Project Room Contents

VA FREESTANDING (LEASE) OP DIALYSIS CENTER � 20

TWENTY 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: 11 Oct 2013 12:00PM ET by Laura DiConti

Space Plan Last Edited: 01 Dec 2013 10:00PM ET by Laura DiConti

Contents List Created: 22 Oct 2013 02:15PM ET by Lisa Ahlers

Contents List Last Edited: 13 Dec 2013 11:22AM ET by Lisa Ahlers

Report Generated: 13 Dec 2013 11:23AM ET

Project Room Contents (13 Dec 2013 11:23AM ET)

Privacy Act – FOR OFFICIAL USE ONLY (Page 2)

Department: VA FREESTANDING (LEASE) OP DIALYSIS CENTER 1 20 Functional Area: RECEPTION AREA Room Code: WRC01 Room Area: 280 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 16 EA 612 9,792 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: 12,320

Department: VA FREESTANDING (LEASE) OP DIALYSIS CENTER 1 20 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, Built1In 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 11:23AM 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 1 20 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, 111/4" 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, 21Roll, Surface Mntd 1 EA 45 45 A . . . . . . 4510007026934

F2010 Basket, Wastepaper, Step1On 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 1 20 Functional Area: RECEPTION AREA Room Code: LR001 Room Area: 80 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 36 EA 285 10,260 C . . . . . . 7125

Total Content Costs for this Room: 10,260

Total Content Costs for this Functional Area: 34,996

Project Room Contents (13 Dec 2013 11:23AM ET)

Privacy Act – FOR OFFICIAL USE ONLY (Page 4)

Department: VA FREESTANDING (LEASE) OP DIALYSIS CENTER 1 20 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 1 20 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, Hands1Free 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, Step1On 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 11:23AM ET)

Privacy Act – FOR OFFICIAL USE ONLY (Page 5)

Department: VA FREESTANDING (LEASE) OP DIALYSIS CENTER 1 20 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 1 20 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, Hands1Free 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, Step1On 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 11:23AM ET)

Privacy Act – FOR OFFICIAL USE ONLY (Page 6)

Department: VA FREESTANDING (LEASE) OP DIALYSIS CENTER 1 20 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 1 20 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, Hands1Free 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, Step1On 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 11:23AM ET)

Privacy Act – FOR OFFICIAL USE ONLY (Page 7)

Department: VA FREESTANDING (LEASE) OP DIALYSIS CENTER 1 20 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 1 20 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, Hands1Free 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, Step1On 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 11:23AM ET)

Privacy Act – FOR OFFICIAL USE ONLY (Page 8)

Department: VA FREESTANDING (LEASE) OP DIALYSIS CENTER 1 20 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 1 20 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, Hands1Free 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, Step1On 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 11:23AM ET)

Privacy Act – FOR OFFICIAL USE ONLY (Page 9)

Department: VA FREESTANDING (LEASE) OP DIALYSIS CENTER 1 20 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 1 20 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, Hands1Free 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, Step1On 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 11:23AM ET)

Privacy Act – FOR OFFICIAL USE ONLY (Page 10)

Department: VA FREESTANDING (LEASE) OP DIALYSIS CENTER 1 20 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 1 20 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, Hands1Free 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, Step1On 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 11:23AM ET)

Privacy Act – FOR OFFICIAL USE ONLY (Page 11)

Department: VA FREESTANDING (LEASE) OP DIALYSIS CENTER 1 20 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 1 20 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, Hands1Free 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, Step1On 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 11:23AM ET)

Privacy Act – FOR OFFICIAL USE ONLY (Page 12)

Department: VA FREESTANDING (LEASE) OP DIALYSIS CENTER 1 20 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 1 20 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, Hands1Free 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, Step1On 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

P8705 Dialysis Box, Recessed, Single Valve 1 EA 810 810 A E . . . . . 4100

Project Room Contents (13 Dec 2013 11:23AM ET)

Privacy Act – FOR OFFICIAL USE ONLY (Page 13)

Total Content Costs for this Room: 32,050

Department: VA FREESTANDING (LEASE) OP DIALYSIS CENTER 1 20 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

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

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: 23,771

Department: VA FREESTANDING (LEASE) OP DIALYSIS CENTER 1 20 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, Hands1Free 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, Step1On 1 EA 35 35 C . . . . . . 7240007883953

M0506 Television, Flat Screen 1 EA 421 421 C . A . . . . 7730

Project Room Contents (13 Dec 2013 11:23AM ET)

Privacy Act – FOR OFFICIAL USE ONLY (Page 14)

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: 32,050

Department: VA FREESTANDING (LEASE) OP DIALYSIS CENTER 1 20 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, Hands1Free 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, Step1On 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, Hands1Free 1 EA 370 370 A B . . . . . 4510

P2450 Valve, Mixing, Thermostatic 1 EA 2,643 2,643 A A . . . . . 6530

Project Room Contents (13 Dec 2013 11:23AM ET)

Privacy Act – FOR OFFICIAL USE ONLY (Page 15)

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: VA FREESTANDING (LEASE) OP DIALYSIS CENTER 1 20 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, 111/4" 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, 21Roll, Surface Mntd 1 EA 45 45 A . . . . . . 4510007026934

F2010 Basket, Wastepaper, Step1On 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 1 20 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, Hands1Free 1 EA 46 46 C . . . . . .

Project Room Contents (13 Dec 2013 11:23AM ET)

Privacy Act – FOR OFFICIAL USE ONLY (Page 16)

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

Modify to F0780M 0 size 24" deep and 36" wide

F2010 Basket, Wastepaper, Step1On 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 1 20 Functional Area: PATIENT AREA Room Code: NSTA4 Room Area: 125 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 4 EA 0 0 A . . . . . . 5805

A1015 Telephone, Desk, Multiple Line 1 EA 0 0 A . . . . . . 5805

A5070 Dispenser, Liquid Soap, SS, Surface Mounted 2 EA 60 120 A . . . . . . 4510

Project Room Contents (13 Dec 2013 11:23AM ET)

Privacy Act – FOR OFFICIAL USE ONLY (Page 17)

A5077 Dispenser, Hand Sanitizer, Hands1Free 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

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, Step1On 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: 26,217

Department: VA FREESTANDING (LEASE) OP DIALYSIS CENTER 1 20 Functional Area: PATIENT AREA Room Code: NSTA4 Room Area: 125 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 4 EA 0 0 A . . . . . . 5805

Project Room Contents (13 Dec 2013 11:23AM ET)

Privacy Act – FOR OFFICIAL USE ONLY (Page 18)

A1015 Telephone, Desk, Multiple Line 1 EA 0 0 A . . . . . . 5805

A5070 Dispenser, Liquid Soap, SS, Surface Mounted 2 EA 60 120 A . . . . . . 4510

A5077 Dispenser, Hand Sanitizer, Hands1Free 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, Step1On 2 EA 35 70 C . . . . . . 7240007883953

M1801 Computer, Microprocessing, w/Flat Panel Monitor 1 EA 1,509 1,509 C . A . . . . 7025

M4116 Monitor, Vital Signs 1 EA 2,387 2,387 C . A . . . . 6515

Total Content Costs for this Room: 17,764

Department: VA FREESTANDING (LEASE) OP DIALYSIS CENTER 1 20 Functional Area: PATIENT AREA Room Code: NSTA4 Room Area: 125 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 4 EA 0 0 A . . . . . . 5805

A1015 Telephone, Desk, Multiple Line 1 EA 0 0 A . . . . . . 5805

A5070 Dispenser, Liquid Soap, SS, Surface Mounted 2 EA 60 120 A . . . . . . 4510

A5077 Dispenser, Hand Sanitizer, Hands1Free 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

Project Room Contents (13 Dec 2013 11:23AM ET)

Privacy Act – FOR OFFICIAL USE ONLY (Page 19)

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, Step1On 2 EA 35 70 C . . . . . . 7240007883953

M1801 Computer, Microprocessing, w/Flat Panel Monitor 1 EA 1,509 1,509 C . A . . . . 7025

M4116 Monitor, Vital Signs 1 EA 2,387 2,387 C . A . . . . 6515

Total Content Costs for this Room: 17,764

Department: VA FREESTANDING (LEASE) OP DIALYSIS CENTER 1 20 Functional Area: PATIENT AREA Room Code: NSTA4 Room Area: 125 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 4 EA 0 0 A . . . . . . 5805

A1015 Telephone, Desk, Multiple Line 1 EA 0 0 A . . . . . . 5805

A5070 Dispenser, Liquid Soap, SS, Surface Mounted 2 EA 60 120 A . . . . . . 4510

A5077 Dispenser, Hand Sanitizer, Hands1Free 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

CT020 Countertop, Solid Surface 20 LF 176 3,520 A . . . . . . 6530

F0280 Chair, Swivel, Low Back 2 EA 503 1,006 C . . . . . . 7110

Project Room Contents (13 Dec 2013 11:23AM ET)

Privacy Act – FOR OFFICIAL USE ONLY (Page 20)

F2010 Basket, Wastepaper, Step1On 2 EA 35 70 C . . . . . . 7240007883953

M1801 Computer, Microprocessing, w/Flat Panel Monitor 1 EA 1,509 1,509 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: 20,143

Department: VA FREESTANDING (LEASE) OP DIALYSIS CENTER 1 20 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, Hands1Free 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

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 R6200M

Total Content Costs for this Room: 22,699

Department: VA FREESTANDING (LEASE) OP DIALYSIS CENTER 1 20 Functional Area: PATIENT AREA Room Code: EXRG0 Room Area: 120 Agency Room Name: Exam Room Occupancy: 0

Project Room Contents (13 Dec 2013 11:23AM ET)

Privacy Act – FOR OFFICIAL USE ONLY (Page 21)

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, Hands1Free 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, Step1On 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

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: 21,180

Project Room Contents (13 Dec 2013 11:23AM ET)

Privacy Act – FOR OFFICIAL USE ONLY (Page 22)

Department: VA FREESTANDING (LEASE) OP DIALYSIS CENTER 1 20 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, 111/4" 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, 21Roll, Surface Mntd 1 EA 45 45 A . . . . . . 4510007026934

F2010 Basket, Wastepaper, Step1On 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: VA FREESTANDING (LEASE) OP DIALYSIS CENTER 1 20 Functional Area: PATIENT AREA Room Code: EXR11 Room Area: 60 Agency Room Name: In1Floor 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, Hands1Free 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

Project Room Contents (13 Dec 2013 11:23AM ET)

Privacy Act – FOR OFFICIAL USE ONLY (Page 23)

Total Content Costs for this Room: 5,789

Department: VA FREESTANDING (LEASE) OP DIALYSIS CENTER 1 20 Functional Area: PATIENT AREA Room Code: SRLW1 Room Area: 90 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 1 20 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, Bag1Mask, 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 . . . . . .

Total Content Costs for this Room: 9,120

Department: VA FREESTANDING (LEASE) OP DIALYSIS CENTER 1 20 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, Hands1Free 1 EA 45 45 C . . . . . .

Project Room Contents (13 Dec 2013 11:23AM ET)

Privacy Act – FOR OFFICIAL USE ONLY (Page 24)

M8080 Lift, Patient, Hydraulic, 350 Lb. Cap, Adj U1Base 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 1 20 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

Department: VA FREESTANDING (LEASE) OP DIALYSIS CENTER 1 20 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: 737,562

Department: VA FREESTANDING (LEASE) OP DIALYSIS CENTER 1 20 Functional Area: SUPPORT AREA

Project Room Contents (13 Dec 2013 11:23AM ET)

Privacy Act – FOR OFFICIAL USE ONLY (Page 25)

Room Code: RDWT1 Room Area: 345 Agency Room Name: Water Treatment / Dialysate Preparation Room Occupancy: 0 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, Multi1Line, 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 1 20 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 11:23AM ET)

Privacy Act – FOR OFFICIAL USE ONLY (Page 26)

Department: VA FREESTANDING (LEASE) OP DIALYSIS CENTER 1 20 Functional Area: SUPPORT AREA Room Code: MEDP1 Room Area: 90 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, Hands1Free 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, Step1On 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

Remote Temperature monitoring to be included in refrigerator

Total Content Costs for this Room: 16,586

Department: VA FREESTANDING (LEASE) OP DIALYSIS CENTER 1 20 Functional Area: SUPPORT AREA Room Code: LBSP1 Room Area: 90 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 3 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 11:23AM ET)

Privacy Act – FOR OFFICIAL USE ONLY (Page 27)

A5075 Dispenser, Soap, Disposable 1 EA 17 17 C . . . . . . 4510

A5077 Dispenser, Hand Sanitizer, Hands1Free 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, Step1On 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, Hands1free 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 61 61 C . . . . . .

comment: for Refrigerator/freezer combination

U0013 Refrigerator, UC, Scientific, w/freezer compartment 1 EA 1,200 1,200 C . A . . . .

Total Content Costs for this Room: 19,443

Department: VA FREESTANDING (LEASE) OP DIALYSIS CENTER 1 20 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 11:23AM ET)

Privacy Act – FOR OFFICIAL USE ONLY (Page 28)

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 1 20 Functional Area: SUPPORT AREA Room Code: USCL1 Room Area: 90 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, Hands1Free 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 2 EA 203 406 C . . . . . .

Total Content Costs for this Room: 6,068

Department: VA FREESTANDING (LEASE) OP DIALYSIS CENTER 1 20 Functional Area: SUPPORT AREA Room Code: UCCL1 Room Area: 110

Project Room Contents (13 Dec 2013 11:23AM ET)

Privacy Act – FOR OFFICIAL USE ONLY (Page 29)

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 2 EA 2,215 4,430 C . . . . . . 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 2 EA 874 1,748 C . . . . . . 7100

M2115 Truck, Hand, 2 Wheel 1 EA 154 154 C . . . . . . 3920

U0010 Rack, dunnage 2 EA 203 406 C . . . . . .

Total Content Costs for this Room: 7,739

Department: VA FREESTANDING (LEASE) OP DIALYSIS CENTER 1 20 Functional Area: SUPPORT AREA Room Code: SRE01 Room Area: 180 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 5 CS 207 1,035 C . . . . . . 6530

Comment: for use in treatment area

F2010 Basket, Wastepaper, Step1On 5 EA 35 175 C . . . . . . 7240007883953

Comment: for use in treatment area

M1715 Hemodialysis Unit, Hollow Fiber or Plate 5 EA 19,493 97,465 C E A . . . . 6515

M3072 Frame, Infectious Waste Bag w/Lid 5 EA 429 2,145 C . . . . . . 7240

Comment: for use in treatment area

M4645 Patient Transfer Device 1 EA 762 762 C . . . . . . 6515

Total Content Costs for this Room: 101,582

Department: VA FREESTANDING (LEASE) OP DIALYSIS CENTER 1 20 Functional Area: SUPPORT AREA Room Code: SRS01 Room Area: 400 Agency Room Name: Storage, Supplies Occupancy: 0 Criteria Room Name: Storage Room, Shelving Blueprint #:

Project Room Contents (13 Dec 2013 11:23AM ET)

Privacy Act – FOR OFFICIAL USE ONLY (Page 30)

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 will deviate to best accommodate room layout.

M2055 Shelving, Storage, Wire, CRS, w/Adjustable Shelves 11 EA 833 9,163 C . . . . . . 7100

comment: length of shelving will deviate to best accommodate the room layout

U0014 Track Set, for OH support of Wire shelving 20 FT 51 1,020 C . . . . . .

Total Content Costs for this Room: 19,415

Department: VA FREESTANDING (LEASE) OP DIALYSIS CENTER 1 20 Functional Area: SUPPORT AREA Room Code: JANC1 Room Area: 60 Agency Room Name: Housekeeping Aides Closet 11 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: 369,829

Department: VA FREESTANDING (LEASE) OP DIALYSIS CENTER 1 20 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

Project Room Contents (13 Dec 2013 11:23AM ET)

Privacy Act – FOR OFFICIAL USE ONLY (Page 31)

E0078 Workstation, L1Shaped 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 1 20 Functional Area: STAFF AND ADMINISTRATION AREA Room Code: OFA04 Room Area: 120 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

E0078 Workstation, L1Shaped 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 1 20 Functional Area: STAFF AND ADMINISTRATION AREA Room Code: OFA04 Room Area: 120

Project Room Contents (13 Dec 2013 11:23AM ET)

Privacy Act – FOR OFFICIAL USE ONLY (Page 32)

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, L1Shaped 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 1 20 Functional Area: STAFF AND ADMINISTRATION AREA Room Code: OFA05 Room Area: 140 Agency Room Name: Office, Shared Occupancy: 2 Criteria Room Name: Office, Shared two1person 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, L1Shaped 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

Project Room Contents (13 Dec 2013 11:23AM ET)

Privacy Act – FOR OFFICIAL USE ONLY (Page 33)

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 1 20 Functional Area: STAFF AND ADMINISTRATION AREA Room Code: CLR01 Room Area: 300 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 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

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: 36,785

Department: VA FREESTANDING (LEASE) OP DIALYSIS CENTER 1 20 Functional Area: STAFF AND ADMINISTRATION AREA Room Code: SL001 Room Area: 190 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

Project Room Contents (13 Dec 2013 11:23AM ET)

Privacy Act – FOR OFFICIAL USE ONLY (Page 34)

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 8 EA 260 2,080 C . . . . . . 7110

F0795 Table, Dining 2 EA 580 1,160 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: 10,554

Department: VA FREESTANDING (LEASE) OP DIALYSIS CENTER 1 20 Functional Area: STAFF AND ADMINISTRATION AREA Room Code: LR002 Room Area: 50 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 10 EA 285 2,850 C . . . . . . 7125

Total Content Costs for this Room: 2,850

Department: VA FREESTANDING (LEASE) OP DIALYSIS CENTER 1 20 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 #:

Project Room Contents (13 Dec 2013 11:23AM ET)

Privacy Act – FOR OFFICIAL USE ONLY (Page 35)

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, 111/4" 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, 21Roll, Surface Mntd 1 EA 45 45 A . . . . . . 4510007026934

F2010 Basket, Wastepaper, Step1On 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: 109,516

Total Content Costs for this Department: 1,251,903

Project Room Contents (13 Dec 2013 11:23AM ET)

Privacy Act – FOR OFFICIAL USE ONLY (Page 36)

Department Contents Cost Summary

Department Total Contents Cost

1 1 VA FREESTANDING (LEASE) OP DIALYSIS CENTER 1 20 1,251,903

Facility Totals: 1,251,903

Project Room Contents (13 Dec 2013 11:23AM ET)

Privacy Act – FOR OFFICIAL USE ONLY (Page 37)

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