Final_ARFQ_0512_LSHZ240000001_1_WV_ARFQ_FORM.PDF

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Attached to
PHYSICAL THERAPY SERVICES FOR LAKIN HOSPITAL
Solicitation number
ARFQ-0512-LSHZ240000001-3
Issued by
Mason County, West Virginia

About this file

This document is a Request for Quote (RFQ) issued by the West Virginia Department of Health and Human Resources for Physical Therapy Services for Lakin Hospital located in Mason County, West Virginia. The agency is seeking 250 hours of physical therapy services for the residents of Lakin Hospital, with a due date for questions by April 24, 2024 and the solicitation closing on May 3, 2024 at 3:00 PM. The successful vendor will be awarded an Agency Master Agreement contract.

The RFQ provides unit pricing for the physical therapy services, with a total price based on the 250 hour estimate. No information is provided about any set-asides, incumbents, funding sources, or other salient details about the current environment or pricing terms.

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Date Printed: Apr 15, 2024 Page:1 FORM ID: WV-PRC-ARFQ-002 2020/05

State of West Virginia Agency Request for Quote

Service - Prof

Proc Folder: 1412416 Reason for Modification:

Doc Description: PHYSICAL THERAPY SERVICES FOR LAKIN HOSPITAL

Proc Type: Agency Master Agreement

Date Issued Solicitation Closes Solicitation No Version

2024-04-15 2024-05-03 15:00 ARFQ 0512 LSHZ240000001 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: Apr 15, 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

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 PHYSICAL THERAPY SERVICES 250.00000 HOUR

Comm Code Manufacturer Specification Model # 85122101

Extended Description:

PSYCHOLOGICAL SERVICES FOR THE RESIDENTS OF LAKIN HOSPITAL

SCHEDULE OF EVENTS

Line Event Event Date

1 QUESTIONS DUE BY 1:00 PM 2024-04-24

Document Phase Document Description Page

LSHZ240000001 Final PHYSICAL THERAPY SERVICES

FOR LAKIN HOSPITAL

1
1

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