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 NotesSurgery-Ambulatory Surgery OFD03 1 OR: Office, Head Nurse $30.00A5145 Coat Hook, SS, Surface Mounted 2 $15.00 $30.00Surgery-Ambulatory Surgery ORSA1 1 OR: Scrub-up Area $25,532.00P6980 Sink, Scrub, SS, 2 Bay, w/kneecontrol 2 $12,766.00 $25,532.00Surgery-Ambulatory Surgery USCL1 1 OR: Soiled Holding / DisposalRoom $894.00P-418 Lavatory, Vitreous China, withSensor Faucet 1 $298.00 $298.00P-505 Sink, Service, Clinical Flushing rim,Wall Hung 1 $596.00 $596.00Surgery-Ambulatory Surgery SRGC1 1 OR: Storage, Gas Cylinder Room $6,937.00A5080 Dispenser, Paper Towel, SS,Surface Mounted 1 $67.00 $67.00C02D0 Cabinet, Base, 4 Drawer,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, 36x38x13 1 $646.00 $646.00CS260 Sink, Epoxy Resin, 10x25x15 ID 1 $594.00 $594.00Surgery-Ambulatory Surgery UCCL1 1CT060 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 $356.00OR: Storage, Clean and SterileSupplies $946.00Surgery-Ambulatory Surgery SRE01 NROR: Storage, Equipment andApparatusCD040Cabinet, Metal, Wall, T-5B, 2 Shelf,2 Doors, Sloping Top, 36x42x22 1 $946.00 $946.00No Additional Schedule B ItemsSurgery-Ambulatory Surgery SRLW1 NR OR: Storage, Gurney No Additional Schedule B ItemsSurgery-Ambulatory Surgery ORSR1 1 OR: Substerile Room $56,570.00Surgery-Ambulatory Surgery TLTF2 1A5080 Dispenser, Paper Towel, SS,Surface Mounted 1 $67.00 $67.00C03P0 Cabinet, Sink, 2 Door, 30" W 1 $915.00 $915.00C04E0 Cabinet, Base, 1 Shelf, 1 Drawer, 2Door, 36x36x22 1 $1,207.00 $1,207.00CA020 Cabinet, Wall, Open, 2 Shelf,Sloping Top, 24x30x13 1 $581.00 $581.00CS150 Sink, SS, Single Compartment,10x19x16 ID 1 $878.00 $878.00CT050 Countertop, SS, w/IntegralBacksplash 6 $531.00 $3,186.00S0125Sterilizer, Electric, Vacuum, 1Door, Cabinet enclosed, 16x16x26chamber 1 $49,736.00 $49,736.00OR: Toilet / Shower Room, FemaleStaff $2,323.00A1066 Mirror, SS Framed, 24x36 1 $75.00 $75.00A5030 Bench, Shower, Built-in 1 $618.00 $618.00______Lessor Gov't_______Part III: Special Requirements -- Schedule B___ of _____ Pages