Project Room Contents
VA FREESTANDING (LEASE) OP DIALYSIS CENTER 16
SIXTEEN STATIONS
ANYCITY
Projected Year: 2013
Midpoint Year: 2013
VISN: 0
State: XX
Station ID: 000
Station Name: VAXXX, Any City
Installation: VA Anywhere Healthcare System
Project Created: 22 Oct 2013 08:26AM ET by Laura DiConti
Space Plan Last Edited: 01 Dec 2013 09:55PM ET by Laura DiConti
Contents List Created: 22 Oct 2013 02:15PM ET by Lisa Ahlers
Contents List Last Edited: 13 Dec 2013 10:46AM ET by Lisa Ahlers
Report Generated: 13 Dec 2013 10:46AM ET
Project Room Contents (13 Dec 2013 10:46AM ET)
Department:
Room Code:
Agency Room Name:
Criteria Room Name:
VA FREESTANDING (LEASE) OP DIALYSIS CENTER 5 16
WRC01
Waiting
Waiting Room
Functional Area:
Room Area:
Occupancy:
Blueprint #:
RECEPTION AREA
240
0
Qty
Unit Of
Issue
A5210 Bracket, Television, Wall Mounted, w/Adjust Arm
1
EA
226
226
A
.
.
.
.
.
.
7730
A6046 Artwork, Decorative, With Frame
1
EA
526
526
C
.
.
.
.
.
.
6230
F0305 Chair, Waiting Room, Single
12
EA
612
7,344
C
.
.
.
.
.
.
7100
F0305 Chair, Waiting Room, Single
1
EA
634
634
C
.
.
.
.
.
.
7100
F0740 Table, Occasional, Lamp
1
EA
338
338
C
.
.
.
.
.
.
7110
F3200 Clock, Battery, 12" Diameter
1
EA
49
49
C
.
.
.
.
.
.
6645
M0515 Television, Plasma
1
EA
755
755
C
.
A
.
.
.
A
JSN
Content Name
Unit Price Total Price Log Cat Util1 Util2 Util3 Util4 Util5 Util6
NSN
modify to F0305M, Chair, Waiting Room, Single, Bariatric
Comment: Flat Screen LED TV, size TBD per room layout
Total Content Costs for this Room: 9,872
Department:
Room Code:
Agency Room Name:
Criteria Room Name:
VA FREESTANDING (LEASE) OP DIALYSIS CENTER 5 16
RECP1
Reception
Reception
Functional Area:
Room Area:
Occupancy:
Blueprint #:
RECEPTION AREA
120
0
Qty
Unit Of
Issue
A1010 Telecommunication Outlet
4
EA
0
0
A
.
.
.
.
.
.
5805
A1015 Telephone, Desk, Multiple Line
1
EA
0
0
A
.
.
.
.
.
.
5805
A6105 Counter, Reception Control, Built5In
1
EA
6,854
6,854
A
.
A
.
.
.
.
6530
F0275 Chair, Swivel, High Back
1
EA
649
649
C
.
.
.
.
.
.
7110
F0420 Cabinet, Filing, Lateral, Half Height
1
EA
592
592
C
.
.
.
.
.
.
7110
F2000 Basket, Wastepaper, Round, Metal
1
EA
25
25
C
.
.
.
.
.
.
7520002051857
F2540 Shredder, Paper, Security
1
EA
246
246
C
.
A
.
.
.
.
7100
M1801 Computer, Microprocessing, w/Flat Panel Monitor
1
EA
1,509
1,509
C
.
A
.
.
.
.
7025
M1840 Printer/Copier/Fax Combination
1
EA
842
842
C
.
A
.
.
.
.
7100
JSN
Content Name
Unit Price Total Price Log Cat Util1 Util2 Util3 Util4 Util5 Util6
Privacy Act – FOR OFFICIAL USE ONLY (Page 2)
NSN
Project Room Contents (13 Dec 2013 10:46AM ET)
modify to M1840M include scanner
Total Content Costs for this Room: 10,717
Department:
Room Code:
Agency Room Name:
Criteria Room Name:
VA FREESTANDING (LEASE) OP DIALYSIS CENTER 5 16
TLTU1
Toilet, Public
Toilet, Unisex
Functional Area:
Room Area:
Occupancy:
Blueprint #:
RECEPTION AREA
60
0
Qty
Unit Of
Issue
A1066 Mirror, Float Glass, With SS Frame
1
EA
86
86
A
.
.
.
.
.
.
7105
A5075 Dispenser, Soap, Disposable
1
EA
17
17
C
.
.
.
.
.
.
4510
A5080 Dispenser, Paper Towel, SS, Surface Mounted
1
EA
89
89
A
.
.
.
.
.
.
4510
A5090 Disposal, Sanitary Napkin, SS, Surface Mounted
1
EA
52
52
A
.
.
.
.
.
.
7240
A5109 Grab Bar, 151/4" Dia., SS, 2 Wall, W/C Accessible
1
EA
159
159
A
.
.
.
.
.
.
6530
A5145 Hook, Garment, Double, SS, Surface Mounted
1
EA
32
32
A
.
.
.
.
.
.
5340007541678
A5200 Dispenser, Toilet Tissue, SS, 25Roll, Surface Mntd
1
EA
45
45
A
.
.
.
.
.
.
4510007026934
F2010 Basket, Wastepaper, Step5On
1
EA
35
35
C
.
.
.
.
.
.
7240007883953
P3000 Lavatory, Vitreous China, Straight Back
1
EA
387
387
A
D
.
.
.
.
.
4510
P9050 Toilet, Wall Hung, Siphon Jet
1
EA
797
797
A
B
.
.
.
.
.
4510
JSN
Content Name
Unit Price Total Price Log Cat Util1 Util2 Util3 Util4 Util5 Util6
NSN
Total Content Costs for this Room: 1,699
Department:
Room Code:
Agency Room Name:
Criteria Room Name:
JSN
VA FREESTANDING (LEASE) OP DIALYSIS CENTER 5 16
LR001
Alcove, Patient Personal Property Lockers
Locker Area, Personal Property
Content Name
A1030 Locker, 2 Person, Over/Under
Total Content Costs for this Room:
Qty
Unit Of
Issue
24
EA
Functional Area:
Room Area:
Occupancy:
Blueprint #:
RECEPTION AREA
60
0
Unit Price Total Price Log Cat Util1 Util2 Util3 Util4 Util5 Util6
285
6,840
C
6,840
Total Content Costs for this Functional Area: 29,128
Privacy Act – FOR OFFICIAL USE ONLY (Page 3)
.
.
.
.
.
.
NSN
7125
Project Room Contents (13 Dec 2013 10:46AM ET)
Department:
Room Code:
Agency Room Name:
Criteria Room Name:
VA FREESTANDING (LEASE) OP DIALYSIS CENTER 5 16
RDC01
Renal Dialysis, Chair Station
Renal Dialysis, Chair Station
Functional Area:
Room Area:
Occupancy:
Blueprint #:
PATIENT AREA
80
0
Qty
Unit Of
Issue
A5180 Track, Cubicle, Surface Mounted, With Curtain
18
FT
7
126
A
.
.
.
.
.
.
6530
A5215 Bracket, Television, Ceiling Mounted
1
EA
317
317
B
.
.
.
.
.
.
7730
M0506 Television, Flat Screen
1
EA
421
421
C
.
A
.
.
.
.
7730
M1715 Hemodialysis Unit, Hollow Fiber or Plate
1
EA
20,181
20,181
C
E
A
.
.
.
.
6515
JSN
Content Name
Unit Price Total Price Log Cat Util1 Util2 Util3 Util4 Util5 Util6
NSN
M4905 Chair, Dialysis
1
EA
1,843
1,843
C
.
.
.
.
.
.
6530
P8705 Dialysis Box, Recessed, Single Valve
1
EA
810
810
A
E
.
.
.
.
.
4100
Total Content Costs for this Room: 23,698
Department:
Room Code:
Agency Room Name:
Criteria Room Name:
VA FREESTANDING (LEASE) OP DIALYSIS CENTER 5 16
RDC01
Renal Dialysis, Chair Station
Renal Dialysis, Chair Station
Functional Area:
Room Area:
Occupancy:
Blueprint #:
PATIENT AREA
80
0
Qty
Unit Of
Issue
A5077 Dispenser, Hand Sanitizer, Hands5Free
1
EA
46
46
C
.
.
.
.
.
.
A5106 Waste Disposal Unit, Sharps w/Glove Dispenser
1
EA
73
73
C
.
.
.
.
.
.
6530
A5180 Track, Cubicle, Surface Mounted, With Curtain
18
FT
7
126
A
.
.
.
.
.
.
6530
A5215 Bracket, Television, Ceiling Mounted
1
EA
317
317
B
.
.
.
.
.
.
7730
F2010 Basket, Wastepaper, Step5On
1
EA
35
35
C
.
.
.
.
.
.
7240007883953
JSN
Content Name
Unit Price Total Price Log Cat Util1 Util2 Util3 Util4 Util5 Util6
NSN
M0506 Television, Flat Screen
1
EA
421
421
C
.
A
.
.
.
.
7730
M1715 Hemodialysis Unit, Hollow Fiber or Plate
1
EA
20,181
20,181
C
E
A
.
.
.
.
6515
M4905 Chair, Dialysis
1
EA
1,843
1,843
C
.
.
.
.
.
.
6530
P8705 Dialysis Box, Recessed, Single Valve
1
EA
810
810
A
E
.
.
.
.
.
4100
Total Content Costs for this Room: 23,852
Privacy Act – FOR OFFICIAL USE ONLY (Page 4)
Project Room Contents (13 Dec 2013 10:46AM ET)
Department:
Room Code:
Agency Room Name:
Criteria Room Name:
VA FREESTANDING (LEASE) OP DIALYSIS CENTER 5 16
RDC01
Renal Dialysis, Chair Station
Renal Dialysis, Chair Station
Functional Area:
Room Area:
Occupancy:
Blueprint #:
PATIENT AREA
80
0
Qty
Unit Of
Issue
A5180 Track, Cubicle, Surface Mounted, With Curtain
18
FT
7
126
A
.
.
.
.
.
.
6530
A5215 Bracket, Television, Ceiling Mounted
1
EA
317
317
B
.
.
.
.
.
.
7730
M0506 Television, Flat Screen
1
EA
421
421
C
.
A
.
.
.
.
7730
M1715 Hemodialysis Unit, Hollow Fiber or Plate
1
EA
20,181
20,181
C
E
A
.
.
.
.
6515
JSN
Content Name
Unit Price Total Price Log Cat Util1 Util2 Util3 Util4 Util5 Util6
NSN
M4905 Chair, Dialysis
1
EA
1,843
1,843
C
.
.
.
.
.
.
6530
P8705 Dialysis Box, Recessed, Single Valve
1
EA
810
810
A
E
.
.
.
.
.
4100
Total Content Costs for this Room: 23,698
Department:
Room Code:
Agency Room Name:
Criteria Room Name:
VA FREESTANDING (LEASE) OP DIALYSIS CENTER 5 16
RDC01
Renal Dialysis, Chair Station
Renal Dialysis, Chair Station
Functional Area:
Room Area:
Occupancy:
Blueprint #:
PATIENT AREA
80
0
Qty
Unit Of
Issue
A5077 Dispenser, Hand Sanitizer, Hands5Free
1
EA
46
46
C
.
.
.
.
.
.
A5106 Waste Disposal Unit, Sharps w/Glove Dispenser
1
EA
73
73
C
.
.
.
.
.
.
6530
A5180 Track, Cubicle, Surface Mounted, With Curtain
18
FT
7
126
A
.
.
.
.
.
.
6530
A5215 Bracket, Television, Ceiling Mounted
1
EA
317
317
B
.
.
.
.
.
.
7730
F2010 Basket, Wastepaper, Step5On
1
EA
35
35
C
.
.
.
.
.
.
7240007883953
JSN
Content Name
Unit Price Total Price Log Cat Util1 Util2 Util3 Util4 Util5 Util6
NSN
M0506 Television, Flat Screen
1
EA
421
421
C
.
A
.
.
.
.
7730
M1715 Hemodialysis Unit, Hollow Fiber or Plate
1
EA
20,181
20,181
C
E
A
.
.
.
.
6515
M4905 Chair, Dialysis
1
EA
1,843
1,843
C
.
.
.
.
.
.
6530
P8705 Dialysis Box, Recessed, Single Valve
1
EA
810
810
A
E
.
.
.
.
.
4100
Total Content Costs for this Room: 23,852
Privacy Act – FOR OFFICIAL USE ONLY (Page 5)
Project Room Contents (13 Dec 2013 10:46AM ET)
Department:
Room Code:
Agency Room Name:
Criteria Room Name:
VA FREESTANDING (LEASE) OP DIALYSIS CENTER 5 16
RDC01
Renal Dialysis, Chair Station
Renal Dialysis, Chair Station
Functional Area:
Room Area:
Occupancy:
Blueprint #:
PATIENT AREA
80
0
Qty
Unit Of
Issue
A5180 Track, Cubicle, Surface Mounted, With Curtain
18
FT
7
126
A
.
.
.
.
.
.
6530
A5215 Bracket, Television, Ceiling Mounted
1
EA
317
317
B
.
.
.
.
.
.
7730
M0506 Television, Flat Screen
1
EA
421
421
C
.
A
.
.
.
.
7730
M1715 Hemodialysis Unit, Hollow Fiber or Plate
1
EA
20,181
20,181
C
E
A
.
.
.
.
6515
JSN
Content Name
Unit Price Total Price Log Cat Util1 Util2 Util3 Util4 Util5 Util6
NSN
M4905 Chair, Dialysis
1
EA
1,843
1,843
C
.
.
.
.
.
.
6530
P8705 Dialysis Box, Recessed, Single Valve
1
EA
810
810
A
E
.
.
.
.
.
4100
Total Content Costs for this Room: 23,698
Department:
Room Code:
Agency Room Name:
Criteria Room Name:
VA FREESTANDING (LEASE) OP DIALYSIS CENTER 5 16
RDC01
Renal Dialysis, Chair Station
Renal Dialysis, Chair Station
Functional Area:
Room Area:
Occupancy:
Blueprint #:
PATIENT AREA
80
0
Qty
Unit Of
Issue
A5077 Dispenser, Hand Sanitizer, Hands5Free
1
EA
46
46
C
.
.
.
.
.
.
A5106 Waste Disposal Unit, Sharps w/Glove Dispenser
1
EA
73
73
C
.
.
.
.
.
.
6530
A5180 Track, Cubicle, Surface Mounted, With Curtain
18
FT
7
126
A
.
.
.
.
.
.
6530
A5215 Bracket, Television, Ceiling Mounted
1
EA
317
317
B
.
.
.
.
.
.
7730
F2010 Basket, Wastepaper, Step5On
1
EA
35
35
C
.
.
.
.
.
.
7240007883953
JSN
Content Name
Unit Price Total Price Log Cat Util1 Util2 Util3 Util4 Util5 Util6
NSN
M0506 Television, Flat Screen
1
EA
421
421
C
.
A
.
.
.
.
7730
M1715 Hemodialysis Unit, Hollow Fiber or Plate
1
EA
20,181
20,181
C
E
A
.
.
.
.
6515
M4905 Chair, Dialysis
1
EA
1,843
1,843
C
.
.
.
.
.
.
6530
P8705 Dialysis Box, Recessed, Single Valve
1
EA
810
810
A
E
.
.
.
.
.
4100
Total Content Costs for this Room: 23,852
Privacy Act – FOR OFFICIAL USE ONLY (Page 6)
Project Room Contents (13 Dec 2013 10:46AM ET)
Department:
Room Code:
Agency Room Name:
Criteria Room Name:
VA FREESTANDING (LEASE) OP DIALYSIS CENTER 5 16
RDC01
Renal Dialysis, Chair Station
Renal Dialysis, Chair Station
Functional Area:
Room Area:
Occupancy:
Blueprint #:
PATIENT AREA
80
0
Qty
Unit Of
Issue
A5180 Track, Cubicle, Surface Mounted, With Curtain
18
FT
7
126
A
.
.
.
.
.
.
6530
A5215 Bracket, Television, Ceiling Mounted
1
EA
317
317
B
.
.
.
.
.
.
7730
M0506 Television, Flat Screen
1
EA
421
421
C
.
A
.
.
.
.
7730
M1715 Hemodialysis Unit, Hollow Fiber or Plate
1
EA
20,181
20,181
C
E
A
.
.
.
.
6515
JSN
Content Name
Unit Price Total Price Log Cat Util1 Util2 Util3 Util4 Util5 Util6
NSN
M4905 Chair, Dialysis
1
EA
1,843
1,843
C
.
.
.
.
.
.
6530
P8705 Dialysis Box, Recessed, Single Valve
1
EA
810
810
A
E
.
.
.
.
.
4100
Total Content Costs for this Room: 23,698
Department:
Room Code:
Agency Room Name:
Criteria Room Name:
VA FREESTANDING (LEASE) OP DIALYSIS CENTER 5 16
RDC01
Renal Dialysis, Chair Station
Renal Dialysis, Chair Station
Functional Area:
Room Area:
Occupancy:
Blueprint #:
PATIENT AREA
80
0
Qty
Unit Of
Issue
A5077 Dispenser, Hand Sanitizer, Hands5Free
1
EA
46
46
C
.
.
.
.
.
.
A5106 Waste Disposal Unit, Sharps w/Glove Dispenser
1
EA
73
73
C
.
.
.
.
.
.
6530
A5180 Track, Cubicle, Surface Mounted, With Curtain
18
FT
7
126
A
.
.
.
.
.
.
6530
A5215 Bracket, Television, Ceiling Mounted
1
EA
317
317
B
.
.
.
.
.
.
7730
F2010 Basket, Wastepaper, Step5On
1
EA
35
35
C
.
.
.
.
.
.
7240007883953
JSN
Content Name
Unit Price Total Price Log Cat Util1 Util2 Util3 Util4 Util5 Util6
NSN
M0506 Television, Flat Screen
1
EA
421
421
C
.
A
.
.
.
.
7730
M1715 Hemodialysis Unit, Hollow Fiber or Plate
1
EA
20,181
20,181
C
E
A
.
.
.
.
6515
M4905 Chair, Dialysis
1
EA
1,843
1,843
C
.
.
.
.
.
.
6530
P8705 Dialysis Box, Recessed, Single Valve
1
EA
810
810
A
E
.
.
.
.
.
4100
Total Content Costs for this Room: 23,852
Privacy Act – FOR OFFICIAL USE ONLY (Page 7)
Project Room Contents (13 Dec 2013 10:46AM ET)
Department:
Room Code:
Agency Room Name:
Criteria Room Name:
VA FREESTANDING (LEASE) OP DIALYSIS CENTER 5 16
RDC01
Renal Dialysis, Chair Station
Renal Dialysis, Chair Station
Functional Area:
Room Area:
Occupancy:
Blueprint #:
PATIENT AREA
80
0
Qty
Unit Of
Issue
A5180 Track, Cubicle, Surface Mounted, With Curtain
18
FT
7
126
A
.
.
.
.
.
.
6530
A5215 Bracket, Television, Ceiling Mounted
1
EA
317
317
B
.
.
.
.
.
.
7730
M0506 Television, Flat Screen
1
EA
421
421
C
.
A
.
.
.
.
7730
M1715 Hemodialysis Unit, Hollow Fiber or Plate
1
EA
20,181
20,181
C
E
A
.
.
.
.
6515
JSN
Content Name
Unit Price Total Price Log Cat Util1 Util2 Util3 Util4 Util5 Util6
NSN
M4905 Chair, Dialysis
1
EA
1,843
1,843
C
.
.
.
.
.
.
6530
P8705 Dialysis Box, Recessed, Single Valve
1
EA
810
810
A
E
.
.
.
.
.
4100
Total Content Costs for this Room: 23,698
Department:
Room Code:
Agency Room Name:
Criteria Room Name:
VA FREESTANDING (LEASE) OP DIALYSIS CENTER 5 16
RDC01
Renal Dialysis, Chair Station
Renal Dialysis, Chair Station
Functional Area:
Room Area:
Occupancy:
Blueprint #:
PATIENT AREA
80
0
Qty
Unit Of
Issue
A5077 Dispenser, Hand Sanitizer, Hands5Free
1
EA
46
46
C
.
.
.
.
.
.
A5106 Waste Disposal Unit, Sharps w/Glove Dispenser
1
EA
73
73
C
.
.
.
.
.
.
6530
A5180 Track, Cubicle, Surface Mounted, With Curtain
18
FT
7
126
A
.
.
.
.
.
.
6530
A5215 Bracket, Television, Ceiling Mounted
1
EA
317
317
B
.
.
.
.
.
.
7730
F2010 Basket, Wastepaper, Step5On
1
EA
35
35
C
.
.
.
.
.
.
7240007883953
JSN
Content Name
Unit Price Total Price Log Cat Util1 Util2 Util3 Util4 Util5 Util6
NSN
M0506 Television, Flat Screen
1
EA
421
421
C
.
A
.
.
.
.
7730
M1715 Hemodialysis Unit, Hollow Fiber or Plate
1
EA
20,181
20,181
C
E
A
.
.
.
.
6515
M4905 Chair, Dialysis
1
EA
1,843
1,843
C
.
.
.
.
.
.
6530
P8705 Dialysis Box, Recessed, Single Valve
1
EA
810
810
A
E
.
.
.
.
.
4100
Total Content Costs for this Room: 23,852
Privacy Act – FOR OFFICIAL USE ONLY (Page 8)
Project Room Contents (13 Dec 2013 10:46AM ET)
Department:
Room Code:
Agency Room Name:
Criteria Room Name:
VA FREESTANDING (LEASE) OP DIALYSIS CENTER 5 16
RDC01
Renal Dialysis, Chair Station
Renal Dialysis, Chair Station
Functional Area:
Room Area:
Occupancy:
Blueprint #:
PATIENT AREA
80
0
Qty
Unit Of
Issue
A5180 Track, Cubicle, Surface Mounted, With Curtain
18
FT
7
126
A
.
.
.
.
.
.
6530
A5215 Bracket, Television, Ceiling Mounted
1
EA
317
317
B
.
.
.
.
.
.
7730
M0506 Television, Flat Screen
1
EA
421
421
C
.
A
.
.
.
.
7730
M1715 Hemodialysis Unit, Hollow Fiber or Plate
1
EA
20,181
20,181
C
E
A
.
.
.
.
6515
JSN
Content Name
Unit Price Total Price Log Cat Util1 Util2 Util3 Util4 Util5 Util6
NSN
M4905 Chair, Dialysis
1
EA
1,843
1,843
C
.
.
.
.
.
.
6530
P8705 Dialysis Box, Recessed, Single Valve
1
EA
810
810
A
E
.
.
.
.
.
4100
Total Content Costs for this Room: 23,698
Department:
Room Code:
Agency Room Name:
Criteria Room Name:
VA FREESTANDING (LEASE) OP DIALYSIS CENTER 5 16
RDC01
Renal Dialysis, Chair Station
Renal Dialysis, Chair Station
Functional Area:
Room Area:
Occupancy:
Blueprint #:
PATIENT AREA
80
0
Qty
Unit Of
Issue
A5077 Dispenser, Hand Sanitizer, Hands5Free
1
EA
46
46
C
.
.
.
.
.
.
A5106 Waste Disposal Unit, Sharps w/Glove Dispenser
1
EA
73
73
C
.
.
.
.
.
.
6530
A5180 Track, Cubicle, Surface Mounted, With Curtain
18
FT
7
126
A
.
.
.
.
.
.
6530
A5215 Bracket, Television, Ceiling Mounted
1
EA
317
317
B
.
.
.
.
.
.
7730
F2010 Basket, Wastepaper, Step5On
1
EA
35
35
C
.
.
.
.
.
.
7240007883953
JSN
Content Name
Unit Price Total Price Log Cat Util1 Util2 Util3 Util4 Util5 Util6
NSN
M0506 Television, Flat Screen
1
EA
421
421
C
.
A
.
.
.
.
7730
M1715 Hemodialysis Unit, Hollow Fiber or Plate
1
EA
20,181
20,181
C
E
A
.
.
.
.
6515
M4905 Chair, Dialysis
1
EA
1,843
1,843
C
.
.
.
.
.
.
6530
P8705 Dialysis Box, Recessed, Single Valve
1
EA
810
810
A
E
.
.
.
.
.
4100
Total Content Costs for this Room: 23,852
Privacy Act – FOR OFFICIAL USE ONLY (Page 9)
Project Room Contents (13 Dec 2013 10:46AM ET)
Department:
Room Code:
Agency Room Name:
Criteria Room Name:
VA FREESTANDING (LEASE) OP DIALYSIS CENTER 5 16
RDC01
Renal Dialysis, Chair Station
Renal Dialysis, Chair Station
Functional Area:
Room Area:
Occupancy:
Blueprint #:
PATIENT AREA
80
0
Qty
Unit Of
Issue
A5180 Track, Cubicle, Surface Mounted, With Curtain
18
FT
7
126
A
.
.
.
.
.
.
6530
A5215 Bracket, Television, Ceiling Mounted
1
EA
317
317
B
.
.
.
.
.
.
7730
M0506 Television, Flat Screen
1
EA
421
421
C
.
A
.
.
.
.
7730
M1715 Hemodialysis Unit, Hollow Fiber or Plate
1
EA
20,181
20,181
C
E
A
.
.
.
.
6515
JSN
Content Name
Unit Price Total Price Log Cat Util1 Util2 Util3 Util4 Util5 Util6
NSN
M4905 Chair, Dialysis
1
EA
1,843
1,843
C
.
.
.
.
.
.
6530
P8705 Dialysis Box, Recessed, Single Valve
1
EA
810
810
A
E
.
.
.
.
.
4100
Total Content Costs for this Room: 23,698
Department:
Room Code:
Agency Room Name:
Criteria Room Name:
VA FREESTANDING (LEASE) OP DIALYSIS CENTER 5 16
RDC01
Renal Dialysis, Chair Station
Renal Dialysis, Chair Station
Functional Area:
Room Area:
Occupancy:
Blueprint #:
PATIENT AREA
80
0
Qty
Unit Of
Issue
A5077 Dispenser, Hand Sanitizer, Hands5Free
1
EA
46
46
C
.
.
.
.
.
.
A5106 Waste Disposal Unit, Sharps w/Glove Dispenser
1
EA
73
73
C
.
.
.
.
.
.
6530
A5180 Track, Cubicle, Surface Mounted, With Curtain
18
FT
7
126
A
.
.
.
.
.
.
6530
A5215 Bracket, Television, Ceiling Mounted
1
EA
317
317
B
.
.
.
.
.
.
7730
F2010 Basket, Wastepaper, Step5On
1
EA
35
35
C
.
.
.
.
.
.
7240007883953
JSN
Content Name
Unit Price Total Price Log Cat Util1 Util2 Util3 Util4 Util5 Util6
NSN
M0506 Television, Flat Screen
1
EA
421
421
C
.
A
.
.
.
.
7730
M1715 Hemodialysis Unit, Hollow Fiber or Plate
1
EA
20,181
20,181
C
E
A
.
.
.
.
6515
M4905 Chair, Dialysis
1
EA
1,843
1,843
C
.
.
.
.
.
.
6530
P8705 Dialysis Box, Recessed, Single Valve
1
EA
810
810
A
E
.
.
.
.
.
4100
Total Content Costs for this Room: 23,852
Privacy Act – FOR OFFICIAL USE ONLY (Page 10)
Project Room Contents (13 Dec 2013 10:46AM ET)
Department:
Room Code:
Agency Room Name:
Criteria Room Name:
VA FREESTANDING (LEASE) OP DIALYSIS CENTER 5 16
XXYYC
Renal Dialysis, Bariatric Chair Station
test code
Functional Area:
Room Area:
Occupancy:
Blueprint #:
PATIENT AREA
100
0
Qty
Unit Of
Issue
A5180 Track, Cubicle, Surface Mounted, With Curtain
18
FT
7
126
A
.
.
.
.
.
.
6530
A5215 Bracket, Television, Ceiling Mounted
1
EA
317
317
B
.
.
.
.
.
.
7730
M0506 Television, Flat Screen
1
EA
421
421
C
.
A
.
.
.
.
7730
M1715 Hemodialysis Unit, Hollow Fiber or Plate
1
EA
20,181
20,181
C
E
A
.
.
.
.
6515
M4905 Chair, Dialysis
1
EA
1,843
1,843
C
.
.
.
.
.
.
6530
1
EA
810
810
A
E
.
.
.
.
.
4100
JSN
Content Name
Unit Price Total Price Log Cat Util1 Util2 Util3 Util4 Util5 Util6
NSN
modify to M4905M bariatric
P8705 Dialysis Box, Recessed, Single Valve
Total Content Costs for this Room: 23,698
Department:
Room Code:
Agency Room Name:
Criteria Room Name:
VA FREESTANDING (LEASE) OP DIALYSIS CENTER 5 16
XXYYC
Renal Dialysis, Bariatric Chair Station
test code
Functional Area:
Room Area:
Occupancy:
Blueprint #:
PATIENT AREA
100
0
Qty
Unit Of
Issue
1
EA
8,198
8,198
A
.
F
.
.
.
J
A5077 Dispenser, Hand Sanitizer, Hands5Free
1
EA
46
46
C
.
.
.
.
.
.
A5106 Waste Disposal Unit, Sharps w/Glove Dispenser
1
EA
73
73
C
.
.
.
.
.
.
6530
A5180 Track, Cubicle, Surface Mounted, With Curtain
18
FT
7
126
A
.
.
.
.
.
.
6530
A5215 Bracket, Television, Ceiling Mounted
1
EA
317
317
B
.
.
.
.
.
.
7730
F2010 Basket, Wastepaper, Step5On
1
EA
35
35
C
.
.
.
.
.
.
7240007883953
JSN
Content Name
A1200 Lift System, Overhead, Patient Room
Unit Price Total Price Log Cat Util1 Util2 Util3 Util4 Util5 Util6
NSN
6530
Lift to be shared with adjacent room if location allows
M0506 Television, Flat Screen
1
EA
421
421
C
.
A
.
.
.
.
7730
M1715 Hemodialysis Unit, Hollow Fiber or Plate
1
EA
20,181
20,181
C
E
A
.
.
.
.
6515
M4905 Chair, Dialysis
1
EA
1,843
1,843
C
.
.
.
.
.
.
6530
modify to M4905M bariatric
Privacy Act – FOR OFFICIAL USE ONLY (Page 11)
Project Room Contents (13 Dec 2013 10:46AM ET)
P8705 Dialysis Box, Recessed, Single Valve
1
EA
810
810
A
E
.
.
.
.
.
4100
Total Content Costs for this Room: 32,050
Department:
Room Code:
Agency Room Name:
Criteria Room Name:
JSN
VA FREESTANDING (LEASE) OP DIALYSIS CENTER 5 16
RDC02
Renal Dialysis, Separation Room
Renal Dialysis, Chair Station, Negative Pressure
Content Name
Qty
Unit Of
Issue
Functional Area:
Room Area:
Occupancy:
Blueprint #:
PATIENT AREA
140
0
Unit Price Total Price Log Cat Util1 Util2 Util3 Util4 Util5 Util6
NSN
A1010 Telecommunication Outlet
1
EA
0
0
A
.
.
.
.
.
.
5805
A5075 Dispenser, Soap, Disposable
1
EA
17
17
C
.
.
.
.
.
.
4510
A5077 Dispenser, Hand Sanitizer, Hands5Free
1
EA
46
46
C
.
.
.
.
.
.
A5080 Dispenser, Paper Towel, SS, Surface Mounted
1
EA
89
89
A
.
.
.
.
.
.
4510
A5106 Waste Disposal Unit, Sharps w/Glove Dispenser
1
EA
73
73
C
.
.
.
.
.
.
6530
A5180 Track, Cubicle, Surface Mounted, With Curtain
14
FT
7
98
A
.
.
.
.
.
.
6530
A5215 Bracket, Television, Ceiling Mounted
1
EA
306
306
B
.
.
.
.
.
.
7730
F2010 Basket, Wastepaper, Step5On
1
EA
35
35
C
.
.
.
.
.
.
7240007883953
F3200 Clock, Battery, 12" Diameter
1
EA
49
49
C
.
.
.
.
.
.
6645
M0506 Television, Flat Screen
1
EA
421
421
C
.
A
.
.
.
.
7730
M1715 Hemodialysis Unit, Hollow Fiber or Plate
1
EA
20,181
20,181
C
E
A
.
.
.
.
6515
M1801 Computer, Microprocessing, w/Flat Panel Monitor
1
EA
1,457
1,457
C
.
A
.
.
.
.
7025
M1802 Work Station, Computer, Retractable, Wall Mounted
1
EA
1,033
1,033
C
.
B
.
.
.
D
7110
M3070 Hamper, Linen, Mobile, w/Lid
1
EA
545
545
C
.
.
.
.
.
.
7240
1
EA
300
300
C
.
.
.
.
.
.
7240
M4905 Chair, Dialysis
1
EA
1,843
1,843
C
.
.
.
.
.
.
6530
P2000 Eyewash, Wall Mounted, Hands5Free
1
EA
370
370
A
B
.
.
.
.
.
4510
P2450 Valve, Mixing, Thermostatic
1
EA
2,643
2,643
A
A
.
.
.
.
.
6530
Comment: modify to M3070M, smaller model
M3072 Frame, Infectious Waste Bag w/Lid
Comment: modify to M3072M, smaller model
Modify to P2450M1 0 Thermostatic Mixing Valve for Emergency Eyewash/Facewash
P3100 Lavatory, Vitreous China, Slab Type
1
EA
498
498
A
D
.
.
.
.
.
4510
P8705 Dialysis Box, Recessed, Single Valve
1
EA
810
810
A
E
.
.
.
.
.
4100
Privacy Act – FOR OFFICIAL USE ONLY (Page 12)
Project Room Contents (13 Dec 2013 10:46AM ET)
Total Content Costs for this Room: 30,814
Department:
Room Code:
Agency Room Name:
Criteria Room Name:
VA FREESTANDING (LEASE) OP DIALYSIS CENTER 5 16
TLTU1
Toilet, Separation Room Patient
Toilet, Unisex
Functional Area:
Room Area:
Occupancy:
Blueprint #:
PATIENT AREA
60
0
Qty
Unit Of
Issue
A1066 Mirror, Float Glass, With SS Frame
1
EA
86
86
A
.
.
.
.
.
.
7105
A5075 Dispenser, Soap, Disposable
1
EA
17
17
C
.
.
.
.
.
.
4510
A5080 Dispenser, Paper Towel, SS, Surface Mounted
1
EA
89
89
A
.
.
.
.
.
.
4510
A5090 Disposal, Sanitary Napkin, SS, Surface Mounted
1
EA
52
52
A
.
.
.
.
.
.
7240
A5109 Grab Bar, 151/4" Dia., SS, 2 Wall, W/C Accessible
1
EA
159
159
A
.
.
.
.
.
.
6530
A5145 Hook, Garment, Double, SS, Surface Mounted
1
EA
32
32
A
.
.
.
.
.
.
5340007541678
A5200 Dispenser, Toilet Tissue, SS, 25Roll, Surface Mntd
1
EA
45
45
A
.
.
.
.
.
.
4510007026934
JSN
Content Name
Unit Price Total Price Log Cat Util1 Util2 Util3 Util4 Util5 Util6
NSN
F2010 Basket, Wastepaper, Step5On
1
EA
35
35
C
.
.
.
.
.
.
7240007883953
P3000 Lavatory, Vitreous China, Straight Back
1
EA
387
387
A
D
.
.
.
.
.
4510
P9050 Toilet, Wall Hung, Siphon Jet
1
EA
797
797
A
B
.
.
.
.
.
4510
Total Content Costs for this Room: 1,699
Department:
Room Code:
Agency Room Name:
Criteria Room Name:
VA FREESTANDING (LEASE) OP DIALYSIS CENTER 5 16
RDPD1
Home Training Room
Renal Dialysis, Peritoneal Station
Functional Area:
Room Area:
Occupancy:
Blueprint #:
PATIENT AREA
120
0
Qty
Unit Of
Issue
A5075 Dispenser, Soap, Disposable
1
EA
17
17
C
.
.
.
.
.
.
A5077 Dispenser, Hand Sanitizer, Hands5Free
1
EA
46
46
C
.
.
.
.
.
.
A5080 Dispenser, Paper Towel, SS, Surface Mounted
1
EA
89
89
A
.
.
.
.
.
.
4510
A5106 Waste Disposal Unit, Sharps w/Glove Dispenser
1
EA
73
73
C
.
.
.
.
.
.
6530
A5180 Track, Cubicle, Surface Mounted, With Curtain
10
FT
7
70
A
.
.
.
.
.
.
6530
JSN
Content Name
Unit Price Total Price Log Cat Util1 Util2 Util3 Util4 Util5 Util6
Privacy Act – FOR OFFICIAL USE ONLY (Page 13)
NSN
4510
Project Room Contents (13 Dec 2013 10:46AM ET)
A5210 Bracket, Television, Wall Mounted, w/Adjust Arm
1
EA
226
226
A
.
.
.
.
.
.
7730
E0963 Cart, General Storage, Mobile
1
EA
2,113
2,113
C
.
.
.
.
.
.
6530
F0205 Chair, Side With Arms
1
EA
543
543
C
.
.
.
.
.
.
7110
F0780 Table, Work, 60W x 30D
1
EA
488
488
C
.
.
.
.
.
.
7110
F2010 Basket, Wastepaper, Step5On
1
EA
35
35
C
.
.
.
.
.
.
7240007883953
F3200 Clock, Battery, 12" Diameter
1
EA
49
49
C
.
.
.
.
.
.
6645
M0506 Television, Flat Screen
1
EA
421
421
C
.
A
.
.
.
.
7730
M1715 Hemodialysis Unit, Hollow Fiber or Plate
1
EA
19,493
19,493
C
E
A
.
.
.
.
6515
1
EA
300
300
C
.
.
.
.
.
.
7240
1
EA
16,130
16,130
C
E
A
.
.
.
.
6515
Modify to F0780M 0 size 24" deep and 36" wide
comment: M1715M 0 Home Hemo Dialysis Machine for Training
M3072 Frame, Infectious Waste Bag w/Lid
Comment: modify to M3072M, smaller model
M4860 Peritoneal Dialysis Unit, Hollow
Comment: Peritoneal Dialysis unit optional if Hometraining for Peritoneal Dialysis is part of the Functional Program
M4905 Chair, Dialysis
1
EA
1,780
1,780
C
.
.
.
.
.
.
6530
P3100 Lavatory, Vitreous China, Slab Type
1
EA
498
498
A
D
.
.
.
.
.
4510
P8705 Dialysis Box, Recessed, Single Valve
1
EA
810
810
A
E
.
.
.
.
.
4100
U0011 Signature Pad, Electronic,
1
EA
153
153
C
.
.
.
.
.
.
Total Content Costs for this Room: 43,334
Department:
Room Code:
Agency Room Name:
Criteria Room Name:
VA FREESTANDING (LEASE) OP DIALYSIS CENTER 5 16
NSTA4
Nurse Station / Workarea
Nurse Station, Outpatient
Qty
Unit Of
Issue
A1010 Telecommunication Outlet
2
EA
A1015 Telephone, Desk, Multiple Line
2
EA
A5070 Dispenser, Liquid Soap, SS, Surface Mounted
2
EA
A5077 Dispenser, Hand Sanitizer, Hands5Free
2
EA
A5080 Dispenser, Paper Towel, SS, Surface Mounted
2
C0045 Frame, Apron, 1 Drawer, 4x36x22
1
JSN
Content Name
Functional Area:
Room Area:
Occupancy:
Blueprint #:
PATIENT AREA
140
0
Unit Price Total Price Log Cat Util1 Util2 Util3 Util4 Util5 Util6
0
NSN
0
A
.
.
.
.
.
.
5805
0
0
A
.
.
.
.
.
.
5805
60
120
A
.
.
.
.
.
.
4510
46
92
C
.
.
.
.
.
.
EA
89
178
A
.
.
.
.
.
.
4510
EA
381
381
A
.
.
.
.
.
.
6530
Privacy Act – FOR OFFICIAL USE ONLY (Page 14)
Project Room Contents (13 Dec 2013 10:46AM ET)
C0046 Frame, Apron, 2 Drawer, 4x48x22
1
EA
590
590
A
.
.
.
.
.
.
6530
C06M0 Cabinet, U/C/B, 1 PBD, 2 DR, 1 File DR, 30x18x22
2
EA
960
1,920
A
.
.
.
.
.
.
6530
C09F0 Cabinet, U/C/B, 2 Half Drawer, 2 Door, 36" W
2
EA
1,041
2,082
A
.
.
.
.
.
.
6530
C09G0 Cabinet, U/C/B, 1 Shelf, 2 Door, 30x36x22
2
EA
836
1,672
A
.
.
.
.
.
.
6530
CS150 Sink, SS, Single Compartment, 10x19x16 ID
1
EA
1,064
1,064
A
D
.
.
.
.
.
6530
CS180 Sink, SS, Single Compartment, 12x22x16 ID
1
EA
1,173
1,173
A
D
.
.
.
.
.
6530
CT020 Countertop, Solid Surface
30
LF
176
5,280
A
.
.
.
.
.
.
6530
F0280 Chair, Swivel, Low Back
2
EA
503
1,006
C
.
.
.
.
.
.
7110
F2010 Basket, Wastepaper, Step5On
2
EA
35
70
C
.
.
.
.
.
.
7240007883953
F3200 Clock, Battery, 12" Diameter
1
EA
49
49
C
.
.
.
.
.
.
6645
M1801 Computer, Microprocessing, w/Flat Panel Monitor
2
EA
1,509
3,018
C
.
A
.
.
.
.
7025
M1830 Printer, Label, Pharmacy
1
EA
1,644
1,644
C
.
A
.
.
.
.
7100
M1840 Printer/Copier/Fax Combination
1
EA
842
842
C
.
A
.
.
.
.
7100
M4116 Monitor, Vital Signs
1
EA
2,387
2,387
C
.
A
.
.
.
.
6515
P2450 Valve, Mixing, Thermostatic
1
EA
2,643
2,643
A
A
.
.
.
.
.
6530
1
EA
909
909
A
B
.
.
.
.
.
4510
1
EA
966
966
C
.
.
.
.
.
.
modify to M1840M to include scanner
Modify to P2450M2 0 Thermostatic Mixing Valve for Emergency Shower
P5210 Shower, Safety, Freestanding, With Eye/Face Wash
comment: Emergency Showers shall be located in open treatment area
U0005
Meter, Water Quality, Multi Parameters, Battery
powered
Total Content Costs for this Room: 28,086
Department:
Room Code:
Agency Room Name:
Criteria Room Name:
VA FREESTANDING (LEASE) OP DIALYSIS CENTER 5 16
NSTA4
Nurse Station / Workarea
Nurse Station, Outpatient
Functional Area:
Room Area:
Occupancy:
Blueprint #:
PATIENT AREA
140
0
Qty
Unit Of
Issue
A1010 Telecommunication Outlet
2
EA
0
0
A
.
.
.
.
.
.
5805
A1015 Telephone, Desk, Multiple Line
2
EA
0
0
A
.
.
.
.
.
.
5805
A5070 Dispenser, Liquid Soap, SS, Surface Mounted
2
EA
60
120
A
.
.
.
.
.
.
4510
JSN
Content Name
Unit Price Total Price Log Cat Util1 Util2 Util3 Util4 Util5 Util6
Privacy Act – FOR OFFICIAL USE ONLY (Page 15)
NSN
Project Room Contents (13 Dec 2013 10:46AM ET)
A5077 Dispenser, Hand Sanitizer, Hands5Free
2
EA
46
92
C
.
.
.
.
.
.
A5080 Dispenser, Paper Towel, SS, Surface Mounted
2
EA
89
178
A
.
.
.
.
.
.
4510
C0045 Frame, Apron, 1 Drawer, 4x36x22
1
EA
381
381
A
.
.
.
.
.
.
6530
C0046 Frame, Apron, 2 Drawer, 4x48x22
1
EA
590
590
A
.
.
.
.
.
.
6530
C06M0 Cabinet, U/C/B, 1 PBD, 2 DR, 1 File DR, 30x18x22
2
EA
960
1,920
A
.
.
.
.
.
.
6530
C09F0 Cabinet, U/C/B, 2 Half Drawer, 2 Door, 36" W
2
EA
1,041
2,082
A
.
.
.
.
.
.
6530
C09G0 Cabinet, U/C/B, 1 Shelf, 2 Door, 30x36x22
2
EA
836
1,672
A
.
.
.
.
.
.
6530
CS150 Sink, SS, Single Compartment, 10x19x16 ID
1
EA
1,064
1,064
A
D
.
.
.
.
.
6530
CS180 Sink, SS, Single Compartment, 12x22x16 ID
1
EA
1,173
1,173
A
D
.
.
.
.
.
6530
CT020 Countertop, Solid Surface
30
LF
176
5,280
A
.
.
.
.
.
.
6530
F0280 Chair, Swivel, Low Back
2
EA
503
1,006
C
.
.
.
.
.
.
7110
F2010 Basket, Wastepaper, Step5On
2
EA
35
70
C
.
.
.
.
.
.
7240007883953
M1801 Computer, Microprocessing, w/Flat Panel Monitor
2
EA
1,509
3,018
C
.
A
.
.
.
.
7025
M4116 Monitor, Vital Signs
1
EA
2,387
2,387
C
.
A
.
.
.
.
6515
P2450 Valve, Mixing, Thermostatic
1
EA
2,643
2,643
A
A
.
.
.
.
.
6530
1
EA
909
909
A
B
.
.
.
.
.
4510
Modify to P2450M2 0 Thermostatic Mixing Valve for Emergency Shower
P5210 Shower, Safety, Freestanding, With Eye/Face Wash
comment: Emergency Showers shall be located in open treatment area
Total Content Costs for this Room: 24,585
Department:
Room Code:
Agency Room Name:
Criteria Room Name:
VA FREESTANDING (LEASE) OP DIALYSIS CENTER 5 16
NCWD2
Nourishment Station
Sleep Studies, Nourishment
Functional Area:
Room Area:
Occupancy:
Blueprint #:
PATIENT AREA
40
0
Qty
Unit Of
Issue
A5077 Dispenser, Hand Sanitizer, Hands5Free
1
EA
45
45
C
.
.
.
.
.
.
C03E0 Cabinet, U/C/B, 1 Shelf, 1 Drawer, 2 DO, 36x30x22
1
EA
1,049
1,049
A
.
.
.
.
.
.
6530
CE030 Cabinet, W/H, 2 SH, 2 GDO, Sloping Top, 38x30x13
3
EA
839
2,517
A
.
.
.
.
.
.
6530
CS090 Sink, SS, Single Compartment, 7.5x19x16 ID
1
EA
953
953
A
D
.
.
.
.
.
6530
CT020 Countertop, Solid Surface
6
LF
176
1,056
A
.
.
.
.
.
.
6530
R4650 Ice Maker, Flaked, With Dispenser
1
EA
14,847
14,847
A
B
B
.
.
.
.
4110
JSN
Content Name
Unit Price Total Price Log Cat Util1 Util2 Util3 Util4 Util5 Util6
Privacy Act – FOR OFFICIAL USE ONLY (Page 16)
NSN
Project Room Contents (13 Dec 2013 10:46AM ET)
Modify to R4650M 0 smaller countertop model
R6200 Refrigerator, U/C or F/S, 5 Cu Ft
1
EA
1,927
1,927
C
.
A
.
.
.
.
1
EA
305
305
C
.
.
.
.
.
.
4110
Modify to R6200M 0 not to be used for medication.
U0007 Thermometer w/ Glykol Probe, battery powerd
comment: for Refrigerator U0013
Total Content Costs for this Room: 22,699
Department:
Room Code:
Agency Room Name:
Criteria Room Name:
VA FREESTANDING (LEASE) OP DIALYSIS CENTER 5 16
EXRG0
Exam Room
Exam Room, VA
Functional Area:
Room Area:
Occupancy:
Blueprint #:
PATIENT AREA
120
0
Qty
Unit Of
Issue
A1010 Telecommunication Outlet
2
EA
0
0
A
.
.
.
.
.
.
5805
A1012 Telephone, Wall Mounted, 1 Line
1
EA
0
0
A
.
.
.
.
.
.
5805
A1066 Mirror, Float Glass, With SS Frame
1
EA
86
86
A
.
.
.
.
.
.
7105
JSN
Content Name
Unit Price Total Price Log Cat Util1 Util2 Util3 Util4 Util5 Util6
NSN
A1132 Rail, Accessory Mounting, Length As Required
1
LF
125
125
C
.
.
.
.
.
.
6530
A5075 Dispenser, Soap, Disposable
1
EA
17
17
C
.
.
.
.
.
.
4510
A5077 Dispenser, Hand Sanitizer, Hands5Free
1
EA
46
46
C
.
.
.
.
.
.
A5080 Dispenser, Paper Towel, SS, Surface Mounted
1
EA
89
89
A
.
.
.
.
.
.
4510
A5106 Waste Disposal Unit, Sharps w/Glove Dispenser
1
EA
73
73
C
.
.
.
.
.
.
6530
A5145 Hook, Garment, Double, SS, Surface Mounted
2
EA
32
64
A
.
.
.
.
.
.
5340007541678
A5180 Track, Cubicle, Surface Mounted, With Curtain
10
FT
7
70
A
.
.
.
.
.
.
6530
A6046 Artwork, Decorative, With Frame
1
EA
526
526
C
.
.
.
.
.
.
6230
E0117 Workstation, Straight, Free Standing, 48" W
1
EA
4,072
4,072
C
.
A
.
.
.
.
6530
E0948 Cart, General Storage, Mobile, 42"H x 32"W x 22"D
1
EA
1,174
1,174
C
.
.
.
.
.
.
6530
F0205 Chair, Side With Arms
1
EA
543
543
C
.
.
.
.
.
.
7110
F0280 Chair, Swivel, Low Back
1
EA
503
503
C
.
.
.
.
.
.
7110
F2010 Basket, Wastepaper, Step5On
1
EA
35
35
C
.
.
.
.
.
.
7240007883953
F3200 Clock, Battery, 12" Diameter
1
EA
49
49
C
.
.
.
.
.
.
6645
M1801 Computer, Microprocessing, w/Flat Panel Monitor
1
EA
1,509
1,509
C
.
A
.
.
.
.
7025
M3072 Frame, Infectious Waste Bag w/Lid
1
EA
300
300
C
.
.
.
.
.
.
7240
Privacy Act – FOR OFFICIAL USE ONLY (Page 17)
Project Room Contents (13 Dec 2013 10:46AM ET)
comment: modify to M3072M, smaller model
M4100 Sphygmomanometer, Aneroid, Wall Mounted
1
EA
165
165
C
.
.
.
.
.
.
6520
1
EA
1,572
1,572
C
.
A
.
.
.
.
6515
M9035 Chair/Table, Exam/Treatment, Combination Unit
1
EA
9,310
9,310
C
.
A
.
.
.
.
7110LL0006217
P3100 Lavatory, Vitreous China, Slab Type
1
EA
498
498
A
D
.
.
.
.
.
4510
U0011 Signature Pad, Electronic,
1
EA
153
153
C
.
.
.
.
.
.
Comment: detachable for use in other rooms
M4200 Otoscope/Ophthalmoscope, Wall Mounted
Comment: detachable for use in other rooms
Total Content Costs for this Room: 20,979
Department:
Room Code:
Agency Room Name:
Criteria Room Name:
JSN
VA FREESTANDING (LEASE) OP DIALYSIS CENTER 5 16
TLTU1
Toilet, Patient
Toilet, Unisex
Content Name
Qty
Unit Of
Issue
Functional Area:
Room Area:
Occupancy:
Blueprint #:
PATIENT AREA
75
0
Unit Price Total Price Log Cat Util1 Util2 Util3 Util4 Util5 Util6
NSN
A1066 Mirror, Float Glass, With SS Frame
1
EA
86
86
A
.
.
.
.
.
.
7105
A5075 Dispenser, Soap, Disposable
1
EA
17
17
C
.
.
.
.
.
.
4510
A5080 Dispenser, Paper Towel, SS, Surface Mounted
1
EA
89
89
A
.
.
.
.
.
.
4510
A5090 Disposal, Sanitary Napkin, SS, Surface Mounted
1
EA
52
52
A
.
.
.
.
.
.
7240
A5109 Grab Bar, 151/4" Dia., SS, 2 Wall, W/C Accessible
1
EA
159
159
A
.
.
.
.
.
.
6530
A5145 Hook, Garment, Double, SS, Surface Mounted
1
EA
32
32
A
.
.
.
.
.
.
5340007541678
A5200 Dispenser, Toilet Tissue, SS, 25Roll, Surface Mntd
1
EA
45
45
A
.
.
.
.
.
.
4510007026934
F2010 Basket, Wastepaper, Step5On
1
EA
35
35
C
.
.
.
.
.
.
7240007883953
P3000 Lavatory, Vitreous China, Straight Back
1
EA
387
387
A
D
.
.
.
.
.
4510
U0009 Toilet, Bariatric, floor mounted
1
EA
5,187
5,187
A
B
.
.
.
.
.
Comment: provide either floor mounted or wall mounted toilet for patients with up to 500 lbs weight and sufficient structural support for the toilet.
Total Content Costs for this Room: 6,089
Department:
Room Code:
VA FREESTANDING (LEASE) OP DIALYSIS CENTER 5 16
EXR11
Functional Area:
Room Area:
PATIENT AREA
60
Privacy Act – FOR OFFICIAL USE ONLY (Page 18)
Project Room Contents (13 Dec 2013 10:46AM ET)
Agency Room Name: In5Floor Scale
Criteria Room Name: Alcove, Height / Weight
JSN
Content Name
A1180 Scale, Roll On, Built In, 2000 Pound Capacity
Occupancy:
Blueprint #:
Qty
Unit Of
Issue
1
EA
0
Unit Price Total Price Log Cat Util1 Util2 Util3 Util4 Util5 Util6
5,000
5,000
A
.
A
.
.
.
.
NSN
6530
Modify to A1180M 0 flush mounted floor scale for wheelchair, chair and stand0on weighing, 800 lbs weight capacity, heavy duty hand rail for patient safety. Including rough0in frame, 100g accuracy and a
flush or surface mounted computer enhanced readout.
A5070 Dispenser, Liquid Soap, SS, Surface Mounted
1
EA
58
58
A
.
.
.
.
.
.
4510
A5077 Dispenser, Hand Sanitizer, Hands5Free
1
EA
45
45
C
.
.
.
.
.
.
A5080 Dispenser, Paper Towel, SS, Surface Mounted
1
EA
86
86
A
.
.
.
.
.
.
4510
F3010 Board, Bulletin, 48 x 48
1
EA
119
119
A
.
.
.
.
.
.
7195
P3100 Lavatory, Vitreous China, Slab Type
1
EA
481
481
A
D
.
.
.
.
.
4510
Total Content Costs for this Room: 5,789
Department:
Room Code:
Agency Room Name:
Criteria Room Name:
VA FREESTANDING (LEASE) OP DIALYSIS CENTER 5 16
SRLW1
Alcove, Wheelchair
Storage Room/area, Litter/Wheelchair
JSN
Content Name
M4705 Wheelchair, Patient Transport, Folding
Qty
Unit Of
Issue
2
EA
Functional Area:
Room Area:
Occupancy:
Blueprint #:
PATIENT AREA
75
0
Unit Price Total Price Log Cat Util1 Util2 Util3 Util4 Util5 Util6
496
992
C
.
.
.
.
.
.
NSN
6530
Total Content Costs for this Room: 992
Department:
Room Code:
Agency Room Name:
Criteria Room Name:
VA FREESTANDING (LEASE) OP DIALYSIS CENTER 5 16
RCA01
Alcove, Quick Response Cart
Resuscitation Cart Alcove
Functional Area:
Room Area:
Occupancy:
Blueprint #:
PATIENT AREA
20
0
Qty
Unit Of
Issue
M1100 Resuscitator, Bag5Mask, Hand Operated
1
EA
288
288
C
.
.
.
.
.
.
6515
M7665 Defibrillator/Monitor/Recorder Automatic
1
EA
3,448
3,448
C
.
A
.
.
.
.
6515
M7905 Oximeter, Pulse
1
EA
2,604
2,604
C
.
A
.
.
.
.
6515
JSN
Content Name
Unit Price Total Price Log Cat Util1 Util2 Util3 Util4 Util5 Util6
Privacy Act – FOR OFFICIAL USE ONLY (Page 19)
NSN
Project Room Contents (13 Dec 2013 10:46AM ET)
M8770 Aspirator/Pressure Unit, General Purpose
1
EA
1,763
1,763
C
.
A
.
.
.
.
U0012 Cart, Quick Response
1
EA
1,017
1,017
C
.
.
.
.
.
.
6515
Total Content Costs for this Room: 9,120
Department:
Room Code:
Agency Room Name:
Criteria Room Name:
VA FREESTANDING (LEASE) OP DIALYSIS CENTER 5 16
RCA02
Alcove, Portable Lift
Alcove, Equipment
Functional Area:
Room Area:
Occupancy:
Blueprint #:
PATIENT AREA
20
0
Qty
Unit Of
Issue
A5077 Dispenser, Hand Sanitizer, Hands5Free
1
EA
45
45
C
.
.
.
.
.
.
M8080 Lift, Patient, Hydraulic, 350 Lb. Cap, Adj U5Base
1
EA
2,949
2,949
C
.
.
.
.
.
.
JSN
Content Name
Unit Price Total Price Log Cat Util1 Util2 Util3 Util4 Util5 Util6
NSN
6530
comment: modify to M8080M Lift, Patient, powered, capacity TBD, Adjustable U0Base
Total Content Costs for this Room: 2,994
Department:
Room Code:
Agency Room Name:
Criteria Room Name:
VA FREESTANDING (LEASE) OP DIALYSIS CENTER 5 16
RCA02
Alcove, Mobile Equipment
Alcove, Equipment
Functional Area:
Room Area:
Occupancy:
Blueprint #:
PATIENT AREA
20
0
Qty
Unit Of
Issue
E0945 Cart, Computer, Mobile
2
EA
1,893
3,786
C
.
.
.
.
.
.
6530
M1801 Computer, Microprocessing, w/Flat Panel Monitor
2
EA
1,457
2,914
C
.
A
.
.
.
.
7025
6515
JSN
Content Name
Unit Price Total Price Log Cat Util1 Util2 Util3 Util4 Util5 Util6
M4116 Monitor, Vital Signs
1
EA
2,387
2,387
C
.
A
.
.
.
.
U0011 Signature Pad, Electronic,
2
EA
153
306
C
.
.
.
.
.
.
Total Content Costs for this Room:
9,393
Total Content Costs for this Functional Area: 595,171
Department:
VA FREESTANDING (LEASE) OP DIALYSIS CENTER 5 16
Room Code:
RDWT1
Agency Room Name: Water Treatment / Dialysate Preparation Room
Functional Area:
Room Area:
Occupancy:
SUPPORT AREA
345
0
Privacy Act – FOR OFFICIAL USE ONLY (Page 20)
NSN
Project Room Contents (13 Dec 2013 10:46AM ET)
Criteria Room Name: Renal Dialysis, Water Treatment Room
Blueprint #:
Qty
Unit Of
Issue
A1010 Telecommunication Outlet
1
EA
0
0
A
.
.
.
.
.
.
5805
A1019 Telephone, Wall Mounted, Multi5Line, Cordless
1
EA
0
0
A
.
.
.
.
.
.
5805
A5075 Dispenser, Soap, Disposable
1
EA
16
16
C
.
.
.
.
.
.
4510
A5080 Dispenser, Paper Towel, SS, Surface Mounted
1
EA
86
86
A
.
.
.
.
.
.
4510
JSN
Content Name
Unit Price Total Price Log Cat Util1 Util2 Util3 Util4 Util5 Util6
NSN
E0120 Workstation, Straight, Free Standing, 60" W
1
EA
6,315
6,315
C
.
A
.
.
.
.
6530
F0230 Chair, Drafting, Rotary
1
EA
371
371
C
.
.
.
.
.
.
7110002814469
P2450 Valve, Mixing, Thermostatic
1
EA
2,643
2,643
A
A
.
.
.
.
.
6530
Modify to P2450M2 0 Thermostatic Mixing Valve for Shower, Safety, Freestanding with Eye/Face Wash
P3100 Lavatory, Vitreous China, Slab Type
1
EA
481
481
A
D
.
.
.
.
.
4510
P5210 Shower, Safety, Freestanding, With Eye/Face Wash
1
EA
909
909
A
B
.
.
.
.
.
4510
U0001 Direct Feed, RO Water
1
EA
152,550
152,550
C
D
G
.
.
.
.
U0002 Distribution System, Acid
1
EA
15,255
15,255
C
.
A
.
.
.
.
U0003 Pump, Drum / Barrel
1
EA
811
811
C
.
A
.
.
.
.
U0004 Meter, Chlorine, battery powered, Kit
3
EA
432
1,296
C
.
.
.
.
.
.
2
EA
966
1,932
C
.
.
.
.
.
.
comment: qty (2) for low range and qty (1) for high range
U0005
Meter, Water Quality, Multi Parameters, Battery
powered
Total Content Costs for this Room: 182,665
Department:
Room Code:
Agency Room Name:
Criteria Room Name:
VA FREESTANDING (LEASE) OP DIALYSIS CENTER 5 16
MECH1
Water Heater Room
Mechanical Rooms
JSN
Content Name
A1000 Extinguisher, Fire
Qty
Unit Of
Issue
1
EA
Functional Area:
Room Area:
Occupancy:
Blueprint #:
SUPPORT AREA
40
0
Unit Price Total Price Log Cat Util1 Util2 Util3 Util4 Util5 Util6
112
112
C
Total Content Costs for this Room: 112
Privacy Act – FOR OFFICIAL USE ONLY (Page 21)
.
.
.
.
.
.
NSN
5805
Project Room Contents (13 Dec 2013 10:46AM ET)
Department:
Room Code:
Agency Room Name:
Criteria Room Name:
VA FREESTANDING (LEASE) OP DIALYSIS CENTER 5 16
MEDP1
Medication Preparation Room
Medication Preparation Station
Functional Area:
Room Area:
Occupancy:
Blueprint #:
SUPPORT AREA
80
0
Qty
Unit Of
Issue
A1010 Telecommunication Outlet
3
EA
0
0
A
.
.
.
.
.
.
5805
A1014 Telephone, Wall Mounted, 1 Line, With Speaker
1
EA
0
0
A
.
.
.
.
.
.
5805
A5075 Dispenser, Soap, Disposable
1
EA
17
17
C
.
.
.
.
.
.
4510
A5077 Dispenser, Hand Sanitizer, Hands5Free
1
EA
46
46
C
.
.
.
.
.
.
A5080 Dispenser, Paper Towel, SS, Surface Mounted
1
EA
89
89
A
.
.
.
.
.
.
4510
A5106 Waste Disposal Unit, Sharps w/Glove Dispenser
1
EA
73
73
C
.
.
.
.
.
.
6530
C03H0 Cabinet, U/C/B, 2 Half Drawers, 3 DR, 36x30x22
1
EA
1,342
1,342
A
.
.
.
.
.
.
6530
C03J0 Cabinet, U/C/B, 8 Half Drawers, 36x30x22
1
EA
1,464
1,464
A
.
.
.
.
.
.
6530
C03P0 Cabinet, Sink, U/C/B, 2 Door, 30" W
1
EA
804
804
A
.
.
.
.
.
.
6530
CE030 Cabinet, W/H, 2 SH, 2 GDO, Sloping Top, 38x30x13
2
EA
869
1,738
A
.
.
.
.
.
.
6530
CS090 Sink, SS, Single Compartment, 7.5x19x16 ID
1
EA
987
987
A
D
.
.
.
.
.
6530
CT020 Countertop, Solid Surface
10
LF
176
1,760
A
.
.
.
.
.
.
6530
E0930 Locker, Supply, 6 Drawers, Mobile, 29"W x 20"D
1
EA
3,118
3,118
C
.
.
.
.
.
.
6530
F2010 Basket, Wastepaper, Step5On
1
EA
35
35
C
.
.
.
.
.
.
7240007883953
R6200 Refrigerator, U/C or F/S, 5 Cu Ft
1
EA
1,995
1,995
C
.
A
.
.
.
.
4110
JSN
Content Name
Unit Price Total Price Log Cat Util1 Util2 Util3 Util4 Util5 Util6
NSN
comment: Remote Temperature monitoring to be included in refrigerator
Total Content Costs for this Room: 13,468
Department:
Room Code:
Agency Room Name:
Criteria Room Name:
VA FREESTANDING (LEASE) OP DIALYSIS CENTER 5 16
LBSP1
Laboratory, Biochemistry
Laboratory, Satellite
Functional Area:
Room Area:
Occupancy:
Blueprint #:
SUPPORT AREA
80
0
Qty
Unit Of
Issue
A1010 Telecommunication Outlet
2
EA
0
0
A
.
.
.
.
.
.
5805
A1014 Telephone, Wall Mounted, 1 Line, With Speaker
1
EA
0
0
A
.
.
.
.
.
.
5805
JSN
Content Name
Unit Price Total Price Log Cat Util1 Util2 Util3 Util4 Util5 Util6
Privacy Act – FOR OFFICIAL USE ONLY (Page 22)
NSN
Project Room Contents (13 Dec 2013 10:46AM ET)
A5075 Dispenser, Soap, Disposable
1
EA
17
17
C
.
.
.
.
.
.
A5077 Dispenser, Hand Sanitizer, Hands5Free
1
EA
46
46
C
.
.
.
.
.
.
4510
A5080 Dispenser, Paper Towel, SS, Surface Mounted
1
EA
89
89
A
.
.
.
.
.
.
4510
A5106 Waste Disposal Unit, Sharps w/Glove Dispenser
1
EA
73
73
C
.
.
.
.
.
.
6530
A5145 Hook, Garment, Double, SS, Surface Mounted
1
EA
31
31
A
.
.
.
.
.
.
5340007541678
C03H0 Cabinet, U/C/B, 2 Half Drawers, 3 DR, 36x30x22
1
EA
1,342
1,342
A
.
.
.
.
.
.
6530
C03J0 Cabinet, U/C/B, 8 Half Drawers, 36x30x22
1
EA
1,464
1,464
A
.
.
.
.
.
.
6530
C03P0 Cabinet, Sink, U/C/B, 2 Door, 30" W
1
EA
804
804
A
.
.
.
.
.
.
6530
CE030 Cabinet, W/H, 2 SH, 2 GDO, Sloping Top, 38x30x13
2
EA
869
1,738
A
.
.
.
.
.
.
6530
CS090 Sink, SS, Single Compartment, 7.5x19x16 ID
1
EA
987
987
A
D
.
.
.
.
.
6530
CT020 Countertop, Solid Surface
10
LF
176
1,760
A
.
.
.
.
.
.
6530
F2010 Basket, Wastepaper, Step5On
1
EA
35
35
C
.
.
.
.
.
.
7240007883953
F3200 Clock, Battery, 12" Diameter
1
EA
49
49
C
.
.
.
.
.
.
6645
L1350 Centrifuge, Table, Small, 3200 RPM, 6 Place
2
EA
2,759
5,518
C
.
A
.
.
.
.
6640004129450
M2070 Shelving, Storage, 77hx36wx18d
2
EA
215
430
C
.
.
.
.
.
.
7100
P1965 Eyewash, Eye/Face, Sink Mounted, Hands5free
1
EA
571
571
A
A
.
.
.
.
.
4510
P2450 Valve, Mixing, Thermostatic
1
EA
2,643
2,643
A
A
.
.
.
.
.
6530
U0006 Glucometer, handheld, battery powered
1
EA
585
585
C
.
.
.
.
.
.
U0007 Thermometer w/ Glykol Probe, battery powerd
1
EA
305
305
C
.
.
.
.
.
.
1
EA
1,200
1,200
C
.
A
.
.
.
.
modify to P2450M 0 mixing valve for emergency eyewash station
comment: for Refrigerator R6200M
U0013 Refrigerator, UC, Scientific, w/freezer compartment
Total Content Costs for this Room: 19,687
Department:
Room Code:
Agency Room Name:
Criteria Room Name:
JSN
VA FREESTANDING (LEASE) OP DIALYSIS CENTER 5 16
BMER1
Biomed Engineering
Biomedical, Electronic Repair
Content Name
Qty
Unit Of
Issue
Functional Area:
Room Area:
Occupancy:
Blueprint #:
SUPPORT AREA
150
0
Unit Price Total Price Log Cat Util1 Util2 Util3 Util4 Util5 Util6
NSN
A1010 Telecommunication Outlet
1
EA
0
0
A
.
.
.
.
.
.
5805
A1011 Telephone, Desk, 1 Line
1
EA
0
0
A
.
.
.
.
.
.
5805
Privacy Act – FOR OFFICIAL USE ONLY (Page 23)
Project Room Contents (13 Dec 2013 10:46AM ET)
C03G0 Cabinet, U/C/B, 2 Shelf, 2 Door, 36x30x22
1
EA
794
794
A
.
.
.
.
.
.
6530
C03P0 Cabinet, Sink, U/C/B, 2 Door, 30" W
1
EA
777
777
A
.
.
.
.
.
.
6530
CD030 Cabinet, W/H, 2 Shelf, 2 DO, Sloping Top, 38x30x13
2
EA
1,020
2,040
A
.
.
.
.
.
.
6530
CS140 Sink, SS, Single Compartment, 10x14x16 ID
1
EA
1,025
1,025
A
D
.
.
.
.
.
6530
CT020 Countertop, Solid Surface
6
LF
176
1,056
A
.
.
.
.
.
.
6530
E0120 Workstation, Straight, Free Standing, 60" W
1
EA
6,315
6,315
C
.
A
.
.
.
.
6530
F0230 Chair, Drafting, Rotary
1
EA
371
371
C
.
.
.
.
.
.
7110002814469
F2000 Basket, Wastepaper, Round, Metal
1
EA
25
25
C
.
.
.
.
.
.
7520002051857
Total Content Costs for this Room: 12,403
Department:
Room Code:
Agency Room Name:
Criteria Room Name:
VA FREESTANDING (LEASE) OP DIALYSIS CENTER 5 16
USCL1
Utility Room, Soiled
Utility, Soiled
Functional Area:
Room Area:
Occupancy:
Blueprint #:
SUPPORT AREA
80
0
Qty
Unit Of
Issue
A5075 Dispenser, Soap, Disposable
1
EA
17
17
C
.
.
.
.
.
.
A5077 Dispenser, Hand Sanitizer, Hands5Free
1
EA
45
45
C
.
.
.
.
.
.
A5080 Dispenser, Paper Towel, SS, Surface Mounted
1
EA
89
89
A
.
.
.
.
.
.
4510
A5106 Waste Disposal Unit, Sharps w/Glove Dispenser
1
EA
73
73
C
.
.
.
.
.
.
6530
F0510 Cart, Linen, Soiled
1
EA
1,903
1,903
C
.
.
.
.
.
.
7100
F2020 Can, Trash, 44 Gallon
1
EA
152
152
C
.
.
.
.
.
.
7100
M3070 Hamper, Linen, Mobile, w/Lid
1
EA
545
545
C
.
.
.
.
.
.
7240
M3072 Frame, Infectious Waste Bag w/Lid
1
EA
444
444
C
.
.
.
.
.
.
7240
P3100 Lavatory, Vitreous China, Slab Type
1
EA
481
481
A
D
.
.
.
.
.
4510
P6350 Sink, Flushing Rim, China
1
EA
1,913
1,913
A
D
.
.
.
.
.
5410
U0010 Rack, dunnage
1
EA
203
203
C
.
.
.
.
.
.
JSN
Content Name
Unit Price Total Price Log Cat Util1 Util2 Util3 Util4 Util5 Util6
Total Content Costs for this Room: 5,865
Department:
Room Code:
VA FREESTANDING (LEASE) OP DIALYSIS CENTER 5 16
UCCL1
Functional Area:
Room Area:
SUPPORT AREA
100
Privacy Act – FOR OFFICIAL USE ONLY (Page 24)
NSN
4510
Project Room Contents (13 Dec 2013 10:46AM ET)
Agency Room Name: Utility Room, Clean
Criteria Room Name: Utility, Clean
Occupancy:
Blueprint #:
Qty
Unit Of
Issue
F0515 Cart, Supply, Linen
1
EA
JSN
Content Name
0
Unit Price Total Price Log Cat Util1 Util2 Util3 Util4 Util5 Util6
2,215
2,215
C
.
.
.
.
.
NSN
.
7100
F2000 Basket, Wastepaper, Round, Metal
1
EA
25
25
C
.
.
.
.
.
.
7520002051857
M2025 Rack, Storage, Cylinder, Gas
1
EA
488
488
A
.
.
.
.
.
.
7125
M2055 Shelving, Storage, Wire, CRS, w/Adjustable Shelves
1
EA
874
874
C
.
.
.
.
.
.
7100
M2115 Truck, Hand, 2 Wheel
1
EA
154
154
C
.
.
.
.
.
.
3920
U0010 Rack, dunnage
1
EA
203
203
C
.
.
.
.
.
.
Total Content Costs for this Room: 3,959
Department:
Room Code:
Agency Room Name:
Criteria Room Name:
VA FREESTANDING (LEASE) OP DIALYSIS CENTER 5 16
SRE01
Storage, Equipment
Storage Room, Equipment
Functional Area:
Room Area:
Occupancy:
Blueprint #:
SUPPORT AREA
150
0
Qty
Unit Of
Issue
4
CS
207
828
C
.
.
.
.
.
.
6530
4
EA
35
140
C
.
.
.
.
.
.
7240007883953
M1715 Hemodialysis Unit, Hollow Fiber or Plate
4
EA
19,493
77,972
C
E
A
.
.
.
.
6515
M3072 Frame, Infectious Waste Bag w/Lid
4
EA
429
1,716
C
.
.
.
.
.
.
7240
1
EA
762
762
C
.
.
.
.
.
.
6515
JSN
Content Name
A5108 Waste Disposal Unit, Sharps
Unit Price Total Price Log Cat Util1 Util2 Util3 Util4 Util5 Util6
NSN
Comment: for use in treatment area
F2010 Basket, Wastepaper, Step5On
Comment: for use in treatment area
Comment: for use in treatment area
M4645 Patient Transfer Device
Total Content Costs for this Room: 81,418
Department:
Room Code:
Agency Room Name:
Criteria Room Name:
VA FREESTANDING (LEASE) OP DIALYSIS CENTER 5 16
SRS01
Storage, Supplies
Storage Room, Shelving
Functional Area:
Room Area:
Occupancy:
Blueprint #:
SUPPORT AREA
300
0
Privacy Act – FOR OFFICIAL USE ONLY (Page 25)
Project Room Contents (13 Dec 2013 10:46AM ET)
Content Name
Qty
Unit Of
Issue
M2035 Rack, Storage, Mobile, Wire, CRS
16
EA
577
9,232
C
.
.
.
.
.
.
6530
EA
833
8,330
C
.
.
.
.
.
.
7100
FT
51
1,020
C
.
.
.
.
.
.
JSN
Unit Price Total Price Log Cat Util1 Util2 Util3 Util4 Util5 Util6
NSN
comment: length of shelving can deviate to best accommodate room layout
M2055 Shelving, Storage, Wire, CRS, w/Adjustable Shelves
10
comment: length of shelving can deviate to best accommodate room layout
U0014 Track Set, for OH support of Wire shelving
20
Total Content Costs for this Room: 18,582
Department:
Room Code:
Agency Room Name:
Criteria Room Name:
VA FREESTANDING (LEASE) OP DIALYSIS CENTER 5 16
JANC1
Housekeeping Aides Closet 55 HAC
Janitors Closet
Functional Area:
Room Area:
Occupancy:
Blueprint #:
SUPPORT AREA
60
0
Qty
Unit Of
Issue
A5135 Shelf, Utility W/ Mop/Broom Holders, SS, Surf Mntd
1
EA
301
301
A
.
.
.
.
.
.
7125
F0505 Bucket, Mop, With Wringer, 26 Quart
1
EA
120
120
C
.
.
.
.
.
.
7100
M2600 Vacuum, Wet/Dry, HEPA Filtration
1
EA
2,773
2,773
C
.
A
.
.
.
.
7910
P4700 Sink, Mop, Molded Stone
1
EA
622
622
A
D
.
.
.
.
.
4510
JSN
Content Name
Total Content Costs for this Room:
Unit Price Total Price Log Cat Util1 Util2 Util3 Util4 Util5 Util6
NSN
3,816
Total Content Costs for this Functional Area: 341,975
Department:
Room Code:
Agency Room Name:
Criteria Room Name:
VA FREESTANDING (LEASE) OP DIALYSIS CENTER 5 16
OFA04
Office, Physician
Office, Private
Functional Area:
Room Area:
Occupancy:
Blueprint #:
STAFF AND ADMINISTRATION AREA
140
1
Qty
Unit Of
Issue
A1010 Telecommunication Outlet
4
EA
0
0
A
.
.
.
.
.
.
5805
A1016 Telephone, Desk, With Speaker
1
EA
0
0
A
.
.
.
.
.
.
5805
A5145 Hook, Garment, Double, SS, Surface Mounted
1
EA
31
31
A
.
.
.
.
.
.
5340007541678
JSN
Content Name
Unit Price Total Price Log Cat Util1 Util2 Util3 Util4 Util5 Util6
Privacy Act – FOR OFFICIAL USE ONLY (Page 26)
NSN
Project Room Contents (13 Dec 2013 10:46AM ET)
E0078 Workstation, L5Shaped w/Peninsula, Free Std, 78x72
2
EA
7,385
14,770
C
.
A
.
.
.
.
6530
F0110 Bookcase, 3 Shelf
1
EA
426
426
C
.
.
.
.
.
.
7110
F0205 Chair, Side With Arms
1
EA
543
543
C
.
.
.
.
.
.
7110
F0275 Chair, Swivel, High Back
2
EA
626
1,252
C
.
.
.
.
.
.
7110
F0420 Cabinet, Filing, Lateral, Half Height
1
EA
572
572
C
.
.
.
.
.
.
7110
F2000 Basket, Wastepaper, Round, Metal
1
EA
24
24
C
.
.
.
.
.
.
7520002051857
M1801 Computer, Microprocessing, w/Flat Panel Monitor
2
EA
1,457
2,914
C
.
A
.
.
.
.
7025
M1825 Printer, Computer
1
EA
796
796
C
.
A
.
.
.
.
7025
Total Content Costs for this Room: 21,328
Department:
Room Code:
Agency Room Name:
Criteria Room Name:
VA FREESTANDING (LEASE) OP DIALYSIS CENTER 5 16
OFA04
Office, Nurse Manager
Office, Private
Functional Area:
Room Area:
Occupancy:
Blueprint #:
STAFF AND ADMINISTRATION AREA
120
1
Qty
Unit Of
Issue
A1010 Telecommunication Outlet
4
EA
0
0
A
.
.
.
.
.
.
5805
A1016 Telephone, Desk, With Speaker
1
EA
0
0
A
.
.
.
.
.
.
5805
A5145 Hook, Garment, Double, SS, Surface Mounted
1
EA
31
31
A
.
.
.
.
.
.
5340007541678
E0078 Workstation, L5Shaped w/Peninsula, Free Std, 78x72
1
EA
7,385
7,385
C
.
A
.
.
.
.
6530
F0110 Bookcase, 3 Shelf
1
EA
426
426
C
.
.
.
.
.
.
7110
F0205 Chair, Side With Arms
1
EA
543
543
C
.
.
.
.
.
.
7110
JSN
Content Name
Unit Price Total Price Log Cat Util1 Util2 Util3 Util4 Util5 Util6
NSN
F0275 Chair, Swivel, High Back
1
EA
626
626
C
.
.
.
.
.
.
7110
F0420 Cabinet, Filing, Lateral, Half Height
1
EA
572
572
C
.
.
.
.
.
.
7110
F2000 Basket, Wastepaper, Round, Metal
1
EA
24
24
C
.
.
.
.
.
.
7520002051857
M1801 Computer, Microprocessing, w/Flat Panel Monitor
1
EA
1,457
1,457
C
.
A
.
.
.
.
7025
M1825 Printer, Computer
1
EA
796
796
C
.
A
.
.
.
.
7025
Total Content Costs for this Room: 11,860
Department:
Room Code:
VA FREESTANDING (LEASE) OP DIALYSIS CENTER 5 16
OFA05
Functional Area:
Room Area:
STAFF AND ADMINISTRATION AREA
140
Privacy Act – FOR OFFICIAL USE ONLY (Page 27)
Project Room Contents (13 Dec 2013 10:46AM ET)
Agency Room Name: Office, Shared
Criteria Room Name: Office, Shared two5person
Occupancy:
Blueprint #:
Qty
Unit Of
Issue
A1010 Telecommunication Outlet
4
EA
A1016 Telephone, Desk, With Speaker
2
EA
A5145 Hook, Garment, Double, SS, Surface Mounted
2
EA
E0078 Workstation, L5Shaped w/Peninsula, Free Std, 78x72
2
EA
F0205 Chair, Side With Arms
2
F0275 Chair, Swivel, High Back
F0420 Cabinet, Filing, Lateral, Half Height
JSN
Content Name
2
Unit Price Total Price Log Cat Util1 Util2 Util3 Util4 Util5 Util6
0
NSN
0
A
.
.
.
.
.
.
5805
0
0
A
.
.
.
.
.
.
5805
31
62
A
.
.
.
.
.
.
5340007541678
7,385
14,770
C
.
A
.
.
.
.
6530
EA
543
1,086
C
.
.
.
.
.
.
7110
2
EA
626
1,252
C
.
.
.
.
.
.
7110
2
EA
572
1,144
C
.
.
.
.
.
.
7110
F2000 Basket, Wastepaper, Round, Metal
1
EA
24
24
C
.
.
.
.
.
.
7520002051857
M1801 Computer, Microprocessing, w/Flat Panel Monitor
2
EA
1,457
2,914
C
.
A
.
.
.
.
7025
M1825 Printer, Computer
1
EA
796
796
C
.
A
.
.
.
.
7025
Total Content Costs for this Room: 22,048
Department:
Room Code:
Agency Room Name:
Criteria Room Name:
VA FREESTANDING (LEASE) OP DIALYSIS CENTER 5 16
CLR01
Classroom / Conference Room
Classroom, Table w/chair
Functional Area:
Room Area:
Occupancy:
Blueprint #:
STAFF AND ADMINISTRATION AREA
225
0
Qty
Unit Of
Issue
A1010 Telecommunication Outlet
4
EA
0
0
A
.
.
.
.
.
.
5805
A1011 Telephone, Desk, 1 Line
1
EA
0
0
A
.
.
.
.
.
.
5805
A5145 Hook, Garment, Double, SS, Surface Mounted
1
EA
32
32
A
.
.
.
.
.
.
5340007541678
E0117 Workstation, Straight, Free Standing, 48" W
1
EA
4,072
4,072
C
.
A
.
.
.
.
6530
F0220 Chair, Conference
10
EA
545
5,450
C
.
.
.
.
.
.
7110
F0465 Cabinet, Storage, 2 Door, 5 Shelf
1
EA
662
662
C
.
.
.
.
.
.
7100
F0780 Table, Work, 60W x 30D
4
EA
505
2,020
C
.
.
.
.
.
.
7110
F2000 Basket, Wastepaper, Round, Metal
1
EA
25
25
C
.
.
.
.
.
.
7520002051857
F3060 Whiteboard, Projection Screen Combination
1
EA
566
566
A
.
.
.
.
.
.
6730
F3200 Clock, Battery, 12" Diameter
1
EA
49
49
C
.
.
.
.
.
.
6645
JSN
Content Name
Unit Price Total Price Log Cat Util1 Util2 Util3 Util4 Util5 Util6
Privacy Act – FOR OFFICIAL USE ONLY (Page 28)
NSN
Project Room Contents (13 Dec 2013 10:46AM ET)
M0507 Video Teleconferencing System
1
EA
20,805
20,805
C
.
A
.
.
.
.
7730
1
EA
1,509
1,509
C
.
A
.
.
.
.
7025
comment: on mobile cart, includes wall mounted TV
M1801 Computer, Microprocessing, w/Flat Panel Monitor
Total Content Costs for this Room: 35,190
Department:
Room Code:
Agency Room Name:
Criteria Room Name:
VA FREESTANDING (LEASE) OP DIALYSIS CENTER 5 16
SL001
Lounge, Staff
Staff Lounge
Functional Area:
Room Area:
Occupancy:
Blueprint #:
STAFF AND ADMINISTRATION AREA
165
0
Qty
Unit Of
Issue
A1010 Telecommunication Outlet
1
EA
0
0
A
.
.
.
.
.
.
5805
A1012 Telephone, Wall Mounted, 1 Line
1
EA
0
0
A
.
.
.
.
.
.
5805
A5075 Dispenser, Soap, Disposable
1
EA
17
17
C
.
.
.
.
.
.
4510
A5080 Dispenser, Paper Towel, SS, Surface Mounted
1
EA
89
89
A
.
.
.
.
.
.
4510
A5145 Hook, Garment, Double, SS, Surface Mounted
1
EA
32
32
A
.
.
.
.
.
.
5340007541678
C02C0 Cabinet, U/C/B, 1 Shelf, 1 Drawer, 1 DO, 36x24x22
1
EA
875
875
A
.
.
.
.
.
.
6530
C02D0 Cabinet, U/C/B, 4 Drawer, 36x24x22
1
EA
1,052
1,052
A
.
.
.
.
.
.
6530
C04P0 Cabinet, Sink, U/C/B, 2 Door, 36x36x22
1
EA
861
861
A
.
.
.
.
.
.
6530
CB020 Cabinet, W/H, 2 Shelf, 1 DO, Sloping Top, 38x24x13
2
EA
737
1,474
A
.
.
.
.
.
.
6530
CS010 Sink, SS, Single Compartment, 7.5x12x12 ID
1
EA
875
875
A
D
.
.
.
.
.
6530
CT020 Countertop, Solid Surface
7
LF
176
1,232
A
.
.
.
.
.
.
6530
F0225 Chair, Dining Room
6
EA
260
1,560
C
.
.
.
.
.
.
7110
F0795 Table, Dining
1
EA
580
580
C
.
.
.
.
.
.
7110
F2000 Basket, Wastepaper, Round, Metal
1
EA
25
25
C
.
.
.
.
.
.
7520002051857
F3025 Board, Bulletin, Wood Framed
1
EA
60
60
A
.
.
.
.
.
.
7195
JSN
Content Name
Unit Price Total Price Log Cat Util1 Util2 Util3 Util4 Util5 Util6
NSN
F3200 Clock, Battery, 12" Diameter
1
EA
49
49
C
.
.
.
.
.
.
6645
R7000 Refrigerator, 14 Cubic Feet
1
EA
673
673
C
.
A
.
.
.
.
4110
Total Content Costs for this Room: 9,454
Privacy Act – FOR OFFICIAL USE ONLY (Page 29)
Project Room Contents (13 Dec 2013 10:46AM ET)
Department:
Room Code:
Agency Room Name:
Criteria Room Name:
JSN
VA FREESTANDING (LEASE) OP DIALYSIS CENTER 5 16
LR002
Lockers, Staff
Locker Room, Changing
Content Name
A1030 Locker, 2 Person, Over/Under
Qty
Unit Of
Issue
8
EA
Functional Area:
Room Area:
Occupancy:
Blueprint #:
STAFF AND ADMINISTRATION AREA
45
0
Unit Price Total Price Log Cat Util1 Util2 Util3 Util4 Util5 Util6
285
2,280
C
.
.
.
.
.
.
NSN
7125
Total Content Costs for this Room: 2,280
Department:
Room Code:
Agency Room Name:
Criteria Room Name:
VA FREESTANDING (LEASE) OP DIALYSIS CENTER 5 16
TLTU1
Toilet, Staff
Toilet, Unisex
Functional Area:
Room Area:
Occupancy:
Blueprint #:
STAFF AND ADMINISTRATION AREA
60
0
Qty
Unit Of
Issue
A1066 Mirror, Float Glass, With SS Frame
1
EA
86
86
A
.
.
.
.
.
.
7105
A5075 Dispenser, Soap, Disposable
1
EA
17
17
C
.
.
.
.
.
.
4510
A5080 Dispenser, Paper Towel, SS, Surface Mounted
1
EA
89
89
A
.
.
.
.
.
.
4510
A5090 Disposal, Sanitary Napkin, SS, Surface Mounted
1
EA
52
52
A
.
.
.
.
.
.
7240
A5109 Grab Bar, 151/4" Dia., SS, 2 Wall, W/C Accessible
1
EA
159
159
A
.
.
.
.
.
.
6530
A5145 Hook, Garment, Double, SS, Surface Mounted
1
EA
32
32
A
.
.
.
.
.
.
5340007541678
A5200 Dispenser, Toilet Tissue, SS, 25Roll, Surface Mntd
1
EA
45
45
A
.
.
.
.
.
.
4510007026934
F2010 Basket, Wastepaper, Step5On
1
EA
35
35
C
.
.
.
.
.
.
7240007883953
P3000 Lavatory, Vitreous China, Straight Back
1
EA
387
387
A
D
.
.
.
.
.
4510
P9050 Toilet, Wall Hung, Siphon Jet
1
EA
797
797
A
B
.
.
.
.
.
4510
JSN
Content Name
Total Content Costs for this Room:
Unit Price Total Price Log Cat Util1 Util2 Util3 Util4 Util5 Util6
1,699
Total Content Costs for this Functional Area: 103,859
Total Content Costs for this Department:
1,070,133
Privacy Act – FOR OFFICIAL USE ONLY (Page 30)
NSN
Project Room Contents (13 Dec 2013 10:46AM ET)
Department Contents Cost Summary
Department
Total Contents Cost
1 5 VA FREESTANDING (LEASE) OP DIALYSIS CENTER 5 16
1,070,133
Facility Totals:
Privacy Act – FOR OFFICIAL USE ONLY (Page 31)
1,070,133
Project Room Contents (13 Dec 2013 10:46AM ET)
Report Parameters
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Privacy Act – FOR OFFICIAL USE ONLY (Page 32)