Project Room Contents VA FREESTANDING (LEASE) OP DIALYSIS CENTER 36 THIRTY SIX 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: 28 Oct 2013 02:01PM ET by Laura DiConti Space Plan Last Edited: 01 Dec 2013 10:47PM ET by Laura DiConti Contents List Created: 24 Nov 2013 06:00PM ET by Lisa Ahlers Contents List Last Edited: 13 Dec 2013 08:39PM ET by Lisa Ahlers Report Generated: 13 Dec 2013 08:39PM ET Project Room Contents (13 Dec 2013 08:39PM ET) Department: Room Code: Agency Room Name: Criteria Room Name: VA FREESTANDING (LEASE) OP DIALYSIS CENTER 6 36 WRC01 Waiting Waiting Room Functional Area: Room Area: Occupancy: Blueprint #: RECEPTION AREA 320 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 16 EA 612 9,792 C . . . . . . 7100 F0305 Chair, Waiting Room, Single 2 EA 634 1,268 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: 12,954 Department: Room Code: Agency Room Name: Criteria Room Name: VA FREESTANDING (LEASE) OP DIALYSIS CENTER 6 36 RECP1 Reception Reception Functional Area: Room Area: Occupancy: Blueprint #: RECEPTION AREA 120 0 Qty Unit Of Issue A1010 Telecommunication Outlet 8 EA 0 0 A . . . . . . 5805 A1015 Telephone, Desk, Multiple Line 1 EA 0 0 A . . . . . . 5805 A6105 Counter, Reception Control, Built6In 1 EA 6,854 6,854 A . A . . . . 6530 F0275 Chair, Swivel, High Back 2 EA 649 1,298 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 2 EA 1,509 3,018 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 08:39PM ET) modify to M1840M include scanner Total Content Costs for this Room: 12,875 Department: Room Code: Agency Room Name: Criteria Room Name: VA FREESTANDING (LEASE) OP DIALYSIS CENTER 6 36 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, 161/4" 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, 26Roll, Surface Mntd 1 EA 45 45 A . . . . . . 4510007026934 F2010 Basket, Wastepaper, Step6On 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 6 36 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 54 EA Functional Area: Room Area: Occupancy: Blueprint #: RECEPTION AREA 100 0 Unit Price Total Price Log Cat Util1 Util2 Util3 Util4 Util5 Util6 285 15,390 C 15,390 Total Content Costs for this Functional Area: 42,918 Privacy Act – FOR OFFICIAL USE ONLY (Page 3) . . . . . . NSN 7125 Project Room Contents (13 Dec 2013 08:39PM ET) Department: Room Code: Agency Room Name: Criteria Room Name: VA FREESTANDING (LEASE) OP DIALYSIS CENTER 6 36 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 6 36 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, Hands6Free 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, Step6On 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 08:39PM ET) Department: Room Code: Agency Room Name: Criteria Room Name: VA FREESTANDING (LEASE) OP DIALYSIS CENTER 6 36 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 6 36 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, Hands6Free 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, Step6On 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 08:39PM ET) Department: Room Code: Agency Room Name: Criteria Room Name: VA FREESTANDING (LEASE) OP DIALYSIS CENTER 6 36 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 6 36 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, Hands6Free 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, Step6On 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 08:39PM ET) Department: Room Code: Agency Room Name: Criteria Room Name: VA FREESTANDING (LEASE) OP DIALYSIS CENTER 6 36 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 6 36 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, Hands6Free 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, Step6On 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 08:39PM ET) Department: Room Code: Agency Room Name: Criteria Room Name: VA FREESTANDING (LEASE) OP DIALYSIS CENTER 6 36 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 6 36 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, Hands6Free 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, Step6On 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 08:39PM ET) Department: Room Code: Agency Room Name: Criteria Room Name: VA FREESTANDING (LEASE) OP DIALYSIS CENTER 6 36 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 6 36 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, Hands6Free 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, Step6On 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 08:39PM ET) Department: Room Code: Agency Room Name: Criteria Room Name: VA FREESTANDING (LEASE) OP DIALYSIS CENTER 6 36 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 6 36 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, Hands6Free 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, Step6On 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 08:39PM ET) Department: Room Code: Agency Room Name: Criteria Room Name: VA FREESTANDING (LEASE) OP DIALYSIS CENTER 6 36 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 6 36 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, Hands6Free 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, Step6On 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 11) Project Room Contents (13 Dec 2013 08:39PM ET) Department: Room Code: Agency Room Name: Criteria Room Name: VA FREESTANDING (LEASE) OP DIALYSIS CENTER 6 36 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 6 36 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, Hands6Free 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, Step6On 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 12) Project Room Contents (13 Dec 2013 08:39PM ET) Department: Room Code: Agency Room Name: Criteria Room Name: VA FREESTANDING (LEASE) OP DIALYSIS CENTER 6 36 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 6 36 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, Hands6Free 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, Step6On 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 13) Project Room Contents (13 Dec 2013 08:39PM ET) Department: Room Code: Agency Room Name: Criteria Room Name: VA FREESTANDING (LEASE) OP DIALYSIS CENTER 6 36 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 6 36 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, Hands6Free 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, Step6On 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 14) Project Room Contents (13 Dec 2013 08:39PM ET) Department: Room Code: Agency Room Name: Criteria Room Name: VA FREESTANDING (LEASE) OP DIALYSIS CENTER 6 36 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 6 36 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, Hands6Free 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, Step6On 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 15) Project Room Contents (13 Dec 2013 08:39PM ET) Department: Room Code: Agency Room Name: Criteria Room Name: VA FREESTANDING (LEASE) OP DIALYSIS CENTER 6 36 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 6 36 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, Hands6Free 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, Step6On 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 16) Project Room Contents (13 Dec 2013 08:39PM ET) Department: Room Code: Agency Room Name: Criteria Room Name: VA FREESTANDING (LEASE) OP DIALYSIS CENTER 6 36 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 6 36 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, Hands6Free 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, Step6On 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 17) Project Room Contents (13 Dec 2013 08:39PM ET) Department: Room Code: Agency Room Name: Criteria Room Name: VA FREESTANDING (LEASE) OP DIALYSIS CENTER 6 36 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 6 36 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, Hands6Free 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, Step6On 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 18) Project Room Contents (13 Dec 2013 08:39PM ET) Department: Room Code: Agency Room Name: Criteria Room Name: VA FREESTANDING (LEASE) OP DIALYSIS CENTER 6 36 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 6 36 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, Hands6Free 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, Step6On 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 19) Project Room Contents (13 Dec 2013 08:39PM ET) Department: Room Code: Agency Room Name: Criteria Room Name: VA FREESTANDING (LEASE) OP DIALYSIS CENTER 6 36 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, Hands6Free 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, Step6On 1 EA 35 35 C . . . . . . 7240007883953 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 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 modify to M4905M bariatric P8705 Dialysis Box, Recessed, Single Valve Total Content Costs for this Room: 32,050 Department: Room Code: Agency Room Name: Criteria Room Name: VA FREESTANDING (LEASE) OP DIALYSIS CENTER 6 36 XXYYC Renal Dialysis, Bariatric Chair Station test code Functional Area: Room Area: Occupancy: Blueprint #: PATIENT AREA 100 0 Qty Unit Of Issue 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 JSN Content Name Unit Price Total Price Log Cat Util1 Util2 Util3 Util4 Util5 Util6 NSN 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 Privacy Act – FOR OFFICIAL USE ONLY (Page 20) Project Room Contents (13 Dec 2013 08:39PM ET) modify to M4905M bariatric P8705 Dialysis Box, Recessed, Single Valve 1 EA 810 810 A E . . . . . 4100 Total Content Costs for this Room: 23,771 Department: Room Code: Agency Room Name: Criteria Room Name: VA FREESTANDING (LEASE) OP DIALYSIS CENTER 6 36 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, Hands6Free 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, Step6On 1 EA 35 35 C . . . . . . 7240007883953 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 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 modify to M4905M bariatric P8705 Dialysis Box, Recessed, Single Valve Total Content Costs for this Room: 32,050 Department: Room Code: Agency Room Name: Criteria Room Name: JSN VA FREESTANDING (LEASE) OP DIALYSIS CENTER 6 36 XXYYC Renal Dialysis, Bariatric Chair Station test code Content Name A5106 Waste Disposal Unit, Sharps w/Glove Dispenser Qty Unit Of Issue 1 EA Functional Area: Room Area: Occupancy: Blueprint #: PATIENT AREA 100 0 Unit Price Total Price Log Cat Util1 Util2 Util3 Util4 Util5 Util6 73 73 C Privacy Act – FOR OFFICIAL USE ONLY (Page 21) . . . . . . NSN 6530 Project Room Contents (13 Dec 2013 08:39PM ET) 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 modify to M4905M bariatric P8705 Dialysis Box, Recessed, Single Valve Total Content Costs for this Room: 23,771 Department: Room Code: Agency Room Name: Criteria Room Name: VA FREESTANDING (LEASE) OP DIALYSIS CENTER 6 36 RDC02 Renal Dialysis, Separation Room Renal Dialysis, Chair Station, Negative Pressure Functional Area: Room Area: Occupancy: Blueprint #: PATIENT AREA 140 0 Qty Unit Of Issue A1010 Telecommunication Outlet 1 EA 0 0 A . . . . . . 5805 A5075 Dispenser, Soap, Disposable 1 EA 17 17 C . . . . . . 4510 A5077 Dispenser, Hand Sanitizer, Hands6Free 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, Step6On 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 JSN Content Name Unit Price Total Price Log Cat Util1 Util2 Util3 Util4 Util5 Util6 NSN Comment: modify to M3070M, smaller model M3072 Frame, Infectious Waste Bag w/Lid Comment: modify to M3072M, smaller model Privacy Act – FOR OFFICIAL USE ONLY (Page 22) Project Room Contents (13 Dec 2013 08:39PM ET) M4905 Chair, Dialysis 1 EA 1,843 1,843 C . . . . . . 6530 P2000 Eyewash, Wall Mounted, Hands6Free 1 EA 370 370 A B . . . . . 4510 P2450 Valve, Mixing, Thermostatic 1 EA 2,643 2,643 A A . . . . . 6530 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 Total Content Costs for this Room: 30,814 Department: Room Code: Agency Room Name: Criteria Room Name: JSN VA FREESTANDING (LEASE) OP DIALYSIS CENTER 6 36 TLTU1 Toilet, Separation Room Patient Toilet, Unisex Content Name Qty Unit Of Issue Functional Area: Room Area: Occupancy: Blueprint #: PATIENT AREA 60 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, 161/4" 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, 26Roll, Surface Mntd 1 EA 45 45 A . . . . . . 4510007026934 F2010 Basket, Wastepaper, Step6On 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 6 36 RDPD1 Home Training Room Renal Dialysis, Peritoneal Station Functional Area: Room Area: Occupancy: Blueprint #: PATIENT AREA 120 0 Privacy Act – FOR OFFICIAL USE ONLY (Page 23) Project Room Contents (13 Dec 2013 08:39PM ET) Qty Unit Of Issue A5075 Dispenser, Soap, Disposable 1 EA 17 17 C . . . . . . A5077 Dispenser, Hand Sanitizer, Hands6Free 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 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, Step6On 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 JSN Content Name Unit Price Total Price Log Cat Util1 Util2 Util3 Util4 Util5 Util6 NSN 4510 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 6 36 NSTA4 Nurse Station / Workarea Nurse Station, Outpatient Functional Area: Room Area: Occupancy: Blueprint #: PATIENT AREA 120 0 Privacy Act – FOR OFFICIAL USE ONLY (Page 24) Project Room Contents (13 Dec 2013 08:39PM ET) Qty Unit Of Issue A1010 Telecommunication Outlet 2 EA 0 0 A . . . . . . 5805 A1015 Telephone, Desk, Multiple Line 2 EA 0 0 A . . . . . . 5805 4510 JSN Content Name Unit Price Total Price Log Cat Util1 Util2 Util3 Util4 Util5 Util6 NSN A5070 Dispenser, Liquid Soap, SS, Surface Mounted 2 EA 60 120 A . . . . . . A5077 Dispenser, Hand Sanitizer, Hands6Free 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 20 LF 176 3,520 A . . . . . . 6530 F0280 Chair, Swivel, Low Back 2 EA 503 1,006 C . . . . . . 7110 F2010 Basket, Wastepaper, Step6On 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: 26,326 Department: VA FREESTANDING (LEASE) OP DIALYSIS CENTER 6 36 Functional Area: PATIENT AREA Privacy Act – FOR OFFICIAL USE ONLY (Page 25) Project Room Contents (13 Dec 2013 08:39PM ET) Room Code: NSTA4 Agency Room Name: Nurse Station / Workarea Criteria Room Name: Nurse Station, Outpatient Room Area: Occupancy: Blueprint #: 120 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 A5077 Dispenser, Hand Sanitizer, Hands6Free 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 2 EA 1,064 2,128 A D . . . . . 6530 CS180 Sink, SS, Single Compartment, 12x22x16 ID 1 EA 1,173 1,173 A D . . . . . 6530 CT020 Countertop, Solid Surface 20 LF 176 3,520 A . . . . . . 6530 F0280 Chair, Swivel, Low Back 2 EA 503 1,006 C . . . . . . 7110 F2010 Basket, Wastepaper, Step6On 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 JSN Content Name Unit Price Total Price Log Cat Util1 Util2 Util3 Util4 Util5 Util6 NSN 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: 23,889 Department: Room Code: Agency Room Name: Criteria Room Name: VA FREESTANDING (LEASE) OP DIALYSIS CENTER 6 36 NSTA4 Nurse Station / Workarea Nurse Station, Outpatient Functional Area: Room Area: Occupancy: Blueprint #: PATIENT AREA 120 0 Privacy Act – FOR OFFICIAL USE ONLY (Page 26) Project Room Contents (13 Dec 2013 08:39PM ET) Qty Unit Of Issue A1010 Telecommunication Outlet 2 EA 0 0 A . . . . . . 5805 A1015 Telephone, Desk, Multiple Line 2 EA 0 0 A . . . . . . 5805 4510 JSN Content Name Unit Price Total Price Log Cat Util1 Util2 Util3 Util4 Util5 Util6 NSN A5070 Dispenser, Liquid Soap, SS, Surface Mounted 2 EA 60 120 A . . . . . . A5077 Dispenser, Hand Sanitizer, Hands6Free 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 20 LF 176 3,520 A . . . . . . 6530 F0280 Chair, Swivel, Low Back 2 EA 503 1,006 C . . . . . . 7110 F2010 Basket, Wastepaper, Step6On 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: 26,326 Department: VA FREESTANDING (LEASE) OP DIALYSIS CENTER 6 36 Functional Area: PATIENT AREA Privacy Act – FOR OFFICIAL USE ONLY (Page 27) Project Room Contents (13 Dec 2013 08:39PM ET) Room Code: NSTA4 Agency Room Name: Nurse Station / Workarea Criteria Room Name: Nurse Station, Outpatient Room Area: Occupancy: Blueprint #: 120 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 A5077 Dispenser, Hand Sanitizer, Hands6Free 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 2 EA 1,064 2,128 A D . . . . . 6530 CS180 Sink, SS, Single Compartment, 12x22x16 ID 1 EA 1,173 1,173 A D . . . . . 6530 CT020 Countertop, Solid Surface 20 LF 176 3,520 A . . . . . . 6530 F0280 Chair, Swivel, Low Back 2 EA 503 1,006 C . . . . . . 7110 F2010 Basket, Wastepaper, Step6On 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 JSN Content Name Unit Price Total Price Log Cat Util1 Util2 Util3 Util4 Util5 Util6 NSN 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: 23,889 Department: Room Code: Agency Room Name: Criteria Room Name: VA FREESTANDING (LEASE) OP DIALYSIS CENTER 6 36 NSTA4 Nurse Station / Workarea Nurse Station, Outpatient Functional Area: Room Area: Occupancy: Blueprint #: PATIENT AREA 120 0 Privacy Act – FOR OFFICIAL USE ONLY (Page 28) Project Room Contents (13 Dec 2013 08:39PM ET) Qty Unit Of Issue A1010 Telecommunication Outlet 2 EA 0 0 A . . . . . . 5805 A1015 Telephone, Desk, Multiple Line 2 EA 0 0 A . . . . . . 5805 4510 JSN Content Name Unit Price Total Price Log Cat Util1 Util2 Util3 Util4 Util5 Util6 NSN A5070 Dispenser, Liquid Soap, SS, Surface Mounted 2 EA 60 120 A . . . . . . A5077 Dispenser, Hand Sanitizer, Hands6Free 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 20 LF 176 3,520 A . . . . . . 6530 F0280 Chair, Swivel, Low Back 2 EA 503 1,006 C . . . . . . 7110 F2010 Basket, Wastepaper, Step6On 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: 26,326 Department: VA FREESTANDING (LEASE) OP DIALYSIS CENTER 6 36 Functional Area: PATIENT AREA Privacy Act – FOR OFFICIAL USE ONLY (Page 29) Project Room Contents (13 Dec 2013 08:39PM ET) Room Code: NSTA4 Agency Room Name: Nurse Station / Workarea Criteria Room Name: Nurse Station, Outpatient Room Area: Occupancy: Blueprint #: 120 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 A5077 Dispenser, Hand Sanitizer, Hands6Free 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 2 EA 1,064 2,128 A D . . . . . 6530 CS180 Sink, SS, Single Compartment, 12x22x16 ID 1 EA 1,173 1,173 A D . . . . . 6530 CT020 Countertop, Solid Surface 20 LF 176 3,520 A . . . . . . 6530 F0280 Chair, Swivel, Low Back 2 EA 503 1,006 C . . . . . . 7110 F2010 Basket, Wastepaper, Step6On 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 JSN Content Name Unit Price Total Price Log Cat Util1 Util2 Util3 Util4 Util5 Util6 NSN 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: 23,889 Department: Room Code: Agency Room Name: Criteria Room Name: VA FREESTANDING (LEASE) OP DIALYSIS CENTER 6 36 NCWD2 Nourishment Station Sleep Studies, Nourishment Functional Area: Room Area: Occupancy: Blueprint #: PATIENT AREA 40 0 Privacy Act – FOR OFFICIAL USE ONLY (Page 30) Project Room Contents (13 Dec 2013 08:39PM ET) Qty Unit Of Issue A5077 Dispenser, Hand Sanitizer, Hands6Free 1 EA 45 45 C . . . . . . C03E0 Cabinet, U/C/B, 1 Shelf, 1 Drawer, 2 DO, 36x30x22 1 EA 1,049 1,049 A . . . . . . JSN Content Name Unit Price Total Price Log Cat Util1 Util2 Util3 Util4 Util5 Util6 NSN 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 1 EA 1,927 1,927 C . A . . . . 4110 1 EA 305 305 C . . . . . . Modify to R4650M 0 smaller countertop model R6200 Refrigerator, U/C or F/S, 5 Cu Ft Modify to R6200M 0 not to be used for medication. U0007 Thermometer w/ Glykol Probe, battery powerd comment: for R6200M Refrigerator Total Content Costs for this Room: 22,699 Department: Room Code: Agency Room Name: Criteria Room Name: JSN VA FREESTANDING (LEASE) OP DIALYSIS CENTER 6 36 EXRG0 Exam Room Exam Room, VA Content Name Qty Unit Of Issue Functional Area: Room Area: Occupancy: Blueprint #: PATIENT AREA 120 0 Unit Price Total Price Log Cat Util1 Util2 Util3 Util4 Util5 Util6 NSN 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 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, Hands6Free 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 Privacy Act – FOR OFFICIAL USE ONLY (Page 31) Project Room Contents (13 Dec 2013 08:39PM ET) 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, Step6On 1 EA 236 236 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 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: modify to M3072M, smaller model M4100 Sphygmomanometer, Aneroid, Wall Mounted 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: 21,180 Department: Room Code: Agency Room Name: Criteria Room Name: VA FREESTANDING (LEASE) OP DIALYSIS CENTER 6 36 TLTU1 Toilet, Patient Toilet, Unisex Functional Area: Room Area: Occupancy: Blueprint #: PATIENT AREA 75 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, 161/4" 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, 26Roll, Surface Mntd 1 EA 45 45 A . . . . . . 4510007026934 F2010 Basket, Wastepaper, Step6On 1 EA 244 244 C . . . . . . 7240007883953 JSN Content Name Unit Price Total Price Log Cat Util1 Util2 Util3 Util4 Util5 Util6 Privacy Act – FOR OFFICIAL USE ONLY (Page 32) NSN Project Room Contents (13 Dec 2013 08:39PM ET) P3000 Lavatory, Vitreous China, Straight Back 1 EA 387 387 A D . . . . . U0009 Toilet, Bariatric, floor mounted 1 EA 5,187 5,187 A B . . . . . 4510 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: 6,298 Department: Room Code: Agency Room Name: Criteria Room Name: VA FREESTANDING (LEASE) OP DIALYSIS CENTER 6 36 TLTU1 Toilet, Patient Toilet, Unisex Functional Area: Room Area: Occupancy: Blueprint #: PATIENT AREA 75 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 JSN Content Name Unit Price Total Price Log Cat Util1 Util2 Util3 Util4 Util5 Util6 NSN A5090 Disposal, Sanitary Napkin, SS, Surface Mounted 1 EA 52 52 A . . . . . . 7240 A5109 Grab Bar, 161/4" 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, 26Roll, Surface Mntd 1 EA 45 45 A . . . . . . 4510007026934 F2010 Basket, Wastepaper, Step6On 1 EA 244 244 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: 6,298 Department: Room Code: Agency Room Name: Criteria Room Name: JSN VA FREESTANDING (LEASE) OP DIALYSIS CENTER 6 36 TLTU1 Toilet, Patient Toilet, Unisex Content Name A1066 Mirror, Float Glass, With SS Frame Qty Unit Of Issue 1 EA Functional Area: Room Area: Occupancy: Blueprint #: PATIENT AREA 60 0 Unit Price Total Price Log Cat Util1 Util2 Util3 Util4 Util5 Util6 86 86 A Privacy Act – FOR OFFICIAL USE ONLY (Page 33) . . . . . . NSN 7105 Project Room Contents (13 Dec 2013 08:39PM ET) 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, 161/4" 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, 26Roll, Surface Mntd 1 EA 45 45 A . . . . . . 4510007026934 F2010 Basket, Wastepaper, Step6On 1 EA 244 244 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: 6,298 Department: Room Code: Agency Room Name: Criteria Room Name: JSN VA FREESTANDING (LEASE) OP DIALYSIS CENTER 6 36 EXR11 In6Floor Scale Alcove, Height / Weight Content Name A1180 Scale, Roll On, Built In, 2000 Pound Capacity Qty Unit Of Issue 1 EA Functional Area: Room Area: Occupancy: Blueprint #: PATIENT AREA 60 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 . . . . . . A5077 Dispenser, Hand Sanitizer, Hands6Free 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 6 36 SRLW1 Alcove, Wheelchair Storage Room/area, Litter/Wheelchair Functional Area: Room Area: Occupancy: Blueprint #: PATIENT AREA 150 0 Privacy Act – FOR OFFICIAL USE ONLY (Page 34) 4510 Project Room Contents (13 Dec 2013 08:39PM ET) JSN Content Name M4705 Wheelchair, Patient Transport, Folding Qty Unit Of Issue 2 EA 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 6 36 RCA01 Alcove, Quick Response Cart Resuscitation Cart Alcove Functional Area: Room Area: Occupancy: Blueprint #: PATIENT AREA 20 0 Qty Unit Of Issue M1100 Resuscitator, Bag6Mask, 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 M8770 Aspirator/Pressure Unit, General Purpose 1 EA 1,763 1,763 C . A . . . . 6515 U0012 Cart, Quick Response 1 EA 1,017 1,017 C . . . . . . JSN Content Name Unit Price Total Price Log Cat Util1 Util2 Util3 Util4 Util5 Util6 NSN Total Content Costs for this Room: 9,120 Department: Room Code: Agency Room Name: Criteria Room Name: VA FREESTANDING (LEASE) OP DIALYSIS CENTER 6 36 RCA01 Alcove, Quick Response Cart Resuscitation Cart Alcove Functional Area: Room Area: Occupancy: Blueprint #: PATIENT AREA 20 0 Qty Unit Of Issue M1100 Resuscitator, Bag6Mask, Hand Operated 1 EA 288 288 C . . . . . . 6515 M7665 Defibrillator/Monitor/Recorder Automatic 1 EA 3,448 3,448 C . A . . . . 6515 JSN Content Name Unit Price Total Price Log Cat Util1 Util2 Util3 Util4 Util5 Util6 NSN M7905 Oximeter, Pulse 1 EA 2,604 2,604 C . A . . . . 6515 M8770 Aspirator/Pressure Unit, General Purpose 1 EA 1,763 1,763 C . A . . . . 6515 U0012 Cart, Quick Response 1 EA 1,017 1,017 C . . . . . . Total Content Costs for this Room: 9,120 Privacy Act – FOR OFFICIAL USE ONLY (Page 35) Project Room Contents (13 Dec 2013 08:39PM ET) Department: Room Code: Agency Room Name: Criteria Room Name: VA FREESTANDING (LEASE) OP DIALYSIS CENTER 6 36 RCA01 Alcove, Quick Response Cart Resuscitation Cart Alcove Functional Area: Room Area: Occupancy: Blueprint #: PATIENT AREA 20 0 Qty Unit Of Issue M1100 Resuscitator, Bag6Mask, 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 M8770 Aspirator/Pressure Unit, General Purpose 1 EA 1,763 1,763 C . A . . . . 6515 U0012 Cart, Quick Response 1 EA 1,017 1,017 C . . . . . . JSN Content Name Unit Price Total Price Log Cat Util1 Util2 Util3 Util4 Util5 Util6 NSN Total Content Costs for this Room: 9,120 Department: Room Code: Agency Room Name: Criteria Room Name: VA FREESTANDING (LEASE) OP DIALYSIS CENTER 6 36 RCA02 Alcove, Portable Lift Alcove, Equipment Functional Area: Room Area: Occupancy: Blueprint #: PATIENT AREA 20 0 Qty Unit Of Issue A5077 Dispenser, Hand Sanitizer, Hands6Free 1 EA 45 45 C . . . . . . M8080 Lift, Patient, Hydraulic, 350 Lb. Cap, Adj U6Base 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 6 36 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 JSN Content Name Unit Price Total Price Log Cat Util1 Util2 Util3 Util4 Util5 Util6 Privacy Act – FOR OFFICIAL USE ONLY (Page 36) NSN Project Room Contents (13 Dec 2013 08:39PM ET) M4116 Monitor, Vital Signs 1 EA 2,387 2,387 C . A . . . . U0011 Signature Pad, Electronic, 2 EA 153 306 C . . . . . . 6515 Total Content Costs for this Room: 9,393 Department: Room Code: Agency Room Name: Criteria Room Name: VA FREESTANDING (LEASE) OP DIALYSIS CENTER 6 36 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 M4116 Monitor, Vital Signs 1 EA 2,387 2,387 C . A . . . . 6515 U0011 Signature Pad, Electronic, 2 EA 153 306 C . . . . . . JSN Content Name Unit Price Total Price Log Cat Util1 Util2 Util3 Util4 Util5 Util6 NSN Total Content Costs for this Room: 9,393 Department: Room Code: Agency Room Name: Criteria Room Name: VA FREESTANDING (LEASE) OP DIALYSIS CENTER 6 36 RCA02 Alcove, Mobile Equipment Alcove, Equipment Functional Area: Room Area: Occupancy: Blueprint #: PATIENT AREA 20 0 Qty Unit Of Issue E0945 Cart, Computer, Mobile 1 EA 1,893 1,893 C . . . . . . 6530 M1801 Computer, Microprocessing, w/Flat Panel Monitor 1 EA 1,457 1,457 C . A . . . . 7025 M4116 Monitor, Vital Signs 1 EA 2,387 2,387 C . A . . . . 6515 U0011 Signature Pad, Electronic, 1 EA 153 153 C . . . . . . JSN Content Name Total Content Costs for this Room: Unit Price Total Price Log Cat Util1 Util2 Util3 Util4 Util5 Util6 5,890 Total Content Costs for this Functional Area: 1,223,518 Department: VA FREESTANDING (LEASE) OP DIALYSIS CENTER 6 36 Functional Area: SUPPORT AREA Privacy Act – FOR OFFICIAL USE ONLY (Page 37) NSN Project Room Contents (13 Dec 2013 08:39PM ET) Room Code: RDWT1 Agency Room Name: Water Treatment / Dialysate Prep Room Criteria Room Name: Renal Dialysis, Water Treatment Room Room Area: Occupancy: Blueprint #: 440 0 Qty Unit Of Issue A1010 Telecommunication Outlet 1 EA 0 0 A . . . . . . 5805 A1019 Telephone, Wall Mounted, Multi6Line, 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 E0120 Workstation, Straight, Free Standing, 60" W 1 EA 6,315 6,315 C . A . . . . 6530 JSN Content Name Unit Price Total Price Log Cat Util1 Util2 Util3 Util4 Util5 Util6 NSN F0230 Chair, Drafting, Rotary 1 EA 371 371 C . . . . . . 7110002814469 P2450 Valve, Mixing, Thermostatic 1 EA 2,643 2,643 A A . . . . . 6530 481 A D . . . . . 4510 4510 Modify to P2450M2 0 Thermostatic Mixing Valve for Shower, Safety, Freestanding with Eye/Face Wash P3100 Lavatory, Vitreous China, Slab Type 1 EA 481 P5210 Shower, Safety, Freestanding, With Eye/Face Wash 1 EA 909 909 A B . . . . . 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 6 36 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 38) . . . . . . NSN 5805 Project Room Contents (13 Dec 2013 08:39PM ET) Department: Room Code: Agency Room Name: Criteria Room Name: VA FREESTANDING (LEASE) OP DIALYSIS CENTER 6 36 MEDP1 Medication Preparation Room Medication Preparation Station Functional Area: Room Area: Occupancy: Blueprint #: SUPPORT AREA 100 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, Hands6Free 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 2 EA 3,118 6,236 C . . . . . . 6530 F2010 Basket, Wastepaper, Step6On 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 Remote Temperature monitoring to be included in refrigerator Total Content Costs for this Room: 16,586 Department: Room Code: Agency Room Name: Criteria Room Name: VA FREESTANDING (LEASE) OP DIALYSIS CENTER 6 36 LBSP1 Laboratory, Biochemistry Laboratory, Satellite Functional Area: Room Area: Occupancy: Blueprint #: SUPPORT AREA 100 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 JSN Content Name Unit Price Total Price Log Cat Util1 Util2 Util3 Util4 Util5 Util6 Privacy Act – FOR OFFICIAL USE ONLY (Page 39) NSN Project Room Contents (13 Dec 2013 08:39PM ET) A5075 Dispenser, Soap, Disposable 1 EA 17 17 C . . . . . . A5077 Dispenser, Hand Sanitizer, Hands6Free 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, Step6On 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, Hands6free 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 61 61 C . . . . . . 1 EA 1,200 1,200 C . A . . . . modify to P2450M 0 mixing valve for emergency eyewash station comment: for U0013 refrigerator/Freezer combination U0013 Refrigerator, UC, Scientific, w/freezer compartment Total Content Costs for this Room: 19,443 Department: Room Code: Agency Room Name: Criteria Room Name: JSN VA FREESTANDING (LEASE) OP DIALYSIS CENTER 6 36 BMER1 Biomed Engineering Biomedical, Electronic Repair Content Name Qty Unit Of Issue Functional Area: Room Area: Occupancy: Blueprint #: SUPPORT AREA 180 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 40) Project Room Contents (13 Dec 2013 08:39PM 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 6 36 USCL1 Utility Room, Soiled Utility, Soiled Functional Area: Room Area: Occupancy: Blueprint #: SUPPORT AREA 100 0 Qty Unit Of Issue A5075 Dispenser, Soap, Disposable 1 EA 17 17 C . . . . . . A5077 Dispenser, Hand Sanitizer, Hands6Free 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 3 EA 203 609 C . . . . . . JSN Content Name Unit Price Total Price Log Cat Util1 Util2 Util3 Util4 Util5 Util6 Total Content Costs for this Room: 6,271 Department: Room Code: VA FREESTANDING (LEASE) OP DIALYSIS CENTER 6 36 UCCL1 Functional Area: Room Area: SUPPORT AREA 120 Privacy Act – FOR OFFICIAL USE ONLY (Page 41) NSN 4510 Project Room Contents (13 Dec 2013 08:39PM ET) Agency Room Name: Utility Room, Clean Criteria Room Name: Utility, Clean Occupancy: Blueprint #: Qty Unit Of Issue F0515 Cart, Supply, Linen 2 EA JSN Content Name 0 Unit Price Total Price Log Cat Util1 Util2 Util3 Util4 Util5 Util6 2,215 4,430 C . . . . . NSN . 7100 F2000 Basket, Wastepaper, Round, Metal 1 EA 25 25 C . . . . . . 7520002051857 M2025 Rack, Storage, Cylinder, Gas 2 EA 488 976 A . . . . . . 7125 M2055 Shelving, Storage, Wire, CRS, w/Adjustable Shelves 3 EA 874 2,622 C . . . . . . 7100 M2115 Truck, Hand, 2 Wheel 1 EA 154 154 C . . . . . . 3920 U0010 Rack, dunnage 3 EA 203 609 C . . . . . . Total Content Costs for this Room: 8,816 Department: Room Code: Agency Room Name: Criteria Room Name: VA FREESTANDING (LEASE) OP DIALYSIS CENTER 6 36 SRE01 Storage, Equipment Storage Room, Equipment Functional Area: Room Area: Occupancy: Blueprint #: SUPPORT AREA 210 0 Qty Unit Of Issue 9 CS 207 1,863 C . . . . . . 6530 9 EA 35 315 C . . . . . . 7240007883953 M1715 Hemodialysis Unit, Hollow Fiber or Plate 9 EA 19,493 175,437 C E A . . . . 6515 M3072 Frame, Infectious Waste Bag w/Lid 9 EA 429 3,861 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, Step6On Comment: for use in treatment area Comment: for use in treatment area M4645 Patient Transfer Device Total Content Costs for this Room: 182,238 Department: Room Code: Agency Room Name: Criteria Room Name: VA FREESTANDING (LEASE) OP DIALYSIS CENTER 6 36 SRS01 Storage, Supplies Storage Room, Shelving Functional Area: Room Area: Occupancy: Blueprint #: SUPPORT AREA 600 0 Privacy Act – FOR OFFICIAL USE ONLY (Page 42) Project Room Contents (13 Dec 2013 08:39PM ET) Content Name Qty Unit Of Issue M2035 Rack, Storage, Mobile, Wire, CRS 32 EA 577 18,464 C . . . . . . 6530 EA 833 15,827 C . . . . . . 7100 FT 51 1,938 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 19 comment: length of shelving can deviate to best accommodate room layout U0014 Track Set, for OH support of Wire shelving 38 Total Content Costs for this Room: 36,229 Department: Room Code: Agency Room Name: Criteria Room Name: VA FREESTANDING (LEASE) OP DIALYSIS CENTER 6 36 JANC1 Housekeeping Aides Closet 66 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: 468,579 Department: Room Code: Agency Room Name: Criteria Room Name: VA FREESTANDING (LEASE) OP DIALYSIS CENTER 6 36 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 43) NSN Project Room Contents (13 Dec 2013 08:39PM ET) E0078 Workstation, L6Shaped 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 6 36 OFA04 Office, Physician 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, L6Shaped 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 JSN Content Name Unit Price Total Price Log Cat Util1 Util2 Util3 Util4 Util5 Util6 NSN 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: VA FREESTANDING (LEASE) OP DIALYSIS CENTER 6 36 OFA04 Functional Area: Room Area: STAFF AND ADMINISTRATION AREA 120 Privacy Act – FOR OFFICIAL USE ONLY (Page 44) Project Room Contents (13 Dec 2013 08:39PM ET) Agency Room Name: Office, Nurse Manager Criteria Room Name: Office, Private Occupancy: Blueprint #: Qty Unit Of Issue A1010 Telecommunication Outlet 4 EA A1016 Telephone, Desk, With Speaker 1 EA A5145 Hook, Garment, Double, SS, Surface Mounted 1 EA E0078 Workstation, L6Shaped w/Peninsula, Free Std, 78x72 1 EA F0110 Bookcase, 3 Shelf 1 F0205 Chair, Side With Arms JSN Content Name 1 Unit Price Total Price Log Cat Util1 Util2 Util3 Util4 Util5 Util6 0 NSN 0 A . . . . . . 5805 0 0 A . . . . . . 5805 31 31 A . . . . . . 5340007541678 7,385 7,385 C . A . . . . 6530 EA 426 426 C . . . . . . 7110 1 EA 543 543 C . . . . . . 7110 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: Agency Room Name: Criteria Room Name: VA FREESTANDING (LEASE) OP DIALYSIS CENTER 6 36 OFA04 Office, Dietitian 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, L6Shaped w/Peninsula, Free Std, 78x72 1 EA 7,385 7,385 C . A . . . . 6530 JSN Content Name Unit Price Total Price Log Cat Util1 Util2 Util3 Util4 Util5 Util6 NSN 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 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 Privacy Act – FOR OFFICIAL USE ONLY (Page 45) Project Room Contents (13 Dec 2013 08:39PM ET) 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: Agency Room Name: Criteria Room Name: VA FREESTANDING (LEASE) OP DIALYSIS CENTER 6 36 OFA05 Office, Social Worker Office, Shared two6person Functional Area: Room Area: Occupancy: Blueprint #: STAFF AND ADMINISTRATION AREA 120 2 Qty Unit Of Issue A1010 Telecommunication Outlet 4 EA 0 0 A . . . . . . 5805 A1016 Telephone, Desk, With Speaker 2 EA 0 0 A . . . . . . 5805 A5145 Hook, Garment, Double, SS, Surface Mounted 2 EA 31 62 A . . . . . . 5340007541678 E0078 Workstation, L6Shaped w/Peninsula, Free Std, 78x72 2 EA 7,385 14,770 C . A . . . . 6530 F0205 Chair, Side With Arms 2 EA 543 1,086 C . . . . . . 7110 JSN Content Name Unit Price Total Price Log Cat Util1 Util2 Util3 Util4 Util5 Util6 NSN F0275 Chair, Swivel, High Back 2 EA 626 1,252 C . . . . . . 7110 F0420 Cabinet, Filing, Lateral, Half Height 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 6 36 CLR01 Classroom / Conference Room Classroom, Table w/chair Functional Area: Room Area: Occupancy: Blueprint #: STAFF AND ADMINISTRATION AREA 300 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 JSN Content Name Unit Price Total Price Log Cat Util1 Util2 Util3 Util4 Util5 Util6 Privacy Act – FOR OFFICIAL USE ONLY (Page 46) NSN Project Room Contents (13 Dec 2013 08:39PM ET) E0117 Workstation, Straight, Free Standing, 48" W 1 EA 4,072 4,072 C . A . . . . 6530 F0220 Chair, Conference 12 EA 545 6,540 C . . . . . . 7110 F0465 Cabinet, Storage, 2 Door, 5 Shelf 1 EA 662 662 C . . . . . . 7100 F0780 Table, Work, 60W x 30D 5 EA 505 2,525 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 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: 36,785 Department: Room Code: Agency Room Name: Criteria Room Name: VA FREESTANDING (LEASE) OP DIALYSIS CENTER 6 36 SL001 Lounge, Staff Staff Lounge Functional Area: Room Area: Occupancy: Blueprint #: STAFF AND ADMINISTRATION AREA 220 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 JSN Content Name Unit Price Total Price Log Cat Util1 Util2 Util3 Util4 Util5 Util6 NSN 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 10 EA 260 2,600 C . . . . . . 7110 F0795 Table, Dining 2 EA 580 1,160 C . . . . . . 7110 Privacy Act – FOR OFFICIAL USE ONLY (Page 47) Project Room Contents (13 Dec 2013 08:39PM ET) F2000 Basket, Wastepaper, Round, Metal 1 EA 25 25 C . . . . . . 7520002051857 F3025 Board, Bulletin, Wood Framed 1 EA 60 60 A . . . . . . 7195 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: 11,074 Department: Room Code: Agency Room Name: Criteria Room Name: JSN VA FREESTANDING (LEASE) OP DIALYSIS CENTER 6 36 LR002 Lockers, Staff Locker Room, Changing Content Name A1030 Locker, 2 Person, Over/Under Qty Unit Of Issue 12 EA Functional Area: Room Area: Occupancy: Blueprint #: STAFF AND ADMINISTRATION AREA 55 0 Unit Price Total Price Log Cat Util1 Util2 Util3 Util4 Util5 Util6 285 3,420 C . . . . . . NSN 7125 Total Content Costs for this Room: 3,420 Department: Room Code: Agency Room Name: Criteria Room Name: VA FREESTANDING (LEASE) OP DIALYSIS CENTER 6 36 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, 161/4" 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, 26Roll, Surface Mntd 1 EA 45 45 A . . . . . . 4510007026934 F2010 Basket, Wastepaper, Step6On 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 Privacy Act – FOR OFFICIAL USE ONLY (Page 48) NSN Project Room Contents (13 Dec 2013 08:39PM ET) Total Content Costs for this Room: 1,699 Department: Room Code: Agency Room Name: Criteria Room Name: VA FREESTANDING (LEASE) OP DIALYSIS CENTER 6 36 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, 161/4" 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, 26Roll, Surface Mntd 1 EA 45 45 A . . . . . . 4510007026934 F2010 Basket, Wastepaper, Step6On 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: 143,101 Total Content Costs for this Department: 1,878,116 Privacy Act – FOR OFFICIAL USE ONLY (Page 49) NSN Project Room Contents (13 Dec 2013 08:39PM ET) Department Contents Cost Summary Department Total Contents Cost 1 6 VA FREESTANDING (LEASE) OP DIALYSIS CENTER 6 36 1,878,116 Facility Totals: Privacy Act – FOR OFFICIAL USE ONLY (Page 50) 1,878,116 Project Room Contents (13 Dec 2013 08:39PM ET) Report Parameters Sorted By: Selection Tree Privacy Act – FOR OFFICIAL USE ONLY (Page 51)