Final_ARFQ_0512_LSHZ240000001_2_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 an Agency Request for Quote (ARFQ) for Physical Therapy Services for the Lakin Hospital, issued by the West Virginia Department of Health and Human Resources. The solicitation requests 250 hours of physical therapy services per year, with four optional one-year renewal periods. The services are to be provided at the Lakin Hospital, located in West Columbia, West Virginia. Bids are due by May 3, 2024, at 3:00 PM. The contract term will begin upon award and continue for one year, with four optional one-year renewal periods.
The ARFQ specifies a unit price per hour for the physical therapy services. No set-asides or other special requirements are mentioned. The funding source and amount are not provided in the document. The solicitation does not indicate whether there is an incumbent contractor for these services.
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Text version
Date Printed: Apr 16, 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 CO 1 to add addendum
Proc Type: Agency Master Agreement
Date Issued Solicitation Closes Solicitation No Version
2024-04-16 2024-05-03 15:00 ARFQ 0512 LSHZ240000001 2
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 16, 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
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
2 OPPTIONAL YEAR 2 PHYSICAL THERAPY
SERVICES
250.00000 HOUR
Comm Code Manufacturer Specification Model # 85122101
Extended Description:
PSYCHOLOGICAL SERVICES FOR THE RESIDENTS OF LAKIN HOSPITAL
Date Printed: Apr 16, 2024 Page:3 FORM ID: WV-PRC-ARFQ-002 2020/05
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
3 OPPTIONAL YEAR 3 PHYSICAL THERAPY
SERVICES
250.00000 HOUR
Comm Code Manufacturer Specification Model # 85122101
Extended Description:
PSYCHOLOGICAL SERVICES FOR THE RESIDENTS OF LAKIN HOSPITAL
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
4 OPPTIONAL YEAR 4 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
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