Final_ARFQ_0512_WEH2600000004_1_WV_ARFQ_FORM.PDF

PDF 4 MB Posted

Attached to
Lease Agreement Endoscopic System
Solicitation number
ARFQ 0512 WEH2600000004 1
Issued by
Mineral County, West Virginia

About this file

This is an Agency Request for Quote (ARFQ) issued by the State of West Virginia, Department of Health and Human Resources, for a lease agreement of an endoscopic system to be delivered to Welch Community Hospital in Welch, West Virginia. The solicitation requests a comprehensive endoscopic video imaging system including one VP-7000 Eluxeo High-Definition Video Processor, one BL-7000 Eluxeo 4-LED light source, one 32-inch 4K Sony Monitor (LMD-X3200MD/A), one EC-760S-VL Adult Colonoscope, one EC-760R-VL routine type colonoscope, two EG-760R Video Gastroscopes, one EB-710XT Bronchoscope, three water bottles with tubing, one WT-603 Water tank, two VC-ENC-25 BNC-25FT coaxial cables, two VC-ENC-6 BNC-6FT coaxial cables, and one Endoscopy Procedure Room Guide. All line items are specified for a quantity of 12 months across a four-year contract term (Years 1-4). The solicitation closes on October 22, 2025, at 1:30 PM, with questions due by October 8, 2025, at 10:30 AM. The buyer contact is Roberta A. Wagner at the Office of Shared Administration Operations/Purchasing in Charleston, West Virginia.

The solicitation specifies monthly billing for all line items across the four-year contract period. All equipment specifications include "or equal" language, allowing vendors to propose equivalent alternatives to the named manufacturers and models. Pricing information is not provided in the quote form itself; vendors are required to submit unit prices and total prices for each line item. The invoice and shipping destination is Welch Community Hospital at 454 McDowell Street, Welch, West Virginia. No set-asides, incumbent contractor information, or specific funding amounts are identified in this document. The solicitation is open to qualified vendors capable of providing or leasing the specified endoscopic equipment and related supplies.

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Other files

File Type Posted
ARFQ WEH2600000004 Pricing Page.xlsx XLSX spreadsheet
ARFQ WEH2600000004 Specifications.docx DOCX document
ARFQ WEH2600000004 DoHS Exempt TCA.pdf PDF
ARFQ WEH2600000004 PAffidavit.pdf PDF
ARFQ WEH2600000004 WV-36.pdf PDF
ARFQ WEH2600000004 WV HIPAA BAA.pdf PDF
ARFQ WEH2600000004 OSA - 43.pdf PDF
Federal Funds Addendum.pdf PDF

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Text version

Date Printed: Sep 23, 2025 Page:1 FORM ID: WV-PRC-ARFQ-002 2020/05

State of West Virginia Agency Request for Quote

Service - Prof

Proc Folder: 1793860 Reason for Modification:

Doc Description: Lease Agreement Endoscopic System

Proc Type: Agency Master Agreement

Date Issued Solicitation Closes Solicitation No Version

2025-09-23 2025-10-22 13:30 ARFQ 0512 WEH2600000004 1

BID RECEIVING LOCATION

BUYER - 304-957-0209

OFFICE OF SHARED ADMINISTRATION

OPERATIONS/PURCHASING

ONE DAVIS SQUARE, FIRST FLOOR RM 107

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: Sep 23, 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: Sep 23, 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: Sep 23, 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: Sep 23, 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: Sep 23, 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: Sep 23, 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: Sep 23, 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: Sep 23, 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: Sep 23, 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: Sep 23, 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: Sep 23, 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: Sep 23, 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: Sep 23, 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: Sep 23, 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: Sep 23, 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: Sep 23, 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: Sep 23, 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: Sep 23, 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: Sep 23, 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: Sep 23, 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: Sep 23, 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: Sep 23, 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: Sep 23, 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: Sep 23, 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 2025-10-08

Document Phase Document Description Page

WEH2600000004 Final Lease Agreement Endoscopic System

WEH2600000004 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 .