Final_ASSD_0506_HHR2600000001_1_WV_ASSD_FORM.PDF
PDF 1 MB Posted
- Attached to
- Preventative Maintenance on Card Access Systems
- Solicitation number
- ASSD 0506 HHR2600000001 1
- Issued by
- Lewis 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 Health and Human Resources agency. The solicitation covers preventative maintenance services on card access systems across multiple West Virginia county locations. The procurement includes preventative maintenance services specified under commodity code 92121700 for security systems services, with work required at five county locations: Lewis County (5 card readers), Pleasants County (4 card readers), Tyler County (3 card readers), Wetzel County (5 card readers), and Marshall County (3 card readers). Additional line items include yearly iCloud service fees (20 devices), after-hours service calls, and labor hours. The solicitation was issued on October 17, 2025, with bids due by October 30, 2025, at 10:30 a.m. Bids should be submitted to the Office of Shared Administration Operations/Purchasing at One Davis Square, First Floor, Room 107, Charleston, West Virginia. The procurement is designated as an Agency Sole Source, indicating a non-competitive procurement process.
The pricing structure includes labor rates, service call fees, mileage reimbursement, and a 50 percent parts markup (vendor cost multiplied by 1.50). Labor is quoted on an hourly basis, service calls are itemized by county, and mileage charges vary by location, ranging from 40 miles for Pleasants County to 200 miles for Lewis County. The vendor information section remains incomplete on the form, with fields for vendor name, address, contact information, FEIN number, and signature left blank, indicating this represents the solicitation template rather than an executed contract. Invoicing and shipping are directed to the Health and Human Resources Office of Operations at One Davis Square, Room 115, Charleston, with services provided to various agency locations as indicated by individual orders. The buyer contact is Roberta A. Wagner at (304) 558-0437 or roberta.a.wagner@wv.gov.
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Other files
| File | Type | Posted |
|---|---|---|
| Direct Award Posting.doc | DOC document | |
| Quote.pdf | ||
| TCA.pdf | ||
| Approved 65A.pdf | ||
| Fed Funds.pdf |
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Text version
Date Printed: Oct 17, 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
Miscellaneous
Proc Folder: 1810842 Reason for Modification:
Doc Description: Preventative Maintenance on Card Access Systems
Proc Type: Agency Sole Source
Date Issued Solicitation Closes Solicitation No Version
2025-10-17 2025-10-30 10:30 ASSD 0506 HHR2600000001 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: Oct 17, 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
OFFICE OF OPERATIONS
ONE DAVIS SQUARE, RM 115
CHARLESTON WV 25301
US
VARIOUS AGENCY LOCATIONS
AS INDICATED BY ORDER
No City WV 99999
US
Line Comm Ln Desc Qty Unit Issue Unit Price Total Price 1 Yearly Icloud Service Fee Per Device 20.00000 EA
Comm Code Manufacturer Specification Model # 92121700
Extended Description:
Security systems services
INVOICE TO SHIP TO
HEALTH AND HUMAN RESOURCES
OFFICE OF OPERATIONS
ONE DAVIS SQUARE, RM 115
CHARLESTON WV 25301
US
VARIOUS AGENCY LOCATIONS
AS INDICATED BY ORDER
No City WV 99999
US
Line Comm Ln Desc Qty Unit Issue Unit Price Total Price 2 Lewis County 5 Card Readers- Labor 2.00000 HOUR
Comm Code Manufacturer Specification Model # 92121700
Extended Description:
Security systems services
Date Printed: Oct 17, 2025 Page: 3 FORM ID: WV-PRC-ASSD-002 2020/05
HEALTH AND HUMAN RESOURCES
OFFICE OF OPERATIONS
ONE DAVIS SQUARE, RM 115
CHARLESTON WV 25301
US
VARIOUS AGENCY LOCATIONS
AS INDICATED BY ORDER
No City WV 99999
US
Line Comm Ln Desc Qty Unit Issue Unit Price Total Price 3 Lewis County 5 Card Readers - Service Call 1.00000 EA
Comm Code Manufacturer Specification Model # 92121700
Extended Description:
Security systems services
INVOICE TO SHIP TO
HEALTH AND HUMAN RESOURCES
OFFICE OF OPERATIONS
ONE DAVIS SQUARE, RM 115
CHARLESTON WV 25301
US
VARIOUS AGENCY LOCATIONS
AS INDICATED BY ORDER
No City WV 99999
US
Line Comm Ln Desc Qty Unit Issue Unit Price Total Price 4 Lewis County 5 Card Readers - Mileage 200.00000 EA
Comm Code Manufacturer Specification Model # 92121700
Date Printed: Oct 17, 2025 Page: 4 FORM ID: WV-PRC-ASSD-002 2020/05
HEALTH AND HUMAN RESOURCES
OFFICE OF OPERATIONS
ONE DAVIS SQUARE, RM 115
CHARLESTON WV 25301
US
VARIOUS AGENCY LOCATIONS
AS INDICATED BY ORDER
No City WV 99999
US
Line Comm Ln Desc Qty Unit Issue Unit Price Total Price 5 Pleasants County 4 Card Readers- Labor 2.00000 HOUR
Comm Code Manufacturer Specification Model # 92121700
Extended Description:
Security systems services
INVOICE TO SHIP TO
HEALTH AND HUMAN RESOURCES
OFFICE OF OPERATIONS
ONE DAVIS SQUARE, RM 115
CHARLESTON WV 25301
US
VARIOUS AGENCY LOCATIONS
AS INDICATED BY ORDER
No City WV 99999
US
Line Comm Ln Desc Qty Unit Issue Unit Price Total Price 6 Pleasants County 4 Card Readers - Service
Call
1.00000 EA
Comm Code Manufacturer Specification Model # 92121700
Date Printed: Oct 17, 2025 Page: 5 FORM ID: WV-PRC-ASSD-002 2020/05
HEALTH AND HUMAN RESOURCES
OFFICE OF OPERATIONS
ONE DAVIS SQUARE, RM 115
CHARLESTON WV 25301
US
VARIOUS AGENCY LOCATIONS
AS INDICATED BY ORDER
No City WV 99999
US
Line Comm Ln Desc Qty Unit Issue Unit Price Total Price 7 Pleasants County 4 Card Readers - Mileage 40.00000 EA
Comm Code Manufacturer Specification Model # 92121700
Extended Description:
Security systems services
INVOICE TO SHIP TO
HEALTH AND HUMAN RESOURCES
OFFICE OF OPERATIONS
ONE DAVIS SQUARE, RM 115
CHARLESTON WV 25301
US
VARIOUS AGENCY LOCATIONS
AS INDICATED BY ORDER
No City WV 99999
US
Line Comm Ln Desc Qty Unit Issue Unit Price Total Price 8 Tyler County 3 Card Readers- Labor 2.00000 HOUR
Comm Code Manufacturer Specification Model # 92121700
Date Printed: Oct 17, 2025 Page: 6 FORM ID: WV-PRC-ASSD-002 2020/05
HEALTH AND HUMAN RESOURCES
OFFICE OF OPERATIONS
ONE DAVIS SQUARE, RM 115
CHARLESTON WV 25301
US
VARIOUS AGENCY LOCATIONS
AS INDICATED BY ORDER
No City WV 99999
US
Line Comm Ln Desc Qty Unit Issue Unit Price Total Price 9 Tyler County 3 Card Readers - Service Call 1.00000 EA
Comm Code Manufacturer Specification Model # 92121700
Extended Description:
Security systems services
INVOICE TO SHIP TO
HEALTH AND HUMAN RESOURCES
OFFICE OF OPERATIONS
ONE DAVIS SQUARE, RM 115
CHARLESTON WV 25301
US
VARIOUS AGENCY LOCATIONS
AS INDICATED BY ORDER
No City WV 99999
US
Line Comm Ln Desc Qty Unit Issue Unit Price Total Price 10 Tyler County 3 Card Readers - Mileage 100.00000 EA
Comm Code Manufacturer Specification Model # 92121700
Date Printed: Oct 17, 2025 Page: 7 FORM ID: WV-PRC-ASSD-002 2020/05
HEALTH AND HUMAN RESOURCES
OFFICE OF OPERATIONS
ONE DAVIS SQUARE, RM 115
CHARLESTON WV 25301
US
VARIOUS AGENCY LOCATIONS
AS INDICATED BY ORDER
No City WV 99999
US
Line Comm Ln Desc Qty Unit Issue Unit Price Total Price 11 Wetzel County 5 Card Readers- Labor 2.00000 HOUR
Comm Code Manufacturer Specification Model # 92121700
Extended Description:
Security systems services
INVOICE TO SHIP TO
HEALTH AND HUMAN RESOURCES
OFFICE OF OPERATIONS
ONE DAVIS SQUARE, RM 115
CHARLESTON WV 25301
US
VARIOUS AGENCY LOCATIONS
AS INDICATED BY ORDER
No City WV 99999
US
Line Comm Ln Desc Qty Unit Issue Unit Price Total Price 12 Wetzel County 5 Card Readers - Service Call 1.00000 EA
Comm Code Manufacturer Specification Model # 92121700
Date Printed: Oct 17, 2025 Page: 8 FORM ID: WV-PRC-ASSD-002 2020/05
HEALTH AND HUMAN RESOURCES
OFFICE OF OPERATIONS
ONE DAVIS SQUARE, RM 115
CHARLESTON WV 25301
US
VARIOUS AGENCY LOCATIONS
AS INDICATED BY ORDER
No City WV 99999
US
Line Comm Ln Desc Qty Unit Issue Unit Price Total Price 13 Wetzel County 5 Card Readers - Mileage 110.00000 EA
Comm Code Manufacturer Specification Model # 92121700
Extended Description:
Security systems services
INVOICE TO SHIP TO
HEALTH AND HUMAN RESOURCES
OFFICE OF OPERATIONS
ONE DAVIS SQUARE, RM 115
CHARLESTON WV 25301
US
VARIOUS AGENCY LOCATIONS
AS INDICATED BY ORDER
No City WV 99999
US
Line Comm Ln Desc Qty Unit Issue Unit Price Total Price 14 Marshall County 3 Card Readers- Labor 1.00000 HOUR
Comm Code Manufacturer Specification Model # 92121700
Date Printed: Oct 17, 2025 Page: 9 FORM ID: WV-PRC-ASSD-002 2020/05
HEALTH AND HUMAN RESOURCES
OFFICE OF OPERATIONS
ONE DAVIS SQUARE, RM 115
CHARLESTON WV 25301
US
VARIOUS AGENCY LOCATIONS
AS INDICATED BY ORDER
No City WV 99999
US
Line Comm Ln Desc Qty Unit Issue Unit Price Total Price 15 Marshall County 3 Card Readers - Mileage 150.00000 EA
Comm Code Manufacturer Specification Model # 92121700
Extended Description:
Security systems services
INVOICE TO SHIP TO
HEALTH AND HUMAN RESOURCES
OFFICE OF OPERATIONS
ONE DAVIS SQUARE, RM 115
CHARLESTON WV 25301
US
VARIOUS AGENCY LOCATIONS
AS INDICATED BY ORDER
No City WV 99999
US
Line Comm Ln Desc Qty Unit Issue Unit Price Total Price 16 Marshall County 3 Card Readers - Service Call 1.00000 EA
Comm Code Manufacturer Specification Model # 92121700
Date Printed: Oct 17, 2025 Page: 10 FORM ID: WV-PRC-ASSD-002 2020/05
HEALTH AND HUMAN RESOURCES
OFFICE OF OPERATIONS
ONE DAVIS SQUARE, RM 115
CHARLESTON WV 25301
US
VARIOUS AGENCY LOCATIONS
AS INDICATED BY ORDER
No City WV 99999
US
Line Comm Ln Desc Qty Unit Issue Unit Price Total Price 17 After Hours - Service Call 1.00000 EA
Comm Code Manufacturer Specification Model # 92121700
Extended Description:
Security systems services
INVOICE TO SHIP TO
HEALTH AND HUMAN RESOURCES
OFFICE OF OPERATIONS
ONE DAVIS SQUARE, RM 115
CHARLESTON WV 25301
US
VARIOUS AGENCY LOCATIONS
AS INDICATED BY ORDER
No City WV 99999
US
Line Comm Ln Desc Qty Unit Issue Unit Price Total Price 18 After Hours- Labor 1.00000 HOUR
Comm Code Manufacturer Specification Model # 92121700
Date Printed: Oct 17, 2025 Page: 11 FORM ID: WV-PRC-ASSD-002 2020/05
HEALTH AND HUMAN RESOURCES
OFFICE OF OPERATIONS
ONE DAVIS SQUARE, RM 115
CHARLESTON WV 25301
US
VARIOUS AGENCY LOCATIONS
AS INDICATED BY ORDER
No City WV 99999
US
Line Comm Ln Desc Qty Unit Issue Unit Price Total Price 19 Parts Mark-up 0.00000 EA
Comm Code Manufacturer Specification Model # 92121700
Extended Description:
Mark-up is 50% (vendor cost x 1.50=)
SCHEDULE OF EVENTS
Line Event Event Date
Document Phase Document Description Page
HHR2600000001 Final Preventative Maintenance on Card Access Systems
Document Phase Document Description Page
HHR2600000001 Final Preventative Maintenance on Card Access Systems
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