Final_ARFQ_0512_WEH2500000006_1_WV_ARFQ_FORM.PDF

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Attached to
Service Support Hematology Analyzers and Reagents/consumable
Solicitation number
ARFQ 0512 WEH2500000006 1
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 (DHF), specifically for Welch Community Hospital (WCH). The solicitation seeks bids to establish an open-end service contract for all-inclusive service support for hematology analyzers and reagents/consumables. The primary service deliverable includes preventative maintenance and parts/labor support for two Sysmex TN DHX690T Hematology Analyzers (Serial Numbers BD49901 and BD49902) on a monthly basis for 12 months. Additionally, the solicitation requests specific quantities of seven different reagent products, including Cell Lyse 5L (15 units), Diff Pack (18 units), Cleaner (30 units), S Cal Calibrator (10 units), Latron Control (18 units), 6C Control (40 units), Diluent 10L (170 units), and Linearity Control (170 units). The solicitation was issued on November 4, 2024, with questions due by 10:00 am EST on November 19, 2024, and bids due by December 3, 2024, at 1:30 pm. The contract term is one year. Bidding is open to any qualified vendor capable of providing the specified services and products. All pricing should be submitted as unit prices for each line item, with invoicing and shipping directed to Welch Community Hospital located at 454 McDowell Street, Welch, West Virginia. For additional information, prospective bidders should contact Roberta A. Wagner, the assigned buyer, at (304) 558-0437 or roberta.a.wagner@wv.gov.

The ARFQ does not specify set-asides, incumbent information, or current funding sources. Bidders must submit their Federal Employer Identification Number (FEIN) and principal contact information with their proposals. All offers are subject to the terms and conditions contained within the complete solicitation documentation. 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, or submitted via the specified bid receiving location with buyer contact at (304) 957-0209.

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Date Printed: Nov 4, 2024 Page:1 FORM ID: WV-PRC-ARFQ-002 2020/05

State of West Virginia Agency Request for Quote

Service - Prof

Proc Folder: 1553472 Reason for Modification:

Doc Description: Service Support Hematology Analyzers and Reagents/consumable

Proc Type: Agency Master Agreement

Date Issued Solicitation Closes Solicitation No Version

2024-11-04 2024-12-03 13:30 ARFQ 0512 WEH2500000006 1

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: Nov 4, 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 Service

Support for Hematology Analyzers and Reagents/Consuables

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 3.1.1 All-Inclusive Service Support 12.00000 MO

Comm Code Manufacturer Specification Model # 81101706

Extended Description:

3.1.1.1 The vendor must provide all-inclusive service support to include parts/labor and PM-preventative maintenance for two (2) TN, DHX690T Hematology Analyzers (Serial Numbers BD49901 and BD49902).

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

2 3.1.2.1.1 REAGENT 628019 CELL LYSE 5L

OR EQUAL

15.00000 EA

Comm Code Manufacturer Specification Model # 41115816

Extended Description:

3.1.2.1.1 REAGENT 628019 CELL LYSE 5L OR EQUAL

Date Printed: Nov 4, 2024 Page:3 FORM ID: WV-PRC-ARFQ-002 2020/05

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

3 3.1.2.1.2 REAGENT 628020 DIFF PACK OR

EQUAL

18.00000 EA

Comm Code Manufacturer Specification Model # 41115816

Extended Description:

3.1.2.1.2 REAGENT 628020 DIFF PACK OR EQUAL

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

4 3.1.2.1.3 REAGENT 628023 CLEANER OR

EQUAL

30.00000 EA

Comm Code Manufacturer Specification Model # 41115816

3.1.2.1.3 REAGENT 628023 CLEANER OR EQUAL

Date Printed: Nov 4, 2024 Page:4 FORM ID: WV-PRC-ARFQ-002 2020/05

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

5 3.1.2.1.4 REAGENT 628026 S CAL

CALIBRATOR OR EQUAL

10.00000 EA

Comm Code Manufacturer Specification Model # 41115816

Extended Description:

3.1.2.1.4 REAGENT 628026 S CAL CALIBRATOR OR EQUAL

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

6 3.1.2.1.5 REAGENT 628024 LATRON

CONTROL OR EQUAL

18.00000 EA

Comm Code Manufacturer Specification Model # 41115816

3.1.2.1.5 REAGENT 628024 LATRON CONTROL OR EQUAL

Date Printed: Nov 4, 2024 Page:5 FORM ID: WV-PRC-ARFQ-002 2020/05

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

7 3.1.2.1.6 REAGENT 628027 6C CONTROL

OR EQUAL

40.00000 EA

Comm Code Manufacturer Specification Model # 41115816

Extended Description:

3.1.2.1.6 REAGENT 628027 6C CONTROL OR EQUAL

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

8 3.1.2.1.7 REAGENT 628017 DILUENT 10L

OR EQUAL

170.00000 EA

Comm Code Manufacturer Specification Model # 41115816

3.1.2.1.7 REAGENT 628017 DILUENT 10L OR EQUAL

Date Printed: Nov 4, 2024 Page:6 FORM ID: WV-PRC-ARFQ-002 2020/05

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

9 3.1.2.1.8 REAGENT 628029 LINEARITY

CONTROL OR EQUAL

170.00000 EA

Comm Code Manufacturer Specification Model # 41115816

Extended Description:

3.1.2.1.8 REAGENT 628029 LINEARITY CONTROL OR EQUAL

SCHEDULE OF EVENTS

Line Event Event Date 1 Questions are due at 10:00 am EST 2024-11-19

Document Phase Document Description Page

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