Final_ARFQ_0512_WEH2500000018_2_WV_ARFQ_FORM.PDF

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Attached to
Lease Agreement Endoscopic System
Solicitation number
ARFQ-0512-WEH2500000018-2
Issued by
Mineral County, West Virginia

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Text version

Date Printed: Jun 13, 2025 Page:1 FORM ID: WV-PRC-ARFQ-002 2020/05

State of West Virginia Agency Request for Quote

Service - Prof

Proc Folder: 1704849 Reason for Modification:

Doc Description: Lease Agreement Endoscopic System Addendum 1 attach questions and answers

Proc Type: Agency Master Agreement

Date Issued Solicitation Closes Solicitation No Version

2025-06-13 2025-06-26 13:30 ARFQ 0512 WEH2500000018 2

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: Jun 13, 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 One (1) new VP-7000 Eluxeo High-Definition

Video Proc

12.00000 MO

Comm Code Manufacturer Specification Model # 42295000

Extended Description:

3.1.1 One (1) new VP-7000 Eluxeo High-Definition Video Processor or equal.

(YEAR 1)

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 One (1) new BL-7000 Eluxeo 4-LED light source with hig

12.00000 MO

Comm Code Manufacturer Specification Model # 42295000

Extended Description:

3.2 One (1) new BL-7000 Eluxeo 4-LED light source with high durability or equal.

(YEAR 1)

Date Printed: Jun 13, 2025 Page:3 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 3 One (1) 32" 4K Sony Monitor LMD-X3200MD/

A or equal.

12.00000 MO

Comm Code Manufacturer Specification Model # 42295000

Extended Description:

3.3 One (1) 32" 4K Sony Monitor LMD-X3200MD/A or equal.

(YEAR 1)

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 One (1) EC-760S- VL, Adult Colonoscope

Routine Type or equa

12.00000 MO

Comm Code Manufacturer Specification Model # 42295000

Extended Description:

3.4 One (1) EC-760S- VL, Adult Colonoscope Routine Type or equal.

Date Printed: Jun 13, 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 One (1) each; EC-760R-VL, Routine type colonoscope hybrid

12.00000 MO

Comm Code Manufacturer Specification Model # 42295000

Extended Description:

3.5 One (1) each; EC-760R-VL, Routine type colonoscope hybrid or equal:

(YEAR 1)

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 Two (2) each EG-760R Video Gastroscope

Routine type or equal

12.00000 MO

Comm Code Manufacturer Specification Model # 42295000

Extended Description:

3.6 Two (2) each EG-760R Video Gastroscope Routine type or equal.

Date Printed: Jun 13, 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 One (1) EB-710XT Bronchoscope Type:

Treatment or equal.

12.00000 MO

Comm Code Manufacturer Specification Model # 42295000

Extended Description:

3.7 One (1) EB-710XT Bronchoscope Type: Treatment or equal.

(YEAR 1)

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 Three (3) water bottles with tubing compatible with Eluxeo E

12.00000 MO

Comm Code Manufacturer Specification Model # 42295000

Extended Description:

3.7.8 Three (3) water bottles with tubing compatible with Eluxeo Endoscopic Video Imaging system or equal.

Date Printed: Jun 13, 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 One (1) WT-603 Water tank for use with G7

Endoscopes.

12.00000 MO

Comm Code Manufacturer Specification Model # 42295000

Extended Description:

3.7.9 One (1) WT-603 Water tank for use with G7 Endoscopes.

(YEAR 1)

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 Two (2) VC-ENC-25 BNC-25FT Coax/ composite cable (HD-SD) for

12.00000 MO

Comm Code Manufacturer Specification Model # 42295000

Extended Description:

3.7.10 Two (2) VC-ENC-25 BNC-25FT Coax/composite cable (HD-SD) for processor to printer/monitor.

Date Printed: Jun 13, 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 Two (2) VC-ENC-6 BNC-6FT Coax/composite cable (HD-SD) for pr

12.00000 MO

Comm Code Manufacturer Specification Model # 42295000

Extended Description:

3.7.11 Two (2) VC-ENC-6 BNC-6FT Coax/composite cable (HD-SD) for processor to printer/monitor.

(YEAR 1)

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 One (1) Endoscopy Procedure Room Guide 12.00000 MO

Comm Code Manufacturer Specification Model # 42295000

Extended Description:

3.7.12 One (1) Endoscopy Procedure Room Guide

Date Printed: Jun 13, 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 One (1) new VP-7000 Eluxeo High-Definition

Video Proc

12.00000 MO

Comm Code Manufacturer Specification Model # 42295000

Extended Description:

3.1.1 One (1) new VP-7000 Eluxeo High-Definition Video Processor or equal.

(YEAR 2)

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 One (1) new BL-7000 Eluxeo 4-LED light source with hig

12.00000 MO

Comm Code Manufacturer Specification Model # 42295000

Extended Description:

(YEAR 2)

Date Printed: Jun 13, 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 One (1) 32" 4K Sony Monitor LMD-X3200MD/

A or equal.

12.00000 MO

Comm Code Manufacturer Specification Model # 42295000

Extended Description:

3.3 One (1) 32" 4K Sony Monitor LMD-X3200MD/A or equal.

(YEAR 2)

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 One (1) EC-760S- VL, Adult Colonoscope

Routine Type or equa

12.00000 MO

Comm Code Manufacturer Specification Model # 42295000

Extended Description:

Date Printed: Jun 13, 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 One (1) each; EC-760R-VL, Routine type colonoscope hybrid

12.00000 MO

Comm Code Manufacturer Specification Model # 42295000

Extended Description:

3.5 One (1) each; EC-760R-VL, Routine type colonoscope hybrid or equal:

(YEAR 2)

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 Two (2) each EG-760R Video Gastroscope

Routine type or equal

12.00000 MO

Comm Code Manufacturer Specification Model # 42295000

Extended Description:

Date Printed: Jun 13, 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 One (1) EB-710XT Bronchoscope Type:

Treatment or equal.

12.00000 MO

Comm Code Manufacturer Specification Model # 42295000

Extended Description:

3.7 One (1) EB-710XT Bronchoscope Type: Treatment or equal.

(YEAR 2)

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 Three (3) water bottles with tubing compatible with Eluxeo E

12.00000 MO

Comm Code Manufacturer Specification Model # 42295000

Extended Description:

3.7.8 Three (3) water bottles with tubing compatible with Eluxeo Endoscopic Video Imaging system or equal.

Date Printed: Jun 13, 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 One (1) WT-603 Water tank for use with G7

Endoscopes.

12.00000 MO

Comm Code Manufacturer Specification Model # 42295000

Extended Description:

3.7.9 One (1) WT-603 Water tank for use with G7 Endoscopes.

(YEAR 2)

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 Two (2) VC-ENC-25 BNC-25FT Coax/ composite cable (HD-SD) for

12.00000 MO

Comm Code Manufacturer Specification Model # 42295000

Extended Description:

Date Printed: Jun 13, 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 Two (2) VC-ENC-6 BNC-6FT Coax/composite cable (HD-SD) for pr

12.00000 MO

Comm Code Manufacturer Specification Model # 42295000

Extended Description:

3.7.11 Two (2) VC-ENC-6 BNC-6FT Coax/composite cable (HD-SD) for processor to printer/monitor.

(YEAR 2)

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 One (1) Endoscopy Procedure Room Guide 12.00000 MO

Comm Code Manufacturer Specification Model # 42295000

Extended Description:

Date Printed: Jun 13, 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 One (1) new VP-7000 Eluxeo High-Definition

Video Proc

12.00000 MO

Comm Code Manufacturer Specification Model # 42295000

Extended Description:

3.1.1 One (1) new VP-7000 Eluxeo High-Definition Video Processor or equal.

(YEAR 3)

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 One (1) new BL-7000 Eluxeo 4-LED light source with hig

12.00000 MO

Comm Code Manufacturer Specification Model # 42295000

Extended Description:

(YEAR 3)

Date Printed: Jun 13, 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 One (1) 32" 4K Sony Monitor LMD-X3200MD/

A or equal.

12.00000 MO

Comm Code Manufacturer Specification Model # 42295000

Extended Description:

3.3 One (1) 32" 4K Sony Monitor LMD-X3200MD/A or equal.

(YEAR 3)

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 One (1) EC-760S- VL, Adult Colonoscope

Routine Type or equa

12.00000 MO

Comm Code Manufacturer Specification Model # 42295000

Extended Description:

Date Printed: Jun 13, 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 One (1) each; EC-760R-VL, Routine type colonoscope hybrid

12.00000 MO

Comm Code Manufacturer Specification Model # 42295000

Extended Description:

3.5 One (1) each; EC-760R-VL, Routine type colonoscope hybrid or equal:

(YEAR 3)

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 Two (2) each EG-760R Video Gastroscope

Routine type or equal

12.00000 MO

Comm Code Manufacturer Specification Model # 42295000

Extended Description:

Date Printed: Jun 13, 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 One (1) EB-710XT Bronchoscope Type:

Treatment or equal.

12.00000 MO

Comm Code Manufacturer Specification Model # 42295000

Extended Description:

3.7 One (1) EB-710XT Bronchoscope Type: Treatment or equal.

(YEAR 3)

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 Three (3) water bottles with tubing compatible with Eluxeo E

12.00000 MO

Comm Code Manufacturer Specification Model # 42295000

Extended Description:

3.7.8 Three (3) water bottles with tubing compatible with Eluxeo Endoscopic Video Imaging system or equal.

Date Printed: Jun 13, 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 One (1) WT-603 Water tank for use with G7

Endoscopes.

12.00000 MO

Comm Code Manufacturer Specification Model # 42295000

Extended Description:

3.7.9 One (1) WT-603 Water tank for use with G7 Endoscopes.

(YEAR 3)

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 Two (2) VC-ENC-25 BNC-25FT Coax/ composite cable (HD-SD) for

12.00000 MO

Comm Code Manufacturer Specification Model # 42295000

Extended Description:

Date Printed: Jun 13, 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 Two (2) VC-ENC-6 BNC-6FT Coax/composite cable (HD-SD) for pr

12.00000 MO

Comm Code Manufacturer Specification Model # 42295000

Extended Description:

3.7.11 Two (2) VC-ENC-6 BNC-6FT Coax/composite cable (HD-SD) for processor to printer/monitor.

(YEAR 3)

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 36 One (1) Endoscopy Procedure Room Guide 12.00000 MO

Comm Code Manufacturer Specification Model # 42295000

Extended Description:

Date Printed: Jun 13, 2025 Page:20 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 37 One (1) new VP-7000 Eluxeo High-Definition

Video Proc

12.00000 MO

Comm Code Manufacturer Specification Model # 42295000

Extended Description:

3.1.1 One (1) new VP-7000 Eluxeo High-Definition Video Processor or equal.

(YEAR 4)

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 38 One (1) new BL-7000 Eluxeo 4-LED light source with hig

12.00000 MO

Comm Code Manufacturer Specification Model # 42295000

Extended Description:

(YEAR 4)

Date Printed: Jun 13, 2025 Page:21 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 39 One (1) 32" 4K Sony Monitor LMD-X3200MD/

A or equal.

12.00000 MO

Comm Code Manufacturer Specification Model # 42295000

Extended Description:

3.3 One (1) 32" 4K Sony Monitor LMD-X3200MD/A or equal.

(YEAR 4)

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 40 One (1) EC-760S- VL, Adult Colonoscope

Routine Type or equa

12.00000 MO

Comm Code Manufacturer Specification Model # 42295000

Extended Description:

Date Printed: Jun 13, 2025 Page:22 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 41 One (1) each; EC-760R-VL, Routine type colonoscope hybrid

12.00000 MO

Comm Code Manufacturer Specification Model # 42295000

Extended Description:

3.5 One (1) each; EC-760R-VL, Routine type colonoscope hybrid or equal:

(YEAR 4)

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 42 Two (2) each EG-760R Video Gastroscope

Routine type or equal

12.00000 MO

Comm Code Manufacturer Specification Model # 42295000

Extended Description:

Date Printed: Jun 13, 2025 Page:23 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 43 One (1) EB-710XT Bronchoscope Type:

Treatment or equal.

12.00000 MO

Comm Code Manufacturer Specification Model # 42295000

Extended Description:

3.7 One (1) EB-710XT Bronchoscope Type: Treatment or equal.

(YEAR 4)

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 44 Three (3) water bottles with tubing compatible with Eluxeo E

12.00000 MO

Comm Code Manufacturer Specification Model # 42295000

Extended Description:

3.7.8 Three (3) water bottles with tubing compatible with Eluxeo Endoscopic Video Imaging system or equal.

Date Printed: Jun 13, 2025 Page:24 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 45 One (1) WT-603 Water tank for use with G7

Endoscopes.

12.00000 MO

Comm Code Manufacturer Specification Model # 42295000

Extended Description:

3.7.9 One (1) WT-603 Water tank for use with G7 Endoscopes.

(YEAR 4)

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 46 Two (2) VC-ENC-25 BNC-25FT Coax/ composite cable (HD-SD) for

12.00000 MO

Comm Code Manufacturer Specification Model # 42295000

Extended Description:

Date Printed: Jun 13, 2025 Page:25 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 47 Two (2) VC-ENC-6 BNC-6FT Coax/composite cable (HD-SD) for pr

12.00000 MO

Comm Code Manufacturer Specification Model # 42295000

Extended Description:

3.7.11 Two (2) VC-ENC-6 BNC-6FT Coax/composite cable (HD-SD) for processor to printer/monitor.

(YEAR 4)

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 48 One (1) Endoscopy Procedure Room Guide 12.00000 MO

Comm Code Manufacturer Specification Model # 42295000

Extended Description:

3.7.12 One (1) Endoscopy Procedure Room Guide

(YEAR 4)

SCHEDULE OF EVENTS

Line Event Event Date 1 Questions due by 10:30 AM 2025-06-12

Document Phase Document Description Page

WEH2500000018 Final Lease Agreement Endoscopic System

WEH2500000018 Final Lease Agreement Endoscopic http://www.sos.wv.gov/administrative-law/wagerates/Pages/default.aspx

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