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