Final_ASSD_0506_EPS2700000001_1_WV_ASSD_FORM.PDF
PDF 730 KB Posted
- Attached to
- OEPS Cubicle Build
- Solicitation number
- ASSD 0506 EPS2700000001 1
- Issued by
- Kanawha County, West Virginia
About this file
This is an Agency Sole Source Determination Form (WV-PRC-ASSD-002) issued by the West Virginia Department of Administration Purchasing Division for the Health and Human Resources Bureau of Public Health Immunization Program. The solicitation, numbered ASSD 0506 EPS2700000001, seeks furniture and fixtures for the OEPS Cubicle Build project. The request includes four Haworth, Inc. rectangular countertops measuring 12 inches deep by 42 inches wide (4 units), four rectangular countertops measuring 12 inches deep by 48 inches wide (4 units), and eight Haworth, Inc. countertop brackets (8 units). The solicitation was issued on September 1, 2026, with responses due by September 15, 2026, at 10:30 a.m. at the Kanawha Valley Building, Health and Human Resources Department, 300 Capitol Street, 7th Floor, Charleston, West Virginia 25301. The buyer for this procurement is Roberta A. Wagner, who can be reached at (304) 558-0437 or roberta.a.wagner@wv.gov. Delivery is designated to the Health and Human Resources Bureau of Public Health Immunization Program at 305 Capitol Street, Room 125, Charleston, West Virginia 25301.
No specific pricing information, contract term details, or award timeline are provided in the document. The sole source determination classification indicates this procurement is restricted to a single vendor, likely based on the specialized nature of the Haworth, Inc. product specifications. Invoicing should be directed to the Health and Human Resources Bureau of Public Health Immunization Program at 350 Capitol Street, Room 125, Charleston, West Virginia 25301-3719. All offers are subject to the terms and conditions contained within the complete solicitation package.
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Other files
| File | Type | Posted |
|---|---|---|
| Direct Award Posting ASSD EPS2700000001.doc | DOC document | |
| WV-65A.pdf | ||
| Proposal 109919 Project 41-14.pdf | ||
| General TCA.pdf | ||
| Fed Funds Addendum.pdf |
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Text version
Date Printed: Sep 1, 2026 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
Miscellaneous
Proc Folder: 2036489 Reason for Modification:
Doc Description: OEPS Cubicle Build
Proc Type: Agency Sole Source
Date Issued Solicitation Closes Solicitation No Version
2026-09-01 2026-09-15 10:30 ASSD 0506 EPS2700000001 1
BID RECEIVING LOCATION
KANAWHA VALLEY BUILDING
HEALTH AND HUMAN RESOURCES
300 CAPITOL ST
7TH FLOOR
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: Sep 1, 2026 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
BPH - IMMUNIZATION PROGRAM
350 CAPITOL ST, RM 125
CHARLESTON WV 25301-3719
US
HEALTH AND HUMAN RESOURCES
BUREAU OF PUBLIC HEALTH IMMUNIZATION PROGRAM
305 CAPITOL ST, RM 125
CHARLESTON WV 25301
US
Line Comm Ln Desc Qty Unit Issue Unit Price Total Price
1 WUTS-1242-LJSC 4.00000 EA
Comm Code Manufacturer Specification Model # 56000000
Extended Description:
Haworth, Inc. Rect. Countertop, 12Dx42W
INVOICE TO SHIP TO
HEALTH AND HUMAN RESOURCES
BPH - IMMUNIZATION PROGRAM
350 CAPITOL ST, RM 125
CHARLESTON WV 25301-3719
US
HEALTH AND HUMAN RESOURCES
BUREAU OF PUBLIC HEALTH IMMUNIZATION PROGRAM
305 CAPITOL ST, RM 125
CHARLESTON WV 25301
US
Line Comm Ln Desc Qty Unit Issue Unit Price Total Price
2 WUTS-1248-LJSC 4.00000 EA
Comm Code Manufacturer Specification Model # 56000000
Extended Description:
Haworth, Inc. Rect Countertop 12Dx48W
Date Printed: Sep 1, 2026 Page: 3 FORM ID: WV-PRC-ASSD-002 2020/05
INVOICE TO SHIP TO
HEALTH AND HUMAN RESOURCES
BPH - IMMUNIZATION PROGRAM
350 CAPITOL ST, RM 125
CHARLESTON WV 25301-3719
US
HEALTH AND HUMAN RESOURCES
BUREAU OF PUBLIC HEALTH IMMUNIZATION PROGRAM
305 CAPITOL ST, RM 125
CHARLESTON WV 25301
US
Line Comm Ln Desc Qty Unit Issue Unit Price Total Price
3 ZEBT-0000-PNE 8.00000 EA
Comm Code Manufacturer Specification Model # 56000000
Extended Description:
HAWORTH INC. Countertop Bracket
SCHEDULE OF EVENTS
Line Event Event Date
Document Phase Document Description Page
EPS2700000001 Final OEPS Cubicle Build
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File details come from the government source that posted it. Updated .