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
- Jefferson County, West Virginia
About this file
This is an Agency Request for Quote (ARFQ) form issued by the State of West Virginia, Department of Health and Human Resources, for a one-time purchase of backflow prevention equipment and installation services at William R. Sharpe, Jr. Hospital located at 936 Sharpe Hospital Road, Weston, West Virginia 26452. The solicitation requests three line items: one backflow prevention device, installation of the equipment, and all other work, materials, and labor affiliated with the device. The solicitation was issued on May 27, 2025, with a question deadline of 12:00 PM on May 27, 2025, and a prebid meeting scheduled for 9:00 AM on May 20, 2025. The bid closing date is June 3, 2025, at 1:30 PM. The solicitation number is ARFQ 0512 WSH2500000005, Version 2, and it is classified as an Agency Master Agreement under miscellaneous procurement procedures.
Vendor inquiries and bid submissions should be directed to Roberta A. Wagner, the buyer, at the Office of Shared Administration Operations/Purchasing, One Davis Square, First Floor Room 111, Charleston, West Virginia 25301, or by phone at (304) 558-0437 or email at roberta.a.wagner@wv.gov. The solicitation specifies that all services will be performed at the hospital location, with invoicing and shipping directed to Health and Human Resources at William R. Sharpe Jr. Hospital. Addendum #1 to this solicitation attaches the pre-bid sign-in sheet. Pricing, set-asides, and other specific contract terms are not detailed in this cover document.
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| Final_ARFQ_0512_WSH2500000005_1_WV_ARFQ_FORM.PDF | ||
| WV36.pdf | ||
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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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File details come from the government source that posted it. Updated .