, Vendor certifies it has reviewed the Terms and Conditions, fully understands them, and agrees to be bound by their provisions.
By signing below, I certify that I have reviewed this Requisition for Quotations in its entirety; understand the requirements, terms and conditions, and other information contained herein; that I am submitting this quotation for review and consideration; that I am authorized by the bidder to execute this bid or any documents related thereto on bidder's behalf; that I am authorized to bind the bidder in a contractual relationship; and that to the best of my knowledge, the bidder has properly registered with any State agency that may require registration.
| on: 10/22/2025 |
| undefined: 1:30 P.M. |
| Req No: ARFQ WEH2600000004 |
| Date: 09/23/2025 |
| Acct No: |
| Bid To Be Delivered To: OSA Purchasing Division |
Attn: Melissa S Spitzer One Davis Square, Room 107 Charleston, WV 25301 Fax: (304) 558-2892 GoodsServices To Be Shipped To: Welch Community Hospital 454 McDowell Street Welch WV 24801
| Delivery Requirements: |
| FEIN: |
| Terms: |
| Delivery Date: |
| FOB: |
| Item Number: |
| Quantity: |
| Description: The West Virginia Office of Shared Administration (WVOSA), Purchasing Division is soliciting bids on behalf of The Department of Health Facilities, Welch Community Hospital (Agency) to establish establish a lease agreement for one (1) NEW ELUXEO Endoscopic System or equal for Welch Community Hospital, which is located at 454 McDowell Street, Welch, WV 24801. |
- Continue page 2 -
| Unit Price: |
| Amount: |
| fill_26: |
| Text2: |
| Text3: |
| Text1: |
File details come from the government source that posted it. Updated .