Exhibit L - Unit Price List Version 2.pdf
PDF 233 KB Posted
- Solicitation number
- 36C24421R0073
View the file
Other files
Show all 26
On GovTribe
Work with this file
- Download the original file
- Contacts named in this file
- Similar government files
- Ask GovTribe AI about this file
Text version
EXHIBIT L
RLP NO. 36C24421R0073
LEASE NO. 36C24422L0018
Name on Room Sign -TBD Total Price Unit Price Name QTY Acquire (ACQ) / Install (INS) - V = VA & C = Lessor Description
VA Dept. / Lessor(Building Owner) Responsible to order item
Transfer or New Purchase Cutsheet Name Notes
Vestibule Snap Frames 6 VV Sign holders for Mandatory posting Interior Designer New
Vestibule Wheelchair, Transport, Folding 2 VV Folding patient transport wheelchair. Clinical Services Transfer
Vestibule Wheelchair, Bariatric, Transport, Folding 1 VV Folding bariatric patient transport wheelchair. Clinical Services New
Name on Room Sign -TBD Total Price Unit Price Name QTY Acquire (ACQ) / Install (INS) - V = VA & C = Lessor Description
VA Dept. / Lessor(Building Owner) Responsible to order item
Transfer or New Purchase Cutsheet Name Notes
Waiting Room Hand Sanitizer Dispenser, Hands-Free 4 CC A touch free wall-mounted hand sanitizer dispenser. Lessor New
Waiting Room
Television & Bracket Wall-Mounted, Tilt/Angle 1 VV 60" wall mounted, TV & bracket
Clinical Services
New Mount 80" AFF to Center. 20 A recep/ CATV/ 2 runs CAT 6A cable
Waiting Room Board, Bulletin 2 VV Bulletin board approximately 48"W x 24"H. Interior Designer New
Waiting Room Artwork Framed 8 VV framed artwork size TBD Interior Designer New
Waiting Room Chair, Side, Bariatric, With Arms 13 VV 30" Bariatric side chair with arms. Interior Designer New
Waiting Room Chair, Waiting Room, Single 23 VV Single seat waiting room chair with arms. Interior Designer New
Waiting Room End Tables 13 VV End Table Interior Designer New
Waiting Room Storage credenza 1 VV Located under TV Interior Designer New
Waiting Room Basket, Wastepaper 3 VV Wastepaper basket, approximately 40 quart capacity. Interior Designer New
Waiting Room Rack, Magazine, Wall Mounted 2 VV
Wall mounted magazine rack with nine (9) magazine holding compartments.
Interior Designer New
Waiting Room
Charging Station for phones 1 VV Multi cord - freestanding phone charging station standard plug
Interior Designer
New This is a standard plug locate outlet next to TV area
Waiting Room Clock, Battery, 12" Diameter 1 VV Clock, 12" diameter. Interior Designer New
Waiting Room Dispenser, Soap & paper towel dispenser at sink 1 CC Paper towel & soap dispenser Lessor New
UNIT PRICE LIST
V.A. COMMUNITY BASED OUTPATIENT CLINIC
Lease Title: CRAWFORD CBOC
RLP 36C224421R0073
Waiting Area, Patient
Entrance Vestibule / Wheelchair Alcove
INITIALS: ____ LESSOR _____GOV'T 1
LEASE NO. 36C24422L0018
Waiting Room
Cabinet base with Sink and above cabinets 1 CC
Standing height counter with sink gooseneck spout; wrist blade handles; ada access with cabinets and drawers above and below for storage of supplies for coffee station.
Lessor
New
Waiting Room
Brewer, Coffee, Auto, Elect, 3 Burner, Front/Back 1 VV Space saving front to back automatic coffee maker.
Clinical Services
New 120v/60/1 13.3A Must have water line for coffee pot and sink at casework area
Name on Room Sign -TBD Total Price Unit Price Name QTY Acquire (ACQ) / Install (INS) - V = VA & C = Lessor Description
VA Dept. / Lessor(Building Owner) Responsible to order item
Transfer or New Purchase Cutsheet Name Notes
Reception Telephone, Laptop w/ Docking Station & 2 Monitors 3 VV Telephone, desk, multiple line.
OIT /Clinical Services New
Reception 48" sit to stand Desk with 3 Drawer pedestal 3 VV 48" sit to stand desk with mobile storage file cabinet Interior Designer New
Reception Panic Button - Desk Mounted 3 CC To be installed on desks once installed Lessor New
Reception
Board, Bulletin 4 VV Bulletin board approximately 48"W x 24"H.
Interior Designer
New
3 for each work area and 1 for over printer area
Reception Chair, Task 3 VV
Chair on casters with fully function adjustments and mesh seat/back
Interior Designer New
Reception File Cabinet 1 VV Furniture Freestanding Interior Designer New
Reception Storage Cabinet 1 VV Furniture Freestanding Interior Designer New
Reception Basket, Wastepaper 3 VV Wastepaper basket small desk size Interior Designer New
Reception Table with storage below 1 VV Furniture Freestanding Interior Designer New
Reception Clock, Battery, 12" Diameter 1 VV Clock, 12" diameter. Interior Designer New
Reception Multi function Device printer - floor standing 1 VV Printer with MDF options
Logistics/Clinical Services Transfer
Reception Shred box 1 VV No power
EMS/ Clinical Services Transfer
Total Price Unit Price Name QTY Acquire (ACQ) / Install (INS) - V = VA & C = Lessor Description
VA Dept. / Lessor(Building Owner) Responsible to order item
Transfer or New Purchase Cutsheet Name Notes
Reception
Kiosk & Work area, Volunteer
INITIALS: ____ LESSOR _____GOV'T 2
LEASE NO. 36C24422L0018
No wall sign needed Kiosk, Stand up 1 VV
Freestanding kiosk used for check in purposes - relocation of existing unit
Clinical Services Transfer
No wall sign needed Telephone, Computer with Monitor 1 VV Computer Equipment
OIT /Clinical Services New
No wall sign needed Welcome Desk 1 VV Desk with Storage Interior Designer New
No wall sign needed Chair, 4 Legged with Arms 1 VV Chair with 4 legs and arms Interior Designer New
No wall sign needed Basket, Wastepaper 1 VV Wastepaper basket approximately 40 quart capacity. Interior Designer New
No wall sign needed Board, Bulletin 1 VV Bulletin board approximately 36"W x 24"H. Interior Designer New
Name on Room Sign -TBD Total Price Unit Price Name QTY Acquire (ACQ) / Install (INS) - V = VA & C = Lessor Description
VA Dept. / Lessor(Building Owner) Responsible to order item
Transfer or New Purchase Cutsheet Name Notes
Scale, wheelchair 1 VV Person weighing scale with 550 pound capacity.
Clinical Services
New No power required
Scale, Stand up 1 VV Stand up scale for weighing patients.
Clinical Services
New No power required
Hook, Garment 2 CC
A surface mounted, satin finish stainless steel, double garment hook.
- Locate 1 by each scale
Lessor
New 1 Hook by each scale
Name on Room Sign -TBD Total Price Unit Price Name QTY Acquire (ACQ) / Install (INS) - V = VA & C = Lessor Description
VA Dept. / Lessor(Building Owner) Responsible to order item
Transfer or New Purchase Cutsheet Name Notes
Telephone, Computer with Monitor 1 VV Computer Equipment
Tele-Health/ OIT /Clinical Services
New My Health E - vet Area
Storage credenza 1 VV Freestanding furniture Interior Designer New
48" sit to stand Desk with 3 Drawer pedestal 1 VV 48" sit to stand desk with mobile storage file cabinet Interior Designer New
Chair, 4 Legged with Arms 1 VV Chair with 4 legs and arms Interior Designer New
Basket, Wastepaper 1 VV Wastepaper basket approximately 40 quart capacity. Interior Designer New
Board, Bulletin 1 VV Bulletin board approximately 36"W x 24"H. Interior Designer New
Hand Sanitizer Dispenser, Hands-Free 1 CC A touch free wall-mounted hand sanitizer dispenser. Lessor New
Name on Room Sign -TBD Total Price Unit Price Name QTY Acquire (ACQ) / Install (INS) - V = VA & C = Lessor Description
VA Dept. / Lessor(Building Owner) Responsible to order item
Transfer or New Purchase Cutsheet Name Notes
Height/Weight Station Area
Sign to indicated room number only no name
Sign to indicated room number only no name
Toilet Room, Family
Patient Education
INITIALS: ____ LESSOR _____GOV'T 3
LEASE NO. 36C24422L0018
Unisex Toilet
Mirror with sink 1 CC
Mirror with sink faucet gooseneck spout; wrist blade handles exposed pipes must be wrapped
Lessor
New
Unisex Toilet Diaper Changing Table 1 CC Wall mounted diaper changing table for use in public restrooms. Lessor New
Unisex Toilet Paper Towel and Soap Dispenser 1 CC Disposable soap dispenser. Lessor New
Unisex Toilet Disposal, Sanitary Napkin 1 CC
A surface mounted, satin finish stainless steel, sanitary napkin disposal.
Lessor New
Unisex Toilet Dispenser, Sanitary Napkin 1 CC
Provide free wall mounted sanitary napkin dispenser to work with VA standard products
Lessor New
Unisex Toilet
Grab Bar, 1-1/4" Dia., SS, 2 Wall, W/C Accessible 1 CC
A 1-1/4" diameter, satin finish stainless steel, peened gripping surface, 2 wall toilet stall/ room, grab bar with concealed mounting flanges.
Lessor
New
Unisex Toilet
Hook, Garment 1 CC A surface mounted, satin finish stainless steel, double garment hook.
Lessor
New Locate 1 for each toilet
Unisex Toilet Toilet Tissue Dispenser 1 CC
A concealed surface mounted, double roll, satin finish stainless steel, toilet tissue dispenser.
Lessor New
Unisex Toilet Basket, Wastepaper 1 VV
"Step-on" wastepaper basket with inner liner and foot petal activated flip top.
Interior Designer New
Unisex Toilet Nurse Call Pull Stations 1 CC Lessor New Unisex Toilet Toilet 1 CC Siphon jet water closet/ toilet. Lessor New
Name on Room Sign -TBD Total Price Unit Price Name QTY Acquire (ACQ) / Install (INS) - V = VA & C = Lessor Description
VA Dept. / Lessor(Building Owner) Responsible to order item
Transfer or New Purchase Cutsheet Name Notes
Men's Toilet Room Mirror, Float Glass, ADA Accessible 2 CC
A high quality 1/4" polished float glass mirror with a stainless steel frame.
Lessor New
Men's Toilet Room Table, Diaper Changing, Wall Mounted 1 CC Wall mounted diaper changing table for use in public restrooms. Lessor New
Men's Toilet Room Paper Towel and Soap Dispenser 2 CC Disposable soap dispenser. Lessor New
Men's Toilet Room
Dispenser, Sanitary Napkin 1 CC
Provide free wall mounted sanitary napkin dispenser to work with VA standard products
Lessor
New Men's room needs to have dispenser Disposal, Sanitary Napkin 2
Men's Toilet Room
Grab Bar, 1-1/4" Dia., SS, 2 Wall, W/C Accessible 1 CC
A 1-1/4" diameter, satin finish stainless steel, peened gripping surface, 2 wall toilet stall/ room, grab bar with concealed mounting flanges.
Lessor
New
Men's Toilet Room
Hook, Garment, Double, SS, Surface Mounted 1 CC A surface mounted, satin finish stainless steel, double garment hook.
Lessor
New Locate on back of toilet partitions in each stall
Men's Toilet Room Dispenser, Toilet Tissue, SS, 2-Roll, Surface mounted 2 CC
A concealed surface mounted, double roll, satin finish stainless steel, toilet tissue dispenser.
Lessor New
Multi- stall Toilet, Male
INITIALS: ____ LESSOR _____GOV'T 4
LEASE NO. 36C24422L0018
Men's Toilet Room
Countertop with 2 sinks 1 CC
A solid, nonporous countertop with a smooth seamless appearance with undermounted sink gooseneck spout; wrist blade handles
Lessor
New
Men's Toilet Room Basket, Wastepaper 1 VV
"Step-on" wastepaper basket with inner liner and foot petal activated flip top.
Interior Designer New
Men's Toilet Room Urinal 2 CC urinal. Lessor New Unisex Toilet Nurse Call Pull Stations 2 CC Located near toilets Lessor New Men's Toilet Room Toilet 2 CC Siphon jet water closet/ toilet. Lessor New
Name on Room Sign -TBD Total Price Unit Price Name QTY Acquire (ACQ) / Install (INS) - V = VA & C = Lessor Description
VA Dept. / Lessor(Building Owner) Responsible to order item
Transfer or New Purchase Cutsheet Name Notes
Women's Toilet Room Mirror, Float Glass, ADA Accessible 2 CC
A high quality 1/4" polished float glass mirror with a stainless steel frame.
Lessor New
Women's Toilet Room Table, Diaper Changing, Wall Mounted 1 CC Wall mounted diaper changing table for use in public restrooms. Lessor New
Women's Toilet Room Paper Towel and Soap Dispenser 2 CC Disposable soap dispenser. Lessor New
Women's Toilet Room
Dispenser, Sanitary Napkin 1 CC
Provide free wall mounted sanitary napkin dispenser to work with VA standard products
Lessor
New Men's room needs to have dispenser
Women's Toilet Room Disposal, Sanitary Napkin 2 CC
A surface mounted, satin finish stainless steel, sanitary napkin disposal.
Lessor New
Women's Toilet Room
Grab Bar, 1-1/4" Dia., SS, 2 Wall, W/C Accessible 1 CC
A 1-1/4" diameter, satin finish stainless steel, peened gripping surface, 2 wall toilet stall/ room, grab bar with concealed mounting flanges.
Lessor
New
Women's Toilet Room
Hook, Garment, Double, SS, Surface Mounted 3 CC A surface mounted, satin finish stainless steel, double garment hook.
Lessor
New Locate on bath of toilet partitions in each stall
Women's Toilet Room Dispenser, Toilet Tissue, SS, 2-Roll, Surface mounted 3 CC
A concealed surface mounted, double roll, satin finish stainless steel, toilet tissue dispenser.
Lessor New
Women's Toilet Room
Countertop with 2 sinks 1 CC
A solid, nonporous countertop with a smooth seamless appearance with undermounted sink faucet gooseneck spout; wrist blade handles
Lessor
New
Women's Toilet Room Basket, Wastepaper 1 VV
"Step-on" wastepaper basket with inner liner and foot petal activated flip top.
Interior Designer New
Unisex Toilet Nurse Call Pull Stations 3 CC Located near toilets Lessor New Women's Toilet Room Toilet 3 CC Siphon jet water closet/ toilet. Lessor New
Name on Room Sign -TBD Total Price Unit Price Name QTY Acquire (ACQ) / Install (INS) - V = VA & C = Lessor Description
VA Dept. / Lessor(Building Owner) Responsible to order item
Transfer or New Purchase Cutsheet Name Notes
Multi- stall Toilet, Female
Consult Room, Patient Aligned Care Team (PACT) - Items needed per room typical - qty: 2 total consult rooms
INITIALS: ____ LESSOR _____GOV'T 5
LEASE NO. 36C24422L0018
Primary Care Consult Room Telephone, Docking Station & 2 Monitors 1 VV Computer Equipment
OIT /Clinical Services New
Primary Care Consult Room 48" sit to stand Desk 1 VV 48" sit to stand desk Interior Designer New
Primary Care Consult Room Panic Button - Desk Mounted 1 CC To be installed on desks once installed Lessor New
Primary Care Consult Room Chair, Task 1 VV
Chair on casters with fully function adjustments and mesh seat/back
Interior Designer New
Primary Care Consult Room Board, Bulletin 1 VV Bulletin board approximately 36"W x 24"H. Interior Designer New
Primary Care Consult Room Dispenser, Soap 1 CC Disposable soap dispenser. Lessor New
Primary Care Consult Room Hook, Garment, Double 1 CC
A surface mounted, satin finish stainless steel, double garment hook.
Lessor New
Primary Care Consult Room
Cabinet with counter sink and below storage 1 CC
Standing height counter under counter base sink cabinet apron covering plumbing, undermounted sink faucet gooseneck spout; wrist blade handles, drawer storage below
Lessor
New
Primary Care Consult Room
Upper Wall Cabinets 1 VV
1 Upper cabinet to hold paper towels, cups and gloves boxes and 1 upper cabinet with 2 adjustable shelving - Angled toped Cabinet
Interior Designer
New
Primary Care Consult Room Chair, Side, Bariatric, With Arms 1 VV 30" Bariatric side chair with arms. Interior Designer New
Primary Care Consult Room Chair, Waiting Room, Single 1 VV Single seat waiting room chair with arms. Interior Designer New
Primary Care Consult Room Basket, Wastepaper 1 VV Wastepaper basket Interior Designer New
Primary Care Consult Room Clock 1 VV Clock, 12" diameter. Interior Designer New
Primary Care Consult Room
Television, Flat Screen with wall bracket 1 VV
Flat screen television with approximately 40' diagonal screen size. To include wall bracket for mounting.
Clinical Services
New Mount TV, power and data at 70" Center AFF
Primary Care Consult Room Room Kit Plus P60
1 VV V-tel equipment for Conference calls
Telehealth/Clinical Services
New Cisco Room Kit Plus P60 with connector panel
Connector Panel power - 120/60/1,
1.2 A. HDMI at 48" with concealed
cable to tv HDMI at 68". Cisco tablet and camera to connect to connector panel by VA.
Primary Care Consult Room
Shelf 1 VV 1' x 3' shelf for under TV to hold MX80 camera and v-tel equipment
Interior Designer
New Mount shelf @ 48" AFF
INITIALS: ____ LESSOR _____GOV'T 6
LEASE NO. 36C24422L0018
Primary Care Consult Room Small Conference Style table 1 VV 60" x 30" Straight table on wheels Interior Designer New
Primary Care Consult Room Artwork, Decorative, With Frame 1 VV framed artwork size TBD Interior Designer New
Primary Care Consult Room
Track, Cubicle 2 CC
Surface mounted cubicle track - Located at either door location. VA to provide curtains. Must match On the Right Track System.
Lessor
New
Primary Care Consult Room Cubicle Disposable curtains 2 VV Disposable hookless curtains On the Right track Interior Designer New
Name on Room Sign -TBD Total Price Unit Price Name QTY Acquire (ACQ) / Install (INS) - V = VA & C = Lessor Description
VA Dept. / Lessor(Building Owner) Responsible to order item
Transfer or New Purchase Cutsheet Name Notes
Telehealth Consult Room Telephone, Docking Station & 2 Monitors 1 VV Computer Equipment
OIT /Clinical Services New
Telehealth Consult Room 48" sit to stand Desk 1 VV 48" sit to stand desk Interior Designer New
Telehealth Consult Room Panic Button - Desk Mounted 1 CC To be installed on desks once installed Lessor New
Telehealth Consult Room Chair, Task 1 VV
Chair on casters with fully function adjustments and mesh seat/back
Interior Designer New
Telehealth Consult Room Board, Bulletin 1 VV Bulletin board approximately 36"W x 24"H. Interior Designer New
Telehealth Consult Room Hook, Garment, Double 1 CC
A surface mounted, satin finish stainless steel, double garment hook.
Lessor New
Telehealth Consult Room Chair, Side, Bariatric, With Arms 1 VV 30" Bariatric side chair with arms. Interior Designer New
Telehealth Consult Room Chair, Waiting Room, Single 1 VV Single seat waiting room chair with arms. Interior Designer New
Telehealth Consult Room Basket, Wastepaper 1 VV Wastepaper basket Interior Designer New
Telehealth Consult Room Clock 1 VV Clock, 12" diameter. Interior Designer New
Telehealth Consult Room
Television, Flat Screen with wall bracket 1 VV
Flat screen television with approximately 40' diagonal screen size. To include wall bracket for mounting.
Clinical Services
New Mount TV, power and data at 70" Center AFF
Telehealth Consult Room Room Kit Plus P60
1 VV V-tel equipment for Conference calls
Telehealth/Clinical Services
New Cisco Room Kit Plus P60 with connector panel
Connector Panel power - 120/60/1,
1.2 A. HDMI at 48" with concealed
cable to tv HDMI at 68". Cisco tablet and camera to connect to connector panel by VA.
Consult Room, Telehealth - Items needed per room - qty: 1 total consult rooms
INITIALS: ____ LESSOR _____GOV'T 7
LEASE NO. 36C24422L0018
Telehealth Consult Room
Shelf 1 VV 1' x 3' shelf for under TV to hold MX80 camera and v-tel equipment
Interior Designer
New Mount shelf @ 48" AFF
Telehealth Consult Room Small Conference Style table 1 VV 60" x 30" Straight table on wheels Interior Designer New
Telehealth Consult Room Artwork, Decorative, With Frame 1 VV framed artwork size TBD Interior Designer New
Telehealth Consult Room
Track, Cubicle 2 CC
Surface mounted cubicle track - Located at either door location. VA to provide curtains. Must match On the Right Track System.
Lessor
New
Telehealth Consult Room Cubicle Disposable curtains 2 VV Disposable hookless curtains On the Right track Interior Designer New
Name on Room Sign -TBD Total Price Unit Price Name QTY Acquire (ACQ) / Install (INS) - V = VA & C = Lessor Description
VA Dept. / Lessor(Building Owner) Responsible to order item
Transfer or New Purchase Cutsheet Name Notes
Telehealth Consult Room Telephone, Docking Station & 2 Monitors 1 VV Computer Equipment
OIT /Clinical Services New
Telehealth Consult Room 48" sit to stand Desk 1 VV 48" sit to stand desk Interior Designer New
Telehealth Consult Room Panic Button - Desk Mounted 1 CC To be installed on desks once installed Lessor New
Telehealth Consult Room Chair, Task 1 VV
Chair on casters with fully function adjustments and mesh seat/back
Interior Designer New
Telehealth Consult Room Board, Bulletin 1 VV Bulletin board approximately 36"W x 24"H. Interior Designer New
Telehealth Consult Room Dispenser, Soap 1 CC Disposable soap dispenser. Lessor New
Telehealth Consult Room Hook, Garment, Double 1 CC
A surface mounted, satin finish stainless steel, double garment hook.
Lessor New
Telehealth Consult Room
Cabinet with counter sink and below storage 2 CC
Standing height counter under counter base sink cabinet apron covering plumbing, undermounted sink faucet gooseneck spout; wrist blade handles, drawer storage below
Lessor New
Telehealth Consult Room
Upper Wall Cabinets 2 VV
1 Upper cabinet to hold paper towels, cups and gloves boxes and 1 upper cabinet with 2 adjustable shelving
Interior Designer
New Basis of design Midmark
Telehealth Consult Room Chair, Side, Bariatric, With Arms 1 VV 30" Bariatric side chair with arms. Interior Designer New
Telehealth Consult Room Chair, Waiting Room, Single 1 VV Single seat waiting room chair with arms. Interior Designer New
Telehealth Consult Room Basket, Wastepaper 1 VV Wastepaper basket Interior Designer New
Telehealth Consult Room Clock 1 VV Clock, 12" diameter. Interior Designer New
Telehealth Consult Room
Television, Flat Screen with wall bracket 1 VV
Flat screen television with approximately 40' diagonal screen size. To include wall bracket for mounting.
Clinical Services
New Mount TV, power and data at 70" Center AFF
Consult Room, Telehealth - Items needed per room - qty: 2 total consult rooms
INITIALS: ____ LESSOR _____GOV'T 8
LEASE NO. 36C24422L0018
Telehealth Consult Room Room Kit Plus P60
1 VV V-tel equipment for Conference calls
Telehealth/Clinical Services
New Cisco Room Kit Plus P60 with connector panel
Connector Panel power - 120/60/1,
1.2 A. HDMI at 48" with concealed
cable to tv HDMI at 68". Cisco tablet and camera to connect to connector panel by VA.
Telehealth Consult Room
Shelf 1 VV 1' x 3' shelf for under TV to hold MX80 camera and v-tel equipment
Interior Designer
New Mount shelf @ 48" AFF
Telehealth Consult Room Small Conference Style table 1 VV 60" x 30" Straight table on wheels Interior Designer New
Telehealth Consult Room Artwork, Decorative, With Frame 1 VV framed artwork size TBD Interior Designer New
Telehealth Consult Room
Track, Cubicle 2 CC
Surface mounted cubicle track - Located at either door location. VA to provide curtains. Must match On the Right Track System.
Lessor New
Telehealth Consult Room Cubicle Disposable curtains 2 VV Disposable hookless curtains On the Right track Interior Designer New
Name on Room Sign -TBD Total Price Unit Price Name QTY Acquire (ACQ) / Install (INS) - V = VA & C = Lessor Description
VA Dept. / Lessor(Building Owner) Responsible to order item
Transfer or New Purchase Cutsheet Name Notes
Telehealth Exam Room
Telephone, Docking Station & 2 Monitors 1 VV Computer Equipment
OIT /Clinical Services
New Add data and power on both walls for options of flexibility for this room
Telehealth Exam Room 48" sit to stand Desk 1 VV 48" sit to stand desk Interior Designer New
Telehealth Exam Room Chair, Task 1 VV
Chair on casters with fully function adjustments and mesh seat/back
Interior Designer New
Telehealth Exam Room Table electric to hold Tele-retinal equipment - Eye testing equipment 1 VV Existing Equipment Telehealth Transfer
Tele-Retinal Telehealth - Items needed per room - Qty: 1 total consult rooms
INITIALS: ____ LESSOR _____GOV'T 9
LEASE NO. 36C24422L0018
Telehealth Exam Room
Tele-Retinal equipment 1 VV Existing Equipment
Telehealth
Transfer Va to connect Tele-retinal equipment to computer equipment.
Telehealth Exam Room Panic Button - Desk Mounted 1 CC To be installed on desks once installed Lessor New
Telehealth Exam Room Board, Bulletin 1 VV Bulletin board approximately 36"W x 24"H. Interior Designer New
Telehealth Exam Room Dispenser, Soap 1 CC Disposable soap dispenser. Lessor New
Telehealth Exam Room Hook, Garment, Double 1 CC
A surface mounted, satin finish stainless steel, double garment hook.
Lessor New
Telehealth Exam Room
Cabinet with counter sink and below storage 2 CC
Standing height counter under counter base sink cabinet apron covering plumbing, undermounted sink faucet gooseneck spout; wrist blade handles, drawer storage below
Lessor New
Telehealth Exam Room
Upper Wall Cabinets 2 VV
1 Upper cabinet to hold paper towels, cups and gloves boxes and 1 upper cabinet with 2 adjustable shelving
Interior Designer
New
Telehealth Exam Room Chair, Side, Bariatric, With Arms 1 VV 30" Bariatric side chair with arms. Interior Designer New
Telehealth Exam Room Chair, Waiting Room, Single 1 VV Single seat waiting room chair with arms. Interior Designer New
Telehealth Exam Room Basket, Wastepaper 1 VV Wastepaper basket Interior Designer New
Telehealth Exam Room Clock 1 VV Clock, 12" diameter. Interior Designer New
Telehealth Exam Room
Television, Flat Screen with wall bracket 1 VV
Flat screen television with approximately 40' diagonal screen size. To include wall bracket for mounting.
Clinical Services
New Mount TV, power and data at 70" Center AFF
Telehealth Exam Room Room Kit Plus P60
1 VV V-tel equipment for Conference calls
Telehealth/Clinical Services
New Cisco Room Kit Plus P60 with connector panel
Connector Panel power - 120/60/1,
1.2 A. HDMI at 48" with concealed
cable to tv HDMI at 68". Cisco tablet and camera to connect to connector panel by VA.
INITIALS: ____ LESSOR _____GOV'T 10
LEASE NO. 36C24422L0018
Telehealth Exam Room
Shelf 1 VV 1' x 3' shelf for under TV to hold MX80 camera and v-tel equipment
Interior Designer
New Mount shelf @ 48" AFF
Telehealth Exam Room Small Conference Style table 1 VV 60" x 30" Straight table on wheels Interior Designer New
Telehealth Exam Room Artwork, Decorative, With Frame 1 VV framed artwork size TBD Interior Designer New
Telehealth Exam Room
Track, Cubicle 2 CC
Surface mounted cubicle track - Located at either door location. VA to provide curtains. Must match On the Right Track System.
Lessor New
Telehealth Exam Room Cubicle Disposable curtains 2 VV Disposable hookless curtains On the Right track Interior Designer New
Name on Room Sign -TBD Total Price Unit Price Name QTY Acquire (ACQ) / Install (INS) - V = VA & C = Lessor Description
VA Dept. / Lessor(Building Owner) Responsible to order item
Transfer or New Purchase Cutsheet Name Notes
Primary Care Exam Room
Telephone, Docking Station & 2 Monitors 1 VV Computer Equipment
OIT /Clinical Services
New
Exam room 108 will be temp loan to Tele-health Derm appointments -typical note
Primary Care Exam Room 48" sit to stand Desk 1 VV 48" sit to stand desk Interior Designer New
Primary Care Exam Room Panic Button - Desk Mounted 1 CC To be installed on desks once installed Lessor New
Primary Care Exam Room Chair, Task 1 VV
Chair on casters with fully function adjustments and mesh seat/back
Interior Designer New
Primary Care Exam Room Board, Bulletin 1 VV Bulletin board approximately 36"W x 24"H. Interior Designer New
Primary Care Exam Room Dispenser, Soap 1 CC Disposable soap dispenser. Lessor New
Primary Care Exam Room Hook, Garment, Double 1 CC
A surface mounted, satin finish stainless steel, double garment hook.
Lessor New
Primary Care Exam Room
Cabinet with counter sink and below storage 2 CC
Standing height counter under counter base sink cabinet apron covering plumbing, undermounted sink faucet gooseneck spout; wrist blade handles, drawer storage below
Lessor New
Primary Care Exam Room
Upper Wall Cabinets 2 VV
1 Upper cabinet to hold paper towels, cups and gloves boxes and 1 upper cabinet with 2 adjustable shelving
Interior Designer New
Primary Care Exam Room Chair, Side, Bariatric, With Arms 1 VV 30" Bariatric side chair with arms. Interior Designer New
Primary Care Exam Room Basket, Wastepaper 1 VV Wastepaper basket Interior Designer New
Exam Room - Items needed per room - qty: 10 total standard exam rooms
INITIALS: ____ LESSOR _____GOV'T 11
LEASE NO. 36C24422L0018
Primary Care Exam Room Clock 1 VV Clock, 12" diameter. Interior Designer New
Primary Care Exam Room
Stool 1 VV
Self adjusting stool. Consists of a foam padded upholstered seat with attached foot rest for added comfort.
Mounted on swivel casters.
Designed for doctor's use during examinations.
Interior Designer
New
Primary Care Exam Room
Sharps Box Disposal 1 VV
A container for collecting and transporting syringes and other sharps for decontamination and disposal.
Environmental Services (EMS)
New
Primary Care Exam Room
PDI wipe holder 1 VV wall mounted wipe holder
Environmental Services (EMS)
New
Primary Care Exam Room
Sphygmomanometer Regular & Large 1 VV Aneroid sphygmomanometer.
Clinical Services
New located in drawers. No power or data
Primary Care Exam Room
Otoscope/Ophthalmoscope, Wall Mounted 1 VV Wall mounted otoscope and ophthalmoscope.
Clinical Services
New EN200 single gang receptacle for plug-in unit.
Mount at 48" AFF
Primary Care Exam Room
Light, Exam, Mobile, Spotlight, Mobile Stand 1 VV The exam light shall be a mobile floor unit.
Clinical Services
New Green Series 300 General
Exam Light mobile rolling unit. Provide 120v 15A receptacle
Primary Care Exam Room
Table, Examination/Treatment 1 VV Table, examination/treatment chair
Clinical Services
New 626 115VAC 50/60HZ, 12A. Provide power receptacle
Primary Care Exam Room
Track, Cubicle 2 CC
Surface mounted cubicle track - Located at either door location. VA to provide curtains. Must match On the Right Track System.
Lessor
N/A
Primary Care Exam Room Artwork, Decorative, With Frame 1 VV framed artwork size TBD Interior Designer New
Primary Care Exam Room Cubicle Disposable curtains 2 VV Disposable hookless curtains On the Right track Interior Designer New
Exam Room - Items needed per room - qty: 2 total standard exam rooms
INITIALS: ____ LESSOR _____GOV'T 12
LEASE NO. 36C24422L0018
Name on Room Sign -TBD Total Price Unit Price Name QTY Acquire (ACQ) / Install (INS) - V = VA & C = Lessor Description
VA Dept. / Lessor(Building Owner) Responsible to order item
Transfer or New Purchase Cutsheet Name Notes
Primary Care Exam Room Telephone, Docking Station & 2 Monitors 1 VV Computer Equipment
OIT /Clinical Services New
Primary Care Exam Room 48" sit to stand Desk 1 VV 48" sit to stand desk Interior Designer New
Primary Care Exam Room Panic Button - Desk Mounted 1 CC To be installed on desks once installed Lessor New
Primary Care Exam Room Chair, Task 1 VV
Chair on casters with fully function adjustments and mesh seat/back
Interior Designer New
Primary Care Exam Room Board, Bulletin 1 VV Bulletin board approximately 36"W x 24"H. Interior Designer New
Primary Care Exam Room Dispenser, Soap 1 CC Disposable soap dispenser. Lessor N/A
Primary Care Exam Room Hook, Garment, Double 1 CC
A surface mounted, satin finish stainless steel, double garment hook.
Lessor N/A
Primary Care Exam Room
Cabinet with counter sink and below storage 2 CC
Standing height counter under counter base sink cabinet apron covering plumbing, undermounted sink faucet gooseneck spout; wrist blade handles, drawer storage below
Lessor New
Primary Care Exam Room
Upper Wall Cabinets 2 VV
1 Upper cabinet to hold paper towels, cups and gloves boxes and 1 upper cabinet with 2 adjustable shelving
Interior Designer
New
Primary Care Exam Room Chair, Side, Bariatric, With Arms 1 VV 30" Bariatric side chair with arms. Interior Designer New
Primary Care Exam Room Basket, Wastepaper 1 VV Wastepaper basket Interior Designer New
Primary Care Exam Room Clock 1 VV Clock, 12" diameter. Interior Designer New
Primary Care Exam Room
Stool 1 VV
Self adjusting stool. Consists of a foam padded upholstered seat with attached foot rest for added comfort.
Mounted on swivel casters.
Designed for doctor's use during examinations.
Interior Designer
New
Primary Care Exam Room
Sharps Box Disposal 1 VV
A container for collecting and transporting syringes and other sharps for decontamination and disposal.
Environmental Services (EMS)
New
Primary Care Exam Room
PDI wipe holder 1 VV wall mounted wiped holder
Environmental Services (EMS)
New
INITIALS: ____ LESSOR _____GOV'T 13
LEASE NO. 36C24422L0018
Primary Care Exam Room Wall Doc
1 VV
V-Tel Equipment for remote doctor treatments
Telehealth/Clinical Services
New GlobalMed Wall Doc
Mount Wall Doc with bottom of panel at 36" AFF, weight- 40 lbs. Power 120/60/1/, 15A dedicated and data required.
Primary Care Exam Room
Sphygmomanometer Regular & Large 1 VV Aneroid sphygmomanometer.
Clinical Services
New located in drawers
Primary Care Exam Room
Handheld Thermometer 1 VV Need area at counter to plug in as needed
Clinical Services
New located in drawers
Primary Care Exam Room
Otoscope/Ophthalmoscope, Wall Mounted 1 VV Wall mounted otoscope and ophthalmoscope.
Clinical Services
New EN200 single gang receptacle for plug-in unit.
Mount at 48" AFF
Primary Care Exam Room
Table, Examination/Treatment 1 VV Table, examination/treatment chair
Clinical Services
New 626 115VAC 50/60HZ, 12A. Provide power receptacle
Primary Care Exam Room
Track, Cubicle 2 CC
Surface mounted cubicle track - Located at either door location. VA to provide curtains. Must match On the Right Track System.
Lessor New
Primary Care Exam Room Artwork, Decorative, With Frame 1 VV framed artwork size TBD Interior Designer New
Primary Care Exam Room Cubicle Disposable curtains 2 VV Disposable hookless curtains On the Right track Interior Designer New
Name on Room Sign -TBD Total Price Unit Price Name QTY Acquire (ACQ) / Install (INS) - V = VA & C = Lessor Description
VA Dept. / Lessor(Building Owner) Responsible to order item
Transfer or New Purchase Cutsheet Name Notes
Primary Care Women's Health Exam Room Telephone, Docking Station & 2 Monitors 1 VV Computer Equipment
OIT /Clinical Services New
Women's Health Exam Room - Items needed per room - qty: 2 total standard exam rooms
INITIALS: ____ LESSOR _____GOV'T 14
LEASE NO. 36C24422L0018
Primary Care Women's Health Exam Room 48" sit to stand Desk 1 VV 48" sit to stand Desk Interior Designer New
Panic Button - Desk Mounted 1 CC To be installed on desks once installed Lessor New
Primary Care Women's Health Exam Room Chair, Task 1 VV
Chair on casters with fully function adjustments and mesh seat/back
Interior Designer New
Primary Care Women's Health Exam Room Board, Bulletin 1 VV
Bulletin board approximately 36"W x 24"H. Interior Designer New
Primary Care Women's Health Exam Room Dispenser, Soap 1 CC Disposable soap dispenser. Lessor N/A
Primary Care Women's Health Exam Room Hook, Garment, Double 1 CC
A surface mounted, satin finish stainless steel, double garment hook.
Lessor N/A
Primary Care Women's Health Exam Room
Cabinet with counter sink and below storage 2 CC
Standing height counter under counter base sink cabinet apron covering plumbing, undermounted sink faucet gooseneck spout; wrist blade handles, drawer storage below
Lessor
N/A
Primary Care Women's Health Exam Room
Upper Wall Cabinets 2 VV
1 Upper cabinet to hold paper towels, cups and gloves boxes and 1 upper cabinet with 2 adjustable shelving
Interior Designer
New Primary Care Women's Health Exam Room Chair, Side, Bariatric, With Arms 1 VV 30" Bariatric side chair with arms. Interior Designer New Primary Care Women's Health Exam Room Basket, Wastepaper 1 VV Wastepaper basket Interior Designer New Primary Care Women's Health Exam Room Clock 1 VV Clock, 12" diameter. Interior Designer New
Primary Care Women's Health Exam Room
Stool 1 VV
Self adjusting stool. Consists of a foam padded upholstered seat with attached foot rest for added comfort.
Mounted on swivel casters.
Designed for doctor's use during examinations.
Interior Designer
New
Primary Care Women's Health Exam Room
Sharps Box Disposal 1 VV
A container for collecting and transporting syringes and other sharps for decontamination and disposal.
Environmental Services (EMS)
New
Primary Care Women's Health Exam Room
PDI wipe holder 1 VV wall mounted wiped holder
Environmental Services (EMS)
New Primary Care Women's Health Exam Room Mayo Stand Medium 1 VV Overbed table on wheels Interior Designer New
Primary Care Women's Health Exam Room Procedure Cart 1 VV
Freestanding procedure cart on wheels for women health instruments and supplies
Clinical Services New
Primary Care Women's Health Exam Room
Sphygmomanometer Regular & Large 1 VV Aneroid sphygmomanometer.
Clinical Services
New located in drawers Primary Care Women's Health Exam Room Handheld Thermometer 1 VV
Need area at counter to plug in as needed Clinical Services New
Primary Care Women's Health Exam Room
Battery Power Head lamp 1 VV Need area at counter to plug in as needed
Clinical Services
New Will need power for the batteries - Use power at casework cabinets
INITIALS: ____ LESSOR _____GOV'T 15
LEASE NO. 36C24422L0018
Primary Care Women's Health Exam Room
Otoscope/Ophthalmoscope, Wall Mounted 1 VV Wall mounted otoscope and ophthalmoscope.
Clinical Services
New EN200 single gang receptacle for plug-in unit.
Mount at 48" AFF
Primary Care Women's Health Exam Room
Table, Examination/Treatment 1 VV Table, examination/treatment chair
Clinical Services
New 626 115VAC 50/60HZ, 12A. Provide power receptacle
Primary Care Women's Health Exam Room
Track, Cubicle 2 CC
Surface mounted cubicle track - Located at either door location. VA to provide curtains. Must match On the Right Track System.
Lessor New
Primary Care Women's Health Exam Room Artwork, Decorative, With Frame 1 VV framed artwork size TBD Interior Designer New Primary Care Women's Health Exam Room Cubicle Disposable curtains 2 VV
Disposable hookless curtains On the Right track Interior Designer New
Name on Room Sign -TBD Total Price Unit Price Name QTY Acquire (ACQ) / Install (INS) - V = VA & C = Lessor Description
VA Dept. / Lessor(Building Owner) Responsible to order item
Transfer or New Purchase Cutsheet Name Notes
Unisex Toilet Mirror, Float Glass 1 CC Float glass mirror with a stainless steel frame. Lessor New
Unisex Toilet Dispenser, Soap 1 CC Disposable soap dispenser. Lessor New Unisex Toilet Nurse Call Pull Stations 1 CC Lessor New
Unisex Toilet Dispenser, Paper Towel 1 CC
A surface mounted, sensor activated, automatic, roll paper towel dispenser.
Lessor New
Unisex Toilet Disposal, Sanitary Napkin 1 CC
A surface mounted, satin finish stainless steel, sanitary napkin disposal.
Lessor New
Unisex Toilet Grab Bar 1 CC Grab bar with concealed mounting flanges. Lessor New
Unisex Toilet Hook, Garment, Double 1 CC
A surface mounted, satin finish stainless steel, double garment hook.
Lessor New
Unisex Toilet Dispenser, Toilet Tissue 1 CC
A concealed surface mounted, double roll, satin finish stainless steel, toilet tissue dispenser.
Lessor New
Unisex Toilet Basket, Wastepaper, Step-On 1 VV
"Step-on" wastepaper basket with inner liner and foot petal activated flip top.
Interior Designer New
Unisex Toilet
Lavatory, Vitreous China, Straight Back 1 CC vitreous china lavatory (approximate bowl size 7"x15"x10") with: straight-front apron, straight or contoured back; faucet holes on 4" centers;
gooseneck spout; wrist blade handles; and grid strainer.
Lessor New
Unisex Toilet Toilet 1 CC Siphon jet water closet/ toilet. Lessor New
Unisex Toilet Table, Diaper Changing 1 CC Wall mounted diaper changing table for use in public restrooms. Lessor New
Toilet, Women's Health Exam Room - Items needed per room - qty: 2 total toilet rooms
INITIALS: ____ LESSOR _____GOV'T 16
LEASE NO. 36C24422L0018
Unisex Toilet Dispenser, Sanitary Napkin 1 CC
Provide free wall mounted sanitary napkin dispenser to work with VA standard products
Lessor New
Name on Room Sign -TBD Total Price Unit Price Name QTY Acquire (ACQ) / Install (INS) - V = VA & C = Lessor Description
VA Dept. / Lessor(Building Owner) Responsible to order item
Transfer or New Purchase Cutsheet Name Notes
Primary Care Treatment Room Telephone, Docking Station & 2 Monitors 1 VV Computer Equipment
OIT /Clinical Services New
Primary Care Treatment Room 48" sit to stand Desk 1 VV 48" sit to stand desk Interior Designer New Primary Care Treatment Room Panic Button - Desk Mounted 1 CC
To be installed on desks once installed Lessor New
Primary Care Treatment Room
EKG - Data 1 VV Data for cart to plug in and upload data. Battery powered
Clinical Services
New EKG System mobile rolling unit
Primary Care Treatment Room Chair, Task 1 VV
Chair on casters with fully function adjustments and mesh seat/back
Interior Designer New
Primary Care Treatment Room Board, Bulletin 1 VV
Bulletin board approximately 36"W x 24"H. Interior Designer New
Primary Care Treatment Room Dispenser, Soap 1 CC Disposable soap dispenser. Lessor New
Primary Care Treatment Room
Hook, Garment, Double 2 CC A surface mounted, satin finish stainless steel, double garment hook.
Lessor New
1 Coat hook will be need by sink for ear wash unit
Primary Care Treatment Room
Cabinet with counter sink and below storage 2 CC
Standing height counter under counter base sink cabinet apron covering plumbing, undermounted sink faucet gooseneck spout; wrist blade handles, drawer storage below
Lessor New
Sink to be 9" Deep for ear wash unit
Primary Care Treatment Room
Upper Wall Cabinets 2 VV
1 Upper cabinet to hold paper towels, cups and gloves boxes and 1 upper cabinet with 2 adjustable shelving
Interior Designer
New Primary Care Treatment Room Chair, Side, Bariatric, With Arms 1 VV 30" Bariatric side chair with arms. Interior Designer New Primary Care Treatment Room Basket, Wastepaper 1 VV Wastepaper basket Interior Designer New Primary Care Treatment Room Clock 1 VV Clock, 12" diameter. Interior Designer New
Primary Care Treatment Room
Stool 1 VV
Self adjusting stool. Consists of a foam padded upholstered seat with attached foot rest for added comfort.
Mounted on swivel casters.
Designed for doctor's use during examinations.
Interior Designer
New
Primary Care Treatment Room
Sharps Box Disposal 1 VV
A container for collecting and transporting syringes and other sharps for decontamination and disposal.
Environmental Services (EMS)
New
Primary Care Procedure / Treatment Room
INITIALS: ____ LESSOR _____GOV'T 17
LEASE NO. 36C24422L0018
Primary Care Treatment Room
PDI wipe holder 1 VV wall mounted wipe holder
Environmental Services (EMS)
New Primary Care Treatment Room Overbed table 1 VV Overbed table on wheels Interior Designer New
Primary Care Treatment Room Procedure Cart 1 VV
Freestanding procedure cart on wheels for women health instruments and supplies
Clinical Services New
Primary Care Treatment Room
Sphygmomanometer Regular & Large 1 VV Aneroid sphygmomanometer.
Clinical Services
New located in drawers
Primary Care Treatment Room
Handheld Thermometer 1 VV Battery powered.
Clinical Services
New TAT-5000 Wall mounted bracket
Primary Care Treatment Room
Otoscope/Ophthalmoscope, Wall Mounted 1 VV Wall mounted otoscope and ophthalmoscope.
Clinical Services
New EN200 single gang receptacle for plug-in unit.
Mount at 48" AFF
Primary Care Treatment Room
Table, Examination/Treatment 1 VV Table, examination/treatment chair
Clinical Services
New 626 115VAC 50/60HZ, 12A. Provide power receptacle
Primary Care Treatment Room
Ear Wash Unit 1 VV Ear Wash Unit New System 29350 Attaches to faucet with supplied snap aerator
Primary Care Treatment Room
Track, Cubicle 2 CC
Surface mounted cubicle track - Located at either door location. VA to provide curtains. Must match On the Right Track System.
Lessor
N/A Primary Care Treatment Room Artwork, Decorative, With Frame 1 VV framed artwork size TBD Interior Designer New
INITIALS: ____ LESSOR _____GOV'T 18
LEASE NO. 36C24422L0018
Primary Care Treatment Room
Hyfrecator 1 VV Freestanding electorsurgical system on mobile stand
Clinical Services
New Hyfrecator 2000 Plug into general purpose receptacle at point of use location
Primary Care Treatment Room Cubicle Disposable curtains 2 VV
Disposable hookless curtains On the Right track Interior Designer New
Name on Room Sign -TBD Total Price Unit Price Name QTY Acquire (ACQ) / Install (INS) - V = VA & C = Lessor Description
VA Dept. / Lessor(Building Owner) Responsible to order item
Transfer or New Purchase Cutsheet Name Notes
Unisex Toilet Mirror, Float Glass 1 CC Float glass mirror with a stainless steel frame. Lessor New
Unisex Toilet Dispenser, Soap 1 CC Disposable soap dispenser. Lessor New Unisex Toilet Nurse Call 1 CC Nurse Call for toilets Lessor New
Unisex Toilet Dispenser, Paper Towel 1 CC
A surface mounted, sensor activated, automatic, roll paper towel dispenser.
Lessor New
Unisex Toilet Disposal, Sanitary Napkin 1 CC
A surface mounted, satin finish stainless steel, sanitary napkin disposal.
Lessor New
Unisex Toilet Grab Bar 1 CC Grab bar with concealed mounting flanges. Lessor New
Unisex Toilet Hook, Garment, Double 1 CC
A surface mounted, satin finish stainless steel, double garment hook.
Lessor New
Unisex Toilet Dispenser, Toilet Tissue 1 CC
A concealed surface mounted, double roll, satin finish stainless steel, toilet tissue dispenser.
Lessor New
Unisex Toilet Basket, Wastepaper, Step-On 1 VV
"Step-on" wastepaper basket with inner liner and foot petal activated flip top.
Interior Designer New
Unisex Toilet
Lavatory, Vitreous China, Straight Back 1 CC vitreous china lavatory (approximate bowl size 7"x15"x10") with: straight-front apron, straight or contoured back; faucet holes on 4" centers;
gooseneck spout; wrist blade handles; and grid strainer.
Lessor
New Unisex Toilet Toilet 1 CC Siphon jet water closet/ toilet. Lessor New
Unisex Toilet Table, Diaper Changing 1 CC Wall mounted diaper changing table for use in public restrooms. Lessor New
Unisex Toilet Dispenser, Sanitary Napkin 1 CC
Provide free wall mounted sanitary napkin dispenser to work with VA standard products
Lessor New
Name on Room Sign -TBD Total Price Unit Price Name QTY Acquire (ACQ) / Install (INS) - V = VA & C = Lessor Description
VA Dept. / Lessor(Building Owner) Responsible to order item
Transfer or New Purchase Cutsheet Name Notes
Toilet Attached to Procedure Room
Medication Room
INITIALS: ____ LESSOR _____GOV'T 19
LEASE NO. 36C24422L0018
Med Room
Telephone, Wall Mounted, 1 Line 1 VV Telephone, wall mounted, 1 line.
OIT /Clinical Services
New Lessorto provide wall plate
Med Room Dispenser, Soap, Disposable 1 CC Disposable soap dispenser. One-handed dispensing operation. Lessor New
Med Room Dispenser, Paper Towel 1 CC
A surface mounted, sensor activated, automatic, roll paper towel dispenser.
Lessor New
Med Room Dispenser, Glove 1 CC Examination glove dispenser box for wall mounting. Interior Designer New
Med Room
Waste Disposal Unit, Sharps 1 VV
A container for collecting and transporting syringes and other sharps for decontamination and disposal.
Environmental Services (EMS)
New
Med Room
Cabinet with counter sink upper and lower storage 2 CC
Standing height counter under counter base sink cabinet apron covering plumbing, undermounted sink faucet gooseneck spout; wrist blade handles, drawer storage and cabinet storage below with adjustable shelving and upper cabinets with adjustable shelving
Lessor
New
Provide power and data along counter top - quantity 3 duplex electrical and 2
- quad data for future needs
Med Room Basket, Wastepaper 1 VV Wastepaper basket. Interior Designer New
Med Room
Cactus Med Disposal 1 VV Counter Mounted Cactus Med Disposal Unit w/ AC adapter
Clinical Services
Transfer AC adapter to plug into standard outlet at standard height
INITIALS: ____ LESSOR _____GOV'T 20
LEASE NO. 36C24422L0018
Med Room
Temparmour Fridge 1 VV Large Deep freeze Fridge
Clinical Services
New Vaccine Refrigerator w/
Battery Backup power
Provide 2 Duplex power on this wall & 1 quad for data - Refrigerator 110- 120v/60hz/1 20A; Battery backup power -Xantrex PowerHub 1800-400.
Provide dedicated 20A circuit for battery backup system.
Med Room
Refrigerator 1 VV Large floor standing Refrigerator
Clinical Services
Transfer Medical Refrigerator
115V/60/1; 8.4 run load amps,NEMA 5-15 90 degree hospital grade plug, max fuse 15 amps.
Name on Room Sign -TBD Total Price Unit Price Name QTY Acquire (ACQ) / Install (INS) - V = VA & C = Lessor Description
VA Dept. / Lessor(Building Owner) Responsible to order item
Transfer or New Purchase Cutsheet Name Notes
Telephone, Laptop, Docking Station & 2 Monitors 12 VV Computer Equipment OIT /Clinical New
Workstation with cubicle walls 12 VV
48" W worksurface with sit to stand desk and side tower - 3 drawer with closed shelving above - Modular walls installed around desks -
Interior Designer
New
Power pole installation for data and power. Lessorwill have to provide electrical to connect power poles and punch down data to all cubicles - each cubicle to have a quad for data - data plates by Lessornot part of furniture.
Power poles will be provided as part of the furniture package.
Panic Button - Desk Mounted 12 CC To be installed on desks once installed Lessor New
Team Work Area - requirements for per area - Qty: 4 Team Work Areas and includes 2 Touch down/ shared areas
INITIALS: ____ LESSOR _____GOV'T 21
LEASE NO. 36C24422L0018
Shred box 1 VV No power
EMS/ Clinical Services Transfer
Chair, Task 12 VV Chair on casters with fully function adjustments and mesh seat/back
Interior Designer New
Cabinet, Filing, Lateral, Half Height with common top 1 VV
Half height (3) drawer lateral filing cabinet.qty: 1 and half heights storage cabinet with adjustable shelves qty:2 with common top.
Interior Designer
New
Basket, Wastepaper 13 VV Wastepaper basket.
Environmental Services (EMS)
New
Clock 2 VV Clock, 12" diameter.
Environmental Services (EMS)
New
Multi function Device printer - floor standing 1 VV Printer with MDF options
Logistics/Clinical Services
Transfer /New 1 Additional MDF printer will need to be provided through logistics
Staff mailboxes 1 VV Area for staff mailboxes in central location Interior Designer New
Flag system at each exam room door - Will this be electric or manual? 16 total CC
Standard each exam room door -multicolored flag indicator Lessor New
Hand Sanitizer Dispenser, Hands-Free 16 total CC A touch free wall-mounted hand sanitizer dispenser. Lessor New
Name on Room Sign -TBD Total Price Unit Price Name QTY Acquire (ACQ) / Install (INS) - V = VA & C = Lessor Description
VA Dept. / Lessor(Building Owner) Responsible to order item
Transfer or New Purchase Cutsheet Name Notes
Group Room Hand Sanitizer Dispenser, Hands-Free 1 CC A touch free wall-mounted hand sanitizer dispenser. Lessor New
Group Room
Television & Bracket Wall-Mounted, Tilt/Angle 1 VV 60" wall mounted, TV & bracket
Clinical Services
New LED TV 60"
Power and data at 76" AFF. Dual CAT 6A - one data and one CATV plus dual HDMI. HDMI to desk location to be concealed in wall.
Group Room 48" sit to stand Desk 1 VV 48" sit to stand desk with computer cradle Interior Designer New
Sign to indicated room number only no name
Education/ Conference Room - Items needed per room - qty: 2 total conference rooms
INITIALS: ____ LESSOR _____GOV'T 22
LEASE NO. 36C24422L0018
Group Room
Telephone, Computer & 2 Monitors 1 VV Computer equipment
OIT /Clinical Services
New
Computer needs connected to the TV - Dual HDMI converter at TV and desk Location
Group Room Room Kit Plus P60
1 VV
Camera and equipment for virtual appointments
Clinical Services
New Cisco Room Kit Plus P60 Camera and connector panel to sit on desk.
Group Room Panic Button - Desk Mounted 12 CC To be installed on desks once installed Lessor New
Group Room Chair, Task 1 VV
Chair on casters with fully function adjustments and mesh…
This is the start of the file's text. The full file is on GovTribe.
File details come from the government source that posted it. Updated .