SFO Template - Office of Construction & Facilities Management Home

SOLICITATION FOR OFFERS OUTPATIENT CLINIC[INSERT LOCATION OF FACILITY]Department / Functional AreaRoomCodeQty ofRooms FunctionSCHEDULE B--SPECIAL REQUIREMENTS: Functional Room ListEquipmentSymbol orJSN Code Item Description Qty Unit Cost Extension Subtotal NotesA5145 Coat Hook, SS, Surface Mounted 2 $15.00 $30.00Radiology OFA03 1 Office, Reception $99.00A5145 Coat Hook, SS, Surface Mounted 1 $15.00 $15.00F3010 Bulletin Board, 48" x 48" 1 $84.00 $84.00Radiology SEC01 1 Office, Secretary and Waiting $30.00A5145 Coat Hook, SS, Surface Mounted 2 $15.00 $30.00Radiology OFDR1 3 Office, Staff Radiologist $90.00A5145 Coat Hook, SS, Surface Mounted 2 $15.00 $30.00Radiology XDRF1 1Radiographic / Fluoroscopic (R/F)Room $437.00Dispenser, Paper Towel, SS,A5080 Surface Mounted 1 $67.00 $67.00A5145 Coat Hook, SS, Surface Mounted 1 $15.00 $15.00P-403Lavatory, Vitreous China, with FootPedal Control 1 $355.00 $355.00Radiology TLTU1 1 Ultrasound: Toilet, Patient $1,024.00A1066 Mirror, SS Framed, 24x36 1 $75.00 $75.00A5080 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 $265.00Radiology XDUS1 1 Ultrasound Room $4,136.00A5080 Dispenser, Paper Towel, SS,Surface Mounted 1 $67.00 $67.00A5145 Coat Hook, SS, Surface Mounted 1 $15.00 $15.00A5180 Track, Cubicle Curtain, SurfaceMounted 10 $7.00 $70.00C03F0 Cabinet, Base, 1 Shelf, 2 Half-Drawer, 2 Door, 36x30x22 1 $1,024.00 $1,024.00C03P0 Cabinet, Sink, 2 Door, 30" W 1 $915.00 $915.00CE030 Cabinet, Wall, 2 Shelf, GlassDoors, Sloping Top, 38x30x13 1 $789.00 $789.00CS150 Sink, SS, Single Compartment,10x19x16 ID 1 $878.00 $878.00CT030 Countertop, High PressureLaminate 5 $70.00 $350.00M1620 Holder, Chart, Patient, Wall orDoor Mounted 1 $28.00 $28.00Radiology UCCL1 1 Utility Room, Clean $946.00CD040 Cabinet, Metal, Wall, T-5B, 2 Shelf,2 Doors, Sloping Top, 36x42x22 1 $946.00 $946.00Radiology USCL1 1 Utility Room, Soiled $894.00P-418 Lavatory, Vitreous China, withSensor Faucet 1 $298.00 $298.00P-505 Sink, Service, Clinical Flushing rim,Wall Hung 1 $596.00 $596.00______Lessor Gov't_______Part III: Special Requirements -- Schedule BMAY 2009SFO No. VA-101-XX-RP-XXXX___ of _____ Pages