Final_ARFQ_0512_LSHZ240000001_3_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 State of West Virginia Agency Request for Quote (ARFQ) for Physical Therapy Services for Lakin Hospital, located in West Columbia, West Virginia. The solicitation is seeking 250 hours per year of physical therapy services for the residents of Lakin Hospital, with optional renewal years 2-4. The solicitation closes on May 3, 2024, at 3:00 PM. The agency contact for this opportunity is Roberta A. Wagner.
The pricing structure for this contract includes a unit price per hour for physical therapy services. There are no set-asides or incumbent information provided. The funding source for this contract is not explicitly stated. The contract term is for one year, with the option to renew for up to three additional one-year terms.
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Text version
Date Printed: Apr 25, 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 To attach Addendum # 2
Proc Type: Agency Master Agreement
Date Issued Solicitation Closes Solicitation No Version
2024-04-25 2024-05-03 15:00 ARFQ 0512 LSHZ240000001 3
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 25, 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:
PHYSICAL THERAPY 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 OPTIONAL YEAR 2 PHYSICAL THERAPY
SERVICES
250.00000 HOUR
Comm Code Manufacturer Specification Model # 85122101
Extended Description:
PHYSICAL THERAPY SERVICES FOR THE RESIDENTS OF LAKIN HOSPITAL
Date Printed: Apr 25, 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 OPTIONAL YEAR 3 PHYSICAL THERAPY
SERVICES
250.00000 HOUR
Comm Code Manufacturer Specification Model # 85122101
Extended Description:
PHYSICAL THERAPY 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 OPTIONAL YEAR 4 PHYSICAL THERAPY
SERVICES
250.00000 HOUR
Comm Code Manufacturer Specification Model # 85122101
Extended Description:
PHYSICAL THERAPY 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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