2.2.1_Attachment 17 - Medical Equipment and Maintenance.pdf

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Attached to
Port Isabel Detention Center Solicitation Federal contract opportunity
Solicitation number
70CDCR21R00000007
Issued by
Immigration and Customs Enforcement

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2.2.1_Attachment 4 - Past Performance Questionnaire.docx DOCX document
2.2.1_Attachment 5 - Question Template.xlsx XLSX spreadsheet
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2.2.1_Attachment 18 - PIDC Consumables.xls.xlsx XLSX spreadsheet
2.2.1_Attachment 18a - PIDC Consumables Item Descriptions.pdf PDF
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2.2.1_Attachment 25 - FCGOA Special Functions CBA 2018.pdf PDF
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SAFETY CHECK INVENTORY

PORT ISABEL DETENTION CENTER CURRENT DATE Sep-20

27991 BUENA VISTA BLVD.

LOS FRESNOS, TX 78566 NEXT DUE DATE Sep-21

PHONE: (956) 547-1700

CONTACT: HERMAN AUHL

CRITICAL

NUMBER MANUFACTURER MODEL / DESCRIPTION SERIAL LOCATION

1 Welch Allyn CP-150 / EKG 100034323915 Urgent Care

2 Welch Allyn CP-200 / EKG 20021982 MHU

3 Welch Allyn CP-200 / EKG 20022818 MHU

4 Philips M3861 HeartStart / AED 0111990737 Urgent Care

5 Philips M3861 HeartStart / AED 0111990698 Staging 4

6 Philips M3861 HeartStart / AED 0111990733 MHU

STAGING

1 Datascope Accutor Plus / Patient Monitor A742468-H5 Staging

2 Datascope Accutor Plus / Patient Monitor A742481-H5 Staging

3 Amico S-H-300 / Stretcher C001172 Staging 4

4 Ritter 152-001 / Exam Light NE37399 Staging 4

5 Laerdal LCSU-4 / Suction Pump 160502A0036 Staging 4

6 Sunrise 5650D / Nebulizer D4089039 Staging 4

7 Welch Allyn 767 / Wall Diagnostic n/a Staging 4

8 Welch Allyn 6000 / Monitor 100074874116 Staging 4

9 Huntleigh FD2 / Fetal Doppler 2P3042890715 Staging 4

10 Welch Allyn 7114x / Desk Diagnostic n/a Staging 4

11 ADC 2200 / Pulse Oximeter 163832204764 Staging

12 Stryker MX-Pro / Stretcher 060739161 Staging

13 Ritter 152-001 / Exam Light NE37405 X-Ray

14 Frigidaire LAD504TDL / Humidifier KN00614463 X-Ray

MAINTENANCE

27991 BUENA VISTA BLVD.

LOS FRESNOS, TX 78566 NEXT DUE DATE Sep-21

PHONE: (956) 547-1700

CONTACT: HERMAN AUHL

EXAMS

NUMBER MANUFACTURER MODEL / DESCRIPTION SERIAL LOCATION

1 Ritter 204-002 / Exam Table V228340 Exam 1

2 Welch Allyn 767 / Wall Diagnostic n/a Exam 1

3 Welch Allyn GS-300 / Exam Light n/a Exam 1

4 Ritter 204-002 / Exam Table V228398 Exam 2

5 Welch Allyn 767 / Wall Diagnostic n/a Exam 2

6 Welch Allyn 7114x / Desk Diagnostic n/a Exam 2

7 Welch Allyn GS-300 / Exam Light n/a Exam 2

8 Ritter 204-002 / Exam Table V228374 Staff Exam

9 Welch Allyn GS-300 / Exam Light n/a Staff Exam

10 Welch Allyn 767 / Wall Diagnostic n/a Staff Exam

11 Welch Allyn 767 / Wall Diagnostic n/a Exam 4

12 Welch Allyn GS-300 / Exam Light n/a Exam 4

13 Ritter 204-002 / Exam Table V228384 Exam 5

14 Ritter 152-001 / Exam Light NE37404 Exam 5

15 Ritter 204-002 / Exam Table V228334 Exam 6

16 Welch Allyn 767 / Wall Diagnostic n/a Exam 6

17 Welch Allyn LS-150 / Exam Light n/a Exam 6

18 Ritter 204-002 / Exam Table V228386 Exam 7

19 Welch Allyn 767 / Wall Diagnostic n/a Exam 7

20 Ritter 152-001 / Exam Light NE37406 Exam 7

21 Ritter 204-002 / Exam Table V1578340 Dr. Cantu

22 Welch Allyn 7114x / Desk Diagnostic n/a Dr. Cantu

23 Welch Allyn GS-300 / Exam Light n/a Dr. Cantu

24 Welch Allyn GS-300 / Exam Light n/a Dr. Cantu

25 Huntleigh FD2 / Fetal Doppler 30428857-15 Dr. Cantu

27991 BUENA VISTA BLVD.

LOS FRESNOS, TX 78566 NEXT DUE DATE Sep-21

PHONE: (956) 547-1700

CONTACT: HERMAN AUHL

EXAMS

NUMBER MANUFACTURER MODEL / DESCRIPTION SERIAL LOCATION

26 Summit L250 / Fetal Doppler LD007511 Dr. Cantu

27 Huntleigh 2900 / Fetal Doppler 0LX0A0413605 Dr. Cantu

28 Welch Allyn 7114x / Desk Diagnostic n/a Dr. Cantu

29 Devilbiss 5650D / Nebulizer 3D6013087 Storeroom

30 Devilbiss 4650D / Nebulizer 3D6000728 Storeroom

31 Welch Allyn GS-300 / Exam Light n/a Storeroom

32 Ritter 152 / Exam Light NE37400 Storeroom

33 Ritter 152-001 / Exam Light NE37401 Storeroom

27991 BUENA VISTA BLVD.

LOS FRESNOS, TX 78566 NEXT DUE DATE Sep-21

PHONE: (956) 547-1700

CONTACT: HERMAN AUHL

DENTAL

NUMBER MANUFACTURER MODEL / DESCRIPTION SERIAL LOCATION

1 Adec 511 / Dental Chair B613467 Dental Stat. 1

2 Adec Dental Light n/a Dental Stat. 1

3 Dentsply CO20100 / Amalgameter 8800 Dental Stat. 1

4 Dentsply Gen-131 / Cavitron G13104161 Dental Stat. 1

5 Dentsply DISP-118 / Dual Select Light 118-30109 Dental Stat. 1

6 Soredex Cranex CRA-2 / X-Ray S01400830 By Dental Stat.1

7 Gendex GX-770 / X-Ray Dental Light 770-1838557DP Between 1 & 2

8 Adec 511 / Dental Chair B613461 Dental Stat. 2

9 Adec Dental Light n/a Dental Stat. 2

10 Dentsply CO20100 / Amalgameter 8792 Dental Stat. 2

11 Planmeca X-Ray ixRF057852 Between 2 & 3

12 Pelton & Crane SP-18 / Dental Chair 3688 Dental Stat. 3

13 Adec Dental Light n/a Dental Stat. 3

14 Dentsply CO20100 / Amalgameter 8787 Dental Stat. 3

15 ADC Adview 2 / Patient Monitor M000093280 Dental Mobile

16 Fusion 8408-6262 / Curing Light 1AF62662 Dental Mobile

17 Ritter M9 / Autoclave V1875452 Den. Outer Lab

18 Henry Schein 1400 / Incubator 113041017 Den. Outer Lab

19 L & R 2014 / Ultrasonic Cleaner 06108-520865 Den. Outer Lab

20 Tuttnauer 9033 / Distiller 97988 Den. Inner Lab

21 Tuttnauer 9033 / Distiller WO71703795 Den. Inner Lab

22 Buffalo C4C17DH7H / Grinder 203864 Den. Inner Lab

27991 BUENA VISTA BLVD.

LOS FRESNOS, TX 78566 NEXT DUE DATE Sep-21

PHONE: (956) 547-1700

CONTACT: HERMAN AUHL

LAB

NUMBER MANUFACTURER MODEL / DESCRIPTION SERIAL LOCATION

1 Thermo Scientific Micro MB / Centrifuge 341119881 Lab

2 Beckman Coulter AC-T / Diffcounter AR04154 Lab

3 Ortho Clinical DTSC2 / Slide Spotter 62022908 Lab

4 Ortho Clinical DTE II / Slide Module 61022921 Lab

5 Ortho Clinical Vitros DT6011 / Chem Unit 600355052 Lab

6 Barnstead 403 / Incubator 1463050801489 Lab

7 Summit Storch / Refrigerator 19802000537 Lab

8 Siemens Clinitek Status + / Analyzer 295333 Lab

9 Unico TTR-200 / Rocker T0706016 Lab

10 Barnstead 4632 / Rotator 1670051210812 Lab

11 LabCorp Horizon 642E / Centrifuge 190413EJ183 Lab

12 LabCorp Horizon 642E / Centrifuge 190413EI990 Lab

13 Jewett UCF206 / Freezer NO6R-118851 Lab

14 Abbott ID Now / Analyzer 93AA8F1B Lab

15 Abbott ID Now / Analyzer A305901B Lab

16 Abbott ID Now / Analyzer F5D38F1B Lab

PHARMACY

1 NuAire NU201-430 / Flowhood 103964012306 Pharmacy

2 Kirby Lester KL16IPC / Pill Counter S1357L Pharmacy

3 Frigidaire FCGM18 / Refrigerator WA50201636 Pharmacy

4 Tempure VCFF-17 / Freezer TP-11180 Pharmacy

27991 BUENA VISTA BLVD.

LOS FRESNOS, TX 78566 NEXT DUE DATE Sep-21

PHONE: (956) 547-1700

CONTACT: HERMAN AUHL

URGENT CARE

NUMBER MANUFACTURER MODEL / DESCRIPTION SERIAL LOCATION

1 Skytron ST19 / Procedure Light 4120212 Urgent Care

2 Carr Double Bank Viewbox n/a Urgent Care

3 Waterpik WP-560W / Flosser n/a Urgent Care

4 Welch Allyn 767 / Wall Diagnostic n/a Urgent Care

5 Welch Allyn 767 / Wall Diagnostic n/a Urgent Care

6 Laerdal LCSU-4 / Suction Pump 150701A0978 Urgent Care

7 Sunrise 5650D / Nebulizer D4128804 Urgent Care

8 ADC 2200 / Pulse Oximeter 163832204765 Urgent Care

9 Ritter 152 / Exam Light n/a Urgent Care

SICK CALL

1 Mindray Accutor 3 / Patient Monitor HD94002203 Mobile

2 Welch Allyn 6000 / Patient Monitor 100074234115 Mobile

3 Welch Allyn 767 / Wall Diagnostic n/a Sick Call 30

4 Welch Allyn 7114x / Desk Diagnostic n/a Sick Call 31

5 Welch Allyn 767 / Wall Diagnostic n/a Sick Call 32

6 Welch Allyn 767 / Wall Diagnostic n/a Sick Call 33

7 PolarStar C65R-1B14 / Refrigerator N10649601-NR Pill Line

8 Ritter 152 / Exam Light n/a Pill Line

9 Henry Schein 9006368 / Pulse Oximeter 162102900628 Pill Line

27991 BUENA VISTA BLVD.

LOS FRESNOS, TX 78566 NEXT DUE DATE Sep-21

PHONE: (956) 547-1700

CONTACT: HERMAN AUHL

MHU

NUMBER MANUFACTURER MODEL / DESCRIPTION SERIAL LOCATION

1 Skytron Ceiling Procedure Light 4120211 Female Sick

2 Midland 6013E / High-Low Table 26001374 Female Sick

3 Welch Allyn 767 / Wall Diagnostic n/a Female Sick

4 Welch Allyn 6000 / Monitor 10063300416 Female Sick

5 Devilbiss DV54D / C-Pap HD201283 MHU Pill Line

6 PolarStar Refrigerator NO3R-649477NB MHU Pill Line

7 Respironics Remstar Plus / C-Pap H00158585 MHU Pill Line

8 AirSep Freestyle / Concentrator F0089972 MHU Pill Line

9 Welch Allyn 6000 / Monitor 100074224115 MHU Mobile

10 Hospira Plum A+ / IV Pump 17436891 MHU Mobile

11 Hospira Plum A+ / IV Pump 17435109 MHU Mobile

12 Welch Allyn Connex 73WT / Monitor 100053991919 MHU Mobile

13 Gomco 405 / Suction Pump 20060123008 MHU Crash Cart

14 Sunrise 5650D / Nebulizer D3497724 MHU Supply

15 Devilbiss DV54D / C-Pap HD201304 MHU Supply

16 Devilbiss 5650D / Nebulizer 3D6013432 MHU Supply

17 Ritter 204 / Exam Table V228338 MHU Exam

18 Welch Allyn 767 / Wall Diagnostic n/a MHU Exam

19 Welch Allyn 7114x / Desk Diagnostic n/a MHU Exam

20 Ritter 152 / Exam Light NE37402 MHU Exam

21 Ritter 204 / Exam Table V228407 Dialysis

22 Ritter 204 / Exam Table V228409 Dialysis

23 Laerdal LCSU4 / Suction Pump 150701A0985 Dialysis

24 Mindray Accutor Plus / Monitor A742629-H5 Dialysis

27991 BUENA VISTA BLVD.

LOS FRESNOS, TX 78566 NEXT DUE DATE Sep-21

PHONE: (956) 547-1700

CONTACT: HERMAN AUHL

TRAILER

NUMBER MANUFACTURER MODEL / DESCRIPTION SERIAL LOCATION

1 Ritter 204 / Exam Table V1578330 Trailer Ex 1

2 Welch Allyn 777 / Wall Diagnostic n/a Trailer Ex 1

3 Ritter 204 / Exam Table V1578335 Trailer Ex 2

4 Welch Allyn 777 / Wall Diagnostic n/a Trailer Ex 2

5 Ritter 204 / Exam Table V1578332 Trailer Ex 3

6 Welch Allyn 777 / Wall Diagnostic n/a Trailer Ex 3

7 Ritter 204 / Exam Table V1578345 Trailer Ex 5

8 Welch Allyn 777 / Wall Diagnostic n/a Trailer Ex 5

9 Welch Allyn GS-300 / Exam Light n/a Trailer Ex 5

10 Welch Allyn GS-300 / Exam Light n/a Trailer Ex 5

11 Welch Allyn GS-300 / Exam Light n/a Mobile

12 Welch Allyn Lxi / Spot Monitor 20140301946 Mobile

13 Aegis Scientific 3CR2512 / Refrigerator 1410152000123 Trailer Nurses'

THERMOMETER

CALIBRATION INSPECTION

CUSTOMER: Port Isabel Detention Center

NUMBER: LOCATION: MODEL / SERIAL: P / F:

ET1 Staging Exergen TAT5000 / A791916 Passed

ET2 Staging Exergen TAT5000 / A37958 Passed

ET3 Staging Braun Pro 4000 / n/a Passed

ET4 Staging Braun Pro 4000 / n/a Passed

ET5 Staging Braun Pro 4000 / 11109271206 Passed

ET6 Staging 4 ADC 10429 / n/a Passed

ET7 Exam Room 2 Alaris 2090E / 12400034 Needs battery

ET8 Exam Room 4 Alaris 2090E / 12401105 Needs battery

ET9 Exam Room 5 Alaris 2090E / 12401103 Needs battery

ET10 Exam Room 6 Alaris 2090E / 12401278 Needs battery

ET11 Exam Room 7 Alaris 2090E / 12400027 Needs battery

ET12 Exam Room Storeroom Braun 6201 / 11109276904 Passed

ET13 Urgent Care ADC 10429 / n/a Passed

ET14 Urgent Care Alaris 2090E / 12401101 Passed

ET15 Urgent Care Alaris 2090E / 12401269 Passed

All highlighted units need new batteries.

INSPECTED / CALIBRATED BY: MN

DATE: Sep-20

NEXT DATE DUE: Sep-21

THERMOMETER

CUSTOMER: Port Isabel Detention Center

NUMBER: LOCATION: MODEL / SERIAL: P / F:

ET16 Pill Line Braun 6021 / 11103565824 Passed

ET17 Sick Call Caregiver Pro / 124111925001289D Passed

ET18 Sick Call Caregiver Pro / 1241119250013659 Passed

ET19 Sick Call Veratemp + 11-910 / 0394294 Passed

ET20 Sick Call Exergen TAT2000 / n/a Passed

ET21 MHU ADC 10429 Skin / n/a Passed

ET22 MHU Veratemp + 11-910 / 0394210 Passed

ET23 MHU Caregiver Pro / 124111925001288D Passed

ET24 Dialysis Exergen TAT2000 / n/a Passed

ET25 Dialysis Exergen TAT2000 / n/a Passed

ET26 Trailer Exergen TAT5000 / A760654 Passed

ET27 Trailer Welch Allyn SureTemp / 14350231 Passed

INSPECTED / CALIBRATED BY: MN

BLOOD PRESSURE

CUSTOMER: Port Isabel Detention Center

NUMBER: LOCATION: MODEL / SERIAL: P / F:

BP1 Staging (Wall) Welch Allyn Aneroid / 060106085527 Passed

BP2 Staging (Mobile) Welch Allyn Mobile / 170628101855 Passed

BP3 Staging (Mobile) ADC Handheld / 14584829 Passed

BP4 Exam Room 1 Welch Allyn Aneroid / 060106084946 Passed

BP5 Exam Room 2 Welch Allyn Aneroid / 060106085811 Passed

BP6 Exam Room 2 Welch Allyn Mobile / 170628094565 Passed

BP7 Exam Room old office Welch Allyn Aneroid / 060106223427 Passed

BP8 Exam Room 4 Welch Allyn Aneroid / 060106223658 Passed

BP9 Exam Room 5 Welch Allyn Aneroid / 060106223530 Passed

BP10 Exam Room 6 Welch Allyn Aneroid / 060106085102 Passed

BP11 Exam Room 7 Welch Allyn Aneroid / 060106223321 Passed

BP12 Dr. Cantu Tycos Handheld / 70823090137 Passed

BP13 Urgent Care Welch Allyn Aneroid / 060106222933 Passed

BP14 Urgent Care ADC Handheld / 17168976 Passed

BP15 Urgent Care Welch Allyn Aneroid / 060106223206 Passed

BP16 Urgent Care Welch Allyn Aneroid / 141118044317 Passed

BP17 Urgent Care ADC Handheld / 18176822 Passed

BP18 Urgent Care Prestige Handheld / 1821853 Passed

BP19 Female Sick Call Welch Allyn Aneroid / 140822035005 Passed

INSPECTED / CALIBRATED BY: MN

BLOOD PRESSURE

CUSTOMER: Port Isabel Detention Center

NUMBER: LOCATION: MODEL / SERIAL: P / F:

BP20 MHU Welch Allyn Mobile / 170628095995 Passed

BP21 MHU Exam Room Welch Allyn Aneroid / 060106085217 Passed

BP22 Trailer Exam Room 1 Welch Allyn Aneroid / 140822040735 Passed

BP23 Trailer Exam Room 2 Welch Allyn Aneroid / 140822041405 Passed

BP24 Trailer Exam Room 3 Welch Allyn Aneroid / 140822035225 Passed

INSPECTED / CALIBRATED BY: MN

GLUCOMETER

CUSTOMER: Port Isabel Detention Center

NUMBER: LOCATION: MODEL / SERIAL: P / F:

G1 Staging Contour 7151H / 6300262 Passed

G2 Urgent Care Contour 7151H / F383627 Passed

G3 Pill Line Contour 7151H / F9F3078 Passed

G4 Pill Line Contour 7151H / FA85744 Passed

G5 Trailer Contour 7151H / B562019 Passed

G6 MHU Meds Contour 7151H / 6300231 Passed

INSPECTED / CALIBRATED BY: MN

SCALE

CUSTOMER: Port Isabel Detention Center

NUMBER: LOCATION: MODEL / SERIAL: P / F:

S1 Staging ScaleTronix 5002 Digital / 11279 Passed

S2 Sick Call ScaleTronix 5002 Digital / 11280 Passed

S3 Sick Call ScaleTronix 5202 Digital / 5202-411 Passed

S4 Outside Dental ScaleTronix 5202 Digital / 413 Passed

S5 MHU ScaleTronix 6702 Digital / 3879 Passed

S6 MHU ScaleTronix 6702 Digital / 3877 Passed

S7 MHU ScaleTronix 6702 Digital / 3878 Passed

S8 MHU Seca 769 Digital / 5769300144342 Passed

S9 MHU Seca 869 Digital / 10000000345687 Passed

S10 MHU Global 22420 Digital / n/a Passed

S11 Female Sick Call ScaleTronix 5002 Digital / 11284 Passed

S12 Trailer ScaleTronix 5002 Digital / 11283 Passed

INSPECTED / CALIBRATED BY: MN

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