Final_ARFQ_0512_WEH2500000011_1_WV_ARFQ_FORM.PDF

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RENTAL OF CYLINDERS OF INDUSTRIAL MEDICAL GASES
Solicitation number
ARFQ 0512 WEH2500000011 1
Issued by
Marshall 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 for Welch Community Hospital. The solicitation seeks bids to establish an open-end contract for the rental of cylinders containing industrial and medical gases, as well as the purchase of industrial and medical gases for Welch Community Hospital located at 454 McDowell Street, Welch, West Virginia. The solicitation includes 35 line items encompassing various cylinder sizes and gas types, including acetylene, air, argon, carbon dioxide, oxygen, nitrogen, nitrous oxide, and a four-component diffusion mixture. Rental quantities are specified in days, ranging from 730 to 9,125 days, while purchase quantities are specified in individual units (EA), ranging from 2 to 100 cylinders depending on the gas type and size. Additionally, the solicitation includes 52 units for hazardous materials shipping charges. Questions from potential bidders are due by 10:00 a.m. on February 5, 2025, and the solicitation closes on February 18, 2025, at 1:30 p.m. Contact for inquiries is Roberta A. Wagner, Buyer, at (304) 558-0437 or roberta.a.wagner@wv.gov.

The solicitation does not specify unit prices, total prices, pricing terms, set-asides, incumbent contractor information, or funding sources in the document provided. Bids should be submitted to the Office of Shared Administration, Purchasing Division, located at One Davis Square, First Floor, Room 111, Charleston, West Virginia 25301. All offers are subject to the terms and conditions contained in the complete solicitation document. The contract is designated as ARFQ 0512 WEH2500000011, Version 1, with a GovTribe ID of 6c9da2c70be80c11929a4cc0c41bb758.

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Pricing Page Exhibit A.pdf PDF
Medical Gas Specifications.docx DOCX document
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DoHS PAffidavit.pdf PDF
WV-36.pdf PDF
DoHS Provisions Required for Federally Funded Procurements.pdf PDF
OSA 43 (1).pdf PDF
DoHS Exempt TCA.pdf PDF

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Text version

Date Printed: Jan 27, 2025 Page:1 FORM ID: WV-PRC-ARFQ-002 2020/05

State of West Virginia Agency Request for Quote

Service - Prof

Proc Folder: 1606155 Reason for Modification:

Doc Description: RENTAL OF CYLINDERS OF INDUSTRIAL MEDICAL GASES

Proc Type: Agency Master Agreement

Date Issued Solicitation Closes Solicitation No Version

2025-01-27 2025-02-18 13:30 ARFQ 0512 WEH2500000011 1

BID RECEIVING LOCATION

BUYER - 304-957-0209

OFFICE OF SHARED ADMINISTRATION

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: Jan 27, 2025 Page:2 FORM ID: WV-PRC-ARFQ-002 2020/05

ADDITIONAL INFORMATION

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 contract for the rental of cylinders of industrial and medical gases and the purchase of industrial and medical gases for Welch Community Hospital.

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 3.1.1.1 Industrial Large Acetylene Cylinder 730.00000 DAY

Comm Code Manufacturer Specification Model # 42191700

Extended Description:

3.1.1.1 Industrial Large Acetylene

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 3.1.1.2 Industrial Large Air Cylinder 730.00000 DAY

Comm Code Manufacturer Specification Model # 42191700

Extended Description:

3.1.1.2 Industrial Large Air

Date Printed: Jan 27, 2025 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 3.1.1.3 Industrial Large Argon Cylinder 730.00000 DAY

Comm Code Manufacturer Specification Model # 42191700

Extended Description:

3.1.1.3 Industrial Large Argon

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 3.1.1.4 Industrial Large Carbon Dioxide

Cylinder

730.00000 DAY

Comm Code Manufacturer Specification Model # 42191700

3.1.1.4 Industrial Large Carbon Dioxide

Date Printed: Jan 27, 2025 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 3.1.1.5 Industrial Large Oxygen Cylinder 730.00000 DAY

Comm Code Manufacturer Specification Model # 42191700

Extended Description:

3.1.1.5 Industrial Large Oxygen

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 3.1.1.6 Industrial Small Acetylene Cylinder 730.00000 DAY

Comm Code Manufacturer Specification Model # 42191700

3.1.1.6 Industrial Small Acetylene

Date Printed: Jan 27, 2025 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 3.1.1.7 Industrial Small Nitrogen Cylinder 730.00000 DAY

Comm Code Manufacturer Specification Model # 42191700

Extended Description:

3.1.1.7 Industrial Small Nitrogen

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 3.1.1.8 Industrial Small Oxygen Cylinder 730.00000 DAY

Comm Code Manufacturer Specification Model # 42191700

3.1.1.8 Industrial Small Oxygen

Date Printed: Jan 27, 2025 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 3.1.1.9 Medium Large Nitrogen Cylinder 1095.00000 DAY

Comm Code Manufacturer Specification Model # 42191700

Extended Description:

3.1.1.9 Medium Large Nitrogen

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 10 3.1.1.10 Medium Large Nitrous Oxide Cylinder 1095.00000 DAY

Comm Code Manufacturer Specification Model # 42191700

3.1.1.10 Medium Large Nitrous Oxide

Date Printed: Jan 27, 2025 Page:7 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 11 3.1.1.11 Medium Large Oxygen Cylinder 1095.00000 DAY

Comm Code Manufacturer Specification Model # 42191700

Extended Description:

3.1.1.11 Medium Large Oxygen

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 12 3.1.1.12 Medium x-small Air Cylinder 1095.00000 DAY

Comm Code Manufacturer Specification Model # 42191700

3.1.1.12 Medium x-small Air

Date Printed: Jan 27, 2025 Page:8 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 13 3.1.1.13 Medium x-small Carbon Dioxide

Cylinder

1095.00000 DAY

Comm Code Manufacturer Specification Model # 42191700

Extended Description:

3.1.1.13 Medium x-small Carbon Dioxide

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 14 3.1.1.14 Medium x-small Nitrogen Cylinder 1095.00000 DAY

Comm Code Manufacturer Specification Model # 42191700

3.1.1.14 Medium x-small Nitrogen

Date Printed: Jan 27, 2025 Page:9 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 15 3.1.1.15 Medium x-small Nitrous Oxide

Cylinder

1095.00000 DAY

Comm Code Manufacturer Specification Model # 42191700

Extended Description:

3.1.1.15 Medium x-small Nitrous Oxide

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 16 3.1.1.16 Medium x-small Oxygen Cylinder 9125.00000 DAY

Comm Code Manufacturer Specification Model # 42191700

3.1.1.16 Medium x-small Oxygen

Date Printed: Jan 27, 2025 Page:10 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 17 3.1.1.17 Medium x-small Diffusion (4 components/Oxygen, Nitr

1095.00000 DAY

Comm Code Manufacturer Specification Model # 42191700

Extended Description:

3.1.1.17 Medium x-small Diffusion (4 components/Oxygen, Nitrogen, Methane, and Carbon) Cylinder

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 18 3.1.1.1 Industrial Large Acetylene Cylinder 2.00000 EA

Comm Code Manufacturer Specification Model # 42191700

3.1.1.1 Industrial Large Acetylene

Date Printed: Jan 27, 2025 Page:11 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 19 3.1.1.2 Industrial Large Air Cylinder 2.00000 EA

Comm Code Manufacturer Specification Model # 42191700

Extended Description:

3.1.1.2 Industrial Large Air

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 20 3.1.1.3 Industrial Large Argon Cylinder 2.00000 EA

Comm Code Manufacturer Specification Model # 42191700

3.1.1.3 Industrial Large Argon

Date Printed: Jan 27, 2025 Page:12 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 21 3.1.1.4 Industrial Large Carbon Dioxide

Cylinder

2.00000 EA

Comm Code Manufacturer Specification Model # 42191700

Extended Description:

3.1.1.4 Industrial Large Carbon Dioxide

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 22 3.1.1.5 Industrial Large Oxygen Cylinder 2.00000 EA

Comm Code Manufacturer Specification Model # 42191700

3.1.1.5 Industrial Large Oxygen

Date Printed: Jan 27, 2025 Page:13 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 23 3.1.1.6 Industrial Small Acetylene Cylinder 2.00000 EA

Comm Code Manufacturer Specification Model # 42191700

Extended Description:

3.1.1.6 Industrial Small Acetylene

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 24 3.1.1.7 Industrial Small Nitrogen Cylinder 2.00000 EA

Comm Code Manufacturer Specification Model # 42191700

3.1.1.7 Industrial Small Nitrogen

Date Printed: Jan 27, 2025 Page:14 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 25 3.1.1.8 Industrial Small Oxygen Cylinder 2.00000 EA

Comm Code Manufacturer Specification Model # 42191700

Extended Description:

3.1.1.8 Industrial Small Oxygen

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 26 3.1.1.9 Medium Large Nitrogen Cylinder 3.00000 EA

Comm Code Manufacturer Specification Model # 42191700

3.1.1.9 Medium Large Nitrogen

Date Printed: Jan 27, 2025 Page:15 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 27 3.1.1.10 Medium Large Nitrous Oxide Cylinder 3.00000 EA

Comm Code Manufacturer Specification Model # 42191700

Extended Description:

3.1.1.10 Medium Large Nitrous Oxide

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 28 3.1.1.11 Medium Large Oxygen Cylinder 3.00000 EA

Comm Code Manufacturer Specification Model # 42191700

3.1.1.11 Medium Large Oxygen

Date Printed: Jan 27, 2025 Page:16 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 29 3.1.1.12 Medium x-small Air Cylinder 3.00000 EA

Comm Code Manufacturer Specification Model # 42191700

Extended Description:

3.1.1.12 Medium x-small Air

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 30 3.1.1.13 Medium x-small Carbon Dioxide

Cylinder

3.00000 EA

Comm Code Manufacturer Specification Model # 42191700

3.1.1.13 Medium x-small Carbon Dioxide

Date Printed: Jan 27, 2025 Page:17 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 31 3.1.1.14 Medium x-small Nitrogen Cylinder 3.00000 EA

Comm Code Manufacturer Specification Model # 42191700

Extended Description:

3.1.1.14 Medium x-small Nitrogen

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 32 3.1.1.15 Medium x-small Nitrous Oxide

Cylinder

3.00000 EA

Comm Code Manufacturer Specification Model # 42191700

3.1.1.15 Medium x-small Nitrous Oxide

Date Printed: Jan 27, 2025 Page:18 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 33 3.1.1.16 Medium x-small Oxygen Cylinder 100.00000 EA

Comm Code Manufacturer Specification Model # 42191700

Extended Description:

3.1.1.16 Medium x-small Oxygen

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 34 3.1.1.17 Medium x-small Diffusion (4 components/Oxygen, Nitr

3.00000 EA

Comm Code Manufacturer Specification Model # 42191700

Extended Description:

3.1.1.17 Medium x-small Diffusion (4 components/Oxygen, Nitrogen, Methane, and Carbon) Cylinder

Date Printed: Jan 27, 2025 Page:19 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 35 3.1.1.18 Hazardous Materials Shipping

Charge (HAZMAT)

52.00000 EA

Comm Code Manufacturer Specification Model # 78121603

Extended Description:

3.1.1.18 Hazardous Materials Shipping Charge (HAZMAT)

SCHEDULE OF EVENTS

Line Event Event Date 1 Questions are due at 10:00am 2025-02-05

Document Phase Document Description Page

WEH2500000011 Final RENTAL OF CYLINDERS OF

INDUSTRIAL MEDICAL GASES

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File details come from the government source that posted it. Updated .