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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 NameM8125 Computer assisted recumbentbicycle aerobic trainer1 VVItem DescriptionComputer assisted recumbent bicycle aerobic trainerM7710 Machine, twelve 1 VV Machine, twelve (12) leads "ECG" 1M0730 Metabolic cart 1 VV Metabolic cart 1F3200 Clock, atomic 1 VV Electro-hydraulic proctology examination table. Unit consists of a stainless steel base with an Electro-hydraulic system andfoot controls. It includes a vacuum formed vinyl contoured top, a padded arm rest, an Clock, atomic, battery operated 11M4116 Electronic sphygmomanometer(portable)1 VV Electronic sphygmomanometer (portable) 1AC: Exam / Treatment Modules (ETM) UCCL1 5 Clean Utility RoomEndoscopy UCCL1 1 Utility Room, CleanRadiology UCCL1 1 Utility Room, CleanSurgery-Ambulatory Surgery UCCL1 1 OR: Storage, Clean and Sterile SuppliesSurgery-Ambulatory Surgery UCCL1 1 Postanesthesia Recovery (PAR): Utility Room, CleanSurgery-Minor Surgery UCCL1 1 Storage, Clean And Sterile SuppliesE0903 Locker, Supply, w/Shelves,Wall Mtd, 23"W x 20"D3 VVTHIS TYPICAL INCLUDES:1 Supply Locker1 Drawer, 9"H (229mm)4 Tray/ShelvesDrawer OrganizersConsider the need for an E0921 to transport the locker from place to place.30E0906 Locker, Supply, General, WallMtd, 23"W x 20"D2 VVTHIS TYPICAL INCLUDES:1 Locked Storage Container2 Tray/Shelves1 Drawer, 3"H (76mm)3 Drawers, 6"H (152mm)2 Drawers, 9"H (229mm)1 Tray/Shelf DividerDrawer Organizer BinsConsider the need for an E0921 to transport the locker from place to place.20E0912 Locker, Supply, Med Surg, WallMtd2 VVMedical/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.20E1500 Rail, MOD, W/MNTD,HX144XDAC: Exam / Treatment Modules (ETM) USCL1 5 Soiled Utility RoomEndoscopy USCL1 1 Utility Room, SoiledRadiology USCL1 1 Utility Room, SoiledSurgery-Ambulatory Surgery USCL1 1 OR: Soiled Holding / Disposal RoomSurgery-Ambulatory Surgery USCL1 1 Postanesthesia Recovery (PAR): Utility Room, SoiledSurgery-Minor Surgery USCL1 1 Soiled Holding / Disposal Room2 VV Wall mounted rail used for hanging (mounting) lockers, shelves drawers on a wall. 20______Lessor Gov't_______VA FurnishedEquipment Guide List--Schedule F Page 60 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 NameE0903 Locker, Supply, w/Shelves,Wall Mtd, 23"W x 20"D3 VVItem DescriptionTHIS TYPICAL INCLUDES:1 Supply Locker1 Drawer, 9"H (229mm)4 Tray/ShelvesDrawer OrganizersConsider the need for an E0921 to transport the locker from place to place.30E0906 Locker, Supply, General, WallMtd, 23"W x 20"D2 VVTHIS TYPICAL INCLUDES:1 Locked Storage Container2 Tray/Shelves1 Drawer, 3"H (76mm)3 Drawers, 6"H (152mm)2 Drawers, 9"H (229mm)1 Tray/Shelf DividerDrawer Organizer BinsConsider the need for an E0921 to transport the locker from place to place.20E0912 Locker, Supply, Med Surg, WallMtd2 VVMedical/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.20E1500 Rail, MOD, W/MNTD,HX144XDEndoscopy USCL2 1 Scopes Clean-up, Sterilization and Storage RoomA5075 Dispenser, Soap, Disposable 1 VV2 VV Wall mounted rail used for hanging (mounting) lockers, shelves drawers on a wall. 20Disposable soap dispenser. One-handed dispensing operation. Designed to accommodate disposable soap cartridge andvalve. 1A5106 Waste Disposal Unit, Sharpsw/Glove DispenserE0912 Locker, Supply, Med Surg, WallMtd1 VV3 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.Medical/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.13EMS UTC01 1 Recyclable WastePMR: Physical Therapy (PT) UTLC1 1 Utility Room, CleanAC: HAS File Unit (FU) WRC01 1 FU Waiting AreaE1500 Rail, MOD, W/MNTD,HX144XDA5106 Waste Disposal Unit, Sharpsw/Glove DispenserInsert items required for projecthere.2 VV Wall mounted rail used for hanging (mounting) lockers, shelves drawers on a wall. 21 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.10______Lessor Gov't_______VA FurnishedEquipment Guide List--Schedule F Page 61 of 66___ of _____ Pages
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Department ofVeterans AffairsOffice
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MAY 2009SOLICITATION FOR OFFERS OUT
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SOLICITATION FOR OFFERS OUTPATIENT
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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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