Final_ARFQ_0506_WIC2600000001_1_WV_ARFQ_FORM.PDF
PDF 745 KB Posted
- Solicitation number
- ARFQ 0506 WIC2600000001 1
- Issued by
- Kanawha County, West Virginia
About this file
This is an Agency Request for Quote (ARFQ) form issued by the West Virginia Office of Shared Administration Purchasing on behalf of the West Virginia Department of Health, Bureau for Public Health, Office of Nutrition Services. The solicitation seeks bids to establish an open-ended contract for DocuSign "or Equal" Digital Transaction Management and eSignature Management services. The contract covers 10,000 annual transactions with provisions for additional transactions in increments of 500 beyond the base amount. Line items include annual license subscriptions for four consecutive years and basic customer service and support for each year, including user support, adoption assistance, initial implementation, and software maintenance. Questions from bidders are due by 10:00 a.m. EDT on October 13, 2026, and solicitation closes on October 27, 2026, at 10:30 a.m. Bids should be submitted to the Kanawha Valley Building, Health and Human Resources, 300 Capitol Street, 7th Floor, Charleston, West Virginia 25301. The contract is structured as a four-year master agreement with invoicing and shipping directed to the Health and Human Resources Bureau for Public Health, Nutrition Services at 350 Capitol Street, Room 515, Charleston, West Virginia.
Pricing information is to be provided by bidders on a per-line-item basis, with unit prices required for the annual license subscriptions, basic services and support, and overage charges for transactions exceeding 10,000 annually. The solicitation form does not specify any set-asides, incumbent contractors, or funding amounts. Vendor responses must include FEIN numbers and authorized signatures, and all offers are subject to the terms and conditions contained within the complete solicitation documentation. The contact for additional information is Roberta A. Wagner at (304) 558-0437 or roberta.a.wagner@wv.gov.
View the file
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| WVCloud-SaaSProcurementAddendum.pdf | ||
| Federal IT Requirements Addendum (2).pdf | ||
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| DocuSign or Equal RFQ 08-20-2026.docx | DOCX document | |
| WvBaaAgEffectiveJun2013.pdf |
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Text version
Date Printed: Oct 6, 2026 Page:1 FORM ID: WV-PRC-ARFQ-002 2020/05
State of West Virginia Agency Request for Quote
Miscellaneous
Proc Folder: 1922916 Reason for Modification:
Doc Description: DocuSign or Equal- Digital Transaction and eSignature Manage
Proc Type: Agency Master Agreement
Date Issued Solicitation Closes Solicitation No Version
2026-10-06 2026-10-27 10:30 ARFQ 0506 WIC2600000001 1
BID RECEIVING LOCATION
KANAWHA VALLEY BUILDING
HEALTH AND HUMAN RESOURCES
300 CAPITOL ST
7TH FLOOR
CHARLESTON WV 25301
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: Oct 6, 2026 Page:2 FORM ID: WV-PRC-ARFQ-002 2020/05
ADDITIONAL INFORMATION
The West Virginia Office of Shared Administration Purchasing(OSA) is soliciting bids on behalf of The West Virginia Department of Health (WVDH), Bureau for Public Health (BPH), Office of Nutrition Services (ONS), to establish an open-ended contract for DocuSign "or Equal"- Digital Transaction Management (DTM) & eSignature Management, as more fully described in the RFQ specifications.
INVOICE TO SHIP TO
HEALTH AND HUMAN
RESOURCES
HEALTH AND HUMAN
RESOURCES
BPH - NUTRITION SERVICES BPH - NUTRITION SERVICES
350 CAPITOL ST, RM 515 350 CAPITOL ST, RM 515
CHARLESTON WV CHARLESTON WV
US US
Line Comm Ln Desc Qty Unit Issue Unit Price Total Price 1 Annual License Subscription 10000.00000 EA
Comm Code Manufacturer Specification Model # 81112217
Extended Description:
3.1.1- 3.1.18 Annual License Subscription for Digital Transaction and eSignature Management 10,000 Annual Transactions
INVOICE TO SHIP TO
HEALTH AND HUMAN
RESOURCES
HEALTH AND HUMAN
RESOURCES
BPH - NUTRITION SERVICES BPH - NUTRITION SERVICES
350 CAPITOL ST, RM 515 350 CAPITOL ST, RM 515
CHARLESTON WV CHARLESTON WV
US US
Line Comm Ln Desc Qty Unit Issue Unit Price Total Price 2 Basic Services and Support 1.00000 YR
Comm Code Manufacturer Specification Model # 81112217
Extended Description:
3.1.19- 3.1.20 Customer Service for Users, adoption/initial implementation, software, etc., One year
Date Printed: Oct 6, 2026 Page:3 FORM ID: WV-PRC-ARFQ-002 2020/05
INVOICE TO SHIP TO
HEALTH AND HUMAN
RESOURCES
HEALTH AND HUMAN
RESOURCES
BPH - NUTRITION SERVICES BPH - NUTRITION SERVICES
350 CAPITOL ST, RM 515 350 CAPITOL ST, RM 515
CHARLESTON WV CHARLESTON WV
US US
Line Comm Ln Desc Qty Unit Issue Unit Price Total Price 3 Annual License Subscription over 10,000 1.00000 EA
Comm Code Manufacturer Specification Model # 81112217
Extended Description:
3.1.1- 3.1.18 Annual License Subscription for Digital Transaction and eSignature Management for transactions over 10,000 with an additional charge per every 500 transactions in excess of 10,000 per year.
INVOICE TO SHIP TO
HEALTH AND HUMAN
RESOURCES
HEALTH AND HUMAN
RESOURCES
BPH - NUTRITION SERVICES BPH - NUTRITION SERVICES
350 CAPITOL ST, RM 515 350 CAPITOL ST, RM 515
CHARLESTON WV CHARLESTON WV
US US
Line Comm Ln Desc Qty Unit Issue Unit Price Total Price 4 Annual License Subscription year 2 10000.00000 EA
Comm Code Manufacturer Specification Model # 81112217
Extended Description:
3.1.1- 3.1.18 Annual License Subscription for Digital Transaction and eSignature Management 10,000 Annual Transactions
Date Printed: Oct 6, 2026 Page:4 FORM ID: WV-PRC-ARFQ-002 2020/05
HEALTH AND HUMAN
RESOURCES
HEALTH AND HUMAN
RESOURCES
BPH - NUTRITION SERVICES BPH - NUTRITION SERVICES
350 CAPITOL ST, RM 515 350 CAPITOL ST, RM 515
CHARLESTON WV CHARLESTON WV
US US
Line Comm Ln Desc Qty Unit Issue Unit Price Total Price 5 Basic Services and Support year 2 1.00000 YR
Comm Code Manufacturer Specification Model # 81112217
Extended Description:
3.1.19- 3.1.20 Customer Service for Users, adoption/initial implementation, software, etc., One year
INVOICE TO SHIP TO
HEALTH AND HUMAN
RESOURCES
HEALTH AND HUMAN
RESOURCES
BPH - NUTRITION SERVICES BPH - NUTRITION SERVICES
350 CAPITOL ST, RM 515 350 CAPITOL ST, RM 515
CHARLESTON WV CHARLESTON WV
US US
Line Comm Ln Desc Qty Unit Issue Unit Price Total Price 6 Annual License Subscription over 10,000 year
1.00000 EA
Comm Code Manufacturer Specification Model # 81112217
Extended Description:
3.1.1- 3.1.18 Annual License Subscription for Digital Transaction and eSignature Management for transactions over 10,000 with an additional charge per every 500 transactions in excess of 10,000 per year.
Date Printed: Oct 6, 2026 Page:5 FORM ID: WV-PRC-ARFQ-002 2020/05
HEALTH AND HUMAN
RESOURCES
HEALTH AND HUMAN
RESOURCES
BPH - NUTRITION SERVICES BPH - NUTRITION SERVICES
350 CAPITOL ST, RM 515 350 CAPITOL ST, RM 515
CHARLESTON WV CHARLESTON WV
US US
Line Comm Ln Desc Qty Unit Issue Unit Price Total Price 7 Annual License Subscription year 3 10000.00000 EA
Comm Code Manufacturer Specification Model # 81112217
Extended Description:
3.1.1- 3.1.18 Annual License Subscription for Digital Transaction and eSignature Management 10,000 Annual Transactions
INVOICE TO SHIP TO
HEALTH AND HUMAN
RESOURCES
HEALTH AND HUMAN
RESOURCES
BPH - NUTRITION SERVICES BPH - NUTRITION SERVICES
350 CAPITOL ST, RM 515 350 CAPITOL ST, RM 515
CHARLESTON WV CHARLESTON WV
US US
Line Comm Ln Desc Qty Unit Issue Unit Price Total Price 8 Basic Services and Support year 3 1.00000 YR
Comm Code Manufacturer Specification Model # 81112217
Extended Description:
3.1.19- 3.1.20 Customer Service for Users, adoption/initial implementation, software, etc., One year
Date Printed: Oct 6, 2026 Page:6 FORM ID: WV-PRC-ARFQ-002 2020/05
HEALTH AND HUMAN
RESOURCES
HEALTH AND HUMAN
RESOURCES
BPH - NUTRITION SERVICES BPH - NUTRITION SERVICES
350 CAPITOL ST, RM 515 350 CAPITOL ST, RM 515
CHARLESTON WV CHARLESTON WV
US US
Line Comm Ln Desc Qty Unit Issue Unit Price Total Price 9 Annual License Subscription over 10,000 year
1.00000 EA
Comm Code Manufacturer Specification Model # 81112217
Extended Description:
3.1.1- 3.1.18 Annual License Subscription for Digital Transaction and eSignature Management for transactions over 10,000 with an additional charge per every 500 transactions in excess of 10,000 per year.
INVOICE TO SHIP TO
HEALTH AND HUMAN
RESOURCES
HEALTH AND HUMAN
RESOURCES
BPH - NUTRITION SERVICES BPH - NUTRITION SERVICES
350 CAPITOL ST, RM 515 350 CAPITOL ST, RM 515
CHARLESTON WV CHARLESTON WV
US US
Line Comm Ln Desc Qty Unit Issue Unit Price Total Price 10 Annual License Subscription year 4 10000.00000 EA
Comm Code Manufacturer Specification Model # 81112217
Extended Description:
3.1.1- 3.1.18 Annual License Subscription for Digital Transaction and eSignature Management 10,000 Annual Transactions
Date Printed: Oct 6, 2026 Page:7 FORM ID: WV-PRC-ARFQ-002 2020/05
HEALTH AND HUMAN
RESOURCES
HEALTH AND HUMAN
RESOURCES
BPH - NUTRITION SERVICES BPH - NUTRITION SERVICES
350 CAPITOL ST, RM 515 350 CAPITOL ST, RM 515
CHARLESTON WV CHARLESTON WV
US US
Line Comm Ln Desc Qty Unit Issue Unit Price Total Price 11 Basic Services and Support year 4 1.00000 YR
Comm Code Manufacturer Specification Model # 81112217
Extended Description:
3.1.19- 3.1.20 Customer Service for Users, adoption/initial implementation, software, etc., One year
INVOICE TO SHIP TO
HEALTH AND HUMAN
RESOURCES
HEALTH AND HUMAN
RESOURCES
BPH - NUTRITION SERVICES BPH - NUTRITION SERVICES
350 CAPITOL ST, RM 515 350 CAPITOL ST, RM 515
CHARLESTON WV CHARLESTON WV
US US
Line Comm Ln Desc Qty Unit Issue Unit Price Total Price 12 Annual License Subscription over 10,000 year
1.00000 EA
Comm Code Manufacturer Specification Model # 81112217
Extended Description:
3.1.1- 3.1.18 Annual License Subscription for Digital Transaction and eSignature Management for transactions over 10,000 with an additional charge per every 500 transactions in excess of 10,000 per year.
SCHEDULE OF EVENTS
Line Event Event Date 1 Questions due by 10:00am EDT 2026-10-13
Document Phase Document Description Page
WIC2600000001 Final DocuSign or Equal- Digital Transaction and eSignature Manage
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File details come from the government source that posted it. Updated .