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SOLICITATION FOR OFFERS OUTPATIENT CLINIC[INSERT LOCATION OF FACILITY]MAY 2009SFO No. VA-101-XX-RP-XXXXDepartment / Functional AreaRoomCodeQty ofRooms FunctionSCHEDULE B--SPECIAL REQUIREMENTS: Functional Room ListEquipmentSymbol orJSN Code Item Description Qty Unit Cost Extension Subtotal NotesC03H0Cabinet, Base, 2 Half-Drawer, 3Door, 36x30x22 1 $1,498.00 $1,498.00Cabinet, Base, 1 Shelf, 2 HalfC04F0 Drawer, 2 Door, 36x36x22 2 $1,100.00 $2,200.00C04P0 Cabinet,Sink, 2 Door, 36x36x22 1 $994.00 $994.00Cabinet, Wall, 2 Shelf, 2 GlassCE040 Doors, Sloping Top, 38x36x13 3 $1,187.00 $3,561.00Sink, SS, Single Compartment,CS180 12x22x16 ID 1 $1,034.00 $1,034.00Countertop, SS, w/IntegralCT050 Backsplash 13 $531.00 $6,903.00CW090Cabinet, Floorstanding, 5 Shelves,2 Glass Doors, Steel 95x36x16 1 $1,996.00 $1,996.00CW100P1965S0237Cabinet, Floorstanding, 5 Shelves,2 Glass Doors, Steel 95x48x16 1 $2,707.00 $2,707.00Eyewash, Eye/Face, Sink Mounted,Hands Free 1 $356.00 $356.00Sterilizer, Electric, Vacuum, 2Door, Recessed, Thru Wall,20x20x38 Chamber 1 $77,612.00 $77,612.00S0965 Washer / Disinfector, Dental 1 $9,376.00 $9,376.00Dental LCCL1 NR Linen Room and Clean SPD Cart No Additional Schedule B ItemsDental LR002 1 Locker Room / Changing Area $812.00A1080 Mirror, Posture, Wall Mounted 1 $338.00 $338.00A1066 Mirror, SS Framed, 24x36 1 $75.00 $75.00A5165 Shelf T-45, SS, 12"w x 5"d 1 $55.00 $55.00A5020 Bech, Locker, Floor Mounted 1 $244.00 $244.00A5145 Coat Hook, SS, Surface Mounted 2 $15.00 $30.00A5180Track, Cubicle Curtain, SurfaceMounted 10 $7.00 $70.00Dental MECH1 NR Mechanical Room No Additional Schedule B ItemsDental OFC01 1 Office Chief $107.00A5155 Costumer, Wall, Executive 1 $107.00 $107.00Dental OFA02 1 Office, Administrative Assistant $30.00A5145 Coat Hook, SS, Surface Mounted 2 $15.00 $30.00Dental OFD03 5 Office, Dentist $150.00A5145 Coat Hook, SS, Surface Mounted 2 $15.00 $30.00Dental SEC01 1 Office, Secretary / Reception / Files/ Additional Clerk $30.00A5145 Coat Hook, SS, Surface Mounted 2 $15.00 $30.00Dental DNTS1 1 Oral Surgery Room $2,202.00A1066 Mirror, SS Framed, 24x36 1 $75.00 $75.00A1130 Cabinet, Control, Nitrogen 1 $954.00 $954.00A1170 Track, IV, Ceiling Mounted, 4 foot 1 $954.00 $954.00Dispenser, Paper Towel, SS,A5080 Surface Mounted 2 $67.00 $134.00A5145 Coat Hook, SS, Surface Mounted 1 $15.00 $15.00A6025 Mirror, Safety, Convex 1 $70.00 $70.00Dental TLTU1 1 Patient Toilet $1,024.00A1066 Mirror, SS Framed, 24x36 1 $75.00 $75.00______Lessor Gov't_______Part III: Special Requirements -- Schedule B___ of _____ Pages
SOLICITATION FOR OFFERS OUTPATIENT CLINIC[INSERT LOCATION OF FACILITY]MAY 2009SFO No. VA-101-XX-RP-XXXXDepartment / Functional AreaRoomCodeQty ofRooms FunctionSCHEDULE B--SPECIAL REQUIREMENTS: Functional Room ListEquipmentSymbol orJSN Code Item Description Qty Unit Cost Extension Subtotal NotesA5080 Dispenser, Paper Towel, SS,Surface Mounted 1 $67.00 $67.00A5109 Grab Bars, SS, 1-1/2" Dia AR $175.00 $175.00A5145 Coat Hook, SS, Surface Mounted 1 $15.00 $15.00A5165 Shelf T-45, SS, 12"w x 5"d 1 $55.00 $55.00A5202 Dispenser, Toilet Paper w/UtilityShelf, SS, 2-Roll 1 $74.00 $74.00P-418 Lavatory, Vitreous China, withSensor Faucet 1 $298.00 $298.00P-103 Toilet, Wall Hung, w/seat 1 $265.00 $265.00Dental DNTR1 1 Recovery Room $8,574.00A1066 Mirror, SS Framed, 24x36 1 $75.00 $75.00A5080 Dispenser, Paper Towel, SS,Surface Mounted 1 $67.00 $67.00A1107 Rail System, Utility, Gas andElectric 1 $7,421.00 $7,421.00A5080 Dispenser, Paper Towel, SS,Surface Mounted 1 $67.00 $67.00A5145 Coat Hook, SS, Surface Mounted 1 $15.00 $15.00A5180Track, Cubicle Curtain, SurfaceMounted 10 $7.00 $70.00M7425 Light, Overbed, Direct and Indirect 1 $561.00 $561.00P-418Lavatory, Vitreous China, withSensor Faucet 1 $298.00 $298.00Dental LCSL1 NR Soiled SPD Cart Holding No Additional Schedule B ItemsDental SRE01 NR Storage Room No Additional Schedule B ItemsDental WRC01 1 Waiting Area $436.00Bracket, Television, Wall Mounted,A5210 Adjustable Arm 1 $296.00 $296.00F2310 Rack, Pamphlet, Wall Mounted 1 $140.00 $140.00Dental DNXD1 1 X-Ray Area $3,109.00A5145 Coat Hook, SS, Surface Mounted 1 $15.00 $15.00D0795D9691D9835D9941X3150Sink, SS, 18 gauge, w/ faucet,11x18x14 1 $1,279.00 $1,279.00Cabinet, Base, Wall Hung, 4Drawers 1 $698.00 $698.00Cabinet, Sink, Wall Hung, 2 Doors,18x27x17 1 $712.00 $712.00Countertop, Laminated, 3/4-inchThick 6 $39.00 $234.00Rack, Apron / Gloves, WallMounted 1 $171.00 $171.00Education AreasEducation Areas CRA03 1 Educational Conference Room $3,407.00A5145 Coat Hook, SS, Surface Mounted 2 $15.00 $30.00F3055 Whiteboard, w/ Sliding Panels 1 $1,423.00 $1,423.00F3230 Rack, Hat / Coat, Wall Mounted 1 $102.00 $102.00M0400Screen, Projection, RecessedCeiling Mounted, ManualOperation, 105x140 Viewing Area,180" Diagonal 1 $1,852.00 $1,852.00______Lessor Gov't_______Part III: Special Requirements -- Schedule B___ of _____ Pages
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Department ofVeterans AffairsOffice
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MAY 2009SOLICITATION FOR OFFERS OUT
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SOLICITATION FOR OFFERS OUTPATIENT
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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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