Final_ARFQ_0512_JWH2500000001_2_WV_ARFQ_FORM.PDF

PDF 727 KB Posted

Attached to
Physical Therapy to the residents of JWH
Solicitation number
ARFQ-0512-JWH2500000001-2
Issued by
Kanawha County, Charleston City, West Virginia

About this file

This document is an Agency Request for Quotation (ARFQ) issued by the West Virginia Department of Health and Human Resources for physical therapy services to be provided at the Jackie Withrow Hospital in Beckley, West Virginia. The contract is for a 12-month period of physical therapy services, with the solicitation closing on August 22, 2024 at 1:00 PM. The requested services include physical therapy for the residents of the Jackie Withrow Hospital. The ARFQ provides details on the location for bid submissions, the buyer contact information, and the schedule of events including the deadline for questions on August 8, 2024.

The ARFQ lists the unit price and total price for the 12-month period of physical therapy services. There are no indications of any set-asides, incumbents, or funding requirements and sources included in the document. The contract appears to be a fixed-amount agency contract between the West Virginia Department of Health and Human Resources and the selected vendor for physical therapy services at the Jackie Withrow Hospital.

View the file

Other files

File Type Posted
DOHS TCA Physical Therapy.pdf PDF
DoHS pAffidavit.pdf PDF
DoHS Provisions Required for Federally Funded Procurements.pdf PDF
Addendum 1 JWH2500000001.docx DOCX document
Exhibit A PT Pricing.docx DOCX document
Final_ARFQ_0512_JWH2500000001_1_WV_ARFQ_FORM.PDF PDF
Hippa Agreement.docx DOCX document
Addendum ARFQ JWH25_1 Attachment 1 (2).docx DOCX document
Services RFQ PT.docx DOCX document
DOHS 43 Physical Therapy.pdf PDF

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Text version

Date Printed: Aug 9, 2024 Page:1 FORM ID: WV-PRC-ARFQ-002 2020/05

State of West Virginia Agency Request for Quote

Service - Prof

Proc Folder: 1474682 Reason for Modification:

Doc Description: Physical Therapy to the residents of JWH Addendum #1

Proc Type: Agency Contract - Fixed Amt

Date Issued Solicitation Closes Solicitation No Version

2024-08-09 2024-08-22 13:00 ARFQ 0512 JWH2500000001 2

BID RECEIVING LOCATION

BUYER - 304-957-0209

HEALTH AND HUMAN RESOURCES

OPERATIONS/PURCHASING

ONE DAVIS SQUARE, FIRST FLOOR RM 111

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: Aug 9, 2024 Page:2 FORM ID: WV-PRC-ARFQ-002 2020/05

ADDITIONAL INFORMATION

INVOICE TO SHIP TO

HEALTH AND HUMAN

RESOURCES

HEALTH AND HUMAN

RESOURCES

JACKIE WITHROW HOSPITAL

105 SOUTH EISENHOWER DR

JACKIE WITHROW HOSPITAL

105 SOUTH EISENHOWER DR

BECKLEY WV BECKLEY WV

US US

Line Comm Ln Desc Qty Unit Issue Unit Price Total Price 1 Physical therapy services 12.00000 MO

Comm Code Manufacturer Specification Model # 85122101

Extended Description:

Physical therapy services

SCHEDULE OF EVENTS

Line Event Event Date 1 Questions due 13:00 2024-08-08

Document Phase Document Description Page

JWH2500000001 Final Physical Therapy to the residents of

JWH

1
1

File details come from the government source that posted it. Updated .