ATTACHMENT W - Brick Room Contents List.pdf

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Attached to
Q702--Brick IOT&A Contract Federal contract opportunity
Solicitation number
36C77621Q0523
Issued by
Department of Veterans Affairs Technology Acquisition Center Austin

About this file

Written by GovTribe AI ·

This pre-solicitation notice announces a forthcoming solicitation for initial outfitting, transition, and activation services in support of the new VA New Jersey Toms River Community Based Outpatient Clinic in Brick, New Jersey. The services include contractor support to help bring the new clinic into full planned operations to provide healthcare to Veterans. The estimated period of performance is 36 months under a firm-fixed-price contract. The solicitation will be set aside 100% for verified Service-Disabled Veteran-Owned Small Businesses and will be posted on October 28, 2021 with a closing date of November 9, 2021. Interested parties should direct any questions to the points of contact by email only.

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Other files for this federal contract opportunity

Other files attached to Q702--Brick IOT&A Contract, newest first.
File Type Posted
Revised Solicitation - 36C77621Q0523 - Updated Section B.2.pdf PDF
36C77621Q0523 0003.docx DOCX document
ATTACHMENT A - Revised Brick IOTA PWS.pdf PDF
Revised Solicitation - 36C77621Q0523.pdf PDF
Brick IOTA RFQ Questions and Answers.pdf PDF
ATTACHMENT V - Brick RE Drawing Equipment Plan.pdf PDF
36C77621Q0523 0002.docx DOCX document
36C77621Q0523 0001.docx DOCX document
S02 - ATTACHMENT S - WBS template.pdf PDF
S02 - ATTACHMENT P - Risk Register Template.xlsx XLSX spreadsheet
S02 - ATTACHMENT N - Furniture IDIQ Templates.pdf PDF
S02 - ATTACHMENT H - Contract Staff Roster.pdf PDF
S02 - ATTACHMENT F - 6500_6_Appendix_A.pdf PDF
S02 - ATTACHMENT C - FFE List.xlsx XLSX spreadsheet
S02 - ATTACHMENT R - Change Management Plan _ Log Template.xlsx XLSX spreadsheet
S02 - ATTACHMENT Q - Move Plan Template.xlsx XLSX spreadsheet
S02 - ATTACHMENT M - Ocean County Wage Determinations 10.12.21.pdf PDF
S02 - ATTACHMENT J - PDAT Summary.pdf PDF
S02 - ATTACHMENT G - QASP - Brick.pdf PDF
S02 - ATTACHMENT O - Pricing Worksheet - Brick NJ.xlsx XLSX spreadsheet
S02 - ATTACHMENT U - Contents and Acq Plan.xlsx XLSX spreadsheet
S02 - ATTACHMENT T - Re-use Disposal Plan Template.xlsx XLSX spreadsheet
S02 - ATTACHMENT L - Construction Schedule.pdf PDF
S02 - ATTACHMENT I - VSC Security Request Forms.pdf PDF
S02 - ATTACHMENT B - Travel Authorization Request.pdf PDF
S02 - ATTACHMENT K - JSN Responsibility Matrix.xlsx XLSX spreadsheet
S02 - ATTACHMENT E - Meeting Minutes template.pdf PDF
S02 - ATTACHMENT D - Procurement Package Template 2021.pdf PDF
S02 - ATTACHMENT A - FINAL IOTA PWS Brick.pdf PDF
36C77621Q0523.docx DOCX document
Show all 30

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Project Room Contents

BRICK CBOC 06232020 REVISION

SPACE PROGRAM FOR BRICK CBOC RESTART

BRICK, NJ

Projected Year: 2021 Midpoint Year: 2022

VISN: 3 State: NJ Station ID: 561A4

Station Name: Lyons

Installation: VA New Jersey HCS

Project POC: Linda Chan fei.chan@va.gov

425 I Street, NW

Washington, DC 20001

Project Created: 17 Aug 2018 06:49AM ET by Linda Chan

Space Plan Last Edited: 04 Oct 2018 11:20PM ET by Linda Chan

Contents List Created: 21 Nov 2018 10:00AM ET by Linda Chan

Contents List Last Edited: 12 March 2019 by Gary Dubas (CLH) and Keith Mignault (IMEG)

Report Generated: 21 Nov 2018 10:01AM ET; Report Reissued June 23, 2020

June 23, 2020

RLP Solicitation ID: 36C10F20R0061

Project Room Contents (June 23, 2020)

Privacy Act – FOR OFFICIAL USE ONLY (Page 2)

Department: OUTPATIENT / PACT CLINIC (265) Functional Area: LOBBY / RECEPTION AREA Room Code: SRLW1 Room Area: 90 Agency Room Name: Alcove, Wheelchair Staff: 0 Criteria Room Name: Alcove, Wheelchair Blueprint #:

JSN Content Name Qty Unit Of Issue

Log Cat/ Acq

Code

Util1 Util2 Util3 Util4 Util5 Util6 NSN

M4705 Wheelchair, Patient Transport, Folding 8 EA VV

M4710 Wheelchair, Patient, Bariatric, Transport, Folding 2 EA VV

Room Code: WTF03 Room Area: 225 Agency Room Name: Waiting, PACT Family Staff: 0 Criteria Room Name: Waiting, PACT Family Blueprint #:

Acq

Code

Util1 Util2 Util3 Util4 Util5 Util6 NSN

A5077 Dispenser, Hand Sanitizer, Hands-Free 1 EA VC

A6046 Artwork, Decorative, With Frame 1 EA VV

F0206 Chair, Side, Bariatric, With Arms 1 EA VV

F0215 Chair, Child's 4 EA VV

F0305 Chair, Waiting Room, Single 2 EA VV

F0760 Table, Child's 1 EA VV

F2000 Basket, Wastepaper, Fire Resistant 1 EA VV

F2300 Rack, Magazine, Wall Mounted 1 EA VC

F3200 Clock, Battery, 12" Diameter 1 EA VC

Room Code: CLSC2 Room Area: 30 Agency Room Name: Workstation, Patient Education Staff: 0

Privacy Act – FOR OFFICIAL USE ONLY (Page 3)

Criteria Room Name: Workstation, Patient Education Blueprint #:

Acq

Code

Util1 Util2 Util3 Util4 Util5 Util6 NSN

A1010 Telecommunication Outlet (2-port) 1 EA CC

A1015 Telephone, Desk, Multiple Line 1 EA VV

E0042 Workcenter, Computer, Free Standing, 48" W 1 EA VV

F0280 Chair, Swivel, Low Back 1 EA VV

F2000 Basket, Wastepaper, Fire Resistant 1 EA VV

M1801 Computer, Microprocessing, w/Flat Panel Monitor 1 EA VV . A

Acq

Code

Util1 Util2 Util3 Util4 Util5 Util6 NSN

A1010 Telecommunication Outlet (2-port) 1 EA CC

A1015 Telephone, Desk, Multiple Line 1 EA VV

E0042 Workcenter, Computer, Free Standing, 48" W 1 EA VV

F0280 Chair, Swivel, Low Back 1 EA VV

Privacy Act – FOR OFFICIAL USE ONLY (Page 4)

Acq

Code

Util1 Util2 Util3 Util4 Util5 Util6 NSN

A1010 Telecommunication Outlet (2-port) 1 EA CC

A1015 Telephone, Desk, Multiple Line 1 EA VV

E0042 Workcenter, Computer, Free Standing, 48" W 1 EA VV

F0280 Chair, Swivel, Low Back 1 EA VV

Acq

Code

Util1 Util2 Util3 Util4 Util5 Util6 NSN

A1010 Telecommunication Outlet (2-port) 1 EA CC

A1015 Telephone, Desk, Multiple Line 1 EA VV

E0042 Workcenter, Computer, Free Standing, 48" W 1 EA VV

F0280 Chair, Swivel, Low Back 1 EA VV

Room Code: WTG40 Room Area: 720 Agency Room Name: Waiting, General - 40 people Staff: 0 Criteria Room Name: Waiting, General, 40 People Blueprint #:

Privacy Act – FOR OFFICIAL USE ONLY (Page 5)

Acq

Code

Util1 Util2 Util3 Util4 Util5 Util6 NSN

A5077 Dispenser, Hand Sanitizer, Hands-Free 2 EA VC

F0206 Chair, Side, Bariatric, With Arms 4 EA VV

F0305 Chair, Waiting Room, Single 32 EA VV

F0740 Table, Occasional, Lamp 5 EA VV

F2000 Basket, Wastepaper, Fire Resistant 2 EA VV

F2305 Rack, Magazine, F/S 2 EA VV

M1880 Patient Flow, Queuing System, Basic 1 EA VV . A

Room Code: RECP3 Room Area: 60 Agency Room Name: RECEPTION, INFORMATION DESK Staff: 0 Criteria Room Name: RECEPTION, INFORMATION DESK Blueprint #:

Acq

Code

Util1 Util2 Util3 Util4 Util5 Util6 NSN

A1010 Telecommunication Outlet (2-port) 2 EA CC

A1015 Telephone, Desk, Multiple Line 1 EA VV

A6105 Counter, Reception Control, Built-In 1 EA CC . A

F0275 Chair, Swivel, High Back 1 EA VV

F2000 Basket, Wastepaper, Fire Resistant 1 EA VV

Room Code: RCHK2 Room Area: 15

Privacy Act – FOR OFFICIAL USE ONLY (Page 6)

Agency Room Name: Kiosk, Patient Check-In Staff: 0 Criteria Room Name: Kiosk, Patient Check-In Blueprint #:

Acq

Code

Util1 Util2 Util3 Util4 Util5 Util6 NSN

A1010 Telecommunication Outlet (2-port) 1 EA CC

M1890 Kiosk, Educational, Stand-Up 2 EA VV . A

Acq

Code

Util1 Util2 Util3 Util4 Util5 Util6 NSN

Acq

Code

Util1 Util2 Util3 Util4 Util5 Util6 NSN

Privacy Act – FOR OFFICIAL USE ONLY (Page 7)

Acq

Code

Util1 Util2 Util3 Util4 Util5 Util6 NSN

Acq

Code

Util1 Util2 Util3 Util4 Util5 Util6 NSN

Acq

Code

Util1 Util2 Util3 Util4 Util5 Util6 NSN

Privacy Act – FOR OFFICIAL USE ONLY (Page 8)

Acq

Code

Util1 Util2 Util3 Util4 Util5 Util6 NSN

Acq

Code

Util1 Util2 Util3 Util4 Util5 Util6 NSN

Acq

Code

Util1 Util2 Util3 Util4 Util5 Util6 NSN

Privacy Act – FOR OFFICIAL USE ONLY (Page 9)

Acq

Code

Util1 Util2 Util3 Util4 Util5 Util6 NSN

Acq

Code

Util1 Util2 Util3 Util4 Util5 Util6 NSN

Privacy Act – FOR OFFICIAL USE ONLY (Page 10)

Acq

Code

Util1 Util2 Util3 Util4 Util5 Util6 NSN

Acq

Code

Util1 Util2 Util3 Util4 Util5 Util6 NSN

Acq

Code

Util1 Util2 Util3 Util4 Util5 Util6 NSN

Privacy Act – FOR OFFICIAL USE ONLY (Page 11)

Room Code: WTG04 Room Area: 100 Agency Room Name: Waiting, Audiology - 4 people Staff: 0 Criteria Room Name: Waiting, General, 4 People Blueprint #:

Acq

Code

Util1 Util2 Util3 Util4 Util5 Util6 NSN

A5077 Dispenser, Hand Sanitizer, Hands-Free 1 EA VC

A6046 Artwork, Decorative, With Frame 1 EA VV

F0206 Chair, Side, Bariatric, With Arms 1 EA VV

F0305 Chair, Waiting Room, Single 2 EA VV

F2000 Basket, Wastepaper, Fire Resistant 1 EA VV

Room Code: WTG22 Room Area: 465 Agency Room Name: Waiting, Dental, 22 People Staff: 0 Criteria Room Name: Waiting, General, 22 People Blueprint #:

Acq

Code

Util1 Util2 Util3 Util4 Util5 Util6 NSN

A5077 Dispenser, Hand Sanitizer, Hands-Free 2 EA VC

A5210 Bracket, Television, Wall Mounted, w/Adjust Arm 1 EA VC

A5220 Bracket, Television, Wall Backing 1 EA CC

A6046 Artwork, Decorative, With Frame 1 EA VV

F0206 Chair, Side, Bariatric, With Arms 2 EA VV

F0305 Chair, Waiting Room, Single 18 EA VV

F0740 Table, Occasional, Lamp 2 EA VV

F2000 Basket, Wastepaper, Fire Resistant 1 EA VV

Privacy Act – FOR OFFICIAL USE ONLY (Page 12)

M0506 Television, Flat Screen 1 EA VV . A

Room Code: WTG03 Room Area: 80 Agency Room Name: Waiting, PMR - 3 people Staff: 0 Criteria Room Name: Waiting, General, 3 People Blueprint #:

Acq

Code

Util1 Util2 Util3 Util4 Util5 Util6 NSN

A5077 Dispenser, Hand Sanitizer, Hands-Free 1 EA VC

A6046 Artwork, Decorative, With Frame 1 EA VV

F0206 Chair, Side, Bariatric, With Arms 1 EA VV

F0305 Chair, Waiting Room, Single 1 EA VV

F2000 Basket, Wastepaper, Fire Resistant 1 EA VV

F2300 Rack, Magazine, Wall Mounted 1 EA VV

Agency Room Name: Waiting, Prosthetics Patient - 3 people Staff: 0 Criteria Room Name: Sub-Waiting, Prosthetics Patient Blueprint #:

Acq

Code

Util1 Util2 Util3 Util4 Util5 Util6 NSN

A5077 Dispenser, Hand Sanitizer, Hands-Free 1 EA VC

A6046 Artwork, Decorative, With Frame 1 EA VV

F0206 Chair, Side, Bariatric, With Arms 1 EA VV

F0305 Chair, Waiting Room, Single 1 EA VV

Privacy Act – FOR OFFICIAL USE ONLY (Page 13)

Room Code: WTG10 Room Area: 215 Agency Room Name: Waiting, Radiology - 10 people Staff: 0 Criteria Room Name: Waiting, General, 10 People Blueprint #:

Acq

Code

Util1 Util2 Util3 Util4 Util5 Util6 NSN

A5077 Dispenser, Hand Sanitizer, Hands-Free 1 EA VC

A5210 Bracket, Television, Wall Mounted, w/Adjust Arm 1 EA VC

A5220 Bracket, Television, Wall Backing 1 EA CC

A6046 Artwork, Decorative, With Frame 1 EA VV

F0206 Chair, Side, Bariatric, With Arms 1 EA VV

F0305 Chair, Waiting Room, Single 8 EA VV

F2000 Basket, Wastepaper, Fire Resistant 1 EA VV

F2300 Rack, Magazine, Wall Mounted 1 EA VC

Agency Room Name: Waiting, Lab - 3 people Staff: 0 Criteria Room Name: Waiting, General, 3 People Blueprint #:

Acq

Code

A5077 Dispenser, Hand Sanitizer, Hands-Free 1 EA VC

Privacy Act – FOR OFFICIAL USE ONLY (Page 14)

A6046 Artwork, Decorative, With Frame 1 EA VV

F0206 Chair, Side, Bariatric, With Arms 1 EA VV

F0305 Chair, Waiting Room, Single 1 EA VV

F2000 Basket, Wastepaper, Fire Resistant 1 EA VV

Room Code: WTG10 Room Area: 215 Agency Room Name: Waiting, Pharmacy - 10 people Staff: 0 Criteria Room Name: Waiting, General, 10 People Blueprint #:

Acq

Code

Util1 Util2 Util3 Util4 Util5 Util6 NSN

A5077 Dispenser, Hand Sanitizer, Hands-Free 1 EA VC

A5210 Bracket, Television, Wall Mounted, w/Adjust Arm 1 EA VC

A5220 Bracket, Television, Wall Backing 1 EA CC

A6046 Artwork, Decorative, With Frame 1 EA VV

F0206 Chair, Side, Bariatric, With Arms 1 EA VV

F0305 Chair, Waiting Room, Single 8 EA VV

F2000 Basket, Wastepaper, Fire Resistant 1 EA VV

F2300 Rack, Magazine, Wall Mounted 1 EA VC

Room Code: WTG04 Room Area: 100 Agency Room Name: Waiting, Mental Health - 4 people Staff: 0 Criteria Room Name: Waiting, General, 4 People Blueprint #:

Privacy Act – FOR OFFICIAL USE ONLY (Page 15)

Acq

Code

Util1 Util2 Util3 Util4 Util5 Util6 NSN

A5077 Dispenser, Hand Sanitizer, Hands-Free 1 EA VC

A6046 Artwork, Decorative, With Frame 1 EA VV

F0206 Chair, Side, Bariatric, With Arms 1 EA VV

F0305 Chair, Waiting Room, Single 2 EA VV

F2000 Basket, Wastepaper, Fire Resistant 1 EA VV

Room Code: WTPC1 Room Area: 150 Agency Room Name: Waiting, Female Veterans Staff: 0 Criteria Room Name: Waiting, PACT 1 Blueprint #:

Acq

Code

Util1 Util2 Util3 Util4 Util5 Util6 NSN

A5077 Dispenser, Hand Sanitizer, Hands-Free 1 EA VC

A5212 Bracket, Television, Wall-Mounted, Tilt/Angle 2 EA VC

A5220 Bracket, Television, Wall Backing 2 EA CC

A6046 Artwork, Decorative, With Frame 2 EA VV

F0206 Chair, Side, Bariatric, With Arms 2 EA VV

F0305 Chair, Waiting Room, Single 8 EA VV

F2000 Basket, Wastepaper, Fire Resistant 1 EA VV

F2300 Rack, Magazine, Wall Mounted 1 EA VC

M0512 Television, HDTV, Large Screen, 60" 2 EA VV . A

Department: OUTPATIENT / PACT CLINIC (265) Functional Area: PATIENT ALIGNED CARE TEAM (PACT) CLINIC 2

Privacy Act – FOR OFFICIAL USE ONLY (Page 16)

Room Code: EXPA1 Room Area: 125 Agency Room Name: Exam Room, Patient Aligned Care Team (PACT) Staff: 0 Criteria Room Name: Exam Room, Patient Aligned Care Team (PACT) Blueprint #:

Acq

Code

Util1 Util2 Util3 Util4 Util5 Util6 NSN

A1010 Telecommunication Outlet (2-port) 2 EA CC

A1012 Telephone, Wall Mounted, 1 Line 1 EA VV

A1066 Mirror, Float Glass, With SS Frame 1 EA CC

A5075 Dispenser, Soap, Disposable 1 EA VC

A5077 Dispenser, Hand Sanitizer, Hands-Free 1 EA VC

A5080 Dispenser, Paper Towel, SS, Surface Mounted 1 EA VC

A5107 Dispenser, Glove,Surgical/Examination, Wall Mntd 1 EA VC

A5108 Waste Disposal Unit, Sharps (2 gal) 1 CS VC

A5145 Hook, Garment, Double, SS, Surface Mounted 2 EA CC

A5180 Track, Cubicle, Surface Mounted, With Curtain 12 FT VC

C01Q0 Cabinet, Sink, U/C/B, 1 Door, 36x18x22 1 EA CC

CD040 Cabinet, W/H, 2 Shelf, 2 DO, Sloping Top, 38x36x13 1 EA CC

CS010 Sink, SS, =Single Compartment, 7.5x12x12 ID 1 EA CC D

CT030 Countertop, Solid-surface 3 LF CC

E0948 Cart, General Storage, Mobile, 42"H x 32"W x 22"D 1 EA VV

F0206 Chair, Side, Bariatric, With Arms 1 EA VV

F0206 Chair, Side, Regular, With Arms 1 EA VV

F0340 Stool, Self Adjusting 1 EA VV

F2010 Basket, Wastepaper, Step-On 1 EA VV

F2310 Rack, Pamphlet, Wall Mounted 1 EA VC

F3025 Board, Bulletin, Wood Framed 1 EA VC

F3200 Clock, Battery, 12" Diameter 1 EA VC

M1801 Computer, Microprocessing, w/Flat Panel Monitor 1 EA VV . A

M1802 Work Station, Computer, Retractable, Wall Mounted 1 EA VV . B . . . D 7110

M1825 Printer, Computer, General 1 EA VV . A

M4100 Sphygmomanometer, Aneroid, Wall Mounted 1 EA VV

M4116 Monitor, Vital Signs, w/Sa02, w/temp, wall mt 1 EA VC . A

Privacy Act – FOR OFFICIAL USE ONLY (Page 17)

M4200 Otoscope/Ophthalmoscope, Wall Mounted 1 EA VC . A

M7401 Light, Exam, Wall mount, Spotlight, 1 EA VC . A

M9025 Table, Examination/Treatment, W/Cabinet, powered 1 EA VV . A

Department: OUTPATIENT / PACT CLINIC (265) Functional Area: PATIENT ALIGNED CARE TEAM (PACT) CLINIC 2 Room Code: PEHW2 Room Area: 80 Agency Room Name: Alcove, Height / Weight Accessible Station Staff: 0 Criteria Room Name: Alcove, Height / Weight Accessible Station Blueprint #:

Acq

Code

Util1 Util2 Util3 Util4 Util5 Util6 NSN

M4045 Scale, Wheelchair, Portable, 1000 lb Capacity 1 EA VV

M4050 Height Gauge, wall (Seca) 1 EA VC

Department: OUTPATIENT / PACT CLINIC (265) Functional Area: PATIENT ALIGNED CARE TEAM (PACT) CLINIC 2 Room Code: OFDC2 Room Area: 125 Agency Room Name: Consult Room, Patient Aligned Care Team (PACT) - GEU Soc

Wk, Dietitian, CHBC SOC, NS SOC Wk Staff: 0

Criteria Room Name: Consult Room, Patient Aligned Care Team (PACT) Blueprint #:

Acq

Code

Util1 Util2 Util3 Util4 Util5 Util6 NSN

A1010 Telecommunication Outlet (2-port) 2 EA CC

A1015 Telephone, Desk, Multiple Line 1 EA VV

A5075 Dispenser, Soap, Disposable 1 EA VC

A5080 Dispenser, Paper Towel, SS, Surface Mounted 1 EA VC

A5145 Hook, Garment, Double, SS, Surface Mounted 1 EA CC

C01Q0 Cabinet, Sink, U/C/B, 1 Door, 36x18x22 1 EA CC

CD040 Cabinet, W/H, 2 Shelf, 2 DO, Sloping Top, 38x36x13 1 EA CC

Privacy Act – FOR OFFICIAL USE ONLY (Page 18)

CS010 Sink, SS, Single Compartment, 7.5x12x12 ID 1 EA CC D

CT030 Countertop, solid-surface, durable 3 LF CC

F2300 Rack, Pamphlet, Wall Mounted 1 EA VC

F0205 Chair, Side With Arms 3 EA VV

F0205 Chair, Desk 1 EA VV

M1825 Printer, Computer, General 1 EA VV . A

F0740 Table, Occasional, Lamp 1 EA VV

F2000 Basket, Wastepaper, Fire Resistant 1 EA VV

F3200 Clock, Battery, 12" Diameter 1 EA VC

M1802 Work Station, Computer, Retractable, Wall Mounted 1 EA VC . B . . . D 7110

Department: OUTPATIENT / PACT CLINIC (265) Functional Area: PATIENT ALIGNED CARE TEAM (PACT) CLINIC 2 Room Code: TPG01 Room Area: 60 Agency Room Name: Toilet, PACT Patient Staff: 0 Criteria Room Name: Toilet, PACT Patient Blueprint #:

Acq

Code

Util1 Util2 Util3 Util4 Util5 Util6 NSN

A1067 Mirror, Float Glass, ADA Accessible 1 EA CC

A5075 Dispenser, Soap, Disposable 1 EA VC

A5082 Dispenser, Paper Towel, Sensor, Hands Free 1 EA VC

A5090 Disposal, Sanitary Napkin, SS, Surface Mounted 1 EA CC

A5109 Grab Bar, 1-1/4" Dia., SS, 2 Wall, W/C Accessible 1 EA CC

A5145 Hook, Garment, Double, SS, Surface Mounted 1 EA CC

A5200 Dispenser, Toilet Tissue, SS, 2-Roll, Surface Mntd 1 EA CC

F2010 Basket, Wastepaper, Step-On 1 EA VV

P3000 Lavatory, Vitreous China, Straight Back 1 EA CC D

P9050 Toilet, Wall Hung, Siphon Jet 1 EA CC B

Privacy Act – FOR OFFICIAL USE ONLY (Page 19)

Department: OUTPATIENT / PACT CLINIC (265) Functional Area: PATIENT ALIGNED CARE TEAM (PACT) CLINIC 2 Room Code: EXW01 Room Area: 125 Agency Room Name: Exam Room, Women's Health Staff: 0 Criteria Room Name: Exam Room, Women's Health Blueprint #:

Acq

Code

Util1 Util2 Util3 Util4 Util5 Util6 NSN

A1010 Telecommunication Outlet (2-port) 2 EA CC

A1012 Telephone, Wall Mounted, 1 Line 1 EA VV

A1066 Mirror, Float Glass, With SS Frame 1 EA CC

A5075 Dispenser, Soap, Disposable 1 EA VC

A5077 Dispenser, Hand Sanitizer, Hands-Free 1 EA VC

A5080 Dispenser, Paper Towel, SS, Surface Mounted 1 EA VC

A5107 Dispenser, Glove,Surgical/Examination, Wall Mntd 1 EA VC

A5108 Waste Disposal Unit, Sharps (2 gal) 1 CS VC

A5145 Hook, Garment, Double, SS, Surface Mounted 2 EA CC

A5180 Track, Cubicle, Surface Mounted, With Curtain 12 FT VC

C01Q0 Cabinet, Sink, U/C/B, 1 Door, 36x18x22 1 EA CC

CD040 Cabinet, W/H, 2 Shelf, 2 DO, Sloping Top, 38x36x13 1 EA CC

CS010 Sink, SS, =Single Compartment, 7.5x12x12 ID 1 EA CC D

CT030 Countertop, Solid-surface 3 LF CC

E0948 Cart, General Storage, Mobile, 42"H x 32"W x 22"D 1 EA VV

F0206 Chair, Side, Bariatric, With Arms 1 EA VV

F0206 Chair, Side, Regular, With Arms 1 EA VV

F0340 Stool, Self Adjusting 1 EA VV

F2010 Basket, Wastepaper, Step-On 1 EA VV

F2310 Rack, Pamphlet, Wall Mounted 1 EA VC

F3025 Board, Bulletin, Wood Framed 1 EA VC

F3200 Clock, Battery, 12" Diameter 1 EA VC

M1801 Computer, Microprocessing, w/Flat Panel Monitor 1 EA VV . A

M1825 Printer, Computer, General 1 EA VV . A

Privacy Act – FOR OFFICIAL USE ONLY (Page 20)

M4100 Sphygmomanometer, Aneroid, Wall Mounted 1 EA VC

M4200 Otoscope/Ophthalmoscope, Wall Mounted 1 EA VC . A

Department: OUTPATIENT / PACT CLINIC (265) Functional Area: PATIENT ALIGNED CARE TEAM (PACT) CLINIC 2 Room Code: TRPR1 Room Area: 180 Agency Room Name: Procedure Room, General Staff: 0 Criteria Room Name: Procedure Room, General Blueprint #:

Acq

Code

Util1 Util2 Util3 Util4 Util5 Util6 NSN

A1010 Telecommunication Outlet (2-port) 4 EA CC

A1011 Telephone, Desk, 1 Line 1 EA VV

A1132 Rail, Accessory Mounting, Length As Required 1 LF VC . . . . . J 6530

A1203 Lift System, Overhead, Bariatric 1 EA CC . F . . . J

A5077 Dispenser, Hand Sanitizer, Hands-Free 2 EA VC

A5075 Dispenser, Soap, Disposable 1 EA VC

A5080 Dispenser, Paper Towel, SS, Surface Mounted 1 EA VC

A5107 Dispenser, Glove, Surgical/Examination, Wall Mntd 2 EA VC

A5108 Waste Disposal Unit, Sharps (~4 gal) 2 CS VC

A5145 Hook, Garment, Double, SS, Surface Mounted 1 EA CC

A5180 Track, Cubicle, Surface Mounted, With Curtain 22 FT Vc

C02Q0 Cabinet, Sink, U/C/B, 1 Door, 36x24x22 1 EA CC

CD040 Cabinet, W/H, 2 Shelf, 2 DO, Sloping Top, 38x36x13 1 EA CC

CS010 Sink, SS, Single Compartment, 7.5x12x12 ID 1 EA CC D

CT020 Countertop, Solid Surface 1 LF CC

E0915 Locker, Supply, Medication, Wall Mtd, 23"W x 20"D 1 EA VV

E0948 Cart, General Storage, Mobile, 42"H x 32"W x 22"D 1 EA VV

F0340 Stool, Self Adjusting 2 EA VV

Privacy Act – FOR OFFICIAL USE ONLY (Page 21)

F3200 Clock, Battery, 12" Diameter 1 EA VV

M1801 Computer, Microprocessing, w/Flat Panel Monitor 1 EA VV . A

M1803 Workstation, Computer, Wall Mounted, Adjustable 1 EA VC . A

M3070 Hamper, Linen, Mobile, w/Lid 1 EA VV

F0205 Chair, Bariatric, With Arms 1 EA VV

M3072 Frame, Infectious Waste Bag w/Lid 1 EA VV

M4100 Sphygmomanometer, Aneroid, Wall Mounted 1 EA VC

M4116 Monitor, Vital Signs 1 EA VV . A

M4200 Otoscope/Ophthalmoscope, Wall Mounted 1 EA VC . A

M4255 Stand, IV, Adjustable 2 EA VV

M4655 Stretcher, Chair, Procedural (TransMotion) 1 EA VV

M7415 Light, Exam, Ceiling mount 1 EA CC . A

M7710 Electrocardiograph, 12 Lead, Portable 1 EA VV . A

M8810 Stand, Mayo, Stainless, Narrow 1 EA VV

Department: OUTPATIENT / PACT CLINIC (265) Functional Area: PATIENT ALIGNED CARE TEAM (PACT) CLINIC 2 Room Code: TPB01 Room Area: 75 Agency Room Name: Toilet, General Procedure Room Patient Staff: 0 Criteria Room Name: Toilet, General Procedure Room Patient Blueprint #:

Acq

Code

Util1 Util2 Util3 Util4 Util5 Util6 NSN

A1067 Mirror, Float Glass, ADA Accessible 1 EA CC

A5075 Dispenser, Soap, Disposable 1 EA VC

A5082 Dispenser, Paper Towel, Sensor, Hands Free 1 EA VC

A5090 Disposal, Sanitary Napkin, SS, Surface Mounted 1 EA CC

A5109 Grab Bar, 1-1/4" Dia., SS, 2 Wall, W/C Accessible 2 EA CC

A5145 Hook, Garment, Double, SS, Surface Mounted 1 EA CC

A5200 Dispenser, Toilet Tissue, SS, 2-Roll, Surface Mntd 1 EA CC

F2010 Basket, Wastepaper, Step-On 1 EA VV

Privacy Act – FOR OFFICIAL USE ONLY (Page 22)

P3005 Lavatory, Vitreous China, Bariatric 1 EA CC D

P9056 Toilet, Floor Mounted, Bariatric 1 EA CC B

Department: OUTPATIENT / PACT CLINIC (265) Functional Area: PATIENT ALIGNED CARE TEAM (PACT) CLINIC 2 Room Code: WRTM2 Room Area: 125 Agency Room Name: Tele-Health Room Staff: 0 Criteria Room Name: Tele-Health Room Blueprint #:

Acq

Code

Util1 Util2 Util3 Util4 Util5 Util6 NSN

A1010 Telecommunication Outlet (2-port) 2 EA CC

A1012 Telephone, Wall Mounted, 1 Line 1 EA VV

A1132 Rail, Accessory Mounting, Length As Required 1 LF VC . . . . . J 6530

A5075 Dispenser, Soap, Disposable 1 EA VC

A5077 Dispenser, Hand Sanitizer, Hands-Free 1 EA VC

A5080 Dispenser, Paper Towel, SS, Surface Mounted 1 EA VC

A5107 Dispenser, Glove, Surgical/Examination, Wall Mntd 1 EA VC

A5108 Waste Disposal Unit, Sharps 1 CS VC

A5145 Hook, Garment, Double, SS, Surface Mounted 1 EA CC

A5180 Track, Cubicle, Surface Mounted, With Curtain 9 FT VC

C02Q0 Cabinet, Sink, U/C/B, 1 Door, 36x24x22 1 EA CC

CD040 Cabinet, W/H, 2 Shelf, 2 DO, Sloping Top, 38x36x13 1 EA CC

CS010 Sink, SS, Single Compartment, 7.5x12x12 ID 1 EA CC D

CT020 Countertop, Solid Surface 1 LF CC

E0948 Cart, General Storage, Mobile, 42"H x 32"W x 22"D 1 EA VV

F0205 Chair, Side With Arms 2 EA VV

F0340 Stool, Self Adjusting 1 EA VV

F2000 Basket, Wastepaper, Fire Resistant 1 EA VV

F3025 Board, Bulletin, Wood Framed 1 EA VC

Privacy Act – FOR OFFICIAL USE ONLY (Page 23)

M4116 Monitor, Vital Signs, w/Temp, w/Sa02, w/Stand 1 EA VV . A

M1803 Workstation, Computer, Wall Mounted, Adjustable 1 EA VC . A

M4100 Sphygmomanometer, Aneroid, Wall Mounted 1 EA VC

M4200 Otoscope/Ophthalmoscope, Wall Mounted 1 EA VC . A

M7401 Light, Exam, Mobile, Spotlight, Mobile Stand 1 EA VV . A

Department: OUTPATIENT / PACT CLINIC (265) Functional Area: PATIENT ALIGNED CARE TEAM (PACT) CLINIC 2 Room Code: WRTM3 Room Area: 125 Agency Room Name: Tele-Retinal Room Staff: 0 Criteria Room Name: Tele-Retinal Room Blueprint #:

Acq

Code

Util1 Util2 Util3 Util4 Util5 Util6 NSN

A1010 Telecommunication Outlet (2-port) 2 EA CC

A1012 Telephone, Wall Mounted, 1 Line 1 EA VV

A1132 Rail, Accessory Mounting, Length As Required 1 LF VC . . . . . J 6530

A5075 Dispenser, Soap, Disposable 1 EA VC

A5077 Dispenser, Hand Sanitizer, Hands-Free 1 EA VC

A5080 Dispenser, Paper Towel, SS, Surface Mounted 1 EA VC

A5107 Dispenser, Glove, Surgical/Examination, Wall Mntd 1 EA VC

A5108 Waste Disposal Unit, Sharps 1 CS VC

A5145 Hook, Garment, Double, SS, Surface Mounted 1 EA CC

C02Q0 Cabinet, Sink, U/C/B, 1 Door, 36x24x22 1 EA CC

CD040 Cabinet, W/H, 2 Shelf, 2 DO, Sloping Top, 38x36x13 1 EA CC

CS010 Sink, SS, Single Compartment, 7.5x12x12 ID 1 EA CC D

CT020 Countertop, Solid Surface 1 LF CC

E0948 Cart, General Storage, Mobile, 42"H x 32"W x 22"D 1 EA VV

F0205 Chair, Side With Arms 2 EA VV

E0078 Workstation, L-Shaped w/Peninsula, Free Std, 78x72 1 EA VV . A

F0340 Stool, Self Adjusting 1 EA VV

Privacy Act – FOR OFFICIAL USE ONLY (Page 24)

F3025 Board, Bulletin, Wood Framed 1 EA VC

F3200 Clock, Battery, 12" Diameter 1 EA VC

M1801 Computer, Microprocessing, w/two monitor 1 EA VC . A

M1803 Workstation, Computer, Wall Mounted, Adjustable 1 EA VC . A

M4100 Sphygmomanometer, Aneroid, Wall Mounted 1 EA VC

M4200 Otoscope/Ophthalmoscope, Wall Mounted 1 EA VV . A

M6050 Retinal Imaging System, Fluoroscein/Indocyanine 1 SY VV . A

M7401 Light, Exam, Mobile, Spotlight, Mobile Stand 1 EA VV . A

Department: OUTPATIENT / PACT CLINIC (265) Functional Area: PATIENT ALIGNED CARE TEAM (PACT) CLINIC 2 Room Code: CLSC4 Room Area: 300 Agency Room Name: Telehealth Conference Room/PACT Group Room Staff: 0 Criteria Room Name: Shared Medical Appointment Room Blueprint #:

Acq

Code

Util1 Util2 Util3 Util4 Util5 Util6 NSN

A1010 Telecommunication Outlet (2-port) 4 EA CC

A5077 Dispenser, Hand Sanitizer, Hands-Free 1 EA VC

A5212 Bracket, Television, Wall-Mounted, Tilt/Angle 1 EA VC

A5220 Bracket, Television, Wall Backing 1 EA CC

E0945 Cart, Computer, Mobile 2 EA VV

F0295 Chair, Stacking 20 EA VV

F0435 Cabinet, Storage, Multi Media 1 EA VV

F0860 Table, Mobile 4 EA VV

F2010 Basket, Wastepaper, Step-On 1 EA VV

F3060 Whiteboard, Projection Screen Combination 1 EA VC

M1801 Computer, Microprocessing, w/Flat Panel Monitor 2 EA VV . A

Privacy Act – FOR OFFICIAL USE ONLY (Page 25)

Department: OUTPATIENT / PACT CLINIC (265) Functional Area: PATIENT ALIGNED CARE TEAM (PACT) CLINIC 2

Agency Room Name: Toilet, Women's Health Exam Room Patient Staff: 0 Criteria Room Name: Toilet, Women's Health Exam Room Patient Blueprint #:

Acq

Code

Util1 Util2 Util3 Util4 Util5 Util6 NSN

A1067 Mirror, Float Glass, ADA Accessible 1 EA CC

A5075 Dispenser, Soap, Disposable 1 EA VC

A5082 Dispenser, Paper Towel, Sensor, Hands Free 1 EA VC

A5081 Dispenser, Tampon, Recessed, Free access 1 EA CC

A5090 Disposal, Sanitary Napkin, SS, Surface Mounted 1 EA CC

A5109 Grab Bar, 1-1/4" Dia., SS, 2 Wall, W/C Accessible 1 EA CC

A5145 Hook, Garment, Double, SS, Surface Mounted 1 EA CC

A5200 Dispenser, Toilet Tissue, SS, 2-Roll, Surface Mntd 1 EA CC

F2010 Basket, Wastepaper, Step-On 1 EA VV

Department: OUTPATIENT / PACT CLINIC (265) Functional Area: PATIENT ALIGNED CARE TEAM (PACT) CLINIC 2 Room Code: SRE01 Room Area: 25 Agency Room Name: Storage, Telehealth Conference room/PACT Group Room Staff: 0 Criteria Room Name: Storage, Shared Medical Appointments Blueprint #:

Acq

Code

Util1 Util2 Util3 Util4 Util5 Util6 NSN

M8810 Stand, Mayo, Stainless, Narrow 3 EA VV

M2055 Shelving, Storage, Wire, CRS, w/Adjustable Shelves 4 EA VV

Privacy Act – FOR OFFICIAL USE ONLY (Page 26)

Department: OUTPATIENT / PACT CLINIC (265) Functional Area: PATIENT ALIGNED CARE TEAM (PACT) CLINIC 2 Room Code: WRTM1 Room Area: 240 Agency Room Name: Team Work Area Staff: 0 Criteria Room Name: Team Work Area Blueprint #:

Acq

Code

Util1 Util2 Util3 Util4 Util5 Util6 NSN

A1010 Telecommunication Outlet (2-port) 8 EA CC

A1015 Telephone, Desk, Multiple Line 4 EA VV

E0123 Workstation, Straight, Free Standing, 72" W 4 EA VV . A

F0275 Chair, Swivel, High Back 4 EA VV

F0420 Cabinet, Filing, Lateral, Half Height 4 EA VV

F2000 Basket, Wastepaper, Fire Resistant 4 EA VV

F3200 Clock, Battery, 12" Diameter 1 EA VC

M1801 Computer, Microprocessing, w/two display 1 EA VV . A

M1801 Computer, Microprocessing, w/one display 3 EA VV . A

Department: OUTPATIENT / PACT CLINIC (265) Functional Area: PATIENT ALIGNED CARE TEAM (PACT) CLINIC 2 Room Code: RCA01 Room Area: 10 Agency Room Name: Alcove, AED, Wall mounted Staff: 0 Criteria Room Name: Alcove, Resuscitation Cart Blueprint #:

Acq

Code

Util1 Util2 Util3 Util4 Util5 Util6 NSN

M7660 Defibrillator/Monitor/Recorder, Portable 1 EA VV . A

M7660 Cabinet, Storage, Clinical, Defibrillator (AED) 1 EA VC

Department: OUTPATIENT / PACT CLINIC (265) Functional Area: PATIENT ALIGNED CARE TEAM (PACT) CLINIC 2 Room Code: UCCL1 Room Area: 60 Agency Room Name: Utility Room, Clean Staff: 0

Privacy Act – FOR OFFICIAL USE ONLY (Page 27)

Criteria Room Name: Utility Room, Clean Blueprint #:

Acq

Code

Util1 Util2 Util3 Util4 Util5 Util6 NSN

E0903 Locker, Supply, w/Shelves, Wall Mtd, 23"W x 20"D 2 EA VC

E0906 Locker, Supply, General, Wall Mtd, 23"W x 20"D 2 EA VC

E0912 Locker, Supply, Med Surg, Wall Mtd 2 EA VC

E1500 Rail, MOD, W/MNTD, HX144XD 1 EA VC

Department: OUTPATIENT / PACT CLINIC (265) Functional Area: PATIENT ALIGNED CARE TEAM (PACT) CLINIC 2 Room Code: SRE01 Room Area: 100 Agency Room Name: Storage, Medical Equipment Staff: 0 Criteria Room Name: Storage, Medical Equipment Blueprint #:

Acq

Code

Util1 Util2 Util3 Util4 Util5 Util6 NSN

A1010 Telecommunication Outlet (2-port) 1 EA CC

M8810 Stand, Mayo, Stainless, Narrow 3 EA VV

Department: OUTPATIENT / PACT CLINIC (265) Functional Area: PATIENT ALIGNED CARE TEAM (PACT) CLINIC 2 Room Code: TNPG1 Room Area: 60 Agency Room Name: Toilet, Staff Staff: 0 Criteria Room Name: Toilet, Staff Blueprint #:

Acq

Code

Privacy Act – FOR OFFICIAL USE ONLY (Page 28)

A1067 Mirror, Float Glass, ADA Accessible 1 EA CC

A5075 Dispenser, Soap, Disposable 1 EA VC

A5082 Dispenser, Paper Towel, Sensor, Hands Free 1 EA VC

A5090 Disposal, Sanitary Napkin, SS, Surface Mounted 1 EA CC

A5109 Grab Bar, 1-1/4" Dia., SS, 2 Wall, W/C Accessible 1 EA CC

A5145 Hook, Garment, Double, SS, Surface Mounted 1 EA CC

A5200 Dispenser, Toilet Tissue, SS, 2-Roll, Surface Mntd 1 EA CC

F2010 Basket, Wastepaper, Step-On 1 EA VV

P3200 Lavatory, Vitreous China, Slab Type w/Sens Op Fauc 1 EA CC D

Department: OUTPATIENT / PACT CLINIC (265) Functional Area: PATIENT ALIGNED CARE TEAM (PACT) CLINIC 2

Acq

Code

Util1 Util2 Util3 Util4 Util5 Util6 NSN

A1067 Mirror, Float Glass, ADA Accessible 1 EA CC

A5075 Dispenser, Soap, Disposable 1 EA VC

A5082 Dispenser, Paper Towel, Sensor, Hands Free 1 EA VC

A5090 Disposal, Sanitary Napkin, SS, Surface Mounted 1 EA CC

A5109 Grab Bar, 1-1/4" Dia., SS, 2 Wall, W/C Accessible 1 EA CC

A5145 Hook, Garment, Double, SS, Surface Mounted 1 EA CC

A5200 Dispenser, Toilet Tissue, SS, 2-Roll, Surface Mntd 1 EA CC

F2010 Basket, Wastepaper, Step-On 1 EA VV

Privacy Act – FOR OFFICIAL USE ONLY (Page 29)

Department: OUTPATIENT / PACT CLINIC (265) Functional Area: PATIENT ALIGNED CARE TEAM (PACT) CLINIC 2 Room Code: SRE01 Room Area: 100 Agency Room Name: Storage, Medical Equipment Staff: 0 Criteria Room Name: Storage, Medical Equipment Blueprint #:

Acq

Code

Util1 Util2 Util3 Util4 Util5 Util6 NSN

Department: OUTPATIENT / PACT CLINIC (265) Functional Area: PATIENT ALIGNED CARE TEAM (PACT) CLINIC 2 Room Code: UCCL1 Room Area: 60 Agency Room Name: Utility Room, Clean Staff: 0 Criteria Room Name: Utility Room, Clean Blueprint #:

Acq

Code

Util1 Util2 Util3 Util4 Util5 Util6 NSN

A1010 Telecommunication Outlet (2-port) 1 EA CC

E0903 Locker, Supply, w/Shelves, Wall Mtd, 23"W x 20"D 2 EA VC

E0906 Locker, Supply, General, Wall Mtd, 23"W x 20"D 2 EA VC

E0912 Locker, Supply, Med Surg, Wall Mtd 2 EA VC

E1500 Rail, MOD, W/MNTD, HX144XD 1 EA VC

Department: OUTPATIENT / PACT CLINIC (265) Functional Area: PATIENT ALIGNED CARE TEAM (PACT) CLINIC 2 Room Code: RCA01 Room Area: 10 Agency Room Name: Alcove, AED, Wall mounted Staff: 0 Criteria Room Name: Alcove, Resuscitation Cart Blueprint #:

Privacy Act – FOR OFFICIAL USE ONLY (Page 30)

Acq

Code

Util1 Util2 Util3 Util4 Util5 Util6 NSN

M7660 Defibrillator/Monitor/Recorder, Portable 1 EA VV . A

M7660 Cabinet, Storage, Clinical, Defibrillator (AED) 1 EA VC

Department: OUTPATIENT / PACT CLINIC (265) Functional Area: PATIENT ALIGNED CARE TEAM (PACT) CLINIC 2

Acq

Code

Util1 Util2 Util3 Util4 Util5 Util6 NSN

A1010 Telecommunication Outlet (2-port) 8 EA CC

A1015 Telephone, Desk, Multiple Line 4 EA VV

E0123 Workstation, Straight, Free Standing, 72" W 4 EA VV . A

F0275 Chair, Swivel, High Back 4 EA VV

F0420 Cabinet, Filing, Lateral, Half Height 4 EA VV

F2000 Basket, Wastepaper, Fire Resistant 4 EA VV

F3200 Clock, Battery, 12" Diameter 1 EA VC

Department: OUTPATIENT / PACT CLINIC (265) Functional Area: PATIENT ALIGNED CARE TEAM (PACT) CLINIC 2

Agency Room Name: Toilet, PACT Patient Staff: 0 Criteria Room Name: Toilet, PACT Patient Blueprint #:

Privacy Act – FOR OFFICIAL USE ONLY (Page 31)

Acq

Code

Util1 Util2 Util3 Util4 Util5 Util6 NSN

A1067 Mirror, Float Glass, ADA Accessible 1 EA CC

A5075 Dispenser, Soap, Disposable 1 EA VC

A5082 Dispenser, Paper Towel, Sensor, Hands Free 1 EA VC

A5090 Disposal, Sanitary Napkin, SS, Surface Mounted 1 EA CC

A5109 Grab Bar, 1-1/4" Dia., SS, 2 Wall, W/C Accessible 1 EA CC

A5145 Hook, Garment, Double, SS, Surface Mounted 1 EA CC

A5200 Dispenser, Toilet Tissue, SS, 2-Roll, Surface Mntd 1 EA CC

F2010 Basket, Wastepaper, Step-On 1 EA VV

Department: OUTPATIENT / PACT CLINIC (265) Functional Area: PATIENT ALIGNED CARE TEAM (PACT) CLINIC 2

Agency Room Name: Consult Room, Patient Aligned Care Team (PACT) - GEU Soc

Wk, Dietitian, CHBC SOC, NS SOC Wk

Acq

Code

Util1 Util2 Util3 Util4 Util5 Util6 NSN

A1010 Telecommunication Outlet (2-port) 2 EA CC

A1015 Telephone, Desk, Multiple Line 1 EA VV

A5075 Dispenser, Soap, Disposable 1 EA VC

A5080 Dispenser, Paper Towel, SS, Surface Mounted 1 EA VC

A5145 Hook, Garment, Double, SS, Surface Mounted 1 EA CC

C01Q0 Cabinet, Sink, U/C/B, 1 Door, 36x18x22 1 EA CC

CD040 Cabinet, W/H, 2 Shelf, 2 DO, Sloping Top, 38x36x13 1 EA CC

CT030 Countertop, Solid Surface, durable 3 LF CC

Privacy Act – FOR OFFICIAL USE ONLY (Page 32)

F2300 Rack, Pamphlet, Wall Mounted 1 EA VC

F0205 Chair, Side With Arms 3 EA VV

F0205 Chair, Desk 1 EA VV

M1825 Printer, Computer, General 1 EA VV . A

F0740 Table, Occasional, Lamp 1 EA VV

F2000 Basket, Wastepaper, Fire Resistant 1 EA VV

F3200 Clock, Battery, 12" Diameter 1 EA VC

Department: OUTPATIENT / PACT CLINIC (265) Functional Area: PATIENT ALIGNED CARE TEAM (PACT) CLINIC 2

Acq

Code

Util1 Util2 Util3 Util4 Util5 Util6 NSN

A1010 Telecommunication Outlet (2-port) 2 EA CC

A1012 Telephone, Wall Mounted, 1 Line 1 EA VV

A1066 Mirror, Float Glass, With SS Frame 1 EA CC

A5075 Dispenser, Soap, Disposable 1 EA VC

A5077 Dispenser, Hand Sanitizer, Hands-Free 1 EA VC

A5080 Dispenser, Paper Towel, SS, Surface Mounted 1 EA VC

A5107 Dispenser, Glove,Surgical/Examination, Wall Mntd 1 EA VC

A5108 Waste Disposal Unit, Sharps (2 gal) 1 CS VC

A5145 Hook, Garment, Double, SS, Surface Mounted 2 EA CC

A5180 Track, Cubicle, Surface Mounted, With Curtain 12 FT VC

C01Q0 Cabinet, Sink, U/C/B, 1 Door, 36x18x22 1 EA CC

CS010 Sink, SS, =Single Compartment, 7.5x12x12 ID 1 EA CC D

Privacy Act – FOR OFFICIAL USE ONLY (Page 33)

CT030 Countertop, Solid-surface 3 LF CC

F0206 Chair, Side, Bariatric, With Arms 1 EA VV

F0206 Chair, Side, Regular, With Arms 1 EA VV

F0340 Stool, Self Adjusting 1 EA VV

F2010 Basket, Wastepaper, Step-On 1 EA VV

F2310 Rack, Pamphlet, Wall Mounted 1 EA VC

F3025 Board, Bulletin, Wood Framed 1 EA VC

F3200 Clock, Battery, 12" Diameter 1 EA VC

M1801 Computer, Microprocessing, w/Flat Panel Monitor 1 EA VV . A

M1802 Work Station, Computer, Retractable, Wall Mounted 1 EA VC . B . . . D 7110

M1825 Printer, Computer, General 1 EA VV . A

M4100 Sphygmomanometer, Aneroid, Wall Mounted 1 EA VC

M4116 Monitor, Vital Signs, w/Sa02, w/temp, wall mt 1 EA VC . A

M4200 Otoscope/Ophthalmoscope, Wall Mounted 1 EA VC . A

Department: OUTPATIENT / PACT CLINIC (265) Functional Area: PATIENT ALIGNED CARE TEAM (PACT) CLINIC 2

Acq

Code

Util1 Util2 Util3 Util4 Util5 Util6 NSN

A1010 Telecommunication Outlet (2-port) 2 EA CC

A1012 Telephone, Wall Mounted, 1 Line 1 EA VV

A1066 Mirror, Float Glass, With SS Frame 1 EA CC

Privacy Act – FOR OFFICIAL USE ONLY (Page 34)

A5080 Dispenser, Paper Towel, SS, Surface Mounted 1 EA VC

A5107 Dispenser, Glove,Surgical/Examination, Wall Mntd 1 EA VC

A5108 Waste Disposal Unit, Sharps (2 gal) 1 CS VC

A5145 Hook, Garment, Double, SS, Surface Mounted 2 EA CC

A5180 Track, Cubicle, Surface Mounted, With Curtain 12 FT VC

C01Q0 Cabinet, Sink, U/C/B, 1 Door, 36x18x22 1 EA CC

CD040 Cabinet, W/H, 2 Shelf, 2 DO, Sloping Top, 38x36x13 1 EA CC

CS010 Sink, SS, =Single Compartment, 7.5x12x12 ID 1 EA CC D

CT030 Countertop, Solid-surface 3 LF CC

E0948 Cart, General Storage, Mobile, 42"H x 32"W x 22"D 1 EA VV

F0206 Chair, Side, Bariatric, With Arms 1 EA VV

F0206 Chair, Side, Regular, With Arms 1 EA VV

F0340 Stool, Self Adjusting 1 EA VV

F2010 Basket, Wastepaper, Step-On 1 EA VV

F2310 Rack, Pamphlet, Wall Mounted 1 EA VC

F3025 Board, Bulletin, Wood Framed 1 EA VC

F3200 Clock, Battery, 12" Diameter 1 EA VC

M1801 Computer, Microprocessing, w/Flat Panel Monitor 1 EA VV . A

M1802 Work Station, Computer, Retractable, Wall Mounted 1 EA VC . B . . . D 7110

M1825 Printer, Computer, General 1 EA VV . A

M4100 Sphygmomanometer, Aneroid, Wall Mounted 1 EA VC

M4116 Monitor, Vital Signs, w/Sa02, w/temp, wall mt 1 EA VC . A

M4200 Otoscope/Ophthalmoscope, Wall Mounted 1 EA VC . A

Department: OUTPATIENT / PACT CLINIC (265) Functional Area: PATIENT ALIGNED CARE TEAM (PACT) CLINIC 2

Agency Room Name: Consult Room, Patient Aligned Care Team (PACT) - GEU Soc

Wk, Dietitian, CHBC SOC, NS SOC Wk

Privacy Act – FOR OFFICIAL USE ONLY (Page 35)

Acq

Code

Util1 Util2 Util3 Util4 Util5 Util6 NSN

A1010 Telecommunication Outlet (2-port) 2 EA CC

A1015 Telephone, Desk, Multiple Line 1 EA VV

A5075 Dispenser, Soap, Disposable 1 EA VC

A5080 Dispenser, Paper Towel, SS, Surface Mounted 1 EA VC

A5145 Hook, Garment, Double, SS, Surface Mounted 1 EA CC

C01Q0 Cabinet, Sink, U/C/B, 1 Door, 36x18x22 1 EA CC

CD040 Cabinet, W/H, 2 Shelf, 2 DO, Sloping Top, 38x36x13 1 EA CC

CS010 Sink, SS, Single Compartment, 7.5x12x12 ID 1 EA CC D

CT030 Countertop, solid-surface, durable 3 LF CC

F2300 Rack, Pamphlet, Wall Mounted 1 EA VC

F0205 Chair, Side With Arms 3 EA VV

F0205 Chair, Desk 1 EA VV

M1825 Printer, Computer, General 1 EA VV . A

F0740 Table, Occasional, Lamp 1 EA VV

F2000 Basket, Wastepaper, Fire Resistant 1 EA VV

F3200 Clock, Battery, 12" Diameter 1 EA VC

Department: OUTPATIENT / PACT CLINIC (265) Functional Area: PATIENT ALIGNED CARE TEAM (PACT) CLINIC 2

Acq

Code

A1010 Telecommunication Outlet (2-port) 8 EA CC

Privacy Act – FOR OFFICIAL USE ONLY (Page 36)

A1015 Telephone, Desk, Multiple Line 4 EA VV

E0123 Workstation, Straight, Free Standing, 72" W 4 EA VV . A

F0275 Chair, Swivel, High Back 4 EA VV

F0420 Cabinet, Filing, Lateral, Half Height 4 EA VV

F2000 Basket, Wastepaper, Fire Resistant 4 EA VV

F3200 Clock, Battery, 12" Diameter 1 EA VC

Department: OUTPATIENT / PACT CLINIC (265) Functional Area: PATIENT ALIGNED CARE TEAM (PACT) CLINIC 2

Acq

Code

Util1 Util2 Util3 Util4 Util5 Util6 NSN

A1067 Mirror, Float Glass, ADA Accessible 1 EA CC

A5075 Dispenser, Soap, Disposable 1 EA VC

A5082 Dispenser, Paper Towel, Sensor, Hands Free 1 EA VC

A5090 Disposal, Sanitary Napkin, SS, Surface Mounted 1 EA CC

A5109 Grab Bar, 1-1/4" Dia., SS, 2 Wall, W/C Accessible 1 EA CC

A5145 Hook, Garment, Double, SS, Surface Mounted 1 EA CC

A5200 Dispenser, Toilet Tissue, SS, 2-Roll, Surface Mntd 1 EA CC

F2010 Basket, Wastepaper, Step-On 1 EA VV

Privacy Act – FOR OFFICIAL USE ONLY (Page 37)

Department: OUTPATIENT / PACT CLINIC (265) Functional Area: PATIENT ALIGNED CARE TEAM (PACT) CLINIC 2

Acq

Code

Util1 Util2 Util3 Util4 Util5 Util6 NSN

A1067 Mirror, Float Glass, ADA Accessible 1 EA CC

A5075 Dispenser, Soap, Disposable 1 EA VC

A5082 Dispenser, Paper Towel, Sensor, Hands Free 1 EA VC

A5090 Disposal, Sanitary Napkin, SS, Surface Mounted 1 EA CC

A5109 Grab Bar, 1-1/4" Dia., SS, 2 Wall, W/C Accessible 1 EA CC

A5145 Hook, Garment, Double, SS, Surface Mounted 1 EA CC

A5200 Dispenser, Toilet Tissue, SS, 2-Roll, Surface Mntd 1 EA CC

F2010 Basket, Wastepaper, Step-On 1 EA VV

Department: OUTPATIENT / PACT CLINIC (265) Functional Area: PATIENT ALIGNED CARE TEAM (PACT) CLINIC 2

Acq

Code

Util1 Util2 Util3 Util4 Util5 Util6 NSN

A1010 Telecommunication Outlet (2-port) 8 EA CC

A1015 Telephone, Desk, Multiple Line 4 EA VV

E0123 Workstation, Straight, Free Standing, 72" W 4 EA VV . A

F0275 Chair, Swivel, High Back 4 EA VV

F0420 Cabinet, Filing, Lateral, Half Height 4 EA VV

F2000 Basket, Wastepaper, Fire Resistant 4 EA VV

Privacy Act – FOR OFFICIAL USE ONLY (Page 38)

Department: OUTPATIENT / PACT CLINIC (265) Functional Area: PATIENT ALIGNED CARE TEAM (PACT) CLINIC 2

Agency Room Name: Consult Room, Patient Aligned Care Team (PACT) - GEU Soc

Wk, Dietitian, CHBC SOC, NS SOC Wk

Acq

Code

Util1 Util2 Util3 Util4 Util5 Util6 NSN

A1010 Telecommunication Outlet (2-port) 2 EA CC

A1015 Telephone, Desk, Multiple Line 1 EA VV

A5075 Dispenser, Soap, Disposable 1 EA VC

A5080 Dispenser, Paper Towel, SS, Surface Mounted 1 EA VC

A5145 Hook, Garment, Double, SS, Surface Mounted 1 EA CC

C01Q0 Cabinet, Sink, U/C/B, 1 Door, 36x18x22 1 EA CC

CD040

Cabinet, W/H, 2 Shelf, 2 DO, Sloping Top, 38x36x13

1 EA CC

CS010 Sink, SS, Single Compartment, 7.5x12x12 ID 1 EA CC D

CT020 Countertop, Solid Surface 3 LF CC

F0205 Chair, Side With Arms 3 EA VV

F0340 Stool, Self Adjusting 1 EA VV

F0740 Table, Occasional, Lamp 1 EA VV

F2000 Basket, Wastepaper, Fire Resistant 1 EA VV

F3200 Clock, Battery, 12" Diameter 1 EA VC

M1801 Computer, Microprocessing, w/Flat Panel Monitor 1 EA VV . A

M1802 Work Station, Computer, Retractable, Wall Mounted

1 EA VC . B . . . D 7110

Privacy Act – FOR OFFICIAL USE ONLY (Page 39)

Department: OUTPATIENT / PACT CLINIC (265) Functional Area: PATIENT ALIGNED CARE TEAM (PACT) CLINIC 2

Acq

Code

Util1 Util2 Util3 Util4 Util5 Util6 NSN

A1010 Telecommunication Outlet (2-port) 2 EA CC

A1012 Telephone, Wall Mounted, 1 Line 1 EA VV

A1066 Mirror, Float Glass, With SS Frame 1 EA CC

A5075 Dispenser, Soap, Disposable 1 EA VC

A5077 Dispenser, Hand Sanitizer, Hands-Free 1 EA VC

A5080 Dispenser, Paper Towel, SS, Surface Mounted 1 EA VC

A5107 Dispenser, Glove,Surgical/Examination, Wall Mntd 1 EA VC

A5108 Waste Disposal Unit, Sharps (2 gal) 1 CS VC

A5145 Hook, Garment, Double, SS, Surface Mounted 2 EA CC

A5180 Track, Cubicle, Surface Mounted, With Curtain 12 FT VC

C01Q0 Cabinet, Sink, U/C/B, 1 Door, 36x18x22 1 EA CC

CD040 Cabinet, W/H, 2 Shelf, 2 DO, Sloping Top, 38x36x13 1 EA CC

CS010 Sink, SS, =Single Compartment, 7.5x12x12 ID 1 EA CC D

CT030 Countertop, Solid-surface 3 LF CC

E0948 Cart, General Storage, Mobile, 42"H x 32"W x 22"D 1 EA VV

F0206 Chair, Side, Bariatric, With Arms 1 EA VV

F0206 Chair, Side, Regular, With Arms 1 EA VV

F0340 Stool, Self Adjusting 1 EA VV

F2010 Basket, Wastepaper, Step-On 1 EA VV

F2310 Rack, Pamphlet, Wall Mounted 1 EA VC

F3025 Board, Bulletin, Wood Framed 1 EA VC

F3200 Clock, Battery, 12" Diameter 1 EA VC

M1801 Computer, Microprocessing, w/Flat Panel Monitor 1 EA VV . A

Privacy Act – FOR OFFICIAL USE ONLY (Page 40)

M4100 Sphygmomanometer, Aneroid, Wall Mounted 1 EA VC

M4200 Otoscope/Ophthalmoscope, Wall Mounted 1 EA VC . A

Department: OUTPATIENT / PACT CLINIC (265) Functional Area: PATIENT ALIGNED CARE TEAM (PACT) CLINIC 2

Acq

Code

Util1 Util2 Util3 Util4 Util5 Util6 NSN

A1010 Telecommunication Outlet (2-port) 2 EA CC

A1012 Telephone, Wall Mounted, 1 Line 1 EA VV

A1066 Mirror, Float Glass, With SS Frame 1 EA CC

A5075 Dispenser, Soap, Disposable 1 EA VC

A5077 Dispenser, Hand Sanitizer, Hands-Free 1 EA VC

A5080 Dispenser, Paper Towel, SS, Surface Mounted 1 EA VC

A5107 Dispenser, Glove,Surgical/Examination, Wall Mntd 1 EA VC

A5108 Waste Disposal Unit, Sharps (2 gal) 1 CS VC

A5145 Hook, Garment, Double, SS, Surface Mounted 2 EA CC

A5180 Track, Cubicle, Surface Mounted, With Curtain 12 FT VC

C01Q0 Cabinet, Sink, U/C/B, 1 Door, 36x18x22 1 EA CC

CD040 Cabinet, W/H, 2 Shelf, 2 DO, Sloping Top, 38x36x13 1 EA CC

CS010 Sink, SS, =Single Compartment, 7.5x12x12 ID 1 EA CC D

CT030 Countertop, Solid-surface 3 LF CC

Privacy Act – FOR OFFICIAL USE ONLY (Page 41)

F0206 Chair, Side, Regular, With Arms 1 EA VV

F0340 Stool, Self Adjusting 1 EA VV

F2010 Basket, Wastepaper, Step-On 1 EA VV

F2310 Rack, Pamphlet, Wall Mounted 1 EA VC

F3025 Board, Bulletin, Wood Framed 1 EA VC

F3200 Clock, Battery, 12" Diameter 1 EA VV VC

M1801 Computer, Microprocessing, w/Flat Panel Monitor 1 EA VV . A

M1802 Work Station, Computer, Retractable, Wall Mounted 1 EA VC . B . . . D 7110

M1825 Printer, Computer, General 1 EA VV . A

M4100 Sphygmomanometer, Aneroid, Wall Mounted 1 EA VC

M4116 Monitor, Vital Signs, w/Sa02, w/temp, wall mt 1 EA VC . A

M4200 Otoscope/Ophthalmoscope, Wall Mounted 1 EA VC . A

Department: OUTPATIENT / PACT CLINIC (265) Functional Area: PATIENT ALIGNED CARE TEAM (PACT) CLINIC 2

Agency Room Name: Consult Room, Patient Aligned Care Team (PACT) - GEU Soc

Wk, Dietitian, CHBC SOC, NS SOC Wk

Acq

Code

Util1 Util2 Util3 Util4 Util5 Util6 NSN

A1010 Telecommunication Outlet (2-port) 2 EA CC

A1015 Telephone, Desk, Multiple Line 1 EA VV

A5075 Dispenser, Soap, Disposable 1 EA VC

A5080 Dispenser, Paper Towel, SS, Surface Mounted 1 EA VC

A5145 Hook, Garment, Double, SS, Surface Mounted 1 EA CC

CD040 Cabinet, W/H, 2 Shelf, 2 DO, Sloping Top, 38x36x13 1 EA CC

CT030 Countertop, solid-surface, durable 3 LF CC

Privacy Act – FOR OFFICIAL USE ONLY (Page 42)

F0205 Chair, Side With Arms 3 EA VV

F0205 Chair, Desk 1 EA VV

M1825 Printer, Computer, General 1 EA VV . A

F0740 Table, Occasional, Lamp 1 EA VV

F2000 Basket, Wastepaper, Fire Resistant 1 EA VV

F3200 Clock, Battery, 12" Diameter 1 EA VC

Department: OUTPATIENT / PACT CLINIC (265) Functional Area: PATIENT ALIGNED CARE TEAM (PACT) CLINIC 2

Acq

Code

Util1 Util2 Util3 Util4 Util5 Util6 NSN

A1010 Telecommunication Outlet (2-port) 8 EA CC

A1015 Telephone, Desk, Multiple Line 4 EA VV

E0123 Workstation, Straight, Free Standing, 72" W 4 EA VV . A

F0275 Chair, Swivel, High Back 4 EA VV

F0420 Cabinet, Filing, Lateral, Half Height 4 EA VV

F2000 Basket, Wastepaper, Fire Resistant 4 EA VV

F3200 Clock, Battery, 12" Diameter 1 EA VC

Department: OUTPATIENT / PACT CLINIC (265) Functional Area: PATIENT ALIGNED CARE TEAM (PACT) CLINIC 2

Privacy Act – FOR OFFICIAL USE ONLY (Page 43)

Acq

Code

Util1 Util2 Util3 Util4 Util5 Util6 NSN

A1010 Telecommunication Outlet (2-port) 8 EA CC

A1015 Telephone, Desk, Multiple Line 4 EA VV

E0123 Workstation, Straight, Free Standing, 72" W 4 EA VV . A

F0275 Chair, Swivel, High Back 4 EA VV

F0420 Cabinet, Filing, Lateral, Half Height 4 EA VV

F2000 Basket, Wastepaper, Fire Resistant 4 EA VV

F3200 Clock, Battery, 12" Diameter 1 EA VC

Department: OUTPATIENT / PACT CLINIC (265) Functional Area: PATIENT ALIGNED CARE TEAM (PACT) CLINIC 2

Agency Room Name: Consult Room, Patient Aligned Care Team (PACT) - GEU Soc

Wk, Dietitian, CHBC SOC, NS SOC Wk

Acq

Code

Util1 Util2 Util3 Util4 Util5 Util6 NSN

A1010 Telecommunication Outlet (2-port) 2 EA CC

A1015 Telephone, Desk, Multiple Line 1 EA VV

A5075 Dispenser, Soap, Disposable 1 EA VC

A5080 Dispenser, Paper Towel, SS, Surface Mounted 1 EA VC

A5145 Hook, Garment, Double, SS, Surface Mounted 1 EA CC

Privacy Act – FOR OFFICIAL USE ONLY (Page 44)

CT030 Countertop, solid-surface, durable 3 LF CC

F0205 Chair, Side With Arms 3 EA VV

F0205 Chair, Desk 1 EA VV

F0740 Table, Occasional, Lamp 1 EA VV

F2000 Basket, Wastepaper, Fire Resistant 1 EA VV

F3200 Clock, Battery, 12" Diameter 1 EA VC

Department: OUTPATIENT / PACT CLINIC (265) Functional Area: PATIENT ALIGNED CARE TEAM (PACT) CLINIC 2

Acq

Code

Util1 Util2 Util3 Util4 Util5 Util6 NSN

A1010 Telecommunication Outlet (2-port) 2 EA CC

A1012 Telephone, Wall Mounted, 1 Line 1 EA VV

A1066 Mirror, Float Glass, With SS Frame 1 EA CC

A5075 Dispenser, Soap, Disposable 1 EA VC

A5077 Dispenser, Hand Sanitizer, Hands-Free 1 EA VC

A5080 Dispenser, Paper Towel, SS, Surface Mounted 1 EA VC

A5107 Dispenser, Glove,Surgical/Examination, Wall Mntd 1 EA VC

A5108 Waste Disposal Unit, Sharps (2 gal) 1 CS VC

A5145 Hook, Garment, Double, SS, Surface Mounted 2 EA CC

A5180 Track, Cubicle, Surface Mounted, With Curtain 12 FT VC

C01Q0 Cabinet, Sink, U/C/B, 1 Door, 36x18x22 1 EA CC

CS010 Sink, SS, =Single Compartment, 7.5x12x12 ID 1 EA CC D

Privacy Act – FOR OFFICIAL USE ONLY (Page 45)

F0206 Chair, Side, Bariatric, With Arms 1 EA VV

F0206 Chair, Side, Regular, With Arms 1 EA VV

F0340 Stool, Self Adjusting 1 EA VV

F2010 Basket, Wastepaper, Step-On 1 EA VV

F2310 Rack, Pamphlet, Wall Mounted 1 EA VC

F3025 Board, Bulletin, Wood Framed 1 EA VC

F3200 Clock, Battery, 12" Diameter 1 EA VC

M1801 Computer, Microprocessing, w/Flat Panel Monitor 1 EA VV . A

M1802 Work Station, Computer, Retractable, Wall Mounted 1 EA VC . B . . . D 7110

M1825 Printer, Computer, General 1 EA VV . A

M4100 Sphygmomanometer, Aneroid, Wall Mounted 1 EA VC

M4116 Monitor, Vital Signs, w/Sa02, w/temp, wall mt 1 EA VC . A

M4200 Otoscope/Ophthalmoscope, Wall Mounted 1 EA VC . A

Department: OUTPATIENT / PACT CLINIC (265) Functional Area: PATIENT ALIGNED CARE TEAM (PACT) CLINIC 2

Acq

Code

Util1 Util2 Util3 Util4 Util5 Util6 NSN

A1010 Telecommunication Outlet (2-port) 2 EA CC

A1012 Telephone, Wall Mounted, 1 Line 1 EA VV

A1066 Mirror, Float Glass, With SS Frame 1 EA CC

Privacy Act – FOR OFFICIAL USE ONLY (Page 46)

A5108 Waste Disposal Unit, Sharps (2 gal) 1 CS VC

A5145 Hook, Garment, Double, SS, Surface Mounted 2 EA CC

A5180 Track, Cubicle, Surface Mounted, With Curtain 12 FT VC

C01Q0 Cabinet, Sink, U/C/B, 1 Door, 36x18x22 1 EA CC

CD040 Cabinet, W/H, 2 Shelf, 2 DO, Sloping Top, 38x36x13 1 EA CC

CS010 Sink, SS, =Single Compartment, 7.5x12x12 ID 1 EA CC D

CT030 Countertop, Solid-surface 3 LF CC

E0948 Cart, General Storage, Mobile, 42"H x 32"W x 22"D 1 EA VV

F0206 Chair, Side, Bariatric, With Arms 1 EA VV

F0206 Chair, Side, Regular, With Arms 1 EA VV

F0340 Stool, Self Adjusting 1 EA VV

F2010 Basket, Wastepaper, Step-On 1 EA VV

F2310 Rack, Pamphlet, Wall Mounted 1 EA VC

F3025 Board, Bulletin, Wood Framed 1 EA VC

F3200 Clock, Battery, 12" Diameter 1 EA VC

M1801 Computer, Microprocessing, w/Flat Panel Monitor 1 EA VV . A

M1802 Work Station, Computer, Retractable, Wall Mounted 1 EA VC . B . . . D 7110

M1825 Printer, Computer, General 1 EA VV . A

M4100 Sphygmomanometer, Aneroid, Wall Mounted 1 EA VC

M4116 Monitor, Vital Signs, w/Sa02, w/temp, wall mt 1 EA VC . A

M4200 Otoscope/Ophthalmoscope, Wall Mounted 1 EA VC . A

Department: OUTPATIENT / PACT CLINIC (265) Functional Area: PATIENT ALIGNED CARE TEAM (PACT) CLINIC 2

Privacy Act – FOR OFFICIAL USE ONLY (Page 47)

Acq

Code

Util1 Util2 Util3 Util4 Util5 Util6 NSN

A1010 Telecommunication Outlet (2-port) 8 EA CC

A1015 Telephone, Desk, Multiple Line 4 EA VV

E0123 Workstation, Straight, Free Standing, 72" W 4 EA VV . A

F0275 Chair, Swivel, High Back 4 EA VV

F0420 Cabinet, Filing, Lateral, Half Height 4 EA VV

F2000 Basket, Wastepaper, Fire Resistant 4 EA VV

F3200 Clock, Battery, 12" Diameter 1 EA VC

Department: OUTPATIENT / PACT CLINIC (265) Functional Area: PATIENT ALIGNED CARE TEAM (PACT) CLINIC 2

Acq

Code

Util1 Util2 Util3 Util4 Util5 Util6 NSN

A1010 Telecommunication Outlet (2-port) 8 EA CC

A1015 Telephone, Desk, Multiple Line 4 EA VV

E0123 Workstation, Straight, Free Standing, 72" W 4 EA VV . A

F0275 Chair, Swivel, High Back 4 EA VV

F0420 Cabinet, Filing, Lateral, Half Height 4 EA VV

F2000 Basket, Wastepaper, Fire Resistant 4 EA VV

F3200 Clock, Battery, 12" Diameter 1 EA VC

Privacy Act – FOR OFFICIAL USE ONLY (Page 48)

Department: OUTPATIENT / PACT CLINIC (265) Functional Area: PATIENT ALIGNED CARE TEAM (PACT) CLINIC 2

Acq

Code

Util1 Util2 Util3 Util4 Util5 Util6 NSN

A1010 Telecommunication Outlet (2-port) 2 EA CC

A1012 Telephone, Wall Mounted, 1 Line 1 EA VV

A1066 Mirror, Float Glass, With SS Frame 1 EA CC

A5075 Dispenser, Soap, Disposable 1 EA VC

A5077 Dispenser, Hand Sanitizer, Hands-Free 1 EA VC

A5080 Dispenser, Paper Towel, SS, Surface Mounted 1 EA VC

A5107 Dispenser, Glove,Surgical/Examination, Wall Mntd 1 EA VC

A5108 Waste Disposal Unit, Sharps (2 gal) 1 CS VC

A5145 Hook, Garment, Double, SS, Surface Mounted 2 EA CC

A5180 Track, Cubicle, Surface Mounted, With Curtain 12 FT VC

C01Q0 Cabinet, Sink, U/C/B, 1 Door, 36x18x22 1 EA CC

CD040 Cabinet, W/H, 2 Shelf, 2 DO, Sloping Top, 38x36x13 1 EA CC

CS010 Sink, SS, =Single Compartment, 7.5x12x12 ID 1 EA CC D

CT030 Countertop, Solid-surface 3 LF CC

E0948 Cart, General Storage, Mobile, 42"H x 32"W x 22"D 1 EA VV

F0206 Chair, Side, Bariatric, With Arms 1 EA VV

F0206 Chair, Side, Regular, With Arms 1 EA VV

F0340 Stool, Self Adjusting 1 EA VV

F2010 Basket, Wastepaper, Step-On 1 EA VV

F2310 Rack, Pamphlet, Wall Mounted 1 EA VC

F3025 Board, Bulletin, Wood Framed 1 EA VC

Privacy Act – FOR OFFICIAL USE ONLY (Page 49)

M4100 Sphygmomanometer, Aneroid, Wall Mounted 1 EA VC

M4116 Monitor, Vital Signs, w/Sa02, w/temp, wall mt 1 EA VC . A

M4200 Otoscope/Ophthalmoscope, Wall Mounted 1 EA VC . A

Department: OUTPATIENT / PACT CLINIC (265) Functional Area: PATIENT ALIGNED CARE TEAM (PACT) CLINIC 2

Acq

Code

Util1 Util2 Util3 Util4 Util5 Util6 NSN

A1010 Telecommunication Outlet (2-port) 2 EA CC

A1012 Telephone, Wall Mounted, 1 Line 1 EA VV

A1066 Mirror, Float Glass, With SS Frame 1 EA CC

A5075 Dispenser, Soap, Disposable 1 EA VC

A5077 Dispenser, Hand Sanitizer, Hands-Free 1 EA VC

A5080 Dispenser, Paper Towel, SS, Surface Mounted 1 EA VC

A5107 Dispenser, Glove,Surgical/Examination, Wall Mntd 1 EA VC

A5108 Waste Disposal Unit, Sharps (2 gal) 1 CS VC

A5145 Hook, Garment, Double, SS, Surface Mounted 2 EA CC

A5180 Track, Cubicle, Surface Mounted, With Curtain 12 FT VC

C01Q0 Cabinet, Sink,…

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File details come from the government source that posted it. Updated .