WV43.pdf
PDF 78 KB Posted
- Solicitation number
- ARFQ 0506 MHC1700000003 1
- Issued by
- Mason County, West Virginia
About this file
This is a Request for Quotations (RFQ) form issued by the West Virginia Department of Health and Human Resources (WVDHHR), Bureau for Behavioral Health and Health Facilities (BBHHF), on behalf of the John Manchin Sr. Health Care Center in Fairmont, West Virginia. The solicitation seeks bids for a one-time purchase of a 5-pan natural gas steamer and two steamer stands. The RFQ was issued on April 24, 2017, with a submission deadline of 12:00 PM on May 5, 2017. Vendors may submit written questions regarding the solicitation no later than 12:00 PM on April 28, 2017, directed to Mark Lanham via fax at 304-363-0263, email at Mark.G.Lanham@wv.gov, or hand delivery at the facility located at 401 Guffey Street, Fairmont, WV 26554.
The quotation submission should include unit pricing and total amount, with goods to be delivered to the John Manchin Sr. Health Care Center, Attn: Mark Lanham, CFO, at 401 Guffey Street, Fairmont, WV 26554. Vendors must provide their Federal Employer Identification Number (FEIN), delivery terms, and FOB designation. By submitting a bid, vendors certify that they have reviewed and agree to be bound by the West Virginia Agency Master Terms and Conditions located on the Purchasing Division's website. All vendors must be properly registered with any applicable state agencies requiring registration. The form indicates that responses to vendor questions will be published in solicitation addenda if appropriate, and preliminary non-written discussions are considered non-binding.
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Other files
| File | Type | Posted |
|---|---|---|
| TCA.pdf | ||
| Final_ARFQ_0506_MHC1700000003_1_ARFQ_FORM.PDF | ||
| pAffidavit.pdf | ||
| Provisions Required for Federally Funded Procurements.pdf | ||
| Specifications - Steamer.docx | DOCX document | |
| Pricing Page.pdf | ||
| Vendor Preference Certificate.pdf |
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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: 12:00 PM |
| undefined: 05/05/2017 |
| Req No: ARFQ MHC17*3 |
| Date: 04/24/2017 |
| Acct No: |
| Bid To Be Delivered To: WVDHHR/BHHF |
John Manchin Sr. Health Care Center Attn: Mark Lanham 401 Guffey Street, Fairmont, WV 26554 Phone: (304) 363-2500 X 122 Fax: (304) 363-0263 GoodsServices To Be Shipped To: WVDHHR/BHHF John Manchin Sr. Health Care Center 401 Guffey Street Fairmont, WV 26554 Attn: Mark Lanham, CFO
| Delivery Requirements: |
| FEIN: |
| Terms: |
| Delivery Date: |
| FOB: |
| Item Number: |
| Quantity: |
| Description: The West Virginia Department of Health and Human Resources (WVDHHR), Bureau for Behavioral Health and Health Facilities (BBHHF), John Manchin, Sr. Heath Care Center is soliciting bids to establish a contract for the one time purchase of a 5 pan natural gas steamer and two (2) steamer stands. |
Vendors may submit questions relating to this solicitation no later than 12:00 P.M. on April 28, 2017. Questions must be submitted in writing to the attention of Mark Lanham via fax at 304-363-0263, or via email at Mark.G.Lanham@wv.gov, or hand delivered to his attention at John Manchin Health Care Center, 401 Guffey Street, Fairmont, WV 26554. 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.
-Continued on page two-
| Unit Price: |
| Amount: |
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