Final_ARFQ_0512_WEH2600000010_1_WV_ARFQ_FORM.PDF
PDF 4 MB Posted
- Attached to
- Lease Agreement Endoscopic System
- Solicitation number
- ARFQ 0512 WEH2600000010 1
- Issued by
- Mineral County, West Virginia
About this file
This is an Agency Request for Quote (ARFQ) form issued by the State of West Virginia, Office of Shared Administration Operations/Purchasing, for a lease agreement covering an endoscopic system required by Welch Community Hospital under the Health and Human Resources agency. The solicitation requests pricing for a four-year lease of one new endoscopic system, with 12 months of service required in each year (Years 1-4). The solicitation was issued on February 4, 2026, with a closing date of March 5, 2026, at 3:00 PM. Questions from potential vendors must be submitted by February 12, 2026. The equipment is to be delivered to and invoiced to Welch Community Hospital located at 454 McDowell Street, Welch, West Virginia. The lease agreement specifies the same endoscopic system model (Comm Code 42295000) across all four contract years.
Vendors should submit unit pricing and total pricing for each year of the lease term, though specific pricing amounts are not provided in this form template. The buyer contact is Roberta A. Wagner at the Office of Shared Administration Operations/Purchasing, reachable at (304) 558-0437 or roberta.a.wagner@wv.gov. Bid submissions should be directed to the receiving location at One Davis Square, First Floor, Room 107, Charleston, West Virginia 25301. All offers remain subject to the terms and conditions contained in the complete solicitation documentation.
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Other files
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| TCA.pdf | ||
| WV HIPAA BAA.pdf | ||
| PAffidavit.pdf | ||
| Federal Funds Addendum.pdf | ||
| Exhibit B Consumables.xlsx | XLSX spreadsheet | |
| Specifications.docx | DOCX document | |
| WV43 - WV36.pdf |
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Text version
Date Printed: Feb 3, 2026 Page:1 FORM ID: WV-PRC-ARFQ-002 2020/05
State of West Virginia Agency Request for Quote
Service - Prof
Proc Folder: 1875970 Reason for Modification:
Doc Description: Lease Agreement Endoscopic System
Proc Type: Agency Master Agreement
Date Issued Solicitation Closes Solicitation No Version
2026-02-04 2026-03-05 15:00 ARFQ 0512 WEH2600000010 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: Feb 3, 2026 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 Year 1 Lease Agreement One NEW
Endoscopic System
12.00000 MO
Comm Code Manufacturer Specification Model # 42295000
Extended Description:
Year ONE (1) Lease Agreement One NEW Endoscopic System
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 Year 2 Lease Agreement One NEW
Endoscopic System
12.00000 MO
Comm Code Manufacturer Specification Model # 42295000
Extended Description:
Year 2 Lease Agreement One NEW Endoscopic System
Date Printed: Feb 3, 2026 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 Year 3 Lease Agreement One NEW
Endoscopic System
12.00000 MO
Comm Code Manufacturer Specification Model # 42295000
Extended Description:
Year 3 Lease Agreement One NEW Endoscopic System
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 Year 4 Lease Agreement One NEW
Endoscopic System
12.00000 MO
Comm Code Manufacturer Specification Model # 42295000
Extended Description:
Year 4 Lease Agreement One NEW Endoscopic System
SCHEDULE OF EVENTS
Line Event Event Date 1 Questions due by 10:30 AM 2026-02-12
Document Phase Document Description Page
WEH2600000010 Final Lease Agreement Endoscopic System
WEH2600000010 Final Lease Agreement Endoscopic http://www.sos.wv.gov/administrative-law/wagerates/Pages/default.aspx
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