Exhibit C.pdf
PDF 42 KB Posted
- Attached to
- FACILITY EQUIPMENT MAINTENANCE
- Solicitation number
- ARFQ 0512 WSH2500000002 1
- Issued by
- Lewis County, West Virginia
About this file
This is a West Virginia Purchase Continuation Sheet (WV-36) for a preventative and corrective maintenance service request issued by the State of West Virginia Department of Health and Human Resources for William R. Sharpe, Jr. Hospital. The request for quotations (ARFQ WSH250000002) seeks vendors to provide comprehensive facility equipment maintenance services on a twelve-month basis. The scope of work includes monthly preventative maintenance visits, corrective maintenance labor at an estimated ten trips annually (approximately thirty hours per year), parts and materials, and truck charges. The award will be made to the vendor submitting the lowest grand total that meets all specifications, with split awards explicitly not considered.
Pricing evaluation is based on four cost components: a monthly preventative maintenance rate multiplied by twelve months for the annual preventative maintenance cost; an hourly corrective maintenance labor rate multiplied by thirty estimated annual hours; a parts markup percentage applied to an estimated annual parts cost of five thousand dollars; and a per-trip truck charge multiplied by ten estimated annual trips. Vendors must provide all pricing information including unit rates for monthly preventative maintenance service, hourly labor rates, parts markup percentages, and truck charges per trip. The document requires vendor completion of contact information, signatures, and phone/fax/email details for evaluation purposes. The exact quantities of services required may vary from these estimates, with vendors agreeing to provide services whether quantities are more or less than estimated.
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Other files
| File | Type | Posted |
|---|---|---|
| TCA.pdf | ||
| DHHR pAffidavit.pdf | ||
| Exhibit A.docx | DOCX document | |
| WV36.pdf | ||
| RFQ Specifications.docx | DOCX document | |
| Exhibit B.xlsx | XLSX spreadsheet | |
| Final_ARFQ_0512_WSH2500000002_1_WV_ARFQ_FORM.PDF | ||
| WV43.pdf | ||
| OSAFederalFundsContractClauseAddendum.pdf |
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Text version
STATE OF WEST VIRGINIA
PURCHASE CONTINUATION SHEET
WV-36 (Rev. 01/01/07) Requisition / P.O. No.:
File:
Page ____ of ____ Pages
Spending Unit:
Acct. No.:
Vendor: __________________________________ P.O. Date: ____________________
Item No. Quantity Unit Price AmountDescription
| Text1: 1 |
| Text2: 1 |
| Text3: ARFQ WSH250000002 |
| Text4: |
| Text5: |
| Text6: WV DHF/William R. Sharpe, Jr. Hospital |
| Text7: |
| Text8: |
| Text9: |
#1
#2
#3
#4
Text10:
months hours annually annual parts cost trips annually Text11: AWARD: The award will be made to the vendor with the lowest grand total meeting all specifications contained within the Request for Quotations. Split awards will not be considered.
PRICING PAGE
PREVENTATIVE MAINTENANCE – Qty 12 months Cost for preventive maintenance service (per month) ** This is inclusive of all facility equipment
CORRECTIVE MAINTENANCE
LABOR - Weekday Rate (hourly rate) – ** Estimated 10 trips per year @ 3 hours per trip (30 hrs. annually)
PARTS_____% parts mark-up $5,000.00 in parts times multiplier equals (C) $____________ ** For example, 30% markup equals $5,000 x 1.3 = C above ***Estimated vendor cost for parts of $500.00 per trip x 10 trips annually equals $5,000 parts cost
TRUCK CHARGE - (D) Truck Charge
GRAND TOTAL
Quantities used are estimates for evaluation purposes only. It is agreed and understood that exact quantities will be provided whether more or less than these estimates.
Vendor Name: _______________________________________
Vendor Contact Name:_________________________________
Vendor Signature: ____________________________________
Phone: _____________________________________________
FAX: ______________________________________________
E-Mail address: ______________________________________
Vendor Name:________________________________________
Vendor Address:______________________________________
Signature:___________________________________________
Phone:___________________ Fax:_______________________
E-mail:______________________________________________
Text12:
(per month)
(hourly rate)
(cost per trip)
Text13:
(A) $__________ (per month x 12) (Total Preventative Maintenance Annual Cost)
(B) $__________ (hourly rate x 30) (Total Corrective Main. Labor Annual Cost)
(C) $__________ (Total Corrective Main. Parts Annual Cost)
(D) $__________ (per trip x 10) (Total Corrective Main. Trip/Truck Charge Annual Cost)
(A + B + C + D)
File details come from the government source that posted it. Updated .