Final_ARFQ_0512_WSH2500000005_2_WV_ARFQ_FORM.PDF
PDF 731 KB Posted
- Attached to
- BACKFLOW PREVENTION EQUIPMENT AND INSTALLATION
- Solicitation number
- ARFQ-0512-WSH2500000005-2
- Issued by
- Lewis County, West Virginia
About this file
This document is a State of West Virginia Agency Request for Quote (ARFQ) for the West Virginia Health and Human Resources Department, specifically for William R. Sharpe Jr. Hospital in Weston, WV. The solicitation (ARFQ 0512 WSH2500000005 Version 2) seeks a one-time purchase of backflow prevention equipment and installation, with a bid submission deadline of June 3, 2025, at 1:30 PM. The procurement involves three primary line items: a backflow prevention device, its installation, and associated work materials and labor. A pre-bid meeting was already conducted on May 20, 2025, and the final question deadline was May 27, 2025, at 12:00 PM.
The document does not specify exact pricing details or funding sources, but outlines a single-unit procurement for each line item to be delivered and installed at William R. Sharpe Jr. Hospital, located at 936 Sharpe Hospital Road in Weston, West Virginia. The solicitation is structured as an agency master agreement, suggesting potential future use beyond this initial purchase. The procurement is being managed through the Office of Shared Administration Operations/Purchasing, located in Charleston, WV, with Roberta A. Wagner serving as the primary buyer contact, reachable at (304) 558-0437 or roberta.a.wagner@wv.gov.
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Text version
Date Printed: May 27, 2025 Page:1 FORM ID: WV-PRC-ARFQ-002 2020/05
State of West Virginia Agency Request for Quote
Service - Misc
Proc Folder: 1681234 Reason for Modification:
Doc Description: BACKFLOW PREVENTION EQUIPMENT AND INSTALLATION ADDENDUM #1: TO ATTACH
THE PRE-BID SIGN-IN SHEET.
Proc Type: Agency Master Agreement
Date Issued Solicitation Closes Solicitation No Version
2025-05-27 2025-06-03 13:30 ARFQ 0512 WSH2500000005 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: May 27, 2025 Page:2 FORM ID: WV-PRC-ARFQ-002 2020/05
ADDITIONAL INFORMATION
ONE-TIME PURCHASE OF BACKFLOW PREVENTION EQUIPMENT AND INSTALLATION AT THE HOSPITAL.
ALL SERVICES WILL BE PROVIDED AT:
WILLIAM R. SHARPE, JR. HOSPITAL
936 SHARPE HOSPITAL ROAD
WESTON, WV 26452
INVOICE TO SHIP TO
HEALTH AND HUMAN
RESOURCES
HEALTH AND HUMAN
RESOURCES
WILLIAM R SHARPE JR
HOSPITAL
WILLIAM R SHARPE JR
HOSPITAL
936 SHARPE HOSPITAL RD 936 SHARPE HOSPITAL RD
WESTON WV WESTON WV
US US
Line Comm Ln Desc Qty Unit Issue Unit Price Total Price
1 BACKFLOW PREVENTION DEVICE 1.00000 EA
Comm Code Manufacturer Specification Model # 72151100
Extended Description:
BACKFLOW PREVENTION DEVICE
INVOICE TO SHIP TO
HEALTH AND HUMAN
RESOURCES
HEALTH AND HUMAN
RESOURCES
WILLIAM R SHARPE JR
HOSPITAL
WILLIAM R SHARPE JR
HOSPITAL
936 SHARPE HOSPITAL RD 936 SHARPE HOSPITAL RD
WESTON WV WESTON WV
US US
Line Comm Ln Desc Qty Unit Issue Unit Price Total Price
2 INSTALLATION OF THE EQUIPMENT ON
COMMODITY LINE 1
1.00000 EA
Comm Code Manufacturer Specification Model # 72151100
Extended Description:
INSTALLATION OF THE EQUIPMENT ON COMMODITY LINE 1
Date Printed: May 27, 2025 Page:3 FORM ID: WV-PRC-ARFQ-002 2020/05
INVOICE TO SHIP TO
HEALTH AND HUMAN
RESOURCES
HEALTH AND HUMAN
RESOURCES
WILLIAM R SHARPE JR
HOSPITAL
WILLIAM R SHARPE JR
HOSPITAL
936 SHARPE HOSPITAL RD 936 SHARPE HOSPITAL RD
WESTON WV WESTON WV
US US
Line Comm Ln Desc Qty Unit Issue Unit Price Total Price
3 ALL OTHER WORK MATERIALS & LABOR
AFFILIATED WITH THE DEVICE
1.00000 EA
Comm Code Manufacturer Specification Model # 72151100
Extended Description:
ALL OTHER WORK MATERIALS & LABOR AFFILIATED WITH THE DEVICE
SCHEDULE OF EVENTS
Line Event Event Date
3 QUESTION DEADLINE 12:00PM 2025-05-27
4 PREBID MEETING 9:00AM 2025-05-20
Document Phase Document Description Page
WSH2500000005 Final BACKFLOW PREVENTION
EQUIPMENT AND INSTALLATION
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