Final_ARFQ_0506_HOP1500000011_1_ARFQ_FORM.PDF

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Attached to
DISHWASHER DISPENSING EQUIPMENT AND SUPPLIES
Solicitation number
ARFQ 0506 HOP1500000011 1
Issued by
Pleasants County, Tioga CDP, West Virginia

About this file

This is an Agency Master Agreement Request for Quotation (ARFQ) issued by the State of West Virginia Department of Health and Human Resources on behalf of Hopemont Hospital for dishwasher dispensing equipment and supplies. The solicitation seeks quotations for six line items of Ecolab brand products or approved equivalents: Solid Power Plus (75 cases), Jet Dry (60 cases), Multi-Quat Sanitizer (10 cases), Pantastic Detergent (10 cases), and Universal Day Dots (40 rolls). All shipments must be received within two business days of order placement and shipped to Hopemont Hospital's Central Receiving at 150 Hopemont Drive, Terra Alta, West Virginia. The solicitation was issued on July 21, 2015, with a deadline for questions by 4:00 PM on August 7, 2015, and responses due by August 14, 2015 at 12:00 PM. Invoices should be directed to Hopemont Hospital Accounts Payable at the same address.

Bidders must provide unit pricing and total pricing for each line item, with all costs including shipping to the destination. The estimated quantities provided are for bidding purposes only and may vary based on actual hospital needs. Procurement inquiries should be directed to Mary (Susie) Teel at (304) 558-1294 or susie.m.teel@wv.gov, with general procurement officer contact at (304) 789-2411. The solicitation form indicates this is a miscellaneous procurement type under the master agreement structure, allowing the state to establish pricing for future purchases of these standardized dishwasher products.

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Solicitation Number : FORM ID : WV-PRC-ARFQ-001Date Printed : Page : 1Jul 21, 2015 HOP1500000011

PhaseVersionSolicitation NoSolicitation ClosesDate Issued

Procurement Folder :

Document Description :

Procurement Type :

State of West Virginia Request For Quotation

Miscellaneous

117536

DISHWASHER DISPENSING EQUIPMENT AND SUPPLIES

Agency Master Agreement

2015-07-23 2015-08-14 12:00:00

ARFQ 0506 1 FinalHOP1500000011

SUBMIT RESPONSES TO: VENDOR

Vendor Name, Address and Telephone

PROCUREMENT OFFICER - 304-789-2411

HEALTH AND HUMAN RESOURCES

HOPEMONT HOSPITAL

150 HOPEMONT DR

TERRA ALTA WV 26764-7728

US

All offers subject to all terms and conditions contained in this solicitation DATEFEIN #Signature X

FOR INFORMATION CONTACT THE

Mary (Susie) Teel

(304) 558-1294 susie.m.teel@wv.gov

Solicitation Number : FORM ID : WV-PRC-ARFQ-001Date Printed : Page : 2Jul 21, 2015 HOP1500000011

INVOICE TO SHIP TO

PROCUREMENT OFFICER - 304-789-2411

HEALTH AND HUMAN RESOURCES

HOPEMONT HOSPITAL ACCOUNTS PAYABLE

150 HOPEMONT DR

TERRA ALTA WV26764-7728

US

PROCUREMENT OFFICER - 304-789-2411

HEALTH AND HUMAN RESOURCES

HOPEMONT HOSPITAL CENTRAL RECEIVING

150 HOPEMONT DR

TERRA ALTA WV 26764-7728

US

Unit Price Total PriceUnit Issue Line Commodity Line Description Qty

1 ECOLAB BRAND SOLID POWER

PLUS OR EQUAL

75.00000 CASE

Commodity Code Manufacturer SpecificationModel #

Extended Description

47131810

ECOLAB BRAND SOLID POWER PLUS OR EQUAL. INCLUDING SHIPPING TO DESTINATION. ALL SHIPMENTS SHALL BE RECEIVED WITHIN TWO(2) BUSINESS DAYS OF ORDER PLACEMENT. ESTIMATED QUANTITIES ARE FOR BIDDING PURPOSES ONLY.

INVOICE TO SHIP TO

PROCUREMENT OFFICER - 304-789-2411

HEALTH AND HUMAN RESOURCES

HOPEMONT HOSPITAL ACCOUNTS PAYABLE

150 HOPEMONT DR

TERRA ALTA WV26764-7728

US

PROCUREMENT OFFICER - 304-789-2411

HEALTH AND HUMAN RESOURCES

HOPEMONT HOSPITAL CENTRAL RECEIVING

150 HOPEMONT DR

TERRA ALTA WV 26764-7728

US

Unit Price Total PriceUnit Issue Line Commodity Line Description Qty

2 ECOLAB BRAND JET DRY OR

EQUAL

60.00000 CASE

Commodity Code Manufacturer SpecificationModel #

Extended Description

47131810

ECOLAB BRAND JET DRY OR EQUAL. INCLUDING SHIPPING TO DESTINATION. ALL SHIPMENTS SHALL BE RECEIVED WITHIN TWO(2) BUSINESS DAYS OF ORDER PLACEMENT. ESTIMATED QUANTITIES ARE FOR BIDDING PURPOSES ONLY.

INVOICE TO SHIP TO

PROCUREMENT OFFICER - 304-789-2411

HEALTH AND HUMAN RESOURCES

HOPEMONT HOSPITAL ACCOUNTS PAYABLE

150 HOPEMONT DR

TERRA ALTA WV26764-7728

US

PROCUREMENT OFFICER - 304-789-2411

HEALTH AND HUMAN RESOURCES

HOPEMONT HOSPITAL CENTRAL RECEIVING

150 HOPEMONT DR

TERRA ALTA WV 26764-7728

US

Solicitation Number : FORM ID : WV-PRC-ARFQ-001Date Printed : Page : 3Jul 21, 2015 HOP1500000011

Unit Price Total PriceUnit Issue Line Commodity Line Description Qty

4 ECOLAB BRAND MULTI-QUAT

SANITIZER OR EQUAL

10.00000 CASE

Commodity Code Manufacturer SpecificationModel #

Extended Description

47131810

ECOLAB BRAND MULTI-QUAT SANITIZER OR EQUAL. INCLUDING SHIPPING TO DESTINATION. ALL SHIPMENTS SHALL BE RECEIVED WITHIN TWO(2) BUSINESS DAYS OF ORDER PLACEMENT. ESTIMATED QUANTITIES ARE FOR BIDDING PURPOSES ONLY.

INVOICE TO SHIP TO

PROCUREMENT OFFICER - 304-789-2411

HEALTH AND HUMAN RESOURCES

HOPEMONT HOSPITAL ACCOUNTS PAYABLE

150 HOPEMONT DR

TERRA ALTA WV26764-7728

US

PROCUREMENT OFFICER - 304-789-2411

HEALTH AND HUMAN RESOURCES

HOPEMONT HOSPITAL CENTRAL RECEIVING

150 HOPEMONT DR

TERRA ALTA WV 26764-7728

US

Unit Price Total PriceUnit Issue Line Commodity Line Description Qty

5 ECOLAB BRAND PANTASTIC

DETERGENT OR EQUAL

10.00000 CASE

Commodity Code Manufacturer SpecificationModel #

Extended Description

47131810

ECOLAB BRAND PANTASTIC DETERGENT OR EQUAL. INCLUDING SHIPPING TO DESTINATION. ALL SHIPMENTS SHALL BE RECEIVED WITHIN TWO(2) BUSINESS DAYS OF ORDER PLACEMENT. ESTIMATED QUANTITIES ARE FOR BIDDING PURPOSES ONLY.

INVOICE TO SHIP TO

PROCUREMENT OFFICER - 304-789-2411

HEALTH AND HUMAN RESOURCES

HOPEMONT HOSPITAL ACCOUNTS PAYABLE

150 HOPEMONT DR

TERRA ALTA WV26764-7728

US

PROCUREMENT OFFICER - 304-789-2411

HEALTH AND HUMAN RESOURCES

HOPEMONT HOSPITAL CENTRAL RECEIVING

150 HOPEMONT DR

TERRA ALTA WV 26764-7728

US

Unit Price Total PriceUnit Issue Line Commodity Line Description Qty

6 ECOLAB BRAND UNIVERSAL DAY

DOTS OR EQUAL

40.00000 ROLL

Commodity Code Manufacturer SpecificationModel #

Extended Description

55121600

ECOLAB UNIVERSAL DAY DOTS ITEM#10321-00-21 OR EQUAL

SCHEDULE OF EVENTS

Event DateEventLine

Solicitation Number : FORM ID : WV-PRC-ARFQ-001Date Printed : Page : 4Jul 21, 2015 HOP1500000011

1 QUESTION BY 4:00PM 2015-08-07

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