OSA 43 (1).pdf
PDF 136 KB Posted
- Attached to
- Lease Agreement Endoscopic System
- Solicitation number
- ARFQ 0512 WEH2500000018 2
- Issued by
- Mineral County, West Virginia
About this file
This is a Request for Quotations (RFQ) issued by the West Virginia Office of Shared Administration (WVOSA) Purchasing Division on behalf of the Department of Health Facilities and Welch Community Hospital. The solicitation seeks bids to establish a lease agreement for one (1) new ELUXEO Endoscopic System or equivalent for Welch Community Hospital, located at 454 McDowell Street, Welch, WV 24801. The deadline for bid submission is June 26, 2025, at 1:30 P.M., with bids to be delivered to the OSA Purchasing Division, Attention: Theresa J. Dorsey, One Davis Square, Room 111, Charleston, WV 25301, or via fax at (304) 558-2892. The goods or services are to be shipped to Welch Community Hospital at the address noted above.
The RFQ requires vendors to provide item descriptions, quantities, unit prices, and delivery terms as part of their quotation submissions. Vendors must certify that they have reviewed and understand the OSA Master Terms and Conditions, which are incorporated by reference into the agreement. All bidders must be properly registered with any applicable state agencies requiring registration. The document includes standard procurement requirements for Federal Employer Identification Number (FEIN), terms of delivery, and F.O.B. designations, with specific delivery requirements and pricing to be determined by the vendor's quotation response.
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Text version
OSA-43 (REV. 03/21/24)
Vendor w
Address w
Telephone Number w ( )
Date Acct. No.
Return by ______________ on ______________
Item Number Quantity Unit Price AmountDescription
Delivery Requirements F.O.B.
REQUEST FOR QUOTATIONS
THIS IS NOT AN ORDER
Req. No.
Delivery DateTermsFEIN
TOTAL $
Vendor - Authorized Representative Signature of Authorized Representative
Bid To Be Delivered To:
Goods/Services To Be Shipped To:
GENERAL TERMS AND CONDITIONS: The OSA Master Terms and Conditions are hereby made a part of this agreement and are specifically incorporated herein by reference. By signing this document, Vendor certifies it has reviewed the Terms and Conditions, fully understands them, and agrees to be bound by their provisions.
By signing below, I certify that I have reviewed this Requisition for Quotations in its entirety; understand the requirements, terms and conditions, and other information contained herein; that I am submitting this quotation for review and consideration; that I am authorized by the bidder to execute this bid or any documents related thereto on bidder's behalf; that I am authorized to bind the bidder in a contractual relationship; and that to the best of my knowledge, the bidder has properly registered with any State agency that may require registration.
| on: 06/26/2025 |
| undefined: 1:30 P.M. |
| Req No: ARFQ WEH2500000018 |
| Date: 05/29/2025 |
| Acct No: |
| Bid To Be Delivered To: OSA Purchasing Division |
Attn: Theresa J. Dorsey One Davis Square, Room 111 Charleston, WV 25301 Fax: (304) 558-2892 GoodsServices To Be Shipped To: Welch Community Hospital 454 McDowell Street Welch WV 24801
| Delivery Requirements: |
| FEIN: |
| Terms: |
| Delivery Date: |
| FOB: |
| Item Number: |
| Quantity: |
| Description: The West Virginia Office of Shared Administration (WVOSA), Purchasing Division is soliciting bids on behalf of The Department of Health Facilities, Welch Community Hospital (Agency) to establish establish a lease agreement for one (1) new ELUXEO Endoscopic System or equal for Welch Community Hospital, which is located at 454 McDowell Street, Welch, WV 24801. |
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| Unit Price: |
| Amount: |
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