Final_ARFQ_0512_WEH2500000013_2_WV_ARFQ_FORM.PDF

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Attached to
Direct Care Staffing Services MLT & MT Travel Staffing
Solicitation number
ARFQ-0512-WEH2500000013-2
Issued by
Mingo County, West Virginia

About this file

This is an Agency Request for Quote (ARFQ) issued by the West Virginia Department of Health and Human Resources for Direct Care Staffing Services, specifically for Medical Laboratory Technician (MLT) and Medical Technician (MT) travel staffing at Welch Community Hospital. The solicitation number is ARFQ 0512 WEH2500000013 Version 2, with responses due by February 24, 2025, at 13:30. Technical questions were due by February 10, 2025, at 10:30 am. The document represents Addendum 1, which includes vendor questions and facility answers.

The solicitation requests pricing for 3,500 hours of Medical Laboratory Technician (MLT) services and 2,080 hours of Medical Technician (MT) services, structured as a master agreement. The services are to be provided at Welch Community Hospital, located at 454 McDowell Street in Welch, West Virginia. Vendors must provide regular hourly rates for both positions, though specific pricing details are not included in this document.

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Text version

Date Printed: Feb 12, 2025 Page:1 FORM ID: WV-PRC-ARFQ-002 2020/05

State of West Virginia Agency Request for Quote

Proc Folder: 1617112 Reason for Modification:

Doc Description: Direct Care Staffing Services

MLT & MT Travel Staffing Addendum 1 Attached Vendor Questions and Facility answers.

Proc Type: Agency Master Agreement

Date Issued Solicitation Closes Solicitation No Version

2025-02-12 2025-02-24 13:30 ARFQ 0512 WEH2500000013 2

BID RECEIVING LOCATION

BUYER - 304-957-0209

HEALTH AND HUMAN RESOURCES

OPERATIONS/PURCHASING FIRST FLOOR, RM 111

ONE DAVIS SQUARE

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: Feb 12, 2025 Page:2 FORM ID: WV-PRC-ARFQ-002 2020/05

ADDITIONAL INFORMATION

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 MEDICAL LABORATORY

TECHNICIAN (MLT) REG. HOURLY RATE

3500.00000 HOUR

Comm Code Manufacturer Specification Model # 80111606

Extended Description:

4.1.1 MEDICAL LABORATORY TECHNICIAN (MLT) REG. HOURLY RATE

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 4.1.2 MEDICAL TECHNICIAN (MT) REG.

HOURLY RATE

2080.00000 HOUR

Comm Code Manufacturer Specification Model # 80111606

Extended Description:

4.1.2 MEDICAL TECHNICIAN (MT) REG. HOURLY RATE

SCHEDULE OF EVENTS

Line Event Event Date 1 Technical Questions Due 10:30 am 2025-02-10

Document Phase Document Description Page

WEH2500000013 Final Direct Care Staffing Services MLT & MT Travel Staffing

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