Final_ARFQ_0512_WEH2700000002_2_WV_ARFQ_FORM.PDF

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Attached to
Liquid Oxygen and Tank Rental Services
Solicitation number
ARFQ 0512 WEH2700000002 2
Issued by
Kanawha County, West Virginia

About this file

This is an Agency Request for Quote (ARFQ) form issued by the West Virginia Office of Shared Administration (WVOSA), Purchasing Division, on behalf of the Department of Health Facilities' Welch Community Hospital. The solicitation seeks bids to establish an open-end contract for the rental of one 6,000-gallon or greater liquid cryogenic vessel and one 525-gallon or greater reserve tank, along with the purchase of liquid oxygen and related supplies for the hospital located at 454 McDowell Street, Welch, West Virginia. The scope of work spans four contract years with identical service requirements across each year: 12 monthly rental periods for both the main vessel and reserve tank, 5,200 units of liquid oxygen per 1,000 cubic feet per second (estimated annual usage of 5,200,000 FTS), 52 annual oxygen shipping and handling charges, and 52 annual certificates of analysis/compliance charges. A pre-bid meeting is scheduled for July 28, 2026, at 1:00 PM EST, with a questions deadline of July 30, 2026, at 10:00 AM EST. The solicitation closing date is August 11, 2026, at 10:00 AM EST. Bids should be submitted to the Kanawha Valley Building, Health and Human Resources office, 300 Capitol Street, 7th Floor, Charleston, West Virginia 25301.

The solicitation does not specify pricing terms, pricing floors or ceilings, set-asides, or incumbent information in the provided documentation. Invoicing and shipment are directed to Welch Community Hospital at 454 McDowell Street, Welch, West Virginia. The contract represents an open-end agreement without specified award amounts, allowing the hospital to procure these essential medical gases and equipment rental services on an as-needed basis throughout the four-year term. Prospective vendors should contact Roberta A. Wagner, the assigned buyer, at (304) 558-0437 or roberta.a.wagner@wv.gov for additional information regarding this solicitation.

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Other files

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Federal Funds Addendum.pdf PDF
Specifications Liquid Oxygen.docx DOCX document
Addendum 1.pdf PDF
Exhibit A Pricing Page.xlsx XLSX spreadsheet
PAffidavit.pdf PDF
WV-43 - WV-36.pdf PDF
Final_ARFQ_0512_WEH2700000002_1_WV_ARFQ_FORM.PDF PDF
TCA ..pdf PDF

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Date Printed: Jul 20, 2026 Page:1 FORM ID: WV-PRC-ARFQ-002 2020/05

State of West Virginia Agency Request for Quote

Equip. Rental

Proc Folder: 2017296 Reason for Modification:

Doc Description: Liquid Oxygen and Tank Rental Services ADDENDUM 1 Change the Pre-

Meeting date, question deadline and move the closing date. Pre- Bid Meeting..... See Page 2 for complete infoProc Type: Agency Master Agreement

Date Issued Solicitation Closes Solicitation No Version

2026-07-20 2026-08-11 10:00 ARFQ 0512 WEH2700000002 2

BID RECEIVING LOCATION

KANAWHA VALLEY BUILDING

HEALTH AND HUMAN RESOURCES

300 CAPITOL ST

7TH FLOOR

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: Jul 20, 2026 Page:2 FORM ID: WV-PRC-ARFQ-002 2020/05

Reason for Modification:

ADDENDUM 1 Change the Pre-Meeting date, question deadline and move the closing date. Pre-Bid Meeting from 07/21/2026 1:00PM to 07/28/2026 1:00 PM EST, Questions from 07/23/2026 10:00AM to 07/30/2026 by 10:00 am EST Closing Date from 07/30/2026 10:00AM to 08/11/2026 10:00 AM EST

ADDITIONAL INFORMATION

1. PURPOSE AND SCOPE: The West Virginia Office of Shared Administration (WVOSA), Purchasing Division is soliciting bids on behalf of The Department of Health Facilities, Welch Community Hospital (Agency) to establish an open-end contract for the rental of one (1) 6,000 gallon or greater liquid cryogenic vessel (single) and one (1) 525 gallon or greater reserve tank and the purchase of gases and supplies for Welch

Community Hospital, 454 McDowell Street, Welch, WV 24801.

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 RENTAL LIQUID CRYOGENIC VESSEL

(SINGLE) YEAR 1

12.00000 MO

Comm Code Manufacturer Specification Model # 72154057

Extended Description:

Monthly rental of one (1) 6,000 gallon or greater liquid cryogenic vessel 3.1.1.1 (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 RENTAL LIQUID CRYOGENIC VESSEL

(SINGLE) RESERVE TANK YEAR 1

12.00000 MO

Comm Code Manufacturer Specification Model # 72154057

Extended Description:

Monthly rental of one (1) 525 gallon or greater reserve tank 3.1.1.1 (Year 1)

Date Printed: Jul 20, 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 Liquid oxygen per 1,000 FTS YEAR 1 5200.00000 EA

Comm Code Manufacturer Specification Model # 42271718

Extended Description:

Liquid Oxygen per 1000 FTS 3.1.1.1 (Year 1) Estimated annual usage 5,200,000 FTS divided by 1,000=5,200 FTS estimated annual usage

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 Oxygen shipping, handling, demurrage charge YEAR 1

52.00000 EA

Comm Code Manufacturer Specification Model # 42271718

Shipping, Handling, Delivery, Demurrage Charge per delivery, if applicable 3.1.1.15 (Year 1)

Date Printed: Jul 20, 2026 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 CofA/CofC Charge per delivery YEAR 1 52.00000 EA

Comm Code Manufacturer Specification Model # 42271718

Extended Description:

CofA/CofC Charge per delivery, if applicable 3.1.1.17 (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 RENTAL LIQUID CRYOGENIC VESSEL

(SINGLE) YEAR 2

12.00000 MO

Comm Code Manufacturer Specification Model # 72154057

Monthly rental of one (1) 6,000 gallon or greater liquid cryogenic vessel 3.1.1.1 (Year 2)

Date Printed: Jul 20, 2026 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 RENTAL LIQUID CRYOGENIC VESSEL

(SINGLE) RESERVE TANK YEAR 2

12.00000 MO

Comm Code Manufacturer Specification Model # 72154057

Extended Description:

Monthly rental of one (1) 525 gallon or greater reserve tank 3.1.1.1 (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 8 Liquid oxygen per 1,000 FTS YEAR 2 5200.00000 EA

Comm Code Manufacturer Specification Model # 42271718

Extended Description:

Liquid Oxygen per 1000 FTS 3.1.1.1 (Year 2) Estimated annual usage 5,200,000 FTS divided by 1,000=5,200 FTS estimated annual usage

Date Printed: Jul 20, 2026 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 Oxygen shipping, handling, demurrage charge YEAR 2

52.00000 EA

Comm Code Manufacturer Specification Model # 42271718

Extended Description:

Shipping, Handling, Delivery, Demurrage Charge per delivery, if applicable 3.1.1.15 (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 10 CofA/CofC Charge per delivery YEAR 2 52.00000 EA

Comm Code Manufacturer Specification Model # 42271718

CofA/CofC Charge per delivery, if applicable 3.1.1.17 (Year 2)

Date Printed: Jul 20, 2026 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 RENTAL LIQUID CRYOGENIC VESSEL

(SINGLE) YEAR 3

12.00000 MO

Comm Code Manufacturer Specification Model # 72154057

Extended Description:

Monthly rental of one (1) 6,000 gallon or greater liquid cryogenic vessel 3.1.1.1 (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

12 RENTAL LIQUID CRYOGENIC VESSEL

(SINGLE) RESERVE TANK YEAR 3

12.00000 MO

Comm Code Manufacturer Specification Model # 72154057

Monthly rental of one (1) 525 gallon or greater reserve tank 3.1.1.1 (Year 3)

Date Printed: Jul 20, 2026 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 Liquid oxygen per 1,000 FTS YEAR 3 5200.00000 EA

Comm Code Manufacturer Specification Model # 42271718

Extended Description:

Liquid Oxygen per 1000 FTS 3.1.1.1 (Year 3) Estimated annual usage 5,200,000 FTS divided by 1,000=5,200 FTS estimated annual usage

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 Oxygen shipping, handling, demurrage charge YEAR 3

52.00000 EA

Comm Code Manufacturer Specification Model # 42271718

Shipping, Handling, Delivery, Demurrage Charge per delivery, if applicable 3.1.1.15 (Year 3)

Date Printed: Jul 20, 2026 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 CofA/CofC Charge per delivery YEAR 3 52.00000 EA

Comm Code Manufacturer Specification Model # 42271718

Extended Description:

CofA/CofC Charge per delivery, if applicable 3.1.1.18 (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

16 RENTAL LIQUID CRYOGENIC VESSEL

(SINGLE) YEAR 4

12.00000 MO

Comm Code Manufacturer Specification Model # 72154057

Monthly rental of one (1) 6,000 gallon or greater liquid cryogenic vessel 3.1.1.1 (Year 4)

Date Printed: Jul 20, 2026 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 RENTAL LIQUID CRYOGENIC VESSEL

(SINGLE) YEAR 4

12.00000 MO

Comm Code Manufacturer Specification Model # 72154057

Extended Description:

Monthly rental of one (1) 6,000 gallon or greater liquid cryogenic vessel 3.1.1.1 (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 18 Liquid oxygen per 1,000 FTS YEAR 4 5200.00000 EA

Comm Code Manufacturer Specification Model # 42271718

Extended Description:

Liquid Oxygen per 1000 FTS 3.1.1.1 (Year 4) Estimated annual usage 5,200,000 FTS divided by 1,000=5,200 FTS estimated annual usage

Date Printed: Jul 20, 2026 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 Oxygen shipping, handling, demurrage charge YEAR 4

52.00000 EA

Comm Code Manufacturer Specification Model # 42271718

Extended Description:

Shipping, Handling, Delivery, Demurrage Charge per delivery, if applicable 3.1.1.15 (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 20 CofA/CofC Charge per delivery YEAR 4 52.00000 EA

Comm Code Manufacturer Specification Model # 42271718

Extended Description:

CofA/CofC Charge per delivery, if applicable 3.1.1.17 (Year 4)

SCHEDULE OF EVENTS

Line Event Event Date

1 PREBID MEETING 1:00PM EST 2026-07-28

2 QUESTIONS DEADLINE 10:00AM EST 2026-07-30

Document Phase Document Description Page

WEH2700000002 Final Liquid Oxygen and Tank Rental Services

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