wv-43 oxygen.pdf
PDF 102 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 Request for Quotations (RFQ) form issued by the State of West Virginia, Department of Health and Human Resources, Office of Health Facilities at Lakin State Hospital in West Columbia. The solicitation seeks bids to establish a one-year open-end contract for the refill and rental of medical oxygen E tanks, with an option to renew for three additional one-year periods. The facility is located at 11522 Ohio River Road, West Columbia, WV 25287. Written questions regarding the RFQ must be submitted to jessica.m.reynolds@wv.gov by July 28, 2022 at 1:00 PM. Bids are due on or before August 9, 2022 by 1:00 PM and may be submitted via hand delivery, fax, USPS, courier, or through WVOASIS; email submissions are not accepted.
The RFQ does not specify quantities or unit pricing within the document excerpt provided. Vendors must be registered with any applicable state agencies and are required to certify compliance with the State of West Virginia's Master Terms and Conditions, which are incorporated by reference and available on the Purchasing Division website. Bids should be delivered to WVDHHR Lakin State Hospital, Attn: Jessica Reynolds, with goods and services to be shipped to the same location. The document includes standard procurement language regarding authorization and binding authority of bidders' representatives.
View the file
Other files
| File | Type | Posted |
|---|---|---|
| Final_ARFQ_0506_LSHZ230000001_1_WV_ARFQ_FORM.PDF | ||
| Pricing Page template.docx | DOCX document | |
| OpenEndPurchaseRFQOxygen (1).docx | DOCX document | |
| Federal Funds Addendum.pdf | ||
| DHHR Exempt TCA Oxygen.docx | DOCX document | |
| DHHR PA.pdf |
On GovTribe
Work with this file
- Download the original file
- Contacts named in this file
- Similar government files
- Ask GovTribe AI about this file
Text version
WV-43 (REV. 06/12 /12)
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 Agency Master Terms and Conditions located on the Purchasing Division's website at http:/// www.state.wv.us/admin/purchase/TCA.pdf, ("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: 1:00 PM |
| undefined: 08/09/2022 |
| Req No: ARFQ LSHZ23*01 |
| Date: 07/20/2022 |
| Acct No: 0525/2018/2842/33500/3 |
| Bid To Be Delivered To: WVDHHR |
Lakin State Hospital 11522 Ohio River Road West Columbia, WV 25287 Attn: Jessica Reynolds Fax: 304-675-0866 GoodsServices To Be Shipped To: Lakin Hospital 11522 Ohio River Rd.
West Columbia, WV 25287
| Delivery Requirements: |
| FEIN: |
| Terms: |
| Delivery Date: |
| FOB: |
| Item Number: |
| Quantity: |
| Description: The State of West Virginia, Department of Health and Human Resources, Office of Health Facilities, Lakin Hospital is soliciting bids to enter into a one year Open-End contract to provide Refill and Rental of Medical Oxygen E Tanks with option to renew for three (3) one (1) year renewals. |
Questions regarding this Request for Quotation must be submitted in writing to jessica.m.reynolds@wv.gov by July 28, 2022 at 1:00 pm.
Bids must be submitted on or before August 9, 2022 by 1:00 PM. Bids will be accepted via hand delivered hard copy, via fax, via USPS, or courier. No emailed bids will be accepted. However we encourage submission via WVOASIS. If you have any issues with bids submitted through WVOASIS, please call the HELP desk at (855) 666-8823. They will be happy to assist you.
| Unit Price: |
| Amount: |
| fill_26: |
| Text2: |
| Text3: |
| Text1: |
File details come from the government source that posted it. Updated .