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West Virginia is a state located in the Appalachian region of the Southern United States.

It is bordered by Virginia to the southeast, Kentucky to the southwest, Ohio to the northwest, Pennsylvania to the north (and, slightly, east), and Maryland to the northeast.

West Virginia is the 9th smallest by area, is ranked 38th in population, and has the second lowest household income of the 50 United States.

The capital and largest city is Charleston.

Pennsylvania (Pennsylvania German: Pennsylvaani), officially the Commonwealth of Pennsylvania, is a state located in the northeastern and Mid-Atlantic regions of the United States.

The Appalachian Mountains run through its middle.

The commonwealth borders Delaware to the southeast, Maryland to the south, West Virginia to the southwest, Ohio to the west, Lake Erie and the Canadian province of Ontario to the northwest, New York to the north, and New Jersey to the east.

Ohio is an Eastern state in the Great Lakes region of the United States.

Ohio is the 34th largest by area, the 7th most populous, and the 10th most densely populated of the 50 United States.

The state's capital and largest city is Columbus.

Managed services is the practice of outsourcing on a proactive basis management responsibilities and functions and a strategic method for improving operations and cutting expenses.

It appears as an alternative to the break/fix or on-demand outsourcing model where the service provider performs on-demand services and bills the customer only for the work done.

IT service management (ITSM) refers to the entirety of activities – directed by policies, organized and structured in processes and supporting procedures – that are performed by an organization to plan, design, deliver, operate and control information technology (IT) services offered to customers.