Final_ARFQ_0512_WEH2500000004_2_WV_ARFQ_FORM.PDF

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Attached to
PHYSICIAN SERVICES (LABORATORY DIRECTOR)
Solicitation number
ARFQ 0512 WEH2500000004 4
Issued by
Mineral County, West Virginia

About this file

This is an Agency Request for Quote (ARFQ) Form issued by the West Virginia Office of Shared Administration, Purchasing Division, on behalf of the Department of Health Facilities and Welch Community Hospital. The solicitation seeks bids to establish an open-end service contract for Laboratory Director staffing services to support the in-house laboratory at Welch Community Hospital located at 454 McDowell Street in Welch, West Virginia. The contract requires 12 months of Laboratory Director services, with the solicitation issued on October 9, 2024, and closing on October 16, 2024, at 1:30 p.m. EST. Questions from potential bidders were due by 10:00 a.m. EST on October 2, 2024. This is Version 2 of the solicitation and includes Addendum 1 with questions and answers along with modified specifications and revised pricing information.

The solicitation uses the commodity code 85121503 for physician services and appears to be structured as an open-end agreement with pricing to be submitted by vendors. Bids should be submitted to the Health and Human Resources Operations/Purchasing office located at One Davis Square, First Floor, Room 111, Charleston, West Virginia 25301. The buyer contact is Roberta A. Wagner, reachable at (304) 558-0437 or roberta.a.wagner@wv.gov. All offers are subject to the terms and conditions contained in the complete solicitation document. Specific pricing terms, set-asides, incumbent contractor information, and detailed funding sources are not detailed in this excerpt of the form.

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Text version

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

State of West Virginia Agency Request for Quote

Service - Prof

Proc Folder: 1513059 Reason for Modification:

Doc Description: PHYSICIAN SERVICES (LABORATORY DIRECTOR) Addendum 1 - Attach Questions and Answers Modified Specifications and Revised Pricing Page.

Proc Type: Agency Master Agreement

Date Issued Solicitation Closes Solicitation No Version

2024-10-09 2024-10-16 13:30 ARFQ 0512 WEH2500000004 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: Oct 9, 2024 Page:2 FORM ID: WV-PRC-ARFQ-002 2020/05

ADDITIONAL INFORMATION

PURPOSE AND SCOPE: The West Virginia Office of Shared Administration, Purchasing Division is soliciting bids on behalf of the Department of Health Facilities (DHF), Welch Community Hospital (WCH) to establish an open-end service contract to supply staffing of specialty services in the areas of Laboratory Director to in-house laboratory.

INVOICE TO SHIP TO

HEALTH AND HUMAN

RESOURCES

HEALTH AND HUMAN

RESOURCES

WELCH COMMUNITY

HOSPITAL

WELCH COMMUNITY

HOSPITAL

454 MCDOWELL ST 454 MCDOWELL ST

WELCH WV WELCH WV

US US

Line Comm Ln Desc Qty Unit Issue Unit Price Total Price 1 4.1.1 Laboratory Director Services 12.00000 MO

Comm Code Manufacturer Specification Model # 85121503

Extended Description:

4.1.1 Laboratory Director Services

SCHEDULE OF EVENTS

Line Event Event Date 1 Questions are due at 10:00 am EST 2024-10-02

Document Phase Document Description Page

WEH2500000004 Final PHYSICIAN SERVICES (

LABORATORY DIRECTOR)

1
1

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