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SOLICITATION FOR OFFERS OUTPATIENT CLINIC[INSERT LOCATION OF FACILITY]MAY 2009SFO No. VA-101-XX-RP-XXXXVA FURNISHED EQUIPMENT GUIDE LIST (Excludes Schedule B Items)Qty of RoomsEquipment Symbol orJSN CodeQty per RoomAcquisition/ InstallationTotal QtyDepartment / Functional AreaRoomCodeFunctionItem NameEndoscopy TLTU1 3 Toilet, PatientLobby TLTU1 1 Toilet, Female, PublicLobby TLTU1 1 Toilet, Male, PublicEMS: LLTS TLTU1 10 Toilet, StaffMental Health: Administration TLTU1 1 Toilet, Patient FemaleMental Health: Administration TLTU1 1 Toilet Patient MaleMental Health: Administration TLTU1 1 Toilet, StaffMental Health: Methadone MaintenanceTLTU1 1 Toilet, Urine Specimen CollectionPLM: Laboratories TLTU1 1 Toilet, Urine Specimen CollectionPharmacy: Secure Areas TLTU1 1 Toilet, StaffPMR: Physical Therapy (PT) TLTU1 1 Toilet, PatientRadiology TLTU1 1 Computed Tomography: Toilet, PatientRadiology TLTU1 1 Ultrasound: Toilet, PatientSurgery-Ambulatory Surgery TLTU1 1 Postanesthesia Recovery (PAR): Toilet, StaffSurgery-Ambulatory Surgery TLTU1 2 Toilet, PatientSurgery-Minor Surgery TLTU1 2 Toilet, PatientSurgery-Minor Surgery TLTU1 2 Toilet, StaffA5075 Dispenser, Soap, Disposable AR VVItem DescriptionDisposable soap dispenser. One-handed dispensing operation. Designed to accommodate disposable soap cartridge andvalve. #VALUE!Endoscopy TREE1 2 EGD Procedure RoomA1132 Rail, Accessory Mounting,Length As Required1 VVHorizontal mounting rail will consist of lock mounting devices capable of; supporting up to 75 pounds each, beingrepositioned, and mounting and dismounting of equipment without the use of tools. The rail must be capable of supportingmedical equipment and accessories normally found in exam or patient rooms. The rail system must be capable of mountingand dismounting equipment without leaving or creating new holes in the finished surface of the wall.2A5075 Dispenser, Soap, Disposable 1 VVDisposable soap dispenser. One-handed dispensing operation. Designed to accommodate disposable soap cartridge andvalve. 2A5106 Waste Disposal Unit, Sharpsw/Glove DispenserE0906 Locker, Supply, General, WallMtd, 23"W x 20"DE0912 Locker, Supply, Med Surg, WallMtd1 VV1 VV1 VVThe unit is designed for the disposal of sharps and complies with OSHA guidelines for the handling of sharps. It shall house a5 quart container and be capable of being mounted on a wall. It shall have a glove dispenser attached. The unit shall besecured by a locked enclosure.Supply Locker w/ wire shelves, approximately 29"W x 20"D. THIS TYPICAL INCLUDES:1 Mobile Supply Locker1 Drawer, 6"H (152mm)5 Wire ShelvesMedical/Surgical Supply locker, Wall Mounted, Approx 23"W x20"D. THIS TYPICAL INCLUDES:1 Locked Storage Container4 Tray/Shelves5 Drawers, 3"H (76mm)2 Drawers, 6"H (152mm)2 Tray/Shelf DividersDrawer Organizer BinsConsider the need for an E0921 to transport the locker from place to place.222E0918 Locker, Supply, Endoscopy,Wall Mtd, 24"W x 14"D1 VVTHIS TYPICAL INCLUDES:1 Scope Storage Cabinet w/Lock1 Bracket, Endoscope1 Bracket, Distal Tube1 Cabinet Drip Pan.E1500 Wall Mounting Rail is requiredConsider the need for an E0921 to transport the locker from place to place.2______Lessor Gov't_______VA FurnishedEquipment Guide List--Schedule F Page 50 of 66___ of _____ Pages
SOLICITATION FOR OFFERS OUTPATIENT CLINIC[INSERT LOCATION OF FACILITY]MAY 2009SFO No. VA-101-XX-RP-XXXXVA FURNISHED EQUIPMENT GUIDE LIST (Excludes Schedule B Items)Qty of RoomsEquipment Symbol orJSN CodeQty per RoomAcquisition/ InstallationTotal QtyDepartment / Functional AreaRoomCodeFunctionItem NameE0948 Cart, General Storage, Mobile,42"H x 32"W x 22"D1 VVTHIS TYPICAL INCLUDES:1 Cart Body, Style-A Narrow, w/Raised Edge Top1 Accessory Rail, Side2 Drawers, 3" H (76mm)4 Drawers, 6" H (152mm)Drawer Organizer BinsItem Description2E0954 Cart, Emergency, Mobile, 66"Hx 52"W x 22"D1 VVTHIS TYPICAL INCLUDES:1 Cart body, style-A narrow, w/raised edge top and breakaway lock bar w/tabs2 Accessory rails, side1 Accessory rail, back1 Defibrillator tray; 1 IV pole1 Flip-up shelf1 Wastebasket and holder1 Oxygen tank holder1 Cardiac board and hanger1 Electrical box-4 outlet1 Cord wrap4 Drawer, 3"H (76mm)3 Drawer, 6"H (152mm)Drawer organizer bins.2E1500 Rail, MOD, W/MNTD,HX144XDF3200 Clock, Battery, 12" Diameter 1 VV1 VV Wall mounted rail used for hanging (mounting) lockers, shelves drawers on a wall. 2Clock, 12" diameter. Round surface, easy to read numbers with sweep second hand. Wall mounted unit for use whenimpractical to install a fully synchronized clock system. Battery operated, (batteries not included). 2M0750 Flowmeter, Air, Connect w/50PSI Supply1 VVAir flowmeter. Unit has a stainless steel needle valve with clear flowtube for connection to 50 PSI air outlet from centralpipeline system. Requires the appropriate adapter for connection to the wall outlet and fitting to connect to tubing. Databaseprices reflect fittings with an attached DISS power outlet. Other outlet and adapter configurations are available. 2M0755 Flowmeter, Oxygen, Low Flow 1 VVM0765 Regulator, Vacuum 1 VVOxygen flowmeter. Consists of a clear crystal flowtube calibrated to 3.5 or 8 LPM depending on manufacturer. For oxygenregulation in hospital settings. Database pricing includes DISS fitting and DISS power outlet and wall adapter. Other fittingand adapter configurations are available.An air/oxygen mixer is designed to accurately control a pressurized gas mixing with an oxygen concentration. Unit containsaudible alarms to warn of supply failure, an auxiliary outlet and a oxygen concentration control adjustment range from 21% to100%. The unit can also be used to supply an accurate pre-mixed gas source to respiration or ventilator units. A specificapplication may require an additional air inlet filter/water trap.22M1801 Computer, Microprocessing,w/Flat Panel Monitor1 VVDesk top microprocessing computer. The unit shall consist of a central processing mini tower, flat panel monitor, keyboard,mouse and speakers. The system shall have the following minimum characteristics: a 2.8 GHz Pentium processor; 512 MBmemory; 80GB hard drive; 32/48x CD-ROMDVD combo; a 3.5" floppy drive; 1.44MB network interface card; video 32 MBNVIDIA; a 15 inch flat panel color monitor. The computer is used throughout the facility to input, manipulate and retrieveinformation.2M1802 Work Station, Computer,Retractable, Wall MountedM3160 Cabinet, Storage, HangingScopesM3175 Electrosurgical Unit, DualOutput1 VV1 VV1 VVA wall mounted retractable work station. Work station is used as a computer station in treatment rooms, exam rooms andareas where physical space in limited. 2Scope hanging cabinet. Cabinet has the capacity to hold up to nine scopes. Some cabinets may have a roll top closure andoptional storage drawer. 2Dual output electrosurgical unit. Solid state power source with foot switch jacks, monopolar and bipolar outputs, and fourindependent modes of operation. Used in the operating room or surgicenter as an alternative to the scalpel for cutting tissue. 2M4116 Monitor, Vital Signs 1 VVElectronic sphygmomanometer. LCD displays non-invasive blood pressure, pulse rate and temperature. Used in hospitalsand clinics. Includes an optional mobile stand. 2______Lessor Gov't_______VA FurnishedEquipment Guide List--Schedule F Page 51 of 66___ of _____ Pages
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GSA FORM 1364A - PROPOSAL TO LEASE
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