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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 NotesDay Treatment Center SRS01 NR Social Activities Space / Storage No Additional Schedule B ItemsMental Health Clinic OPMH3 1Biofeedback Control Room / TechOffice $211.00A5145 Coat Hook, SS, Surface Mounted 1 $15.00 $15.00F3050 Whiteboard, Dry Erase 1 $196.00 $196.00Mental Health Clinic OPMH3 1 Biofeedback Treatment Room $611.00A5120 Window, Observation, One-Way 1 $400.00 $400.00A5145 Coat Hook, SS, Surface Mounted 1 $15.00 $15.00F3050 Whiteboard, Dry Erase 1 $196.00 $196.00Mental Health Clinic EXRG3 1 Exam / Treatment Room $665.00A5080 Dispenser, Paper Towel, SS,Surface Mounted 1 $67.00 $67.00A5180 Track, Cubicle Curtain, SurfaceMounted 16 $7.00 $112.00A5165 Shelf T-45, SS, 12"w x 5"d 1 $55.00 $55.00A1066 Mirror, SS Framed, 24x36 1 $75.00 $75.00Lavatory, Vitreous China, withP-418 Sensor Faucet 1 $298.00 $298.00A5145 Coat Hook, SS, Surface Mounted 2 $15.00 $30.00M1620Holder, Chart, Patient, Wall orDoor Mounted 1 $28.00 $28.00Mental Health Clinic OFDC1 30 Office $900.00A5145 Coat Hook, SS, Surface Mounted 2 $15.00 $30.00Mental Health Clinic OFDC1 1 Office, Chief $107.00A5155 Costumer, Wall, Executive 1 $107.00 $107.00Methadone Maintenance Program MEDP1 1 Medication / Treatment Room $7,673.00A5080 Dispenser, Paper Towel, SS,Surface Mounted 1 $67.00 $67.00C04P0 Cabinet,Sink, 2 Door, 36x36x22 1 $994.00 $994.00C02D0 Cabinet, Base, 4 Drawer,36x24x22 1 $1,087.00 $1,087.00CT050 Countertop, SS, w/IntegralBacksplash 6 $531.00 $3,186.00CS090 Sink, SS, Single Compartment,Intergal w/ SS Top, 7.5x19x16 ID 1 $912.00 $912.00CG050Cabinet, Wall, 2 Shelf, SlidingGlass Door, Sloping Top,38x48x13 1 $1,427.00 $1,427.00Methadone Maintenance Program PHDS1 1 Methadone Dispensing Pharmacy $365.00A5080 Dispenser, Paper Towel, SS,Surface Mounted 1 $67.00 $67.00P-418 Lavatory, Vitreous China, withSensor Faucet 1 $298.00 $298.00Methadone Maintenance Program OFD03 1Office / Exam Room, NursePractitioner $30.00A5145 Coat Hook, SS, Surface Mounted 2 $15.00 $30.00Methadone Maintenance Program SSV01 NR Storage / Vault No Additional Schedule B ItemsMethadone Maintenance Program TLTU1 1 Toilet, Urine Specimen Collection $1,024.00A1066 Mirror, SS Framed, 24x36 1 $75.00 $75.00A5080Dispenser, Paper Towel, SS,Surface Mounted 1 $67.00 $67.00______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 NotesA5109 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 $55.00A5202P-418Dispenser, Toilet Paper w/UtilityShelf, SS, 2-Roll 1 $74.00 $74.00Lavatory, Vitreous China, withSensor Faucet 1 $298.00 $298.00P-103 Toilet, Wall Hung, w/seat 1 $265.00 $265.00Methadone Maintenance Program WRC01 1 Waiting Area $436.00A5210 Bracket, Television, Wall Mounted,Adjustable Arm 1 $296.00 $296.00F2310 Rack, Pamphlet, Wall Mounted 1 $140.00 $140.00Occupational Therapy OTDL1 1 Basic Clinic $7,281.00Dispenser, Paper Towel, SS,A5080 Surface Mounted 1 $67.00 $67.00A5145 Coat Hook, SS, Surface Mounted 2 $15.00 $30.00A5180Track, Cubicle Curtain, SurfaceMounted 12 $7.00 $84.00A5195 Dispenser, Toilet Paper, SS, 1-Roll 1 $13.00 $13.00A5205 Bar, Towel, 1" dia, SS, SurfaceMounted 1 $40.00 $40.00C04E0 Cabinet, Base, 1 Shelf, 1 Drawer, 2Door, 36x36x22 1 $1,207.00 $1,207.00C05P0 Cabinet,Sink, 2 Door, 36x48x22 1 $1,052.00 $1,052.00CE090 Cabinet, Wall, 2 Shelf, GlassDoors, Sloping Top, 41x36x13 1 $1,198.00 $1,198.00CS070 Sink, SS, Single Compartment,7.5x16x16 ID 1 $778.00 $778.00CS180 Sink, SS, Single Compartment,12x22x16 ID 1 $1,034.00 $1,034.00CT030 Countertop, High PressureLaminate 25 $70.00 $1,750.00M1620 Holder, Chart, Patient, Wall orDoor Mounted 1 $28.00 $28.00Occupational Therapy SRS01 NR Storage No Additional Schedule B ItemsSubstance Abuse Clinic OFDC1 4 Office $120.00A5145 Coat Hook, SS, Surface Mounted 2 $15.00 $30.00Substance Abuse Clinic OFD03 2 Office $60.00A5145 Coat Hook, SS, Surface Mounted 2 $15.00 $30.00Substance Abuse Clinic SEC01 1 Office, Secretary / Clerical $30.00A5145 Coat Hook, SS, Surface Mounted 2 $15.00 $30.00Substance Abuse Clinic OFA02 1 Office Statistical Clerk $30.00A5145 Coat Hook, SS, Surface Mounted 2 $15.00 $30.00Substance Abuse Clinic SRS01 NR Utility and Storage No Additional Schedule B ItemsPathology and Laboratory Medicine (PLM)Laboratories LBVP1 1 Blood Specimen Collection Room $4,188.00A5080 Dispenser, Paper Towel, SS,Surface Mounted 1 $67.00 $67.00C02D0 Cabinet, Base, 4 Drawer,36x24x22 1 $1,087.00 $1,087.00______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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Page 201 and 202: 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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