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MAY 2009SOLICITATION FOR OFFERS OUTPATIENT CLINIC SFO NO. VA-101-XX-RP-XXXX[INSERT LOCATION OF FACILITY]SECTION 4: SPECIAL EQUIPMENT BY FUNCTIONAL AREAThis document lists the special equipment required for each room type in each FunctionalArea. Although every room type in the Outpatient Clinic is listed, not every room will havespecial equipment. Where (NR) is indicated, there are no “special requirements” in that room.4.1 FUNCTIONAL AREASAcquisition and Materiel Management Services (AMMS)Ambulatory CareAudiology and Speech PathologyCanteenCardiovascular Laboratories-Cardiology ClinicClinic Management SuiteDental ServiceEducation FacilitiesEEG LaboratoryEndoscopy Suite-Digestive Diseases ProgramEngineering ServiceEnvironmental Management ServiceEye ClinicHealthcare Administration Service (HAS)LobbyLockers, Toilets and ShowersMental Health ClinicPathology and Laboratory MedicinePharmacy ServicePhysical Medicine and Rehabilitation ServicePolice and Security ServiceProsthetics and Sensory Aids ServicePulmonary MedicineRadiology ServiceService OrganizationsSupply, Processing and Distribution (SPD)Surgery ServiceVoluntary ServicePart III: Schedule B – Special Requirements --Page 8 of 60Lessor __________ Gov’t. ____________________ of __________ Pages
SOLICITATION FOR OFFERS OUTPATIENT CLINIC[INSERT LOCATION OF FACILITY]MAY 2009SFO No. VA-101-XX-RP-XXXXPART III: SCHEDULE B--SPECIAL REQUIREMENTS (cont.)4.2--Functional Room ListRoomCodeQty ofRooms FunctionDepartment / Functional AreaAcquisition and Materiel Management Services (AMMS)SCHEDULE B--SPECIAL REQUIREMENTS: Functional Room ListEquipmentSymbol orJSN Code Item Description Qty Unit Cost Extension Subtotal NotesAMMS MMCR2 NR Holding Area, Unposted Stock No Additional Schedule B ItemsAMMS MMRP1 NR Receiving and Issue Area No Additional Schedule B ItemsAMMS DOCK1 1 Receiving and Shipping Dock $7,258.00A6125 Leveler, Dock 1 $813.00 $813.00K0450 Curtain, Air 1 $2,738.00 $2,738.00S4300 Gun, Steam 1 $3,707.00 $3,707.00AMMS SRHM1 NR Storage, Bio-hazard Waste No Additional Schedule B ItemsAMMS SRE01 NR Storage, Equipment No Additional Schedule B ItemsAMMS SHRM1 NR Storage, Flammable No Additional Schedule B ItemsAMMS SRS01 NR Storage, Form / Processed Stores No Additional Schedule B ItemsAMMS MMGS1 NR Storage, Medical and General No Additional Schedule B ItemsAMMS SRGC1 1 Storage, Medical Gas $6,937.00A5080Dispenser, Paper Towel, SS,Surface Mounted 1 $67.00 $67.00Cabinet, Base, 4 Drawer,C02D0 36x24x22 1 $1,087.00 $1,087.00C04P0 Cabinet,Sink, 2 Door, 36x36x22 1 $994.00 $994.00Cabinet, Wall, Open, 2 Shelf,CA040 Sloping Top, 38x36x13 1 $646.00 $646.00CS260 Sink, Epoxy Resin, 10x25x15 ID 1 $594.00 $594.00CT060 Countertop, Modified Epoxy Resin 6 $146.00 $876.00CW130 Cabinet, Floor Standing, 5 Shelf, 2Glass Doors, 98x30x22 1 $2,317.00 $2,317.00P1965 Eyewash, Eye/Face, Sink Mounted,Hands Free 1 $356.00 $356.00AMMS SEC01 1 Office Secretary and Waiting $30.00A5145 Coat Hook, SS, Surface Mounted 2 $15.00 $30.00AMMS OFA02 4 Office $120.00A5145 Coat Hook, SS, Surface Mounted 2 $15.00 $30.00AMMS OFA03 1 Office $99.00A5145 Coat Hook, SS, Surface Mounted 1 $15.00 $15.00A3010 Bulletin Board, 48" x 48" 1 $84.00 $84.00Ambulatory CareHealthcare Administration (HAS) CASH1 1 Agent Cashier $0.00A6105 Counter, Reception Control, Built-In Consists of two 18” wide basecabinets with two drawers and filedrawer, two 30” wide pencildrawers and two 18” wide basecabinet with four drawers. Plasticlaminate countertop and splash. 1 $0.00Healthcare Administration (HAS) OFA02 8 Office $240.00A5145 Coat Hook, SS, Surface Mounted 2 $15.00 $30.00Healthcare Administration (HAS) OFA03 14 Workstation / Office $1,386.00A5145 Coat Hook, SS, Surface Mounted 1 $15.00 $15.00______Lessor Gov't_______Part III: Special Requirements -- Schedule B___ of _____ Pages
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Refer to Part I Section 10 and the
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GSA FORM 1364A - PROPOSAL TO LEASE
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Block 8a(4)Annual Rate per Rentable
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For purposes of the price evaluatio
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IV. SECTION IV -OWNER IDENTIFICATIO
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