Final_ARFQ_0618_BVH2600000008_1_WV_ARFQ_FORM.PDF

PDF 732 KB Posted

Attached to
Electronic Medical Records System
Solicitation number
ARFQ 0618 BVH2600000008 1
Issued by
Cabell County, West Virginia

About this file

This is an Architectural/Engineering Request for Qualifications (ARFQ) form issued by West Virginia for an Electronic Medical Records System project. The document serves as the formal submission template for architectural and engineering firms seeking to qualify for this state contract opportunity. The ARFQ form establishes the standardized format and required information that prospective bidders must provide when responding to the Electronic Medical Records System initiative, including firm qualifications, relevant project experience, staff credentials, and technical capabilities related to healthcare IT systems and medical records infrastructure.

The form requires respondents to demonstrate their expertise in electronic health record systems implementation, integration, and management. Key submission requirements include detailed information about the firm's organizational structure, past performance on similar healthcare technology projects, staffing qualifications, and proposed methodologies for system development and deployment. While specific response dates, contract terms, and pricing details are not detailed within this form itself, the ARFQ represents the initial qualification phase where firms must establish their ability to meet West Virginia's requirements before proceeding to subsequent bid phases. The form functions as a critical gatekeeping document to ensure only qualified vendors advance in the procurement process for this healthcare information technology project.

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Text version

Date Printed: Jun 22, 2026 Page:1 FORM ID: WV-PRC-ARFQ-002 2020/05

State of West Virginia Agency Request for Quote

Info Technology

Proc Folder: 1999611 Reason for Modification:

Doc Description: Electronic Medical Records System

Proc Type: Agency Master Agreement

Date Issued Solicitation Closes Solicitation No Version

2026-06-23 2026-07-07 10:00 ARFQ 0618 BVH2600000008 1

BID RECEIVING LOCATION

FISCAL SUPERVISOR

WEST VIRGINIA VETERANS HOME

512 WATER ST

BARBOURSVILLE WV 25504

US

VENDOR

Vendor Customer Code:

Vendor Name :

Address :

Street :

City :

State : Country : Zip :

Principal Contact :

Vendor Contact Phone: Extension:

FOR INFORMATION CONTACT THE BUYER

Morgan Sheets 304-736-1027 morgan.sheets@wv.gov

Vendor Signature X FEIN# DATE All offers subject to all terms and conditions contained in this solicitation

Date Printed: Jun 22, 2026 Page:2 FORM ID: WV-PRC-ARFQ-002 2020/05

ADDITIONAL INFORMATION

INVOICE TO SHIP TO

WEST VIRGINIA VETERANS

HOME

WEST VIRGINIA VETERANS

HOME

512 WATER ST 512 WATER ST

BARBOURSVILLE WV BARBOURSVILLE WV

US US

Line Comm Ln Desc Qty Unit Issue Unit Price Total Price 1 License Monthly fee, Base Year One 12.00000 MO

Comm Code Manufacturer Specification Model # 81112200

Extended Description:

License Monthly fee, Base Year One

INVOICE TO SHIP TO

WEST VIRGINIA VETERANS

HOME

WEST VIRGINIA VETERANS

Line Comm Ln Desc Qty Unit Issue Unit Price Total Price 2 License Monthly fee, Base Year Two 12.00000 MO

Comm Code Manufacturer Specification Model # 81112200

Extended Description:

License Monthly fee, Base Year Two

Date Printed: Jun 22, 2026 Page:3 FORM ID: WV-PRC-ARFQ-002 2020/05

WEST VIRGINIA VETERANS

HOME

WEST VIRGINIA VETERANS

Line Comm Ln Desc Qty Unit Issue Unit Price Total Price 3 License Monthly fee, Base Year Three 12.00000 MO

Comm Code Manufacturer Specification Model # 81112200

Extended Description:

License Monthly fee, Base Year Three

INVOICE TO SHIP TO

WEST VIRGINIA VETERANS

HOME

WEST VIRGINIA VETERANS

Line Comm Ln Desc Qty Unit Issue Unit Price Total Price 4 License Monthly fee, Base Year Four 12.00000 MO

Comm Code Manufacturer Specification Model # 81112200

Extended Description:

License Monthly fee, Base Year Four

Date Printed: Jun 22, 2026 Page:4 FORM ID: WV-PRC-ARFQ-002 2020/05

WEST VIRGINIA VETERANS

HOME

WEST VIRGINIA VETERANS

Line Comm Ln Desc Qty Unit Issue Unit Price Total Price 5 License Monthly fee, Base Year Five 12.00000 MO

Comm Code Manufacturer Specification Model # 81112200

Extended Description:

License Monthly fee, Base Year Five

INVOICE TO SHIP TO

WEST VIRGINIA VETERANS

HOME

WEST VIRGINIA VETERANS

Line Comm Ln Desc Qty Unit Issue Unit Price Total Price 6 License Monthly fee, Optional Renewal Year

One

12.00000 MO

Comm Code Manufacturer Specification Model # 81112200

Extended Description:

License Monthly fee, Optional Renewal Year One

SCHEDULE OF EVENTS

Line Event Event Date

1 TECH QUESTIONS 10AM 2026-06-30

2 BIDS DUE 10AM 2026-07-07

Document Phase Document Description Page

BVH2600000008 Final Electronic Medical Records System

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File details come from the government source that posted it. Updated .