Final_ASSD_0506_CME2600000005_1_WV_ASSD_FORM.PDF

PDF 728 KB Posted

Attached to
EVIDENCE MULTISTAT SERVICE
Solicitation number
ASSD 0506 CME2600000005 1
Issued by
Jefferson County, West Virginia

About this file

This is an Agency Sole Source Determination form issued by the West Virginia Department of Administration Purchasing Division for the State of West Virginia. The solicitation involves the Health and Human Resources Bureau for Public Health, Office of Chief Medical Examiner as the requesting agency. The procurement seeks an EVIDENCE MULTISTAT gold service contract for a 12-month term. The solicitation was issued on December 3, 2025, with a closing date of December 17, 2025, at 10:30 a.m. Bids should be submitted to the Office of Shared Administration Operations/Purchasing located at One Davis Square, First Floor, Room 107, Charleston, West Virginia 25301. The contract will be shipped to and invoiced to the Health and Human Resources Bureau for Public Health, Office of Chief Medical Examiner at 619 Virginia Street West, Charleston, West Virginia 25302.

The procurement is classified under commodity code 81112200 and represents a sole source acquisition, indicating that the EVIDENCE MULTISTAT gold service has been determined to be available from a single source. Specific pricing information is not detailed in this determination form, though unit and total price fields are referenced for the 12-month service contract. The buyer contact is Roberta A. Wagner at the West Virginia Department of Administration Purchasing Division, reachable at (304) 558-0437 or roberta.a.wagner@wv.gov. Additional administrative details include a processing folder number 1779793 and solicitation number ASSD 0506 CME2600000005.

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Text version

Date Printed: Dec 1, 2025 Page: 1 FORM ID: WV-PRC-ASSD-002 2020/05

Department of Administration Purchasing Division 2019 Washington Street East Post Office Box 50130 Charleston, WV 25305-0130

State of West Virginia Agency Sole Source Determination

Proc Folder: 1779793 Reason for Modification:

Doc Description: EVIDENCE MULTISTAT SERVICE

Proc Type: Agency Sole Source

Date Issued Solicitation Closes Solicitation No Version

2025-12-03 2025-12-17 10:30 ASSD 0506 CME2600000005 1

BID RECEIVING LOCATION

BUYER - 304-957-0209

OFFICE OF SHARED ADMINISTRATION

OPERATIONS/PURCHASING

ONE DAVIS SQUARE, FIRST FLOOR RM 107

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

Date Printed: Dec 1, 2025 Page: 2 FORM ID: WV-PRC-ASSD-002 2020/05

All offers subject to all terms and conditions contained in this solicitation

ADDITIONAL INFORMATION

INVOICE TO SHIP TO

HEALTH AND HUMAN RESOURCES

BUREAU FOR PUBLIC HEALTH OFFICE CHIEF MEDICAL

EXAMINER

619 VIRGINIA ST WEST

CHARLESTON WV 25302

US

HEALTH AND HUMAN RESOURCES

BUREAU FOR PUBLIC HEALTH OFFICE CHIEF MEDICAL

EXAMINER

619 VIRGINIA ST W

CHARLESTON WV 25302

US

Line Comm Ln Desc Qty Unit Issue Unit Price Total Price 1 EVIDENCE MULTISTAT gold service

Comm Code Manufacturer Specification Model # 81112200

Extended Description:

EVIDENCE MULTISTAT gold service contract 12 months

SCHEDULE OF EVENTS

Line Event Event Date

Document Phase Document Description Page

CME2600000005 Final EVIDENCE MULTISTAT SERVICE

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