Final_ARFQ_0506_LSHZ230000001_1_WV_ARFQ_FORM.PDF
PDF 728 KB Posted
- Attached to
- REFILL AND RENTAL OF MEDICAL OXYGEN E TANKS
- Solicitation number
- ARFQ 0506 LSHZ230000001 1
- Issued by
- Raleigh County, West Virginia
About this file
This is an Agency Request for Quote (ARFQ) form issued by the State of West Virginia Department of Health and Human Resources for Lakin Hospital. The solicitation seeks vendors to provide refill and rental services for medical oxygen E tanks. The procurement requires 2,600 units and is designated as an Agency Master Agreement. The solicitation was issued on July 20, 2022, with a closing date of August 9, 2022, at 1:00 PM. Questions from interested vendors must be submitted by July 28, 2022, at 1:00 PM. The bid receiving location and point of contact is Lakin Hospital located at 11522 Ohio River Road, West Columbia, West Virginia 25287. The procurement officer is Roberta A. Wagner, who can be reached at (304) 558-0437 or roberta.a.wagner@wv.gov.
The solicitation does not specify detailed pricing terms, set-asides, incumbent information, or contract term length within this form excerpt. Vendors must submit offers subject to all terms and conditions contained in the complete solicitation documents. The commodity code for this procurement is 42271700, and the contract will be fulfilled at Lakin Hospital with invoicing and shipping directed to the Health and Human Resources Department at the same facility address.
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Other files
| File | Type | Posted |
|---|---|---|
| wv-43 oxygen.pdf | ||
| Pricing Page template.docx | DOCX document | |
| OpenEndPurchaseRFQOxygen (1).docx | DOCX document | |
| Federal Funds Addendum.pdf | ||
| DHHR Exempt TCA Oxygen.docx | DOCX document | |
| DHHR PA.pdf |
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Text version
Date Printed: Jul 20, 2022 Page:1 FORM ID: WV-PRC-ARFQ-002 2020/05
State of West Virginia Agency Request for Quote
Service - Prof
Proc Folder: 1076669 Reason for Modification:
Doc Description: REFILL AND RENTAL OF MEDICAL OXYGEN E TANKS
Proc Type: Agency Master Agreement
Date Issued Solicitation Closes Solicitation No Version
2022-07-20 2022-08-09 13:00 ARFQ 0506 LSHZ230000001 1
BID RECEIVING LOCATION
PROCUREMENT OFFICER - 304-675-0860
HEALTH AND HUMAN RESOURCES
BHHF LAKIN HOSPITAL
11522 OHIO RIVER RD
WEST COLUMBIA WV 25287
US
VENDOR
Vendor Customer Code:
Vendor Name :
Address :
Street :
City :
State : Country : Zip :
Principal Contact :
Vendor Contact Phone: Extension:
FOR INFORMATION CONTACT THE BUYER
Roberta A Wagner
(304) 558-0437 roberta.a.wagner@wv.gov
Vendor Signature X FEIN# DATE All offers subject to all terms and conditions contained in this solicitation
Date Printed: Jul 20, 2022 Page:2 FORM ID: WV-PRC-ARFQ-002 2020/05
ADDITIONAL INFORMATION
INVOICE TO SHIP TO
HEALTH AND HUMAN
RESOURCES
HEALTH AND HUMAN
RESOURCES
BHHF LAKIN HOSPITAL BHHF LAKIN HOSPITAL
11522 OHIO RIVER RD 11522 OHIO RIVER RD
WEST COLUMBIA WV WEST COLUMBIA WV
US US
Line Comm Ln Desc Qty Unit Issue Unit Price Total Price
1 MEDICAL OXYGEN E TANKS 2600.00000 EA
Comm Code Manufacturer Specification Model # 42271700
Extended Description:
3.1.1 - 3.1.3 EXCHANGE/REFILL AND RENTAL OF OXYGEN MEDICAL E TANKS
SCHEDULE OF EVENTS
Line Event Event Date
1 QUESTIONS DUE BY 1:00 PM 2022-07-28
Document Phase Document Description Page
LSHZ230000001 Final REFILL AND RENTAL OF
MEDICAL OXYGEN E TANKS
| 1 |
| 1 |
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