Final_ARFQ_0512_LSHZ250000001_1_WV_ARFQ_FORM.PDF
PDF 727 KB Posted
- Attached to
- GYNECOLOGY SERVICES FOR LAKIN HOSPITAL
- Solicitation number
- ARFQ-0512-LSHZ250000001-1
- Issued by
- Mason County, West Virginia
About this file
This document is an Agency Request for Quote (ARFQ) issued by the West Virginia Department of Health and Human Resources (DHHR) for Gynecology Services at the Lakin Hospital located in Mason County, West Virginia. The requested services include 96 hours of Gynecology Services for the residents of Lakin Hospital. The solicitation closes on August 15, 2024, at 2:00 PM. Questions are due by August 7, 2024, at 2:00 PM. No information is provided about site visits, bidder's conferences, award dates, or the contract term.
The ARFQ specifies a unit price per hour for the Gynecology Services. No details are provided about any set-asides, incumbent contractors, funding requirements or sources, or other salient commercial terms.
View the file
Other files
| File | Type | Posted |
|---|---|---|
| OSA Exempt TCA GYN.pdf | ||
| GYN Specs (Lakin 2024) .pdf | ||
| HIPPA.pdf | ||
| OSA 43 Gyn.pdf | ||
| GYN Pricing Page.pdf | ||
| OSAFederalFundsContractClauseAddendum (1).pdf |
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Text version
Date Printed: Jul 31, 2024 Page:1 FORM ID: WV-PRC-ARFQ-002 2020/05
State of West Virginia Agency Request for Quote
Service - Prof
Proc Folder: 1475026 Reason for Modification:
Doc Description: GYNECOLOGY SERVICES FOR LAKIN HOSPITAL
Proc Type: Agency Master Agreement
Date Issued Solicitation Closes Solicitation No Version
2024-07-31 2024-08-15 14:00 ARFQ 0512 LSHZ250000001 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: Jul 31, 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 GYNECOLOGY SERVICES 96.00000 HOUR
Comm Code Manufacturer Specification Model # 85121601
Extended Description:
GYNECOLOGY SERVICES FOR THE RESIDENTS OF LAKIN HOSPITAL
SCHEDULE OF EVENTS
Line Event Event Date
1 QUESTIONS DUE BY 2:00 PM 2024-08-07
Document Phase Document Description Page
LSHZ250000001 Final GYNECOLOGY SERVICES FOR
LAKIN HOSPITAL
| 1 |
| 1 |
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