OSA 43 (1).pdf
PDF 137 KB Posted
- Attached to
- RENTAL OF CYLINDERS OF INDUSTRIAL MEDICAL GASES
- Solicitation number
- ARFQ 0512 WEH2500000011 1
- Issued by
- Marshall County, West Virginia
About this file
This is a Request for Quotations (RFQ) form issued by the West Virginia Office of Shared Administration (OSA) Purchasing Division on behalf of the Department of Health Facilities, specifically for Welch Community Hospital. The solicitation seeks bids to establish an open-end contract for the rental of cylinders containing industrial and medical gases as well as the purchase of industrial and medical gases for Welch Community Hospital located at 454 McDowell Street in Welch, West Virginia. The RFQ was issued on January 27, 2025, with written questions due by February 5, 2025 at 10:00 A.M. Bids are due by February 18, 2025 at 1:30 P.M. and should be submitted to Theresa J. Dorsey at the OSA Purchasing Division, One Davis Square, Room 111, Charleston, West Virginia 25301, either via fax at (304) 558-2892, email at Theresa.J.Dorsey@wv.gov, or by USPS, Federal Express, UPS, or hand delivery. Questions must be submitted in writing, and written responses will be published in a solicitation addendum if appropriate.
The specific quantities, unit prices, and line items for the gas rental and purchase are not detailed on this cover page of the RFQ form. Vendors must provide their Federal Employer Identification Number (FEIN) and identify delivery terms and FOB provisions. The goods and services are to be delivered to Welch Community Hospital. This solicitation incorporates the OSA Master Terms and Conditions by reference, and vendors certifying their bids affirm they have reviewed these terms, understand them, and agree to be bound by their provisions. By executing the bid, vendors represent they are authorized to bind their company and have properly registered with any required state agencies.
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Other files
| File | Type | Posted |
|---|---|---|
| Pricing Page Exhibit A.pdf | ||
| Medical Gas Specifications.docx | DOCX document | |
| WV HIPAA BAA.pdf | ||
| DoHS PAffidavit.pdf | ||
| Final_ARFQ_0512_WEH2500000011_1_WV_ARFQ_FORM.PDF | ||
| WV-36.pdf | ||
| DoHS Provisions Required for Federally Funded Procurements.pdf | ||
| DoHS Exempt TCA.pdf |
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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: 1:30 PM |
| undefined: 02/18/2025 |
| Req No: ARFQWEH2500000011 |
| Date: 01/27/2025 |
| 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: DoHS OSA 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, Purchasing Division is soliciting bids on behalf of the Department of Health Facilities (DHF), Welch Community Hospital (WCH) to establish an open-end contract for the rental of cylinders of industrial and medical gases and the purchase of industrial and medical gases for Welch Community Hospital. |
Question are due by 02/05/2025 10:00 A.M.
Questions must be submitted in writing to the attention of Theresa Dorsey via fax at 304-558-2892, or via e-mail at Theresa.J.Dorsey@wv.gov, or delivery by USPS, Fed Ex, UPS, or hand delivery to her attention at DHHR Purchasing Division, One Davis Square, Room 111, Charleston, WV 25301. A written response will be published in a solicitation addendum if a response is possible and appropriate. Non-written discussions, conversations, or questions and answers regarding this solicitation are preliminary in nature and are non-binding.
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File details come from the government source that posted it. Updated .