Final_ASSD_0803_DOT2600000002_1_WV_ASSD_FORM.PDF

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Attached to
Hydra Platform Inspection & Repair 70269001
Solicitation number
ASSD-0803-DOT2600000002-1
Issued by
Tucker County, West Virginia

About this file

This document is an Agency Sole Source Determination (ASSD) form from the West Virginia Department of Transportation Procurement Division for a Hydra Platform Inspection & Repair solicitation. The procurement opportunity (Solicitation No. ASSD 0803 DOT2600000002) was issued on August 1, 2025, with responses due by August 14, 2025, at 10:30 AM. The solicitation covers nine line items including an annual inspection, labor for platform removal and reinstallation, a specific tube, platform capacity decal, hose replacement labor, hose kit, miscellaneous hoses and fittings, shop supplies, and a drive wheel. The delivery and invoice location is the Division of Highways Equipment Division in Buckhannon, West Virginia.

The solicitation is being processed as a direct award procurement under West Virginia Code 5A-3-10C, with the procurement contact being Jeromie F. Lanham, who can be reached at 304-720-7383 or jeromie.f.lanham@wv.gov. While specific pricing details are not explicitly stated, the document indicates this is for comprehensive maintenance and replacement of components for a Hydra Platform. Questions regarding the solicitation must be submitted in writing to DOTPROCUREMENTTECHQUES@WV.GOV. The procurement is seeking to determine if this acquisition qualifies as a direct award, with additional details available on an attached WV-65 form.

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Date Printed: Aug 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

Highways

Proc Folder: 1752347 Reason for Modification:

Doc Description: Hydra Platform Inspection & Repair

70269001

Proc Type: Agency Sole Source

Date Issued Solicitation Closes Solicitation No Version

2025-08-01 2025-08-14 10:30 ASSD 0803 DOT2600000002 1

BID RECEIVING LOCATION

PROCUREMENT DIVISION

DIVISION OF HIGHWAYS

BLDG 6 RM 340A

1900 KANAWHA BLVD E

CHARLESTON WV 25305

US

VENDOR

Vendor Customer Code:

Vendor Name :

Address :

Street :

City :

State : Country : Zip :

Principal Contact :

Vendor Contact Phone: Extension:

FOR INFORMATION CONTACT THE BUYER

Jeromie F Lanham 304-720-7383 jeromie.f.lanham@wv.gov

Vendor Signature X FEIN# DATE

Date Printed: Aug 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

THE STATE OF WEST VIRGINIA DEPARTMENT OF TRANSPORTATION PROCUREMENT DIVISION HAS BEEN REQUESTED TO APPROVE A DIRECT AWARD FOR HYRDA PLATFORM INSPECTION & REPAIR PURSUANT TO WEST VIRGINIA CODE 5A-3-10C, THE WEST VIRGINIA DEPARTMENT OF TRANSPORTATION PROCUREMENT DIVISION IS ATTEMPTING TO

DETERMINE WHETHER THE COMMODITY OR SERVICE IS A DIRECT AWARD PROCUREMENT.

SEE ATTACHED APPROVED WV-65 FOR ADDITIONAL INFORMATION.

QUESTIONS REGARDING THE SOLICITATION MUST BE SUBMITTED IN WRITING TO

DOTPROCUREMENTTECHQUES@WV.GOV

INVOICE TO SHIP TO

DIVISION OF HIGHWAYS

EQUIPMENT DIVISION RT 33

83 BRUSHY ROAD CROSSING, PO BOX 610

BUCKHANNON WV 26201

US

DIVISION OF HIGHWAYS

EQUIPMENT DIVISION

83 BRUSHY FORK RD CROSSING

BUCKHANNON WV 26201

US

Line Comm Ln Desc Qty Unit Issue Unit Price Total Price

1 ANNUAL INSPECTION 1.00000 EA

Comm Code Manufacturer Specification Model # 78141600

Extended Description:

AVI - Annual Inspection

INVOICE TO SHIP TO

DIVISION OF HIGHWAYS

EQUIPMENT DIVISION RT 33

83 BRUSHY ROAD CROSSING, PO BOX 610

BUCKHANNON WV 26201

US

DIVISION OF HIGHWAYS

EQUIPMENT DIVISION

83 BRUSHY FORK RD CROSSING

BUCKHANNON WV 26201

US

Line Comm Ln Desc Qty Unit Issue Unit Price Total Price

2 LABOR 6.00000 EA

Comm Code Manufacturer Specification Model # 76122405

Extended Description:

LABOR - Remove, Repair, Reinstall Aluminum Platform

Date Printed: Aug 1, 2025 Page: 3 FORM ID: WV-PRC-ASSD-002 2020/05

INVOICE TO SHIP TO

DIVISION OF HIGHWAYS

EQUIPMENT DIVISION RT 33

83 BRUSHY ROAD CROSSING, PO BOX 610

BUCKHANNON WV 26201

US

DIVISION OF HIGHWAYS

EQUIPMENT DIVISION

83 BRUSHY FORK RD CROSSING

BUCKHANNON WV 26201

US

Line Comm Ln Desc Qty Unit Issue Unit Price Total Price

3 TUBE #19 1.00000 EA

Comm Code Manufacturer Specification Model # 31351201

Extended Description:

TUBE - Tube #19

INVOICE TO SHIP TO

DIVISION OF HIGHWAYS

EQUIPMENT DIVISION RT 33

83 BRUSHY ROAD CROSSING, PO BOX 610

BUCKHANNON WV 26201

US

DIVISION OF HIGHWAYS

EQUIPMENT DIVISION

83 BRUSHY FORK RD CROSSING

BUCKHANNON WV 26201

US

Line Comm Ln Desc Qty Unit Issue Unit Price Total Price

4 DECAL 1.00000 EA

Comm Code Manufacturer Specification Model # 55121607

DECAL - 1000# Platform Capacity Decal

Date Printed: Aug 1, 2025 Page: 4 FORM ID: WV-PRC-ASSD-002 2020/05

DIVISION OF HIGHWAYS

EQUIPMENT DIVISION RT 33

83 BRUSHY ROAD CROSSING, PO BOX 610

BUCKHANNON WV 26201

US

DIVISION OF HIGHWAYS

EQUIPMENT DIVISION

83 BRUSHY FORK RD CROSSING

BUCKHANNON WV 26201

US

Line Comm Ln Desc Qty Unit Issue Unit Price Total Price

5 LABOR 40.00000 EA

Comm Code Manufacturer Specification Model # 76122405

Extended Description:

LABOR - Replace all Hoses

INVOICE TO SHIP TO

DIVISION OF HIGHWAYS

EQUIPMENT DIVISION RT 33

83 BRUSHY ROAD CROSSING, PO BOX 610

BUCKHANNON WV 26201

US

DIVISION OF HIGHWAYS

EQUIPMENT DIVISION

83 BRUSHY FORK RD CROSSING

BUCKHANNON WV 26201

US

Line Comm Ln Desc Qty Unit Issue Unit Price Total Price

6 HOSE KIT 1.00000 EA

Comm Code Manufacturer Specification Model # 40141764

HOSE KIT

Date Printed: Aug 1, 2025 Page: 5 FORM ID: WV-PRC-ASSD-002 2020/05

DIVISION OF HIGHWAYS

EQUIPMENT DIVISION RT 33

83 BRUSHY ROAD CROSSING, PO BOX 610

BUCKHANNON WV 26201

US

DIVISION OF HIGHWAYS

EQUIPMENT DIVISION

83 BRUSHY FORK RD CROSSING

BUCKHANNON WV 26201

US

Line Comm Ln Desc Qty Unit Issue Unit Price Total Price

7 MISC. HOSES & FITTINGS 1.00000 EA

Comm Code Manufacturer Specification Model # 27121700

Extended Description:

MISC. HOSES AND FITTINGS

INVOICE TO SHIP TO

DIVISION OF HIGHWAYS

EQUIPMENT DIVISION RT 33

83 BRUSHY ROAD CROSSING, PO BOX 610

BUCKHANNON WV 26201

US

DIVISION OF HIGHWAYS

EQUIPMENT DIVISION

83 BRUSHY FORK RD CROSSING

BUCKHANNON WV 26201

US

Line Comm Ln Desc Qty Unit Issue Unit Price Total Price

8 SHOP SUPPLIES 1.00000 EA

Comm Code Manufacturer Specification Model # 31000000

SS - Shop Supplies

Date Printed: Aug 1, 2025 Page: 6 FORM ID: WV-PRC-ASSD-002 2020/05

DIVISION OF HIGHWAYS

EQUIPMENT DIVISION RT 33

83 BRUSHY ROAD CROSSING, PO BOX 610

BUCKHANNON WV 26201

US

DIVISION OF HIGHWAYS

EQUIPMENT DIVISION

83 BRUSHY FORK RD CROSSING

BUCKHANNON WV 26201

US

Line Comm Ln Desc Qty Unit Issue Unit Price Total Price

9 DRIVE WHEEL 1.00000 EA

Comm Code Manufacturer Specification Model # 26111525

Extended Description:

232499 - Drive Wheel

SCHEDULE OF EVENTS

Line Event Event Date

Document Phase Document Description Page

DOT2600000002 Final Hydra Platform Inspection & Repair 70269001

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