Final_ARFQ_0513_FLC2500000001_2_WV_ARFQ_FORM.PDF
PDF 734 KB Posted
- Attached to
- COMPETENCY EVALUATION SVCS FOR NURSE AIDES
- Solicitation number
- ARFQ-0513-FLC2500000001-2
- Issued by
- Monongalia County, West Virginia
About this file
This document is an Agency Request for Quote (ARFQ) issued by the State of West Virginia Health and Human Resources (DHHR) to procure Competency Evaluation Services for Nurse Aides. The services requested include written competency evaluations, oral competency evaluations, skills performance evaluations, and an "Educate the Educator" workshop. The quantities include 1,450 written evaluations, 20 oral evaluations, 1,515 skills performance evaluations, and 25 workshops. The solicitation closes on September 5, 2024 at 1:00 PM. The shipment and invoicing locations are both the DHHR Office of Inspector General - Office of Health Facility Licensure and Certification in Charleston, WV.
The pricing for the requested services includes a per-unit fee for each evaluation and training service. The total cost for the specified quantities would be calculated based on these unit prices. There are no indications of any set-aside requirements or incumbent information provided in the document. Funding sources are not explicitly stated, but the procurement is being conducted by the State of West Virginia DHHR.
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Other files
| File | Type | Posted |
|---|---|---|
| Addendum 1 forms.docx | DOCX document | |
| Final_ARFQ_0513_FLC2500000001_1_WV_ARFQ_FORM.PDF | ||
| Specifications ARFQ FLC25.01.docx | DOCX document | |
| NA-Policy_Manual.pdf | ||
| WV 43.pdf | ||
| NA Skills Performance Checklist for Contract 8.2.2024 For Contract.docx | DOCX document | |
| Pricing Page.docx | DOCX document | |
| TCA - ARFQ 25.01.pdf | ||
| eCFR __ 42 CFR 483.95 -- Training requirements_.pdf | ||
| eCFR __ Reader Aids __ Understanding the eCFR.pdf | ||
| Exhibit B HIPAA BAA.pdf | ||
| eCFR __ 42 CFR 483.156 -- Registry of nurse aides_.pdf |
Show all 12
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Text version
Date Printed: Aug 28, 2024 Page:1 FORM ID: WV-PRC-ARFQ-002 2020/05
State of West Virginia Agency Request for Quote
Miscellaneous
Proc Folder: 1483211 Reason for Modification:
Doc Description: COMPETENCY EVALUATION SVCS FOR NURSE AIDES Addendum 1
Proc Type: Agency Master Agreement
Date Issued Solicitation Closes Solicitation No Version
2024-08-28 2024-09-05 13:00 ARFQ 0513 FLC2500000001 2
BID RECEIVING LOCATION
BUYER - 304-957-0209
HEALTH AND HUMAN RESOURCES
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
Bryan D Rosen
(304) 558-0953 bryan.d.rosen@wv.gov
Vendor Signature X FEIN# DATE All offers subject to all terms and conditions contained in this solicitation
Date Printed: Aug 28, 2024 Page:2 FORM ID: WV-PRC-ARFQ-002 2020/05
ADDITIONAL INFORMATION
COMPETENCY EVALUATION SVCS FOR NURSE AIDES
INVOICE TO SHIP TO
HEALTH AND HUMAN
RESOURCES
HEALTH AND HUMAN
RESOURCES
OIG - OHFLAC OIG - OHFLAC
408 LEON SULLIVAN WAY 408 LEON SULLIVAN WAY
CHARLESTON WV CHARLESTON WV
US US
Line Comm Ln Desc Qty Unit Issue Unit Price Total Price
1 PROJECT A: NURSE AIDE WRITTEN
COMPETENCY EVALUATION FEE
1450.00000 EA
Comm Code Manufacturer Specification Model # 85101600
Extended Description:
PROJECT A. 8 - NURSE AIDE WRITTEN COMPETENCY EVALUATION FEE
INVOICE TO SHIP TO
HEALTH AND HUMAN
RESOURCES
HEALTH AND HUMAN
RESOURCES
OIG - OHFLAC OIG - OHFLAC
408 LEON SULLIVAN WAY 408 LEON SULLIVAN WAY
CHARLESTON WV CHARLESTON WV
US US
Line Comm Ln Desc Qty Unit Issue Unit Price Total Price
2 PROJECT A: NURSE AIDE ORAL
COMPETENCY EVALUATION FEE
20.00000 EA
Comm Code Manufacturer Specification Model # 85101600
Extended Description:
PROJECT A. 10 - NURSE AIDE ORAL COMPETENCY EVALUATION FEE
Date Printed: Aug 28, 2024 Page:3 FORM ID: WV-PRC-ARFQ-002 2020/05
INVOICE TO SHIP TO
HEALTH AND HUMAN
RESOURCES
HEALTH AND HUMAN
RESOURCES
OIG - OHFLAC OIG - OHFLAC
408 LEON SULLIVAN WAY 408 LEON SULLIVAN WAY
CHARLESTON WV CHARLESTON WV
US US
Line Comm Ln Desc Qty Unit Issue Unit Price Total Price
3 PROJECT A: NURSE AIDE SKILLS
PERFORMANCE EVALUATION FEE
1515.00000 EA
Comm Code Manufacturer Specification Model # 85101600
Extended Description:
PROJECT A. 11 - NURSE AIDE SKILLS PERFORMANCE EVALUATION FEE
INVOICE TO SHIP TO
HEALTH AND HUMAN
RESOURCES
HEALTH AND HUMAN
RESOURCES
OIG - OHFLAC OIG - OHFLAC
408 LEON SULLIVAN WAY 408 LEON SULLIVAN WAY
CHARLESTON WV CHARLESTON WV
US US
Line Comm Ln Desc Qty Unit Issue Unit Price Total Price
4 PROJECT B: EDUCATE THE EDUCATOR
WORKSHOP FEE
25.00000 EA
Comm Code Manufacturer Specification Model # 85101600
Extended Description:
PROJECT B: 1 & 2 - EDUCATE THE EDUCATOR WORKSHOP FEE - 3 DAYS.
Date Printed: Aug 28, 2024 Page:4 FORM ID: WV-PRC-ARFQ-002 2020/05
INVOICE TO SHIP TO
HEALTH AND HUMAN
RESOURCES
HEALTH AND HUMAN
RESOURCES
OIG - OHFLAC OIG - OHFLAC
408 LEON SULLIVAN WAY 408 LEON SULLIVAN WAY
CHARLESTON WV CHARLESTON WV
US US
Line Comm Ln Desc Qty Unit Issue Unit Price Total Price
5 PROJECT B: EDUCATE THE EDUCATOR
WORKSHOP FEE
5.00000 EA
Comm Code Manufacturer Specification Model # 85101600
Extended Description:
PROJECT B: 1 & 2 - EDUCATE THE EDUCATOR WORKSHOP FEE - 1 DAY * NOTE: THIS SINGLE DAY MAY OR MAY NOT BE
OPENED TO
INVOICE TO SHIP TO
HEALTH AND HUMAN
RESOURCES
HEALTH AND HUMAN
RESOURCES
OIG - OHFLAC OIG - OHFLAC
408 LEON SULLIVAN WAY 408 LEON SULLIVAN WAY
CHARLESTON WV CHARLESTON WV
US US
Line Comm Ln Desc Qty Unit Issue Unit Price Total Price
6 PROJECT D: NURSE AIDE REFRESHER
COURSE
100.00000 EA
Comm Code Manufacturer Specification Model # 85101600
Extended Description:
PROJECT D: 1 THROUGH 9 - NURSE AIDE REFRESHER COURSE
SCHEDULE OF EVENTS
Line Event Event Date 1 Questions due by noon 2024-08-22
Document Phase Document Description Page
FLC2500000001 Final COMPETENCY EVALUATION
SVCS FOR NURSE AIDES
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