Pricing Page template.docx
DOCX document 41 KB Posted
- Attached to
- REFILL AND RENTAL OF MEDICAL OXYGEN E TANKS
- Solicitation number
- ARFQ 0506 LSHZ230000001 1
- Issued by
- Raleigh County, West Virginia
About this file
This is a pricing page template for ARFQ LSHZ23*01 issued by the West Virginia Department of Health and Human Resources (DHHR) for Lakin Hospital located at 11522 Ohio River Road, West Columbia, WV 25287. The solicitation requests bids for the exchange and refill of medical oxygen E tanks, with a total quantity of 2,600 units required. The requested services include daily rental, hazardous charges, and delivery charges as part of the vendor's scope of work.
Pricing must be submitted on this template with cost per unit and total cost calculations for items 3.1.1 through 3.1.3. All rates are inclusive of travel costs and time spent at the hospital facility. The award will be made to the lowest grand total bidder that meets the specified requirements. Vendors must provide their name, address, phone number, fax number, email, and authorized signature with date on the pricing page submission.
View the file
Other files
| File | Type | Posted |
|---|---|---|
| Final_ARFQ_0506_LSHZ230000001_1_WV_ARFQ_FORM.PDF | ||
| wv-43 oxygen.pdf | ||
| OpenEndPurchaseRFQOxygen (1).docx | DOCX document | |
| Federal Funds Addendum.pdf | ||
| DHHR Exempt TCA Oxygen.docx | DOCX document | |
| DHHR PA.pdf |
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Text version
ARFQ LSHZ23*01
DHHR LAKIN HOSPITAL
Exhibit A
11522 Ohio River Road West Columbia, WV 25287
PRICING PAGE
| ITEM # |
| QUANTITY |
| DESCIPTION |
| cost per unit |
| TOTAL |
| 3.1.1 - 3.1.3 |
| 2600 Tanks |
| Exchange/Refill Oxygen, Medical E tanks. Including daily rental, hazardous charge, and delivery charge. |
grand total
Rates are inclusive of any and all travel cost, including time to hospital.
Vendor Name:
Vendor Address:
Phone Number: Fax Number:
E-mail:
Signature: Date:
** Award will be made to the lowest Grand Total bidder meeting specifications. **
File details come from the government source that posted it. Updated .