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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 NotesC09G0CG040CG050Cabinet, 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 $196.00Surgery-Minor Surgery ORPH2 1 Holding Area, Patient $8,431.00Rail System, Utility, Gas andA1107 Electric 1 $7,421.00 $7,421.00Dispenser, Paper Towel, SS,A5080 Surface Mounted 1 $67.00 $67.00Track, Cubicle Curtain, SurfaceA5180 Mounted 12 $7.00 $84.00M7425 Light, Overbed, Direct and Indirect 1 $561.00 $561.00P-418 Lavatory, Vitreous China, withSensor Faucet 1 $298.00 $298.00Surgery-Minor Surgery JANC1 1 Housekeeping Aids Closet $1,934.00A5080 Dispenser, Paper Towel, SS,Surface Mounted 1 $67.00 $67.00A5135 Rack, Mop, T-10, Wall Mounted 1 $211.00 $211.00CD045 Cabinet, SS, Wall, T-7, 2 Shelf, 2Doors, Sloping Top, 36x48x12 1 $1,242.00 $1,242.00P-502 Sink, Service, Corner, FloorMounted 1 $414.00 $414.00Surgery-Minor Surgery LR002 1 Locker Room, Female Staff $797.00A1066 Mirror, SS Framed, 24x36 1 $75.00 $75.00A1080 Mirror, Posture, Wall Mounted 1 $338.00 $338.00A5020 Bench, Locker, Floor Mounted 1 $244.00 $244.00A5145 Coat Hook, SS, Surface Mounted 1 $15.00 $15.00A5165 Shelf T-45, SS, 12"w x 5"d 1 $55.00 $55.00A5180 Track, Cubicle Curtain, SurfaceMounted 10 $7.00 $70.00Surgery-Minor Surgery LR002 1 Locker Room, Male Staff $797.00A1066 Mirror, SS Framed, 24x36 1 $75.00 $75.00A1080 Mirror, Posture, Wall Mounted 1 $338.00 $338.00A5020 Bench, Locker, Floor Mounted 1 $244.00 $244.00A5145 Coat Hook, SS, Surface Mounted 1 $15.00 $15.00A5165 Shelf T-45, SS, 12"w x 5"d 1 $55.00 $55.00A5180Track, Cubicle Curtain, SurfaceMounted 10 $7.00 $70.00Surgery-Minor Surgery RRSS1 1 Lounge, Postoperative Recovery $11,723.00A1066 Mirror, SS Framed, 24x36 1 $75.00 $75.00A1107A1165Rail System, Utility, Gas andElectric 1 $7,421.00 $7,421.00Track, IV, Ceiling Mounted, 2x 7foot 14 $56.00 $784.00______Lessor Gov't_______Part III: Special Requirements -- Schedule BMAY 2009SFO No. VA-101-XX-RP-XXXX___ of _____ Pages
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 NotesDispenser, Paper Towel, SS,A5080 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 $2,348.00Surgery-Minor Surgery TRGS1 2M7425 Light, Overbed, Direct and Indirect 1 $561.00 $561.00P-414Lavatory, Vitreous China, withWrist Blade Faucet 1 $298.00 $298.00Minor Procedure / Operating Room(OR) $9,482.00A5145 Coat Hook, SS, Surface Mounted 1 $15.00 $15.00A5180Track, Cubicle Curtain, SurfaceMounted 14 $7.00 $98.00Cabinet, Base, 1 Shelf, 2 Half-C03F0 Drawer, 2 Door, 36x30x22 1 $1,024.00 $1,024.00C03P0 Cabinet, Sink, 2 Door, 30" W 1 $915.00 $915.00Cabinet, Wall, 2 Shelf, GlassCE030 Doors, Sloping Top, 38x30x13 1 $789.00 $789.00Sink, SS, Single Compartment,CS150 10x19x16 ID 1 $878.00 $878.00CT039 Countertop, Solid Surface Material 7 $146.00 $1,022.00Surgery-Minor Surgery NSTA1 1 Nurse Station $7,911.00C0045 Frame, Apron, 1 Drawer, 4x36x22 1 $420.00 $420.00C0046 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 $196.00Surgery-Minor Surgery OFA02 1 Office, Head Nurse $30.00A5145 Coat Hook, SS, Surface Mounted 2 $15.00 $30.00Surgery-Minor Surgery RECP1 1 Reception $2,812.00C0038 Rail, Apron, 4x42x1 1 $116.00 $116.00C0039 Rail, Apron, 4x48x1 1 $84.00 $84.00C0045 Frame, Apron, 1 Drawer, 4x36x22 1 $420.00 $420.00______Lessor Gov't_______Part III: Special Requirements -- Schedule BMAY 2009SFO No. VA-101-XX-RP-XXXX___ of _____ Pages
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Department ofVeterans AffairsOffice
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MAY 2009SOLICITATION FOR OFFERS OUT
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Page 221 and 222: MAY 2009SOLICITATION FOR OFFERS OUT
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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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