Final_ARFQ_0506_WIC2600000001_3_WV_ARFQ_FORM.PDF
PDF 745 KB Posted
- Solicitation number
- ARFQ 0506 WIC2600000001 3
- Issued by
- Kanawha County, West Virginia
About this file
This is an Abbreviated Request for Quote (ARFQ) form issued by the West Virginia Department of Health and Human Resources for DocuSign or an equal digital transaction and eSignature management solution. The procurement seeks a comprehensive eSignature and digital transaction platform to support the state's operational needs. The ARFQ process allows qualified vendors to submit quotes within a specified timeframe, with evaluation and award decisions made based on the criteria outlined in the solicitation documents. The contract term and renewal options, response deadlines, and any required bidder meetings or site visits would be detailed in the associated solicitation documents referenced through this form.
Specific pricing terms, payment structures, set-asides, incumbent contractor information, and detailed funding amounts and sources are not explicitly detailed within this ARFQ form excerpt. Additional information regarding budget allocations, contract financing mechanisms, and vendor qualifications would typically be found in the complete solicitation package, technical specifications, and any supplemental addenda issued by the West Virginia Department of Health and Human Resources.
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| File | Type | Posted |
|---|---|---|
| WvBaaAgEffectiveJun2013.pdf | ||
| ARFQ WIC26 1 Addendum #2.pdf |
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Text version
Date Printed: Nov 4, 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 Addendum #2: Issued to answer vendor questions and to modify the bid opening date from 11/06/2026 at..... See Page 2 for complete infoProc Type: Agency Master Agreement
Date Issued Solicitation Closes Solicitation No Version
2026-11-04 2026-11-13 10:30 ARFQ 0506 WIC2600000001 3
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: Nov 4, 2026 Page:2 FORM ID: WV-PRC-ARFQ-002 2020/05
Reason for Modification:
Addendum #2: Issued to answer vendor questions and to modify the bid opening date from 11/06/2026 at 10:30 a.m. to 11/13/2026 at 10:30 a.m. No other changes.
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: Nov 4, 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: Nov 4, 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: Nov 4, 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: Nov 4, 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: Nov 4, 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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