SFO Template - Office of Construction & Facilities Management Home

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 NotesA1165 Track, IV, Ceiling Mounted, 2x 7foot 14 $56.00 $784.00A5080 Dispenser, Paper Towel, SS,Surface Mounted 1 $67.00 $67.00A5145 Coat Hook, SS, Surface Mounted 1 $15.00 $15.00Track, Cubicle Curtain, SurfaceA5180 Mounted 22 $7.00 $154.00M7405 Light, Exam, Ceiling Mounted 1 $2,348.00 $2,348.00M7425 Light, Overbed, Direct and Indirect 1 $561.00 $561.00P-414 Lavatory, Vitreous China, withWrist Blade Faucet 1 $298.00 $298.00Surgery-Ambulatory Surgery NSTA1 1 Nurse Station $7,911.00C0045 Frame, Apron, 1 Drawer, 4x36x22 1 $420.00 $420.00Surgery-Ambulatory Surgery ANCW1 1C0046 Frame, Apron, 2 Drawer, 4x48x22 1 $629.00 $629.00C06M0C09F0C09G0CG040CG050Cabinet, Under Counter, Pull-outBoard, 2 Drawer, 1 File Drawer,30x18x22 1 $863.00 $863.00Cabinet, Under Counter, 2 Half-Drawer, 2 Door, 30" W 1 $1,175.00 $1,175.00Cabinet, Under Counter, 1 Shelf, 2Door, 30x36x22 1 $930.00 $930.00Cabinet, Wall, 2 Shelf, SlidingGlass Door, Sloping Top,38x36x13 1 $1,291.00 $1,291.00Cabinet, Wall, 2 Shelf, SlidingGlass Door, Sloping Top,38x48x13 1 $1,427.00 $1,427.00Countertop, High PressureCT030 Laminate 14 $70.00 $980.00F3050 Whiteboard, Dry Erase 1 $196.00 $196.00OR: Anesthesia, Workroom andEquip. Storage $16,051.00A1107A5080C04E0Rail System, Utility, Gas andElectric 1 $7,421.00 $7,421.00Dispenser, Paper Towel, SS,Surface Mounted 1 $67.00 $67.00Cabinet, Base, 1 Shelf, 1 Drawer, 2Door, 36x36x22 1 $1,207.00 $1,207.00Cabinet, Base, 8 Half Drawer,C04J0 36x36x22 1 $1,752.00 $1,752.00C04P0 Cabinet,Sink, 2 Door, 36x36x22 1 $994.00 $994.00Sink, SS, Single Compartment,CS200 12x28x16 ID 1 $1,228.00 $1,228.00Countertop, SS, w/IntegralCT050 Backsplash 6 $531.00 $3,186.00F3050 Whiteboard, Dry Erase 1 $196.00 $196.00Surgery-Ambulatory Surgery ORCW1 NR OR: Clean Core-Staff Workroom No Additional Schedule B ItemsSurgery-Ambulatory Surgery NSTA4 1OR: Control and CommunicationCenter $7,911.00______Lessor Gov't_______Part III: Special Requirements -- Schedule B___ of _____ Pages