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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 NotesC0046 Frame, Apron, 2 Drawer, 4x48x22 1 $629.00 $629.00Cabinet, Under Counter, Pull-outBoard, 2 Drawer, 1 File Drawer,C06M0 30x18x22 1 $863.00 $863.00Countertop, High PressureCT030 Laminate 10 $70.00 $700.00Surgery-Minor Surgery ORSA1 1 Scrub Room / Sterilizer Area $25,532.00P6980 Sink, Scrub, SS, 2 Bay, w/kneecontrol 2 $12,766.00 $25,532.00Surgery-Minor Surgery USCL1 1 Soiled Holding / Disposal Room $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-Minor Surgery SRGC1 1 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 $594.00CT060 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 $356.00Surgery-Minor Surgery UCCL1 1 Storage, Clean And Sterile Supplies $946.00CD040Cabinet, Metal, Wall, T-5B, 2 Shelf,2 Doors, Sloping Top, 36x42x22 1 $946.00 $946.00Surgery-Minor Surgery RCA01 NR Storage, Crash Cart No Additional Schedule B ItemsSurgery-Minor Surgery SRE01 NR Storage, Equipment and Apparatus No Additional Schedule B ItemsSurgery-Minor Surgery SRLW1 NR Storage, Gurney No Additional Schedule B ItemsSurgery-Minor Surgery TLTU1 4 Toilet $4,096.00A1066 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 $265.00Surgery-Minor Surgery WRF01 1 Waiting, Patient and Family $436.00______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 NotesBracket, Television, Wall Mounted,A5210 Adjustable Arm 1 $296.00 $296.00F2310 Rack, Pamphlet, Wall Mounted 1 $140.00 $140.00Voluntary ServiceVoluntary Service OFA01 1 Office, Chief $99.00A5145 Coat Hook, SS, Surface Mounted 1 $15.00 $15.00F3010 Bulletin Board, 48" x 48" 1 $84.00 $84.00Voluntary Service OFA03 5 Office / Workstation $495.00A5145 Coat Hook, SS, Surface Mounted 1 $15.00 $15.00F3010 Bulletin Board, 48" x 48" 1 $84.00 $84.00Voluntary Service SEC01 1 Office, Secretary $30.00A5145 Coat Hook, SS, Surface Mounted 2 $15.00 $30.00Voluntary Service SRS01 NR Storage No Additional Schedule B ItemsVoluntary Service WRCH1 1 Volunteer Multipurpose Room $4,218.00A5080 Dispenser, Paper Towel, SS,Surface Mounted 1 $67.00 $67.00A5210 Bracket, Television, Wall Mounted,Adjustable Arm 1 $296.00 $296.00C02B0 Cabinet, Base, 2 Shelf, 1 Door,36x24x22 1 $883.00 $883.00C04P0 Cabinet,Sink, 2 Door, 36x36x22 1 $994.00 $994.00CA040 Cabinet, Wall, Open, 2 Shelf,Sloping Top, 36x38x13 1 $646.00 $646.00CS090 Sink, SS, Single Compartment,7.5x19x16 ID 1 $912.00 $912.00CT030 Countertop, High PressureLaminate 6 $70.00 $420.00______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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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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SOLICITATION FOR OFFERS OUTPATIENT
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