WV43.pdf
PDF 101 KB Posted
- Attached to
- BACKFLOW PREVENTION EQUIPMENT AND INSTALLATION
- Solicitation number
- ARFQ 0512 WSH2500000005 2
- Issued by
- Jefferson County, West Virginia
About this file
This is a Request for Quotations document issued by the West Virginia Department of Health and Human Resources (DHHR), specifically the Department of Health Facilities (DHF) Purchasing Division on behalf of William R. Sharpe, Jr. Hospital in Weston, West Virginia. The solicitation seeks bids for the one-time purchase and installation of backflow prevention equipment at the hospital facility. The request number is WSH2500000005, dated May 15, 2025, with a bid deadline of June 3, 2025 at 1:30 PM. Vendors may submit written questions no later than May 27, 2025 at 12:00 PM to Theresa Dorsey at the OSA Purchasing Division in Charleston. All bids must be delivered to the OSA Purchasing Division at One Davis Square, Room 111, Charleston, WV 25301, with equipment to be shipped to William R. Sharpe, Jr. Hospital at 936 Sharpe Hospital Road, Weston, WV 26452. The specific delivery requirements are referenced in detailed specifications provided with the solicitation.
The quotation form requires vendors to provide unit pricing and total amounts for the backflow prevention equipment and installation services. Vendors must submit their FEIN (Federal Employer Identification Number) and acknowledge acceptance of the DHHR Master Terms and Conditions as part of their bid submission. Authorized representatives must certify that they have reviewed all requirements, understand the terms and conditions, and are authorized to bind their organization to a contractual relationship. The document specifies that F.O.B. terms and delivery date details are to be determined based on the specifications and vendor proposals. All questions regarding the solicitation must be submitted in writing; non-written discussions are preliminary in nature and non-binding.
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| Final_ARFQ_0512_WSH2500000005_2_WV_ARFQ_FORM.PDF | ||
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Text version
DHHR-43 (REV. 11/1 /17)
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 DHHR 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: 06/03/2025 |
| Req No: WSH2500000005 |
| Date: 05/15/2025 |
| Acct No: |
| Bid To Be Delivered To: OSA Purchasing Division |
Attn: Theresa Dorsey One Davis Square, Room 111 Charleston, WV 25301 F: 304-558-2892 GoodsServices To Be Shipped To: WV Dept. of Health Facilities William R. Sharpe, Jr. Hospital 936 Sharpe Hospital Road Weston, WV 26452 Facilities Director
| Delivery Requirements: *See specifications |
| FEIN: |
| Terms: |
| Delivery Date: |
| FOB: |
| Item Number: |
| Quantity: |
| Description: BACKFLOW PREVENTION EQUIPMENT & INSTALL |
The West Virginia Department of Health Facilities(DHF) Purchasing Division, William R. Sharpe, Jr. Hospital is soliciting bids for the one-time purchase and install of back flow prevention equipment and installation.
Vendors may submit questions relating to this solicitation no later than 12:00 PM on May 27, 2025. Questions must be submitted in writing to the attention of Theresa Dorsey via email at theresa.j.dorsey@wv.gov, via fax at 304-558-2892 or delivery by USPS or hand delivery to her attention at OSA/Purchasing 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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| Amount: |
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