DHHR43 Registered Dietician.pdf
PDF 101 KB Posted
- Attached to
- PROVIDE REGISTERED DIETICIAN SERVICES
- Solicitation number
- ARFQ 0512 MHC2400000002 1
- Issued by
- Marshall County, West Virginia
About this file
This is a Request for Quotations issued by the West Virginia Department of Shared Administration Purchasing Division on behalf of the John Manchin Sr. Health Care Center, a facility under the Department of Health Facilities. The solicitation seeks bids to establish a contract for Registered Dietitian Services. Written questions regarding the request must be submitted by 10:00 AM on January 23, 2024, through hand delivery, email to theresa.j.dorsey@wv.gov, fax, USPS, or courier to the Purchasing Division office in Charleston. Responses will be published in a solicitation addendum if appropriate. Bids are due to the WV Department of Shared Administration Purchasing Division at One Davis Square, Room 111, Charleston, WV 25301, Attention: Theresa Dorsey, by 10:00 AM on January 30, 2024. Services are to be provided at the John Manchin Sr. Health Care Center located at 401 Guffey Street in Fairmont, West Virginia.
The document does not specify item quantities, unit prices, delivery dates, F.O.B. terms, or contract duration in the provided content. Vendors must certify they have reviewed and agree to be bound by the DHHR Master Terms and Conditions. Authorized representatives must sign the quotation form and confirm their authority to bind the bidder to any resulting contract. Bidders are required to provide their Federal Employer Identification Number (FEIN) and certify proper registration with any applicable state agencies.
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Other files
| File | Type | Posted |
|---|---|---|
| WV36 Registered Dietician.pdf | ||
| PricingPageDieticianServices.xlsx | XLSX spreadsheet | |
| Provisions Required for Federally Funded Procurements.pdf | ||
| RFQ Registered Dietician Services.docx | DOCX document | |
| HIPPA-BAA Form.pdf | ||
| TCA Registered Dietician Services.pdf | ||
| Final_ARFQ_0512_MHC2400000002_1_WV_ARFQ_FORM.PDF |
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Text version
DHHR-43 (REV. 11/1 /17)
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 DHHR 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: 10:00 AM |
| undefined: 1/30/2024 |
| Req No: ARFQ 0512 MHC24*02 |
| Date: 1/16/2024 |
| Acct No: |
| Bid To Be Delivered To: WV Department of Shared Administration Purchasing Division |
One Davis Square, Room 111 Charleston, WV 25301 Attn: Theresa Dorsey Fax 304-558-2892 GoodsServices To Be Shipped To: John Manchin Sr Health Care Center 401 Guffey Street Fairmont, WV 26554 Attn: Jessica D. Morris Phone 304-363-2500 Fax 304-363-0263 Email: jessica.d.morris@wv.gov
| Delivery Requirements: |
| FEIN: |
| Terms: |
| Delivery Date: |
| FOB: |
| Item Number: |
| Quantity: |
| Description: The WV Department of Shared Administration Purchasing Division is soliciting bids on behalf of the Department of Health Facilities, John Manchin Sr. Health Care Center to establish a contract for Registered Dietitian Services. |
Questions regarding this Request for Quotation must be submitted in writing no later than 10:00 AM on January 23, 2024. Questions will be accepted via hand delivered hard copy, via email to theresa.j.dorsey@wv.gov, via fax, USPS, or courier to One Davis Square, Room 111, Charleston, WV 25301 Attn: Theresa Dorsey. A written response will be published in a solicitation addendum if a response is possible and appropriate. Non-written discussions, conversations, or questions and answers regarding this solicitation are preliminary in nature and are non-binding.
-Continued on page 2-
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