Attachment A - Master Delivery Schedule- Sanitized.xlsx

XLSX spreadsheet 595 KB Posted Sep 20, 2023

Attached to: 7E21--Censis PDA Bundles including Zebra TC52ax-HC Scanners
Solicitation number: 36C10B23Q0548
Issued by: Department of Veterans Affairs Technology Acquisition Center Austin

About this file

Written by GovTribe AI · Dec 21, 2023

This attachment is a master delivery schedule for solicitation number 36C10B23Q0548 from the Department of Veterans Affairs Technology Acquisition Center Austin. The solicitation seeks bids for 7E21--Censis PDA Bundles including Zebra TC52ax-HC Scanners. Delivery locations and quantities are specified for each item on a monthly basis through December 2023. Key products required include Censis PDA bundles with integrated scanners, replacement batteries, charging cables, and carrying cases. Bids are due by June 15, 2023, with contract award anticipated by August 15, 2023. Pricing is to remain firm through the duration of the delivery period.

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Other files

File	Type	Posted
Redacted JA Sole Source Censis PDA Bundle.pdf	PDF	Sep 20, 2023
36C10B23Q0548_1.docx	DOCX document	Sep 20, 2023
36C10B23Q0548.pdf	PDF	Sep 20, 2023

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Cover Department of Veterans Affairs

Zebra Scanners TC52ax-HC

Aug-23

Version 1.0

This document contains a paragraph style called Instructional Text. Text using this paragraph

style is designed to assist the reader in completing the document. Text in paragraphs after

this help text on the title page should be manually set to the appropriate body text level. For best results and

to maintain formatting consistency, use the provided styles for the cover and default for spreadsheets.

Delete all instructional text before distributing the document.

Revision History

Revision History
Date	Version	Description	Author

Place latest revisions at top of table. Remove unused rows.

Instructions

VA Procurement Name: Provide the title of the procurement or a short description.

VA IFCAP Purchase Order Number: NNN-XNNNNN

CEC Number: CEC NNNN

TAC Contract Nunber: VA NNN-NN-X-NNNN:

ITARS Number:

Vendor PO #:

OVERVIEW. This is a master delivery schedule template. This template will be populated for all procurements. The template serves as a guide and may be modified by adding columns that correspond to the items being procured and delivered. Sample data has been provided for clarity, remove the sample data once actual data is available at each stage of the procurement.

VA PROCUREMENT SUMMARY WORKSHEET. The VA Program or Project Manager shall provide the initial summary of what has been ordered, creating one row per VA Facility and one column per Contract Line Item Number (CLIN). Vendors shall modify the columns to describe the major end items being procured/delivered. This worksheet will be based off the VA Purchase Order and will include base options in addition to any optional CLINs. The intent is to provide each VA Facility receiving equipment with the number of items for each CLIN that will be physically delivered.

Columns describing internal components of the equipment delivered are specifically not wanted - this adds unnecessary confusion and will delay the receiving/payment process. To better describe the boxes included in each shipment, Vendor's may elect to include columns for component parts shipped in separate boxes and any additional columns needed in order to provide a complete Bill of Materials (BOM).

VA ADDRESSES WORSHEET. This worksheet will be initially populated by the VA. All columns will be completed. Contractors shall coordinate deliveries with Site POCs before shipment of all shipments to ensure sites have adequate storage space. Prior to shipping, Contractor (prime) shall notify the Delivery Date Coordinator and the respective Site POCs, by phone followed by email, of all incoming deliveries including line-by-line details for review of requirements. VA Project Manager, Implementation Manager, and COR shall be copied on all email communication to sites. Contractor cannot make any changes to the delivery quantities or schedule at the request of Site POC other than the ability of the site to ask that their shipments be broken up into no more than three partial deliveries.

ORDER TRACKING WORKSHEET. This worksheet is for vendor use and will contain columns for all items being procured. Each cell shall be populated with the total number of items being delivered to each site. This worksheet will replicate the BOM and provide proof of delivery

SERIAL # WORKSHEET. The contractor will maintain an electronic list of all delivered equipment by serial number, noting delivery location, Purchase Order number and individual that signs for the equipment. Delivery location will include the Region number, VISN number, station number, street address, city and state. The electronic list will be provided in a file with one serial number per line in a standard format such as excel, or quote and comma delimited format. Contractor will provide the list via electronic mail after receipt of the equipment by the site. The list will be sent to the site POC and additional VA staff identified at the time the order is placed.

EPEAT. CONTRACTING FOR ENVIRONMENTALLY PREFERABLE PRODUCTS AND SERVICES. Requirements are the same for all vendors/suppliers to ensure products are in compliance with each contract method used for award. Scope, Definitions, Authorities, Policy, EPEAT, and Contract Clauses for compliance are identified in the FAR and Federal Register.

FAR 23.7

https://www.acquisition.gov/sites/default/files/current/far/html/Subpart%2023_7.html

FAC 2005-75; FAR Case 2013-016; Item I; Docket 2013-0016, Sequence 1

https://www.federalregister.gov/articles/2014/06/24/2014-14376/fac-2005-75-far-case-2013-016-item-i-docket-2013-0016-sequence-1-federal-acquisition-regulation

E.O. 13693

Planning for Sustainability in the Next Decade (19 Mar 2015)

https://sftool.gov/learn/annotation/447/executive-order-13693-planning-federal-sustainability-decade

https://www.acquisition.gov/sites/default/files/current/far/html/Subpart%2023_7.htmlhttps://www.federalregister.gov/articles/2014/06/24/2014-14376/fac-2005-75-far-case-2013-016-item-i-docket-2013-0016-sequence-1-federal-acquisition-regulationhttps://sftool.gov/learn/annotation/447/executive-order-13693-planning-federal-sustainability-decade VA Procurement Summary District Region VISN Station Number Code Location Facility Name CLIN 1 Zebra Scanners

TC52ax-HC	CLIN 2
	CLIN 3
	CLIN 4
	CLIN 5
	CLIN 6

1	650	Providence, RI	Providence VA Medical Center	7	0	0	0	0	0
1	405	White River Junction, VT	White River Junction VA Medical Center	4	0	0	0	0	0
1	523A5	Brockton, MA	VA Boston Healthcare System, Brockton Campus	6	0	0	0	0	0
1	608	Manchester, NH	Manchester VA Medical Center	7	0	0	0	0	0
1	523A4	West Robury, MA	VA Boston Healthcare System, West Roxbury Campus	16	0	0	0	0	0
1	523	Jamaica Plain, MA	VA Boston Healthcare System, Jamaica Plain Campus	8	0	0	0	0	0
1	402	Agusta, ME	VA Maine Healthcare System - Togus	6	0	0	0	0	0
1	689	West Haven, CT	VA Connecticut Healthcare System	10	0	0	0	0	0
1	631	Leeds, MA	VA Central Western Massachusetts Healthcare System	3	0	0	0	0	0
1	689A4	Newington, CT	VA Connecticut Healthcare System, Newington Campus	5	0	0	0	0	0
1	518	Bedford, MA	VA Bedford Healthcare System	8	0	0	0	0	0
2	630A4	Brooklyn, NY	Brooklyn Campus of the VA NY Harbor Healthcare System	4	0	0	0	0	0
2	630	Manhattan, NY	New York Harbor Healthcare System New York Campus	7	0	0	0	0	0
2	620	Wappingers Falls	VA Hudson Valley Health Care System	6	0	0	0	0	0
2	632	Northport, NY	New York Harbor Healthcare System New York Campus	2	0	0	0	0	0
15		Evansville, IN	Evansville VA Clinic	2	0	0	0	0	0
15	589A4	Columbia MO	Harry S. Truman Memorial Veterans Hospita	5	0	0	0	0	0
15	657A4	Poplar Bluff, MO	John J. Pershing Veterans' Administration Medical Center	4	0	0	0	0	0
15	657A4	Cape Girardeau, MO	Cape Girardeau HCC	4	0	0	0	0	0
15	589	Kansas City, MO	Kansas City VA Medical Center	12	0	0	0	0	0
15	589A5	Leavenworth, KS	Dwight D. Eisenhower Department of Veterans Affairs Medical Center	4	0	0	0	0	0
15	657A5	Marion, IL	Marion VA Medical Center	3	0	0	0	0	0
15	657	St. Louis, MO	John Cochran Veterans Hospital	6	0	0	0	0	0
15	589A6	Topeka, KS	Colmery-O'Neil Veterans' Administration Medical Center	4	0	0	0	0	0
15	589	Wichita, KS	Robert J Dole	19	0	0	0	0	0
16	598	Little Rock, AR	Central Arkansas Veterans Healthcare System John L. McClellan Memorial Veterans Hospital	11	0	0	0	0	0
16	598	North Little Rock, AR	Central Arkansas Veterans Healthcare System Eugene J. Towbin Healthcare Center	3	0	0	0	0	0
16	586	Jackson, MS	G.V. "Sonny" Montgomery VA Medical Center	5	0	0	0	0	0
16	502	Alexandria, LA	Alexandria VA Health Care System	4	0	0	0	0	0
16	667	Shreveport, LA	Overton Brooks VA Medical Center	7	0	0	0	0	0
16	520	Biloxi, MS	VA Gulf Coast Veterans Health Care System	5	0	0	0	0	0
16	520BZ	Pensacola, FL	Joint Ambulatory Care Center	4	0	0	0	0	0
16	564	Fayetteville, AR	Veterans Healthcare System of the Ozarks	10	0	0	0	0	0
16	580	Houston, TX	Michael E. DeBakey VAMC	11
16	629	New Orleans, LA	Southeast Louisiana Health Care System	11
20	648	Portland, OR	VA Portland Health Care System	18
20	648A	Vancouver, WA	VA Portland Health Care System - Vancouver	4
20	653	Roseburg, OR	Roseburg VA Health Care System	6
20	653B	Eugene, OR	Roseburg VA Health Care System - Eugene Health Care Center	6
20	663	Seattle, WA	VA Puget Sound Health Care System	14
20	663A	American Lakes, WA	VA Puget Sound Health Care System – American Lake	5
20	531	Boise, ID	Boise VA Medical Center	10
20	668	Spokane, WA	Mann-Grandstaff VA Medical Center	6
20	692	White City, OR	Southern Oregon Rehabilitation Center	4
20	687	Walla Walla, WA	Johnathan M Wainwright VA Medical Center	2
21	570	Fresno, CA	Central California VA Health Care System	8
21	612	Martinez, CA	Martinez Outpatient Clinic	5
21	612	Mather, CA	VA Northern California Health Care System	13
21	640	Palo Alto, CA	VA Palo Alto Health Care System	15
21	654	Reno, NV	VA Sierra Nevada Health Care System	12
21	662	San Francisco, CA	San Francisco VA Health Care System	16
21	593	Las Vegas, NV	VA Southern Nevada Healthcare System	15
22	501	Albuquerque, NM	VA New Mexico Healthcare System	10
22	600	Long Beach, CA	VA Long Beach Healthcare System	12
22	605	Loma Linda, CA	VA Loma Linda Healthcare System	10
22	605BZ	Loma Linda, CA	VA Loma Linda ACC	5
22	644	Phoenix, AZ	VA Phoenix Healthcare System	27
22	649	North Arizona HCS, AZ	VA Prescott	4
22	664	San Diego, CA	VA San Diego Healthcare System	26
22	678	South Arizona HCS, AZ	VA Tucson Healthcare System	5
22	691	Los Angeles HCS, CA	VA Greater Los Angeles Healthcare System	51
23	438	Sioux Falls, SD	Sioux Falls VA Health Care System	5
23	618	Minneapolis, MN	Minneapolis VA Health Care System	5
23	636A6	Des Moines, IA	VA Central Iowa Health Care System	5
23	437	Fargo, ND	Fargo VA Health Care System	4
			Region X Totals:	561	0	0	0	0	0

VA Shipping Addresses District Region VISN Station Number Code Location Facility Name Address Line 1 Address Line 2 Address Line 3 City State Zip Phone Facility IT POC Facility IT Phone # Email Address Facility Logistics POC Facility Logistics Phone # Email Address Shipping Instructions (Include any Special Delivery Instructions such as inside delivery or lack of loading dock)

1	650	Providence, RI	Providence VA Medical Center	830 Chalkstone Avenue		Providence	RI	02908-4799
1	405	White River Junction, VT	White River Junction VA Medical Center	163 Veterans Drive		White River Junction	VT	05009
1	523A5	Brockton, MA	VA Boston Healthcare System, Brockton Campus	940 Belmont Street	Building 32	Brockton	MA	02301
1	608	Manchester, NH	Manchester VA Medical Center	718 Smyth Road		Manchester	NH	03104
1	523A4	West Roxbury, MA	VA Boston Healthcare System, West Roxbury Campus	1400 VFW Parkway	Building 2, Basement Room AB-6	West Roxbury	MA	02132
1	523	Jamaica Plain, MA	VA Boston Healthcare System, Jamaica Plain Campus	150 South Huntington Avenue	Floor 2	Jamaica Plain	MA	02130
1	402	Agusta, ME	VA Maine Healthcare System - Togus	1 VA Center		Agusta	ME	04330
1	689	West Haven, CT	VA Connecticut Healthcare System	950 Campbell Avenue, 06516		West Haven	CT	06516
1	689A4	Newington, CT	VA Connecticut Healthcare System	555 Willard Avenue		Newington	CT	6111
1	518	Bedford, MA	VA Bedford Healthcare System	200 Spring Road		Bedford	MA	1730
1	631	Leeds, MA	VA Central Western Massachusetts Healthcare System	421 North Main Street		Leeds	MA	01053
2	630A4	Brooklyn, NY	Brooklyn Campus of the VA NY Harbor Healthcare System	800 Poly Place		Brooklyn	NY	11209
2	630	Manhattan, NY	New York Harbor Healthcare System New York Campus	Manhattan Campus	423 East 23rd Street	Manhattan	NY	10010
2	632	Northport, NY	Northport VA Medical Center	79 Middleville Rd	Northport, NY 11768	Northport	NY	11768
2	620	Wappingers Falls, NY	Wappingers Falls VA Medical Center	41 Castle Point Rd		Wappingers Falls	NY	12590
15		Evansville, IN	Evansville VA Clinic	6211 East Waterford Boulevard		Evansville	IN	47715-2869
15	589A4	Columbia MO	Harry S. Truman Memorial Veterans Hospita	800 Hospital Drive		Columbia	MO	65201-5297
15	657A4	Poplar Bluff, MO	John J. Pershing Veterans' Administration Medical Center	1500 North Westwood Boulevard		Poplar Bluff	MO	63901-3318
15	657A4	Poplar Bluff, MO	Cape Girardeau HCC	711 South Mount Auburn Rd.		Cape Girardeau	MO	63703
15	589	Kansas City, MO	Kansas City VA Medical Center	4801 Linwood Boulevard		Kansas City	MO	64128-2226
15	589A5	Leavenworth, KS	Dwight D. Eisenhower Department of Veterans Affairs Medical Center	4101 4th Street Trafficway		Leavenworth	KS	66048-5014
15	657A5	Marion, IL	Marion VA Medical Center	2401 West Main Street		Marion	IL	62959-1165
15	657	St. Louis, MO	John Cochran Veterans Hospital	915 North Grand Boulevard		St. Louis	MO	63106-1621
15	589A6	Topeka, KS	Colmery-O'Neil Veterans' Administration Medical Center	2200 Southwest Gage Boulevard		Topeka	KS	66622-0001
15	589	Wichita, KS	Robert J Dole	5500 East Kellogg Drive		Wichita	KS	67218-1607
16	598	Little Rock, AR	Central Arkansas Veterans Healthcare System John L. McClellan Memorial Veterans Hospital	4300 West 7th Street Little Rock		Little Rock	AR	72205
16	598	North Little Rock, AR	Central Arkansas Veterans Healthcare System Eugene J. Towbin Healthcare Center	2200 Fort Roots Drive		North Little Rock	AR	72114
16	586	Jackson, MS	G.V. "Sonny" Montgomery VA Medical Center	1500 E. Woodrow Wilson Avenue		Jackson	MS	39216
16	502	Alexandria, LA	Alexandria VA Health Care System	Department of Veteran Affairs Medical Center		Alexandria	LA	71306
16	667	Shreveport, LA	Overton Brooks VA Medical Center	510 E. Stoner Ave.		Shreveport	LA	71101
16	520	Biloxi, MS	VA Gulf Coast Veterans Health Care System	400 Veterans Avenue		Biloxi	MS	39531
16	520BZ	Pensacola, FL	Joint Ambulatory Care Center	790 Veterans Way		Pensacola	FL	32507
16	564	Fayetteville, AR	Veterans Healthcare System of the Ozarks	1100 N. College Avenue		Fayetteville	AR	72703
16	580	Houston, TX	Michael E. DeBakey VAMC	2002 Holcombe Blvd.		Houston	TX	77030
16	629	New Orleans, LA	Southeast Louisiana Health Care System	2400 Canal Street		New Orleans	LA	70119
20	648	Portland, OR	VA Portland Health Care System	3710 SW U.S. Veterans Hospital Road		Portland	OR	97239
20	648A	Vancouver, WA	VA Portland Health Care System - Vancouver	1601 E. 4th Plain Blvd		Vancouver	WA	98661
20	653	Roseburg, OR	Roseburg VA Health Care System	913 NW Garden Valley Blvd		Roseburg	OR	97471
20	653B	Eugene, OR	Roseburg VA Health Care System - Eugene Health Care Center	3355 Chad Dr		Eugene	OR	97408
20	663	Seattle, WA	VA Puget Sound Health Care System	1660 S Columbian Way		Seattle	WA	98108
20	663A	American Lakes, WA	VA Puget Sound Health Care System – American Lake	9600 Veterans Dr		Lakewood	WA	98493
20	531	Boise, ID	Boise VA Medical Center	500 West Fort Street	Building 34	Boise	ID	83702
20	668	Spokane, WA	Mann-Grandstaff VA Medical Center	4815 N Assembly St		Spokane	WA	99205
20	692	White City, OR	Southern Oregon Rehabilitation Center	8495 Crater Lake Hwy		White City	OR	97503
20	687	Walla Walla, WA	Johnathan M Wainwright VA Medical Center	77 Wainwright Dr		Walla Walla	WA	99362
21	570	Fresno, CA	Central California VA Health Care System	2615 E. Clinton Avenue		Fresno	CA	93703
21	612	Martinez, CA	Martinez Outpatient Clinic	150 Muir Road		Martinez	CA	94553
21	612	Mather, CA	VA Northern California Health Care System	10535 Hospital Way		Mather	CA	95655
21	640	Palo Alto, CA	VA Palo Alto Health Care System	3801 Miranda Avenue		Palo Alto	CA	94304
21	654	Reno, NV	VA Sierra Nevada Health Care System	975 Kirman Avenue		Reno	NV	89502
21	662	San Francisco, CA	San Francisco VA Health Care System	4150 Clement Street		San Francisco	CA	94121
21	593	Las Vegas, NV	VA Southern Nevada Healthcare System	6900 North Pecos Road		Las Vegas	NV	89086
22	501	Albuquerque, NM	VA New Mexico Healthcare System	1501 San Pedro Drive	Southeast	Albuquerque	New Mexico	87108-5153
22	600	Long Beach, CA	VA Long Beach Healthcare System	5901 East 7th Street		Long Beach	California	90822-5201
22	605	Loma Linda, CA	VA Loma Linda Healthcare System	11201 Benton Street		Loma Linda	California	92357-1000
22	605Bz	Loma Linda, CA	VA Loma Linda ACC	26001 Redlands Boulevard,	Ambulatory Care Center	Redlands	California	92373-7762
22	644	Phoenix, AZ	VA Phoenix Healthcare System	650 East Indian School Road		Phoenix	Arizona	85012-1839
22	649	North Arizona HCS, AZ	VA Prescott	500 Highway 89 North		Prescott	Arizona	86313-5001
22	664	San Diego, CA	VA San Diego Healthcare System	3350 La Jolla Village Drive		San Diego	California	92161-0002
22	678	South Arizona HCS, AZ	VA Tucson Healthcare System	3601 South Sixth Avenue		Tucson	Arizona	85723-0001
22	691	Los Angeles HCS, CA	VA Greater Los Angeles Healthcare System	11301 Wilshire Boulevard		Los Angeles	California	90073-1003
23	438	Sioux Falls, SD	Sioux Falls VA Health Care System	2501 W. 22nd Street		Sioux Falls	SD	57105
23	618	Minneapolis, MN	Minneapolis VA Health Care System	One Veterans Drive		Minneapolis	MN	55417
23	636A6	Des Moines, IA	VA Central Iowa Health Care System	3600 30th Street		Des Moines	IA	50310
23	437	Fargo, ND	Fargo VA Health Care System	2101 Elm Street N.		Fargo	ND	58102

VBA Optional Quantities (locations TBD)

Order Tracking District Region VISN Station Number Code Location Facility Name CLIN 1 Light Laptop HP EliteBook 820 G2 CLIN 2 Medium Laptop HP EliteBook 840 G2 CLIN 3 Heavy Laptop HP ZBook 17 G2 Mobile CLIN 4 Docking Station

Light	CLIN 5
Docking Station Medium	CLIN 6

Docking Station

Heavy	Shipment Date	Date Received	Tracking Information	Comments
	Pacific	1	18	501	ALB	Albuquerque (501)	New Mexico VA HCS	0	0	17	0	0	17	6/5/15	6/12/15	FedEx 0940985942793532, DELIVERED, 6/12, Signed by R. Pepper	The docking stations and accessories are shipped in separate boxes from the laptops, so there are 51 boxes.

Region X Totals: 0 0 17 0 0 17

Serial Numbers

District

Region

VISN

Station Number

Code

Location

Facility Name

Sequence#

Serial Number

Hardware, Software, or Service

Part #

EPEAT Ratiing

Short Description

Manufacturer

Model #

Unit Cost/Price Paid

Warranty Period

Warranty Expiration Date

Warranty Contact Number

VA IFCAP PO

Date of Award

Ship Date

Date Delivered

Tracking Information

Shipping Address 1

Address Line 2

Address Line 3

City

State

Zip

Facility IT POC

Facility IT Phone #

Pacific

501

ALB

Albuquerque (501)

New Mexico VA HCS

1 of 17

CND3370SJ1

Hardware

HP ZBOOK 17

Gold

LAPTOP

ZBOOK 17

$1,537.65

4 years

6/6/19

(855) 230-4612

116-S50031

4/13/15

6/5/15

6/12/15

FedEx 0940985942793532, DELIVERED, 6/12, Signed by R. Pepper

1501 San Pedro Drive SE

Building 46

Albuquerque

87108-5153

Jerry Nutter

505-265-1711 x5100

For Use by VA Logistics

	Intentionally left blank	Intentionally left blank	Model Number Found on the Equip or from the Procurement Bulletin with no additional characters	Serial Number found on Equip with no local additions	Found on the OI&T Procurement Bulletin or KnowNet2	From selected CSN	What is the name the manufacturer calls this equipment which can also be found on the Procurement Bulletin	What EIL does OI&T recommend for this type of Equip	The category HTM created for this type of equipment which can also be found on the procurement bulletin	Purchase Order Number should only be entered like this sample:
116-E50003 with no changes or local additions	CHOOSE FROM: 'C' FOR CONSTRUCTED 'G' FOR GIFT/BEQUEST/DONATION 'L' FOR LEASED 'M' FOR CAPITAL LEASE 'O' FOR OTHER 'P' FOR PURCHASED 'R' FOR TRANSFERRED 'T' FOR TRADED 'X' FOR EXCESS '1' FOR ON LOAN TO VAMC	Vendor from Purchase Order	If Leased fill in Leased Cost	What was the unit of issue (EA) price from the purchase order if not leased	Date of acceptance of this equipment by the Agency.	Check the purchase order if not available contact the CO who created the contract	Computed by the from the Life Expectancy in the CSN table.	CHOOSE FROM: 0 Defense Supply Agency 1 VA Servicing Supply Depot 2 Open Market 3 GSA Supply Depot 4 VA Decentralized Schedule 5 Federal Prison Industries 6 Fed.Supply Sched.or OGA Contracts 7 Consolidated Procurement 9 Marketing Center B Combination of 2,4,6	CHOOSE FROM: 'NX' FOR NON-EXPENDABLE EQPT 'BSE' FOR BUILDING SERVICE EQPT 'EXP' FOR EXPENDABLE EQPT	Check the AEMS/MERS Equipment Request to see if this was an Equipment replacement request. If replacement, EE number being replaced	Screen 2:
CHOOSE FROM: '1' FOR IN USE '2' FOR OUT OF SERVICE '3' FOR LOANED OUT '4' FOR TURNED IN '5' FOR LOST OR STOLEN	Screen 2:
Not normally used by OI&T	Screen 2:
Using Service	Screen 2:
Will be automatically filled in at time of initial scan into AEMS/MERS	Screen 2:
Will be automatically filled in at time of initial scan into AEMS/MERS	Screen 2:
Local use field	Screen 2:
Hospital Station Number, VBA Station Number, NCA Station Number, or OI&T Station Number	Screen 3 in AEMS/MERS

CHOOSE FROM:

'1' FOR CAPITALIZED/ACCOUNTABLE

'A' FOR NOT CAPITALIZED/ACCOUNTABLE

'0' FOR EXPENSED/OPTIONALLY ACCOUNTABLE Screen 3 in AEMS/MERS 1 AMAFGE General Operating Expense 0151 2 AMAFIG Inspector General 3 AMAFIT AMAF Info Tech Fund 0167 4 AMAFMA Medical Administrative 0152 5 AMAFMC Medical Care 0160 6 AMAFMF Medical Facilities 7 AMAFNC National Cemetery System 0129 8 AMAFRE Medical Research Screen 3 in AEMS/MERS The FCP is found in the PO transaction number Screen 3 in AEMS/MERS The BOC is found in then line item description Screen 3 in AEMS/MERS

1750 NONEXPENDABLE EQUIPMENT

1751 ADP NONEXPENDABLE PROPERTY

1811 EQUIPMENT UNDER CAPITAL LEASE

1830 ADP SOFTWARE

1995 PP&E REMOVED FROM SERVICE BUT NOT DISPOSED

6100 EXPENSED NX EQUIPMENT (ALL TYPES) Screen 3 in AEMS/MERS 10 Veterans Health Administration 20 Veterans Benefits Administration 40 National Cemetery Service 90 Office of Acquisition & Materiel Mgmnt 02 General Counsel 04 Office of Finance and Info Resources Mgmnt 08 Office of Facilities Screen 3 in AEMS/MERS

CHOOSE FROM:

'3299' FOR MEDICAL

'3210' FOR NON-MEDICAL

'3402' FOR DONATED

Assigned EE Number Manuf Name Author: Author:

Company that created the equipment or Original Equipment manufacturer (OEM)

Model Number

Serial Number

CSN

Life Expectancy

Manuf Equipment Name

CMR

Equipment Category

Purchase Order Number

Acquisition Method

Vendor

Lease Cost

Asset Value

Acquisition Date

Warranty Expir Date

Replacement date

Acquisition Source Code

Equipment Type / Type of Entry (TOE)

Replacing

Use Status

Parent System

Service

Location

Physical Inventory Date

Local Identifier

Owining Station Number

Invest. Category

Fund

Fund Control Point

Budget Object Code

Standard General Ledger

Administration Office

Equity Account

76000

HP ZBOOK 17

CND3370SJ1

7021-440002

COMPUTER, LAPTOP

78L

IT COMPUTER LAPTOP

116-S50031

PURCHASED

ALL POINTS LOGISTICS

1537.65

6/5/15

6/6/19

Consolidated Procurement

IN USE

IT OPERATIONS

501

NOT CAPITALIZED/ACCOUNTABLE

AMAFIT

4406

3136

1751

3210

Template Revision History

Template Revision History
Date	Version	Description	Author

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File details come from the government source that posted it. Updated Sep 20, 2023.