ARFQ WEH2600000004 OSA - 43.pdf
PDF 136 KB Posted
- Attached to
- Lease Agreement Endoscopic System
- Solicitation number
- ARFQ 0512 WEH2600000004 1
- Issued by
- Mineral 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 and Welch Community Hospital. The solicitation seeks bids to establish a lease agreement for one (1) new ELUXEO Endoscopic System or equivalent for Welch Community Hospital, located at 454 McDowell Street, Welch, WV 24801. The bid submission deadline is October 22, 2025, at 1:30 P.M., with bids to be delivered to OSA Purchasing Division, Attn: Melissa S Spitzer, One Davis Square, Room 107, Charleston, WV 25301, or via fax to (304) 558-2892. The goods or services are to be shipped to Welch Community Hospital at the specified address.
Pricing terms, delivery requirements, F.O.B. designation, and other specific bid parameters are to be completed by the vendor on the quotation form. Vendor submission certifies review and understanding of the OSA Master Terms and Conditions, which are incorporated by reference into the agreement. Vendors must confirm proper registration with any applicable state agencies and certify that the authorized representative executing the bid is authorized to bind the bidder in a contractual relationship. No additional information regarding pricing structure, set-asides, incumbents, or funding sources is specified in this solicitation document.
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Other files
| File | Type | Posted |
|---|---|---|
| ARFQ WEH2600000004 WV HIPAA BAA.pdf | ||
| ARFQ WEH2600000004 Pricing Page.xlsx | XLSX spreadsheet | |
| ARFQ WEH2600000004 Specifications.docx | DOCX document | |
| ARFQ WEH2600000004 DoHS Exempt TCA.pdf | ||
| ARFQ WEH2600000004 PAffidavit.pdf | ||
| Final_ARFQ_0512_WEH2600000004_1_WV_ARFQ_FORM.PDF | ||
| ARFQ WEH2600000004 WV-36.pdf | ||
| Federal Funds Addendum.pdf |
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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. |
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