ATTACHMENT R- LAWRENCE EQUIPMENT LIST.pdf

1 of 29 VA ORP Lawrence, IN - Outpatient Clinic

VA ORP Lawrence, IN - Outpatient Clinic - Medical Equipment Master Planning Final Submittal Update- 01 September 2022

Department Room Name Room Code

Room Qty JSN

JSN

Qty Nomenclature

Acq Code Arch Code Width Depth Height Weight Volts Hertz Watts Amps

Audiology Clinic Audiometric Exam PEHS4 1 A5107 1 Dispenser, Glove, Surgical/Examination, Wall Mntd VV 1-Fixed 11 4 6 2 Audiology Clinic Audiometric Exam PEHS4 1 E0042 1 Workcenter, Computer, Free Standing, 48" W VV 5-Furniture 48 30 42 150 Audiology Clinic Audiometric Exam PEHS4 1 E0948A 1 Cart, General Storage, Mobile, 42"H x 32"W x 22"D VV 3-Movable, Non-Electric 32 25 48 87 Audiology Clinic Audiometric Exam PEHS4 1 F0206 1 Chair, Side, Bariatric, With Arms VV 5-Furniture 36 26 34 48 Audiology Clinic Audiometric Exam PEHS4 1 F0275 1 Chair, Swivel, High Back with Arms VV 5-Furniture 28 37 44 56 Audiology Clinic Audiometric Exam PEHS4 1 F0340 1 Stool, Self Adjusting VV 5-Furniture 24 24 38 39 Audiology Clinic Audiometric Exam PEHS4 1 F2000 1 Basket, Wastepaper, Fire Resistant VV 3-Movable, Non-Electric 11.6 15 20 8 Audiology Clinic Audiometric Exam PEHS4 1 F2010 1 Basket, Wastepaper, Step-On VV 3-Movable, Non-Electric 12 13 17 12 Audiology Clinic Audiometric Exam PEHS4 1 F3200 0 Clock, Battery, 12" Diameter VV 5-Furniture 13 2 13 2 Audiology Clinic Audiometric Exam PEHS4 1 M0025A 1 Audiometer, Diagnostic, Middle Ear, Impedance w/Speakers VV 2-Movable, Electric 21 15 13 17 110 60 110 1 Audiology Clinic Audiometric Exam PEHS4 1 M0031A 1 Screening Device, Otoacoustic Emissions VV 2-Movable, Electric 12 12 8 9 120 60 240 2 Audiology Clinic Audiometric Exam PEHS4 1 M0036 1 Inner Ear (Cochlear) Analyzer, Screen VV 2-Movable, Electric 13 11 20 8 115 60 230 2 Audiology Clinic Audiometric Exam PEHS4 1 M0041 1 Booth, Audio, Double Wall, Suite CC 2-Movable, Electric 252 140 97 20800 120 60 2400 20 Audiology Clinic Audiometric Exam PEHS4 1 M1801B1 1 Input Device, Wired Keyboard and Mouse VV 6-IT/Computers 21 19 23 45 120 60 600 5 Audiology Clinic Audiometric Exam PEHS4 1 M1801C 1 Laptop docking station with two (2) 24in monitors VV 6-IT/Computers 21 19 23 45 120 60 600 5 Audiology Clinic Audiometric Exam PEHS4 1 M1801D 0 Computer, Microprocessing, w/Dual Flat Panel Monitor,wired keyboard and mouseVV 6-IT/Computers 21 19 23 45 120 60 600 5 Audiology Clinic Audiometric Exam PEHS4 1 M4205 1 Otoscope/Ophthalmoscope, Desk Charger Set VV 2-Movable, Electric 8 4 4 5 120 60 120 1 Audiology Clinic Audiometric Exam PEHS4 1 M4210 1 Otoscope, Video VV 2-Movable, Electric 120 Audiology Clinic Hearing Aid HAFR1 2 A5075 1 Dispenser, Soap, Disposable CC 1-Fixed 5 4 11 2 Audiology Clinic Hearing Aid HAFR1 2 A5082 1 Dispenser, Paper Towel, Sensor, Hands Free CC 1-Fixed 15 11 18 8 Audiology Clinic Hearing Aid HAFR1 2 A5107 1 Dispenser, Glove, Surgical/Examination, Wall Mntd VV 1-Fixed 11 4 6 2 Audiology Clinic Hearing Aid HAFR1 2 A5145 1 Hook, Garment, Double, SS, Surface Mounted CC 1-Fixed 4 2 2 0.3 Audiology Clinic Hearing Aid HAFR1 2 A6046 1 Artwork, Decorative, With Frame VV 1-Fixed Audiology Clinic Hearing Aid HAFR1 2 CD040 1 Cabinet, W/H, 2 Shelf, 2 DO, Sloping Top, 38x36x13 CC 1-Fixed 36 13 38 112 Audiology Clinic Hearing Aid HAFR1 2 CS010 1 Sink, SS, Single Compartment, 7.5x12x12 ID CC 1-Fixed 15 18 9 19 Audiology Clinic Hearing Aid HAFR1 2 CT020 1 Countertop, Solid Surface CC 1-Fixed 12 30 5 35 Audiology Clinic Hearing Aid HAFR1 2 E0042A 1 Workcenter, Computer, Free Standing, 48" W, Height Adjustable VV 5-Furniture 48 30 42 150 Audiology Clinic Hearing Aid HAFR1 2 E0090A 1 Workstation, L-Shaped, Free Standing Desk, Height Adjustable Return VV 5-Furniture 77 77 67 250 120 60 240 2 Audiology Clinic Hearing Aid HAFR1 2 F0205 1 Chair, Side With Arms VV 5-Furniture 25 26 34 42 Audiology Clinic Hearing Aid HAFR1 2 F0206 1 Chair, Side, Bariatric, With Arms VV 5-Furniture 36 26 34 48 Audiology Clinic Hearing Aid HAFR1 2 F0275 1 Chair, Swivel, High Back with Arms VV 5-Furniture 28 37 44 56 Audiology Clinic Hearing Aid HAFR1 2 F0340 1 Stool, Self Adjusting VV 5-Furniture 24 24 38 39 Audiology Clinic Hearing Aid HAFR1 2 F2010 1 Basket, Wastepaper, Step-On VV 3-Movable, Non-Electric 12 13 17 12 Audiology Clinic Hearing Aid HAFR1 2 F3200 1 Clock, Battery, 12" Diameter VV 5-Furniture 13 2 13 2 Audiology Clinic Hearing Aid HAFR1 2 M0020 6 Analyzer, Otolaryngologic, Hearing Aid (Programmer) VV 2-Movable, Electric 14.25 13 16.5 16 120 60 1.4 Audiology Clinic Hearing Aid HAFR1 2 M0020A 1 Hearing Aid Analyzer, Calibrator VV 2-Movable, Electric 18 22 18 36 120 60 120 1 Audiology Clinic Hearing Aid HAFR1 2 M1801D 1 Computer, Microprocessing, w/Dual Flat Panel Monitor,wired keyboard and mouseVV 6-IT/Computers 21 19 23 45 120 60 600 5 Audiology Clinic Hearing Aid HAFR1 2 M4205 1 Otoscope/Ophthalmoscope, Desk Charger Set VV 2-Movable, Electric 8 4 4 5 120 60 120 1 Audiology Clinic Hearing Aid HAFR1 2 U0536 1 Webcam VV 6-IT/Computers Audiology Clinic Hearing Aid HAFR1 2 U0800 1 Dispenser, Otoscope Tips VV 1-Fixed 5.5 4 9.5 2 Audiology Clinic Hearing Aid HAFR1 2 U0801 1 Dispenser, Disinfectant Wipes, Wall Mount VV 1-Fixed 5.25 5.25 6.25 1 Audiology Clinic Hearing Aid HAFR1 2 U0802 2 Charging Unit, Hearing Aid VV 2-Movable, Electric 115 Audiology Clinic Storage, Clean CUSC1 1 M2055 4 Shelving, Storage, Wire, CRS, w/Adjustable Shelves VV 3-Movable, Non-Electric 48 18 74 70 Audiology Clinic Storage, Equipment SRSE1 1 A5077 1 Dispenser, Hand Sanitizer, Hands Free VV 1-Fixed 7 6 15 2 Audiology Clinic Storage, Equipment SRSE1 1 A5107 1 Dispenser, Glove, Surgical/Examination, Wall Mntd VV 1-Fixed 11 4 6 2

2 of 29 VA ORP Lawrence, IN - Outpatient Clinic

Audiology Clinic Storage, Equipment SRSE1 1 A5111 1 Waste Disposal Unit, Sharps Wall Mount VV 1-Fixed Audiology Clinic Storage, Equipment SRSE1 1 A5160 1 Shelf, 8" Depth, SS, Surface Mounted VV 1-Fixed 36 8 7 8 Audiology Clinic Storage, Equipment SRSE1 1 E0927 2 Locker, Supply, Wire Shelf, Mobile VV 3-Movable, Non-Electric 29 26 79 165 Audiology Clinic Storage, Equipment SRSE1 1 E0936 1 Cart, Machine, Mobile VV 3-Movable, Non-Electric 32 36 62 110 Audiology Clinic Storage, Equipment SRSE1 1 F2017 1 Waste Receptacle, 24 GAL VV 3-Movable, Non-Electric 15 15 36 29 Audiology Clinic Storage, Equipment SRSE1 1 M2070 1 Shelving, Storage, 77hx36wx18d VV 3-Movable, Non-Electric 36 18 84 150 Audiology Clinic Storage, Equipment SRSE1 1 U0522 1 Hearing Aid Vacuum VV 2-Movable, Electric Audiology Clinic Storage, Equipment SRSE1 1 U0525 1 Hearing Aid Modification Station VV 3-Movable, Non-Electric Audiology Clinic Storage, Equipment SRSE1 1 U0801 1 Dispenser, Disinfectant Wipes, Wall Mount VV 1-Fixed 5.25 5.25 6.25 1 Audiology Clinic Storage, Equipment SRSE1 1 U0803 1 Magnifying Glass with Pedestal, Table Top VV 2-Movable, Electric 10 5 12.5 1 110 Business Services Office, Enrollment OFA09 1 A1015 1 Telephone, Desk, Multiple Line VV 6-IT/Computers Business Services Office, Enrollment OFA09 1 A5077 1 Dispenser, Hand Sanitizer, Hands Free VV 1-Fixed 7 6 15 2 Business Services Office, Enrollment OFA09 1 A5145 1 Hook, Garment, Double, SS, Surface Mounted CC 1-Fixed 4 2 2 0.3 Business Services Office, Enrollment OFA09 1 E0045E 1 Desk, Computer, Free Standing, 60" W VV 5-Furniture 60 30 42 175 Business Services Office, Enrollment OFA09 1 F0205B 1 Chair, Side With Arms VV 5-Furniture 25 26 34 42 Business Services Office, Enrollment OFA09 1 F0206 1 Chair, Side, Bariatric, With Arms VV 5-Furniture 36 26 34 48 Business Services Office, Enrollment OFA09 1 F0275 1 Chair, Swivel, High Back with Arms VV 5-Furniture 28 37 44 56 Business Services Office, Enrollment OFA09 1 F3200 1 Clock, Battery, 12" Diameter VV 5-Furniture 13 2 13 2 Business Services Office, Enrollment OFA09 1 M1801 1 Computer, Microprocessing, w/Flat Panel Monitor VV 6-IT/Computers 21 19 23 45 120 60 600 5 Business Services Office, Enrollment OFA09 1 M1870A 1 Camera, Photo Identification Card System VV 2-Movable, Electric 30 12 13 37 120 60 600 5 Business Services Office, Enrollment OFA09 1 M1870B 1 Printer, Photo Identification Card System VV 2-Movable, Electric 30 12 13 37 120 60 600 5 Business Services Office, Enrollment OFA09 1 M1870C 1 Backdrop for Photo Identification Card System VV 2-Movable, Electric 30 12 13 37 120 60 600 5 Business Services Workroom, Business Services WRTM1 1 A1015 1 Telephone, Desk, Multiple Line VV 6-IT/Computers Business Services Workroom, Business Services WRTM1 1 A1030A 2 Locker, 2 Person, Over/Under, with Angled Top VV 1-Fixed 12 18 72 63 Business Services Workroom, Business Services WRTM1 1 A1030A1 1 Locker, 2 Person, Over/Under, with Angled Top, ADA VV 1-Fixed 12 18 72 63 Business Services Workroom, Business Services WRTM1 1 A5145 1 Hook, Garment, Double, SS, Surface Mounted CC 1-Fixed 4 2 2 0.3 Business Services Workroom, Business Services WRTM1 1 C04E0 1 Cabinet, U/C/B, 1 Shelf, 1 Drawer, 2 DO, 36x36x22 CC 1-Fixed 36 22 36 140 Business Services Workroom, Business Services WRTM1 1 F0275 1 Chair, Swivel, High Back with Arms VV 5-Furniture 28 37 44 56 Business Services Workroom, Business Services WRTM1 1 F2000 1 Basket, Wastepaper, Fire Resistant VV 3-Movable, Non-Electric 11.6 15 20 8 Business Services Workroom, Business Services WRTM1 1 F3200 1 Clock, Battery, 12" Diameter VV 5-Furniture 13 2 13 2 Business Services Workroom, Business Services WRTM1 1 M1801D 1 Computer, Microprocessing, w/Dual Flat Panel Monitor,wired keyboard and mouseVV 6-IT/Computers 21 19 23 45 120 60 600 5 Business Services Workroom, Business Services WRTM1 1 M7780 1 Scanner, Document VV 6-IT/Computers 11.8 6.1 8.7 0.054 120 60 240 2 Business Services Workroom, Business Services WRTM1 1 U0501 1 Bin, Shredder RE 3-Movable, Non-Electric Clinic Management Office, Clinic Manager OFA09 1 A1015 1 Telephone, Desk, Multiple Line VV 6-IT/Computers Clinic Management Office, Clinic Manager OFA09 1 A5145 2 Hook, Garment, Double, SS, Surface Mounted CC 1-Fixed 4 2 2 0.3 Clinic Management Office, Clinic Manager OFA09 1 A6046A 1 Artwork, Decorative, With Frame, 36x48 VV 1-Fixed Clinic Management Office, Clinic Manager OFA09 1 E0090A 1 Workstation, L-Shaped, Free Standing Desk, Height Adjustable Return VV 5-Furniture 77 77 67 250 120 60 240 2 Clinic Management Office, Clinic Manager OFA09 1 F0205 2 Chair, Side With Arms VV 5-Furniture 25 26 34 42 Clinic Management Office, Clinic Manager OFA09 1 F0275 1 Chair, Swivel, High Back with Arms VV 5-Furniture 28 37 44 56 Clinic Management Office, Clinic Manager OFA09 1 F2000 1 Basket, Wastepaper, Fire Resistant VV 3-Movable, Non-Electric 11.6 15 20 8 Clinic Management Office, Clinic Manager OFA09 1 F3050A 1 Whiteboard, Dry Erase, Magnetic , 24 x 36 VV 5-Furniture 48 2 36 30 Clinic Management Office, Clinic Manager OFA09 1 F3200 1 Clock, Battery, 12" Diameter VV 5-Furniture 13 2 13 2 Clinic Management Office, Clinic Manager OFA09 1 M1801B 1 Laptop Docking Station, Dual Monitors (no mouse or keyboard) VV 6-IT/Computers 21 19 23 45 120 60 600 5 Clinic Management Office, Clinic Manager OFA09 1 M1801B1 1 Input Device, Wired Keyboard and Mouse VV 6-IT/Computers 21 19 23 45 120 60 600 5 Clinic Management Office, Clinic Manager OFA09 1 U0420B 1 Lateral File, 2 Drawer, Bookcase Combo 30W/18D VV 5-Furniture

VA ORP Lawrence, IN - Outpatient Clinic - Medical Equipment Master Planning Final Submittal Update- 01 September 2022

Department Room Name Room Code

Room Qty JSN

JSN

Qty Nomenclature

Acq Code Arch Code Width Depth Height Weight Volts Hertz Watts Amps

3 of 29 VA ORP Lawrence, IN - Outpatient Clinic

Clinic Management Office, CMO OFA09 1 A1015 1 Telephone, Desk, Multiple Line VV 6-IT/Computers Clinic Management Office, CMO OFA09 1 A5145 2 Hook, Garment, Double, SS, Surface Mounted CC 1-Fixed 4 2 2 0.3 Clinic Management Office, CMO OFA09 1 A6046A 1 Artwork, Decorative, With Frame, 36x48 VV 1-Fixed Clinic Management Office, CMO OFA09 1 E0090A 1 Workstation, L-Shaped, Free Standing Desk, Height Adjustable Return VV 5-Furniture 77 77 67 250 120 60 240 2 Clinic Management Office, CMO OFA09 1 F0205 2 Chair, Side With Arms VV 5-Furniture 25 26 34 42 Clinic Management Office, CMO OFA09 1 F0275 1 Chair, Swivel, High Back with Arms VV 5-Furniture 28 37 44 56 Clinic Management Office, CMO OFA09 1 F2000 1 Basket, Wastepaper, Fire Resistant VV 3-Movable, Non-Electric 11.6 15 20 8 Clinic Management Office, CMO OFA09 1 F3050A 1 Whiteboard, Dry Erase, Magnetic , 24 x 36 VV 5-Furniture 48 2 36 30 Clinic Management Office, CMO OFA09 1 F3200 1 Clock, Battery, 12" Diameter VV 5-Furniture 13 2 13 2 Clinic Management Office, CMO OFA09 1 M1801B 1 Laptop Docking Station, Dual Monitors (no mouse or keyboard) VV 6-IT/Computers 21 19 23 45 120 60 600 5 Clinic Management Office, CMO OFA09 1 M1801B1 1 Input Device, Wired Keyboard and Mouse VV 6-IT/Computers 21 19 23 45 120 60 600 5 Clinic Management Office, CMO OFA09 1 U0420B 1 Lateral File, 2 Drawer, Bookcase Combo 30W/18D VV 5-Furniture Clinic Management Office, Nurse Manager OFA09 1 A1015 1 Telephone, Desk, Multiple Line VV 6-IT/Computers Clinic Management Office, Nurse Manager OFA09 1 A5145 2 Hook, Garment, Double, SS, Surface Mounted CC 1-Fixed 4 2 2 0.3 Clinic Management Office, Nurse Manager OFA09 1 A6046A 1 Artwork, Decorative, With Frame, 36x48 VV 1-Fixed Clinic Management Office, Nurse Manager OFA09 1 E0090A 1 Workstation, L-Shaped, Free Standing Desk, Height Adjustable Return VV 5-Furniture 77 77 67 250 120 60 240 2 Clinic Management Office, Nurse Manager OFA09 1 F0205 2 Chair, Side With Arms VV 5-Furniture 25 26 34 42 Clinic Management Office, Nurse Manager OFA09 1 F0275 1 Chair, Swivel, High Back with Arms VV 5-Furniture 28 37 44 56 Clinic Management Office, Nurse Manager OFA09 1 F2000 1 Basket, Wastepaper, Fire Resistant VV 3-Movable, Non-Electric 11.6 15 20 8 Clinic Management Office, Nurse Manager OFA09 1 F3050A 1 Whiteboard, Dry Erase, Magnetic , 24 x 36 VV 5-Furniture 48 2 36 30 Clinic Management Office, Nurse Manager OFA09 1 F3200 1 Clock, Battery, 12" Diameter VV 5-Furniture 13 2 13 2 Clinic Management Office, Nurse Manager OFA09 1 M1801B 1 Laptop Docking Station, Dual Monitors (no mouse or keyboard) VV 6-IT/Computers 21 19 23 45 120 60 600 5 Clinic Management Office, Nurse Manager OFA09 1 M1801B1 1 Input Device, Wired Keyboard and Mouse VV 6-IT/Computers 21 19 23 45 120 60 600 5 Clinic Management Office, Nurse Manager OFA09 1 U0420B 1 Lateral File, 2 Drawer, Bookcase Combo 30W/18D VV 5-Furniture Eye Clinic Exam Treatment EYOT2 4 A1015 1 Telephone, Desk, Multiple Line VV 6-IT/Computers Eye Clinic Exam Treatment EYOT2 4 A5075 1 Dispenser, Soap, Disposable CC 1-Fixed 5 4 11 2 Eye Clinic Exam Treatment EYOT2 4 A5080 1 Dispenser, Paper Towel, SS, Surface Mounted CC 1-Fixed 13 7 9 4 Eye Clinic Exam Treatment EYOT2 4 A5107 1 Dispenser, Glove, Surgical/Examination, Wall Mntd VV 1-Fixed 11 4 6 2 Eye Clinic Exam Treatment EYOT2 4 A5145 2 Hook, Garment, Double, SS, Surface Mounted CC 1-Fixed 4 2 2 0.3 Eye Clinic Exam Treatment EYOT2 4 A6046 1 Artwork, Decorative, With Frame VV 1-Fixed Eye Clinic Exam Treatment EYOT2 4 F0206 1 Chair, Side, Bariatric, With Arms VV 5-Furniture 36 26 34 48 Eye Clinic Exam Treatment EYOT2 4 F0340A 1 Stool, Self Adjusting, with Back VV 5-Furniture 24 24 38 39 Eye Clinic Exam Treatment EYOT2 4 F2010 1 Basket, Wastepaper, Step-On VV 3-Movable, Non-Electric 12 13 17 12 Eye Clinic Exam Treatment EYOT2 4 F3200 1 Clock, Battery, 12" Diameter VV 5-Furniture 13 2 13 2 Eye Clinic Exam Treatment EYOT2 4 M1801B1 1 Input Device, Wired Keyboard and Mouse VV 6-IT/Computers 21 19 23 45 120 60 600 5 Eye Clinic Exam Treatment EYOT2 4 M1801C 1 Laptop docking station with two (2) 24in monitors VV 6-IT/Computers 21 19 23 45 120 60 600 5 Eye Clinic Exam Treatment EYOT2 4 M5016 1 Desk, Refraction w/console, w/o Sink VV 2-Movable, Electric 76 32 32 350 120 50 960 8 Eye Clinic Exam Treatment EYOT2 4 M5530 1 Lamp, Slit, w/applanation tonometer and camera VV 2-Movable, Electric 22 16 26 52 120 60 240 2 Eye Clinic Exam Treatment EYOT2 4 M5535 1 Ophthalmoscope, Binocular, Indirect, Wireless VV 2-Movable, Electric 18 28 7 4 120 60 120 1 Eye Clinic Exam Treatment EYOT2 4 M5562 1 Tester, Visual Acuity, Video/Microprocessor Based VV 1-Fixed 14 3 17 10 120 60 240 2 Eye Clinic Exam Treatment EYOT2 4 M5575A 1 Tonometer, Handheld VV 2-Movable, Electric 11 20 20 42 120 60 120 1 Eye Clinic Exam Treatment EYOT2 4 M5599 1 Phoropter, Plus Cylinder VV 2-Movable, Electric 11.7 120 60 145 Eye Clinic Exam Treatment EYOT2 4 M5600A 1 Unit, Exam, Eye, w/Motor Chair VV 2-Movable, Electric 55 48 75 616 120 60 720 6 Eye Clinic Exam Treatment EYOT2 4 M5601 1 Chair, Glide, Exam VV 3-Movable, Non-Electric 28 52 80 Eye Clinic Exam Treatment EYOT2 4 M5730 1 Stand, Instrument, Ophthalmic VV 2-Movable, Electric 51 24 75 292 120 60 360 3

VA ORP Lawrence, IN - Outpatient Clinic - Medical Equipment Master Planning Final Submittal Update- 01 September 2022

Department Room Name Room Code

Room Qty JSN

JSN

Qty Nomenclature

4 of 29 VA ORP Lawrence, IN - Outpatient Clinic

Eye Clinic Exam Treatment EYOT2 4 P3100 1 Lavatory, Vitreous China, Slab Type CC 1-Fixed 20 19 21 52 Eye Clinic Exam Treatment EYOT2 4 U0580 1 Brightness Acuity Tester VV 2-Movable, Electric Eye Clinic Exam Treatment EYOT2 4 U0590 3 3.5 V Rechargeable Handle VV 2-Movable, Electric Eye Clinic Exam Treatment EYOT2 4 U0591 1 Transilluminator VV 3-Movable, Non-Electric Eye Clinic Exam Treatment EYOT2 4 U0592 1 Retinoscope VV 3-Movable, Non-Electric Eye Clinic Exam Treatment EYOT2 4 U0593 1 Ophthalmoscope VV 3-Movable, Non-Electric Eye Clinic Exam Treatment EYOT2 4 U0594 1 Ishihara Color Test Plate VV 3-Movable, Non-Electric Eye Clinic Exam Treatment EYOT2 4 U0595 1 Stereo Fly Test VV 3-Movable, Non-Electric Eye Clinic Exam Treatment EYOT2 4 U0596 1 Luneau Vertical Prism Bar VV 3-Movable, Non-Electric Eye Clinic Exam Treatment EYOT2 4 U0597 1 Luneau Horizontal Prism Bar VV 3-Movable, Non-Electric Eye Clinic Exam Treatment EYOT2 4 U0598 1 Luneau 16 Loose Prism Set VV 3-Movable, Non-Electric Eye Clinic Exam Treatment EYOT2 4 U0599 1 Bernell Muscle Imbalance Test VV 3-Movable, Non-Electric Eye Clinic Exam Treatment EYOT2 4 U0601 1 Zeiss Forum VV 2-Movable, Electric Eye Clinic Fitting and Dispensing EYFD1 1 A1015 1 Telephone, Desk, Multiple Line VV 6-IT/Computers Eye Clinic Fitting and Dispensing EYFD1 1 A1067A 1 Mirror, Float Glass, ADA Accessible, Table Top VV 1-Fixed 18 6 37 20 Eye Clinic Fitting and Dispensing EYFD1 1 A5075 1 Dispenser, Soap, Disposable CC 1-Fixed 5 4 11 2 Eye Clinic Fitting and Dispensing EYFD1 1 A5077 1 Dispenser, Hand Sanitizer, Hands Free VV 1-Fixed 7 6 15 2 Eye Clinic Fitting and Dispensing EYFD1 1 A5080 1 Dispenser, Paper Towel, SS, Surface Mounted CC 1-Fixed 13 7 9 4 Eye Clinic Fitting and Dispensing EYFD1 1 A5145 2 Hook, Garment, Double, SS, Surface Mounted CC 1-Fixed 4 2 2 0.3 Eye Clinic Fitting and Dispensing EYFD1 1 E0045 1 Workcenter, Computer, Free Standing, 60" W VV 5-Furniture 60 30 42 175 Eye Clinic Fitting and Dispensing EYFD1 1 F0206 1 Chair, Side, Bariatric, With Arms VV 5-Furniture 36 26 34 48 Eye Clinic Fitting and Dispensing EYFD1 1 F0275 1 Chair, Swivel, High Back with Arms VV 5-Furniture 28 37 44 56 Eye Clinic Fitting and Dispensing EYFD1 1 F0700A 1 Table, Computer, Medium Size, 24"D x 48"W VV 5-Furniture 48 30 34 116 Eye Clinic Fitting and Dispensing EYFD1 1 F2010 1 Basket, Wastepaper, Step-On VV 3-Movable, Non-Electric 12 13 17 12 Eye Clinic Fitting and Dispensing EYFD1 1 F3200 1 Clock, Battery, 12" Diameter VV 5-Furniture 13 2 13 2 Eye Clinic Fitting and Dispensing EYFD1 1 M1801D 1 Computer, Microprocessing, w/Dual Flat Panel Monitor,wired keyboard and mouseVV 6-IT/Computers 21 19 23 45 120 60 600 5 Eye Clinic Fitting and Dispensing EYFD1 1 P3100 1 Lavatory, Vitreous China, Slab Type CC 1-Fixed 20 19 21 52 Eye Clinic Fitting and Dispensing EYFD1 1 U0420 1 Lateral File, 2 Drawer, 30W/18D VV 5-Furniture Eye Clinic Photography Room EYVS1 1 A1015 1 Telephone, Desk, Multiple Line VV 6-IT/Computers Eye Clinic Photography Room EYVS1 1 A5075 1 Dispenser, Soap, Disposable CC 1-Fixed 5 4 11 2 Eye Clinic Photography Room EYVS1 1 A5077 1 Dispenser, Hand Sanitizer, Hands Free VV 1-Fixed 7 6 15 2 Eye Clinic Photography Room EYVS1 1 A5080 1 Dispenser, Paper Towel, SS, Surface Mounted CC 1-Fixed 13 7 9 4 Eye Clinic Photography Room EYVS1 1 A5145 1 Hook, Garment, Double, SS, Surface Mounted CC 1-Fixed 4 2 2 0.3 Eye Clinic Photography Room EYVS1 1 F0206 1 Chair, Side, Bariatric, With Arms VV 5-Furniture 36 26 34 48 Eye Clinic Photography Room EYVS1 1 F0280A 2 Chair, Task, Swivel, with Arms, Locking Casters VV 5-Furniture 28 28 39 49 Eye Clinic Photography Room EYVS1 1 F0340A 1 Stool, Self Adjusting, with Back VV 5-Furniture 24 24 38 39 Eye Clinic Photography Room EYVS1 1 F0836 1 Printer Stand, Mobile VV 5-Furniture 30 25 39 Eye Clinic Photography Room EYVS1 1 F2010 1 Basket, Wastepaper, Step-On VV 3-Movable, Non-Electric 12 13 17 12 Eye Clinic Photography Room EYVS1 1 F3200 1 Clock, Battery, 12" Diameter VV 5-Furniture 13 2 13 2 Eye Clinic Photography Room EYVS1 1 M5500A 2 Autorefractor, Ophthalmic, Handheld VV 2-Movable, Electric 11 20 22 44 120 60 120 1 Eye Clinic Photography Room EYVS1 1 M5510 1 Camera, Fundus, Digital VV 2-Movable, Electric 15 21 32 64 120 60 600 5 Eye Clinic Photography Room EYVS1 1 M5551 1 Tomography System, Optical Coherence (OCT) VV 2-Movable, Electric 18 26 21 80 120 60 Eye Clinic Photography Room EYVS1 1 M5705 1 Gauge, Distance, Pupillary VV 3-Movable, Non-Electric 6 10 2 2 Eye Clinic Photography Room EYVS1 1 M6045 1 Corneal Topography Unit VV 2-Movable, Electric 38 28 55 99 120 60 600 5 Eye Clinic Photography Room EYVS1 1 M6050 1 Retinal Imaging System, Fluoroscein/Indocyanine VV 2-Movable, Electric 23 43 36 180 120 60 1200 10

VA ORP Lawrence, IN - Outpatient Clinic - Medical Equipment Master Planning Final Submittal Update- 01 September 2022

Department Room Name Room Code

Room Qty JSN

JSN

Qty Nomenclature

5 of 29 VA ORP Lawrence, IN - Outpatient Clinic

Eye Clinic Photography Room EYVS1 1 P3100 1 Lavatory, Vitreous China, Slab Type CC 1-Fixed 20 19 21 52 Eye Clinic Sub-Waiting Dilation WTG03 1 A6046 1 Artwork, Decorative, With Frame VV 1-Fixed Eye Clinic Sub-Waiting Dilation WTG03 1 F0205A 3 Chair, Side With Arms VV 5-Furniture 25 26 34 42 Eye Clinic Sub-Waiting Dilation WTG03 1 F0205AB 1 Chair, Easy Access with Arms VV 5-Furniture 25 26 34 42 Eye Clinic Sub-Waiting Dilation WTG03 1 F0206A 2 Chair, Side, Bariatric with Arms VV 5-Furniture 36 26 34 48 Eye Clinic Sub-Waiting Dilation WTG03 1 F3200 1 Clock, Battery, 12" Diameter VV 5-Furniture 13 2 13 2 Eye Clinic Team Room SC243 1 A1017 4 Telephone, Wall Mounted, Multi-Line, With Speaker VV 6-IT/Computers Eye Clinic Team Room SC243 1 E0042A 4 Workcenter, Computer, Free Standing, 48" W, Height Adjustable VV 5-Furniture 48 30 42 150 Eye Clinic Team Room SC243 1 F0300 4 Chair, Task, Swivel, With Arms VV 5-Furniture 27 23 38 45 Eye Clinic Team Room SC243 1 F0421 4 Pedestal File, Mobile VV 5-Furniture 22 Eye Clinic Team Room SC243 1 F0836 1 Printer Stand, Mobile VV 5-Furniture 30 25 39 Eye Clinic Team Room SC243 1 F2010 1 Basket, Wastepaper, Step-On VV 3-Movable, Non-Electric 12 13 17 12 Eye Clinic Team Room SC243 1 F3200 1 Clock, Battery, 12" Diameter VV 5-Furniture 13 2 13 2 Eye Clinic Team Room SC243 1 M1801 4 Computer, Microprocessing, w/Flat Panel Monitor VV 6-IT/Computers 21 19 23 45 120 60 600 5 Eye Clinic Team Room SC243 1 M1825 1 Printer, Computer VV 6-IT/Computers 21 20 18 73 120 60 720 6 Eye Clinic Utility Room, Clean CUSC1 1 M2055 4 Shelving, Storage, Wire, CRS, w/Adjustable Shelves VV 3-Movable, Non-Electric 48 18 74 70 Eye Clinic Visual Fields OPVF2 1 A1015 1 Telephone, Desk, Multiple Line VV 6-IT/Computers Eye Clinic Visual Fields OPVF2 1 A5075 1 Dispenser, Soap, Disposable CC 1-Fixed 5 4 11 2 Eye Clinic Visual Fields OPVF2 1 A5080 1 Dispenser, Paper Towel, SS, Surface Mounted CC 1-Fixed 13 7 9 4 Eye Clinic Visual Fields OPVF2 1 A5107 1 Dispenser, Glove, Surgical/Examination, Wall Mntd VV 1-Fixed 11 4 6 2 Eye Clinic Visual Fields OPVF2 1 A5145 2 Hook, Garment, Double, SS, Surface Mounted CC 1-Fixed 4 2 2 0.3 Eye Clinic Visual Fields OPVF2 1 A6046 1 Artwork, Decorative, With Frame VV 1-Fixed Eye Clinic Visual Fields OPVF2 1 C02Q0 1 Cabinet, Sink, U/C/B, 1 Door, 36x24x22 CC 1-Fixed 24 22 36 90 Eye Clinic Visual Fields OPVF2 1 CS010 1 Sink, SS, Single Compartment, 7.5x12x12 ID CC 1-Fixed 15 18 9 19 Eye Clinic Visual Fields OPVF2 1 CT020 1 Countertop, Solid Surface CC 1-Fixed 12 30 5 35 Eye Clinic Visual Fields OPVF2 1 F0280A 1 Chair, Task, Swivel, with Arms, Locking Casters VV 5-Furniture 28 28 39 49 Eye Clinic Visual Fields OPVF2 1 F0340A 1 Stool, Self Adjusting, with Back VV 5-Furniture 24 24 38 39 Eye Clinic Visual Fields OPVF2 1 F0836 1 Printer Stand, Mobile VV 5-Furniture 30 25 39 Eye Clinic Visual Fields OPVF2 1 F2010 1 Basket, Wastepaper, Step-On VV 3-Movable, Non-Electric 12 13 17 12 Eye Clinic Visual Fields OPVF2 1 F3200 1 Clock, Battery, 12" Diameter VV 5-Furniture 13 2 13 2 Eye Clinic Visual Fields OPVF2 1 M1801C 1 Laptop docking station with two (2) 24in monitors VV 6-IT/Computers 21 19 23 45 120 60 600 5 Eye Clinic Visual Fields OPVF2 1 M5555 1 Perimeter, Automated VV 2-Movable, Electric 31 41 33 55 120 50 1800 15 Home Based Primary Care Teamwork, HBPC WRTM1 1 A1015 4 Telephone, Desk, Multiple Line VV 6-IT/Computers Home Based Primary Care Teamwork, HBPC WRTM1 1 A5145 2 Hook, Garment, Double, SS, Surface Mounted CC 1-Fixed 4 2 2 0.3 Home Based Primary Care Teamwork, HBPC WRTM1 1 E0048A 4 Workcenter, Computer, Free Standing, 72" W, Height Adjustable VV 5-Furniture 73 39 42 200 Home Based Primary Care Teamwork, HBPC WRTM1 1 F0275 5 Chair, Swivel, High Back with Arms VV 5-Furniture 28 37 44 56 Home Based Primary Care Teamwork, HBPC WRTM1 1 F0420D 1 Cabinet, Lateral File, 30W, Half Height, Laminate Top VV 5-Furniture 42 20 29 162 Home Based Primary Care Teamwork, HBPC WRTM1 1 F0421 4 Pedestal File, Mobile VV 5-Furniture 22 Home Based Primary Care Teamwork, HBPC WRTM1 1 F0490A 1 Cabinet, Keys, Small, Keyless VV 5-Furniture 17 5 21 20 Home Based Primary Care Teamwork, HBPC WRTM1 1 F2000 1 Basket, Wastepaper, Fire Resistant VV 3-Movable, Non-Electric 11.6 15 20 8 Home Based Primary Care Teamwork, HBPC WRTM1 1 F3050A 1 Whiteboard, Dry Erase, Magnetic , 24 x 36 VV 5-Furniture 48 2 36 30 Home Based Primary Care Teamwork, HBPC WRTM1 1 F3200 1 Clock, Battery, 12" Diameter VV 5-Furniture 13 2 13 2 Home Based Primary Care Teamwork, HBPC WRTM1 1 M1801B 4 Laptop Docking Station, Dual Monitors (no mouse or keyboard) VV 6-IT/Computers 21 19 23 45 120 60 600 5 Home Based Primary Care Teamwork, HBPC WRTM1 1 M1801B1 4 Input Device, Wired Keyboard and Mouse VV 6-IT/Computers 21 19 23 45 120 60 600 5 Home Based Primary Care Utility Room, Clean, HBPC CSUC1 1 M2055 4 Shelving, Storage, Wire, CRS, w/Adjustable Shelves VV 3-Movable, Non-Electric 48 18 74 70

VA ORP Lawrence, IN - Outpatient Clinic - Medical Equipment Master Planning Final Submittal Update- 01 September 2022

Department Room Name Room Code

Room Qty JSN

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Qty Nomenclature

6 of 29 VA ORP Lawrence, IN - Outpatient Clinic

Lessor Space HAC JANC1 2 A5075 1 Dispenser, Soap, Disposable CC 1-Fixed 5 4 11 2 Lessor Space HAC JANC1 2 A5077 1 Dispenser, Hand Sanitizer, Hands Free VV 1-Fixed 7 6 15 2 Lessor Space HAC JANC1 2 A5080 1 Dispenser, Paper Towel, SS, Surface Mounted CC 1-Fixed 13 7 9 4 Lessor Space HAC JANC1 2 A5107 1 Dispenser, Glove, Surgical/Examination, Wall Mntd VV 1-Fixed 11 4 6 2 Lessor Space HAC JANC1 2 A5135 1 Shelf, Utility W/ Mop/Broom Holders, SS, Surf Mntd CC 1-Fixed 36 10 11 12 Lessor Space HAC JANC1 2 F0500 1 Cart, Janitor's VV 5-Furniture 22 49 54 77 Lessor Space HAC JANC1 2 F0505 1 Bucket, Mop, With Wringer, 26 Quart VV 5-Furniture 16 23 38 24 Lessor Space HAC JANC1 2 P2000 1 Eyewash, Wall Mounted, Hands-Free CC 1-Fixed 15 15 12 8 Lessor Space HAC JANC1 2 P2451 1 Valve, Mixing, Thermostatic, Eyewash CC 1-Fixed Lessor Space HAC JANC1 2 P4700 1 Sink, Mop, Molded Stone CC 1-Fixed 36 24 10 70 Lessor Space Toilet, Family TNPFM 2 A1067 1 Mirror, Float Glass, ADA Accessible CC 1-Fixed 18 6 37 20 Lessor Space Toilet, Family TNPFM 2 A4995 1 Table, Diaper Changing, Wall Mounted CC 1-Fixed 35 5 22 26 Lessor Space Toilet, Family TNPFM 2 A5075 1 Dispenser, Soap, Disposable CC 1-Fixed 5 4 11 2 Lessor Space Toilet, Family TNPFM 2 A5080 1 Dispenser, Paper Towel, SS, Surface Mounted CC 1-Fixed 13 7 9 4 Lessor Space Toilet, Family TNPFM 2 A5090 1 Disposal, Sanitary Napkin, SS, Surface Mounted CC 1-Fixed 9 5 12 4 Lessor Space Toilet, Family TNPFM 2 A5109 1 Grab Bar, 1-1/4" Dia., SS, 2 Wall, W/C Accessible CC 1-Fixed 57 3 3 7 Lessor Space Toilet, Family TNPFM 2 A5145 1 Hook, Garment, Double, SS, Surface Mounted CC 1-Fixed 4 2 2 0.3 Lessor Space Toilet, Family TNPFM 2 A5200 1 Dispenser, Toilet Tissue, SS, 2-Roll, Surface Mntd CC 1-Fixed 13 7 13 6 Lessor Space Toilet, Family TNPFM 2 F2015 1 Basket, Wastepaper, Metal/Plastic,2 Swinging Doors VV 3-Movable, Non-Electric 18 18 38 34 Lessor Space Toilet, Family TNPFM 2 P3100 1 Lavatory, Vitreous China, Slab Type CC 1-Fixed 20 19 21 52 Lessor Space Toilet, Family TNPFM 2 P9400 1 Toilet, Wall Hung, Siphon Jet, Psychiatric CC 1-Fixed 17 27 15 60 120 60 120 1 Lessor Space Toilet, Female TNPF2 1 A1067 2 Mirror, Float Glass, ADA Accessible CC 1-Fixed 18 6 37 20 Lessor Space Toilet, Female TNPF2 1 A4995 1 Table, Diaper Changing, Wall Mounted CC 1-Fixed 35 5 22 26 Lessor Space Toilet, Female TNPF2 1 A5075 2 Dispenser, Soap, Disposable CC 1-Fixed 5 4 11 2 Lessor Space Toilet, Female TNPF2 1 A5082 2 Dispenser, Paper Towel, Sensor, Hands Free CC 1-Fixed 15 11 18 8 Lessor Space Toilet, Female TNPF2 1 A5090 3 Disposal, Sanitary Napkin, SS, Surface Mounted CC 1-Fixed 9 5 12 4 Lessor Space Toilet, Female TNPF2 1 A5109 1 Grab Bar, 1-1/4" Dia., SS, 2 Wall, W/C Accessible CC 1-Fixed 57 3 3 7 Lessor Space Toilet, Female TNPF2 1 A5110 1 Grab Bar, 1-1/4" Dia., SS, 2 Wall, Shower Use CC 1-Fixed 33 3 3 4 Lessor Space Toilet, Female TNPF2 1 A5200 3 Dispenser, Toilet Tissue, SS, 2-Roll, Surface Mntd CC 1-Fixed 13 7 13 6 Lessor Space Toilet, Female TNPF2 1 C0041 2 Rail, Apron, 4x60x1 CC 5-Furniture 60 1 5 18 Lessor Space Toilet, Female TNPF2 1 CT020 5 Countertop, Solid Surface CC 1-Fixed 12 30 5 35 Lessor Space Toilet, Female TNPF2 1 F2015B 1 Basket, Wastepaper, Metal/Plastic,2 Swinging Doors VV 3-Movable, Non-Electric 18 18 38 34 Lessor Space Toilet, Female TNPF2 1 P3070 2 Lavatory, Vitreous China, Under or Counter Top Mtd CC 1-Fixed 23 19 9 27 Lessor Space Toilet, Female TNPF2 1 P9400 3 Toilet, Wall Hung, Siphon Jet, Psychiatric CC 1-Fixed 17 27 15 60 120 60 120 1 Lessor Space Toilet, Male TNPM2 1 A1067 2 Mirror, Float Glass, ADA Accessible CC 1-Fixed 18 6 37 20 Lessor Space Toilet, Male TNPM2 1 A4995 1 Table, Diaper Changing, Wall Mounted CC 1-Fixed 35 5 22 26 Lessor Space Toilet, Male TNPM2 1 A5075 2 Dispenser, Soap, Disposable CC 1-Fixed 5 4 11 2 Lessor Space Toilet, Male TNPM2 1 A5082 2 Dispenser, Paper Towel, Sensor, Hands Free CC 1-Fixed 15 11 18 8 Lessor Space Toilet, Male TNPM2 1 A5109 1 Grab Bar, 1-1/4" Dia., SS, 2 Wall, W/C Accessible CC 1-Fixed 57 3 3 7 Lessor Space Toilet, Male TNPM2 1 A5200 2 Dispenser, Toilet Tissue, SS, 2-Roll, Surface Mntd CC 1-Fixed 13 7 13 6 Lessor Space Toilet, Male TNPM2 1 C0041 2 Rail, Apron, 4x60x1 CC 5-Furniture 60 1 5 18 Lessor Space Toilet, Male TNPM2 1 CT020 5 Countertop, Solid Surface CC 1-Fixed 12 30 5 35 Lessor Space Toilet, Male TNPM2 1 F2015B 1 Basket, Wastepaper, Metal/Plastic,2 Swinging Doors VV 3-Movable, Non-Electric 18 18 38 34 Lessor Space Toilet, Male TNPM2 1 P3070 2 Lavatory, Vitreous China, Under or Counter Top Mtd CC 1-Fixed 23 19 9 27 Lessor Space Toilet, Male TNPM2 1 P8150 2 Urinal, Wall Hung CC 1-Fixed 19 15 28 72

VA ORP Lawrence, IN - Outpatient Clinic - Medical Equipment Master Planning Final Submittal Update- 01 September 2022

Department Room Name Room Code

Room Qty JSN

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Qty Nomenclature

7 of 29 VA ORP Lawrence, IN - Outpatient Clinic

Lessor Space Toilet, Male TNPM2 1 P9400 3 Toilet, Wall Hung, Siphon Jet, Psychiatric CC 1-Fixed 17 27 15 60 120 60 120 1 Lessor Space Vestibule LOB02 1 A5076 1 Dispenser, Hand Sanitizer, Free Standing VV 3-Movable, Non-Electric 12 12 60 15 Lobby/Reception Area Alcove, Wheelchair SRLW1 1 M4705 8 Wheelchair, Patient Transport, Folding VV 3-Movable, Non-Electric 28 43 37 36 Lobby/Reception Area Alcove, Wheelchair SRLW1 1 M4710 3 Wheelchair, Patient, Bariatric, Transport VV 3-Movable, Non-Electric 36 49 39 70 Lobby/Reception Area Canteen FSCD4 1 F0295A 6 Chair, Stacking, Dining VV 5-Furniture 21 23 32 16 Lobby/Reception Area Canteen FSCD4 1 F0295B1 5 Chair, Stacking, Bariatric, Dining VV 5-Furniture 21 23 32 16 Lobby/Reception Area Canteen FSCD4 1 F0795 3 Table, Dining VV 5-Furniture 42 42 30 70 Lobby/Reception Area Patient Education CLSC2 2 F0295B1 1 Chair, Stacking, Bariatric, Dining VV 5-Furniture 21 23 32 16 Lobby/Reception Area Patient Education CLSC2 2 F0700A 1 Table, Computer, Medium Size, 24"D x 48"W VV 5-Furniture 48 30 34 116 Lobby/Reception Area Patient Education CLSC2 2 F2000 1 Basket, Wastepaper, Fire Resistant VV 3-Movable, Non-Electric 11.6 15 20 8 Lobby/Reception Area Patient Education CLSC2 2 M1801 1 Computer, Microprocessing, w/Flat Panel Monitor VV 6-IT/Computers 21 19 23 45 120 60 600 5 Lobby/Reception Area Reception RCP03 2 A1015 4 Telephone, Desk, Multiple Line VV 6-IT/Computers Lobby/Reception Area Reception RCP03 2 A6046A 1 Artwork, Decorative, With Frame, 36x48 VV 1-Fixed Lobby/Reception Area Reception RCP03 2 A6105 4 Counter, Reception Control, Built-In CC 1-Fixed 114 30 30 Lobby/Reception Area Reception RCP03 2 F0275 4 Chair, Swivel, High Back with Arms VV 5-Furniture 28 37 44 56 Lobby/Reception Area Reception RCP03 2 F0421 4 Pedestal File, Mobile VV 5-Furniture 22 Lobby/Reception Area Reception RCP03 2 F2015B 1 Basket, Wastepaper, Metal/Plastic,2 Swinging Doors VV 3-Movable, Non-Electric 18 18 38 34 Lobby/Reception Area Reception RCP03 2 F3200 1 Clock, Battery, 12" Diameter VV 5-Furniture 13 2 13 2 Lobby/Reception Area Reception RCP03 2 M1801B 4 Laptop Docking Station, Dual Monitors (no mouse or keyboard) VV 6-IT/Computers 21 19 23 45 120 60 600 5 Lobby/Reception Area Reception RCP03 2 M1801B1 5 Input Device, Wired Keyboard and Mouse VV 6-IT/Computers 21 19 23 45 120 60 600 5 Lobby/Reception Area Reception RCP03 2 M1810 1 Copier, Floor Standing, Digital RE 6-IT/Computers 42 27 45 308 120 60 1800 15 Lobby/Reception Area Reception RCP03 2 U0518 4 Scanner, Card, Insurance VV 3-Movable, Non-Electric Lobby/Reception Area Reception RCP03 2 U0520 1 Signature Pad VV 3-Movable, Non-Electric Lobby/Reception Area Volunteer NCWD4 1 A1015 1 Telephone, Desk, Multiple Line VV 6-IT/Computers Lobby/Reception Area Volunteer NCWD4 1 A5145 2 Hook, Garment, Double, SS, Surface Mounted CC 1-Fixed 4 2 2 0.3 Lobby/Reception Area Volunteer NCWD4 1 A6046A 1 Artwork, Decorative, With Frame, 36x48 VV 1-Fixed Lobby/Reception Area Volunteer NCWD4 1 E0090A 1 Workstation, L-Shaped, Free Standing Desk, Height Adjustable Return VV 5-Furniture 77 77 67 250 120 60 240 2 Lobby/Reception Area Volunteer NCWD4 1 F0205 2 Chair, Side With Arms VV 5-Furniture 25 26 34 42 Lobby/Reception Area Volunteer NCWD4 1 F0275 1 Chair, Swivel, High Back with Arms VV 5-Furniture 28 37 44 56 Lobby/Reception Area Volunteer NCWD4 1 F2000 1 Basket, Wastepaper, Fire Resistant VV 3-Movable, Non-Electric 11.6 15 20 8 Lobby/Reception Area Volunteer NCWD4 1 F3050A 1 Whiteboard, Dry Erase, Magnetic , 24 x 36 VV 5-Furniture 48 2 36 30 Lobby/Reception Area Volunteer NCWD4 1 F3200 1 Clock, Battery, 12" Diameter VV 5-Furniture 13 2 13 2 Lobby/Reception Area Volunteer NCWD4 1 M1801B 1 Laptop Docking Station, Dual Monitors (no mouse or keyboard) VV 6-IT/Computers 21 19 23 45 120 60 600 5 Lobby/Reception Area Volunteer NCWD4 1 M1801B1 1 Input Device, Wired Keyboard and Mouse VV 6-IT/Computers 21 19 23 45 120 60 600 5 Lobby/Reception Area Volunteer NCWD4 1 U0420B 1 Lateral File, 2 Drawer, Bookcase Combo 30W/18D VV 5-Furniture Lobby/Reception Area Waiting, PACT WTPC2 1 A5076 1 Dispenser, Hand Sanitizer, Free Standing VV 3-Movable, Non-Electric 12 12 60 15 Lobby/Reception Area Waiting, PACT WTPC2 1 A5095 1 Infection Control Center, Free-Standing VV 3-Movable, Non-Electric 15 63 84 Lobby/Reception Area Waiting, PACT WTPC2 1 A5220 2 Bracket, Television, Wall Backing CC 1-Fixed 27 2 13 10 Lobby/Reception Area Waiting, PACT WTPC2 1 F0205EA 5 Chair, Side with Arms, Easy Access VV 5-Furniture 25 26 34 42 Lobby/Reception Area Waiting, PACT WTPC2 1 F0205EA2 3 Chair, Two Seat with Arms, Easy Access VV 5-Furniture 25 26 34 42 Lobby/Reception Area Waiting, PACT WTPC2 1 F0206EA 3 Chair, Side, Bariatric, With Arms VV 5-Furniture 36 26 34 48 Lobby/Reception Area Waiting, PACT WTPC2 1 F0305 9 Chair, Waiting Room, Single VV 5-Furniture 23 25 34 31 Lobby/Reception Area Waiting, PACT WTPC2 1 F0306 9 Chair, Waiting Room, Bariatric VV 5-Furniture 81 24 34 86 Lobby/Reception Area Waiting, PACT WTPC2 1 F0736 2 Table, Coffee, Round VV 5-Furniture Lobby/Reception Area Waiting, PACT WTPC2 1 F0737A 2 Table, Console VV 5-Furniture 60 19 37 146

VA ORP Lawrence, IN - Outpatient Clinic - Medical Equipment Master Planning Final Submittal Update- 01 September 2022

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JSN

Qty Nomenclature

8 of 29 VA ORP Lawrence, IN - Outpatient Clinic

Lobby/Reception Area Waiting, PACT WTPC2 1 F0740W 5 Table, Cylinder, Weighted VV 5-Furniture 24 24 20 42 Lobby/Reception Area Waiting, PACT WTPC2 1 F3200 1 Clock, Battery, 12" Diameter VV 5-Furniture 13 2 13 2 Lobby/Reception Area Waiting, PACT WTPC2 1 M0512B 2 Television, HDTV, Large Screen, 65" (Scriptor) VV 2-Movable, Electric 59 16 37 97 120 60 240 2 Lobby/Reception Area Waiting, PACT WTPC2 1 U0113 2 Charging Station VV 2-Movable, Electric Lobby/Reception Area Waiting, PACT WTPC2 1 U0114 3 Privacy Screen, Bariatric, Easy Access VV 5-Furniture Lobby/Reception Area Waiting, PACT WTPC2 1 U0115 3 Privacy Screen, Two Seat, Easy Access VV 5-Furniture Lobby/Reception Area Waiting, PACT, Family WTF03 1 A5095 1 Infection Control Center, Free-Standing VV 3-Movable, Non-Electric 15 63 84 Lobby/Reception Area Waiting, PACT, Family WTF03 1 A5212 1 Bracket, Television, Wall-Mounted, Tilt/Angle VV 1-Fixed 32 4 20 15 Lobby/Reception Area Waiting, PACT, Family WTF03 1 A5212A 2 Patient Flow, Queuing System, Basic (Television 32") Mounts VV 1-Fixed 32 4 20 15 Lobby/Reception Area Waiting, PACT, Family WTF03 1 A5220 1 Bracket, Television, Wall Backing CC 1-Fixed 27 2 13 10 Lobby/Reception Area Waiting, PACT, Family WTF03 1 F0215A 1 Ottoman, Child VV 5-Furniture 14 12 25 12 Lobby/Reception Area Waiting, PACT, Family WTF03 1 F0215B 1 Ottoman, Child VV 5-Furniture 14 12 25 12 Lobby/Reception Area Waiting, PACT, Family WTF03 1 F0215C 1 Ottoman, Child VV 5-Furniture 14 12 25 12 Lobby/Reception Area Waiting, PACT, Family WTF03 1 F0305 3 Chair, Waiting Room, Single VV 5-Furniture 23 25 34 31 Lobby/Reception Area Waiting, PACT, Family WTF03 1 F0306 3 Chair, Waiting Room, Bariatric VV 5-Furniture 81 24 34 86 Lobby/Reception Area Waiting, PACT, Family WTF03 1 F0737A 1 Table, Console VV 5-Furniture 60 19 37 146 Lobby/Reception Area Waiting, PACT, Family WTF03 1 F0740W 1 Table, Cylinder, Weighted VV 5-Furniture 24 24 20 42 Lobby/Reception Area Waiting, PACT, Family WTF03 1 F0760 1 Table, Child's VV 5-Furniture 48 30 25 66 Lobby/Reception Area Waiting, PACT, Family WTF03 1 M1880A 3 Patient Flow, Queuing System, Basic VV 1-Fixed 120 60 360 3 Logistics Receiving/Shipping DOCK1 1 A6125 1 Leveler, Dock CC 3-Movable, Non-Electric 108 28 20 545 Logistics Receiving/Shipping DOCK1 1 K0450 2 Curtain, Air CC 1-Fixed 96 15 18 163 208 60 832 4 Logistics Storage Area, Logistics PACT 2 SRLG2 1 A1015 1 Telephone, Desk, Multiple Line VV 6-IT/Computers Logistics Storage Area, Logistics PACT 2 SRLG2 1 E0975 2 Cart, Wire, Mobile VV 3-Movable, Non-Electric 42 24 62 98 Logistics Storage Area, Logistics PACT 2 SRLG2 1 F0420D 1 Cabinet, Lateral File, 30W, Half Height, Laminate Top VV 5-Furniture 42 20 29 162 Logistics Storage Area, Logistics PACT 2 SRLG2 1 F0530 1 Cart, Trash VV 5-Furniture 74 51 54 240 Logistics Storage Area, Logistics PACT 2 SRLG2 1 F0790A 1 Table, Work, 60W x 30D, Stainless Steel VV 5-Furniture 60 48 30 145 8 Logistics Storage Area, Logistics PACT 2 SRLG2 1 F2020A 1 Can, Trash, 44 Gallon with mobile base VV 3-Movable, Non-Electric 24 24 39 23 Logistics Storage Area, Logistics PACT 2 SRLG2 1 F3200B 1 Clock, Battery, Large Face VV 5-Furniture 13 2 13 2 Logistics Storage Area, Logistics PACT 2 SRLG2 1 M2005 1 Cabinet, Storage, Acid, Floor Standing, Shelves VV 3-Movable, Non-Electric 43 18 44 253 Logistics Storage Area, Logistics PACT 2 SRLG2 1 M2025 2 Rack, Storage, Cylinder, Gas VV 3-Movable, Non-Electric 34 43 41 225 Logistics Storage Area, Logistics PACT 2 SRLG2 1 M2085 2 Shelving, Storage, Pallet VV 3-Movable, Non-Electric 120 42 96 576 Logistics Storage Area, Logistics PACT 2 SRLG2 1 M2105 1 Pallet Lift, Hydraulic, Manual, 48" Pallet VV 3-Movable, Non-Electric 27 63 52 190 Logistics Storage Area, Logistics PACT 2 SRLG2 1 M2117A 1 Truck, Hand, 2 Wheel, Gas Cylinder VV 3-Movable, Non-Electric 21 20 48 31 Logistics Storage Area, Logistics PACT 2 SRLG2 1 M2120 1 Truck, Platform, 4 Wheel VV 3-Movable, Non-Electric 30 60 36 89 Logistics Storage Area, Logistics PACT 2 SRLG2 1 M2125 1 Stacker, Straddle, 127" Lift, 2000 lb Capacity VV 2-Movable, Electric 58 71 153 1445 120 60 8400 70 Logistics Storage Area, Logistics PACT 2 SRLG2 1 P2450 1 Valve, Mixing, Thermostatic CC 1-Fixed 24 6 24 Logistics Storage Area, Logistics PACT 2 SRLG2 1 P5210 1 Shower, Safety, Freestanding, With Eye/Face Wash CC 1-Fixed 15 32 94 45 Logistics Storage Area, Logistics PACT 2 SRLG2 1 U0101 1 Mat, Floor, Anti-fatigue VV 3-Movable, Non-Electric Logistics Storage Area, Logistics PACT 2 SRLG2 1 U0533 1 Machine, Postage Meter (with Table) VV 2-Movable, Electric Logistics Storage, Clean 1 M2055A 8 Shelving, Storage, Wire, CRS, w/Adjustable Shelves, 24 x 72 VV 3-Movable, Non-Electric 48 18 74 70 Logistics Workstation, Logistics OFA07 2 A1015 1 Telephone, Desk, Multiple Line VV 6-IT/Computers Logistics Workstation, Logistics OFA07 2 E0090A 1 Workstation, L-Shaped, Free Standing Desk, Height Adjustable Return VV 5-Furniture 77 77 67 250 120 60 240 2 Logistics Workstation, Logistics OFA07 2 F0100 1 Bin, Mail Sorting, Table Mounted VV 5-Furniture 59 13 50 120 Logistics Workstation, Logistics OFA07 2 F0275 1 Chair, Swivel, High Back with Arms VV 5-Furniture 28 37 44 56 Logistics Workstation, Logistics OFA07 2 F0420D 1 Cabinet, Lateral File, 30W, Half Height, Laminate Top VV 5-Furniture 42 20 29 162

VA ORP Lawrence, IN - Outpatient Clinic - Medical Equipment Master Planning Final Submittal Update- 01 September 2022

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Room Qty JSN

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Qty Nomenclature

9 of 29 VA ORP Lawrence, IN - Outpatient Clinic

Logistics Workstation, Logistics OFA07 2 F2000 1 Basket, Wastepaper, Fire Resistant VV 3-Movable, Non-Electric 11.6 15 20 8 Logistics Workstation, Logistics OFA07 2 F2700A 1 Reader, Bar Code, Hand Held, With SCMS Interface VV 6-IT/Computers 3 9 2 1 120 60 120 1 Logistics Workstation, Logistics OFA07 2 F3200 1 Clock, Battery, 12" Diameter VV 5-Furniture 13 2 13 2 Logistics Workstation, Logistics OFA07 2 M1801B 1 Laptop Docking Station, Dual Monitors (no mouse or keyboard) VV 6-IT/Computers 21 19 23 45 120 60 600 5 Logistics Workstation, Logistics OFA07 2 M1801B1 1 Input Device, Wired Keyboard and Mouse VV 6-IT/Computers 21 19 23 45 120 60 600 5 Logistics Workstation, Logistics OFA07 2 M1830D 1 Printer, Label, Pharmacy VV 2-Movable, Electric 13 22 13 45 115 60 575 5 Logistics Workstation, Logistics OFA07 2 M1840 1 Printer/Copier/Fax Combination RE 6-IT/Computers 21 21 22 90 120 60 1440 12 Mental Health Consult, Flex OFDC1 3 A1015 1 Telephone, Desk, Multiple Line VV 6-IT/Computers Mental Health Consult, Flex OFDC1 3 A5075 1 Dispenser, Soap, Disposable CC 1-Fixed 5 4 11 2 Mental Health Consult, Flex OFDC1 3 A5080 1 Dispenser, Paper Towel, SS, Surface Mounted CC 1-Fixed 13 7 9 4 Mental Health Consult, Flex OFDC1 3 A5145 2 Hook, Garment, Double, SS, Surface Mounted CC 1-Fixed 4 2 2 0.3 Mental Health Consult, Flex OFDC1 3 A6046 1 Artwork, Decorative, With Frame VV 1-Fixed Mental Health Consult, Flex OFDC1 3 E0090B 1 Workstation, L-Shaped, Free Standing, 48x90 VV 5-Furniture 77 77 67 250 120 60 240 2 Mental Health Consult, Flex OFDC1 3 F0250 1 Chair, Arm, Lounge Type VV 5-Furniture 28 29 33 70 Mental Health Consult, Flex OFDC1 3 F0250A 1 Chair, Arm, Lounge Type, Bariatric VV 5-Furniture 28 29 33 70 Mental Health Consult, Flex OFDC1 3 F0275 1 Chair, Swivel, High Back with Arms VV 5-Furniture 28 37 44 56 Mental Health Consult, Flex OFDC1 3 F0740W 1 Table, Cylinder, Weighted VV 5-Furniture 24 24 20 42 Mental Health Consult, Flex OFDC1 3 F2000 1 Basket, Wastepaper, Fire Resistant VV 3-Movable, Non-Electric 11.6 15 20 8 Mental Health Consult, Flex OFDC1 3 F3200 2 Clock, Battery, 12" Diameter VV 5-Furniture 13 2 13 2 Mental Health Consult, Flex OFDC1 3 M1801B 1 Laptop Docking Station, Dual Monitors (no mouse or keyboard) VV 6-IT/Computers 21 19 23 45 120 60 600 5 Mental Health Consult, Flex OFDC1 3 M1801B1 1 Input Device, Wired Keyboard and Mouse VV 6-IT/Computers 21 19 23 45 120 60 600 5 Mental Health Consult, Flex OFDC1 3 P3100 1 Lavatory, Vitreous China, Slab Type CC 1-Fixed 20 19 21 52 Mental Health Consult, Flex OFDC1 3 P8710 1 Utility Center, Plumbing Connection CC 1-Fixed 12 4 10 1 Mental Health Consult, Flex OFDC1 3 U0536 1 Webcam VV 6-IT/Computers Mental Health Consult, Mental Health OFDC1 9 A1015 1 Telephone, Desk, Multiple Line VV 6-IT/Computers Mental Health Consult, Mental Health OFDC1 9 A5075 1 Dispenser, Soap, Disposable CC 1-Fixed 5 4 11 2 Mental Health Consult, Mental Health OFDC1 9 A5080 1 Dispenser, Paper Towel, SS, Surface Mounted CC 1-Fixed 13 7 9 4 Mental Health Consult, Mental Health OFDC1 9 A5145 2 Hook, Garment, Double, SS, Surface Mounted CC 1-Fixed 4 2 2 0.3 Mental Health Consult, Mental Health OFDC1 9 A6046 1 Artwork, Decorative, With Frame VV 1-Fixed Mental Health Consult, Mental Health OFDC1 9 E0090B 1 Workstation, L-Shaped, Free Standing, 48x90 VV 5-Furniture 77 77 67 250 120 60 240 2 Mental Health Consult, Mental Health OFDC1 9 F0250 1 Chair, Arm, Lounge Type VV 5-Furniture 28 29 33 70 Mental Health Consult, Mental Health OFDC1 9 F0250A 1 Chair, Arm, Lounge Type, Bariatric VV 5-Furniture 28 29 33 70 Mental Health Consult, Mental Health OFDC1 9 F0275 1 Chair, Swivel, High Back with Arms VV 5-Furniture 28 37 44 56 Mental Health Consult, Mental Health OFDC1 9 F0740W 1 Table, Cylinder, Weighted VV 5-Furniture 24 24 20 42 Mental Health Consult, Mental Health OFDC1 9 F2000 1 Basket, Wastepaper, Fire Resistant VV 3-Movable, Non-Electric 11.6 15 20 8 Mental Health Consult, Mental Health OFDC1 9 F3200 2 Clock, Battery, 12" Diameter VV 5-Furniture 13 2 13 2 Mental Health Consult, Mental Health OFDC1 9 M1801B 1 Laptop Docking Station, Dual Monitors (no mouse or keyboard) VV 6-IT/Computers 21 19 23 45 120 60 600 5 Mental Health Consult, Mental Health OFDC1 9 M1801B1 1 Input Device, Wired Keyboard and Mouse VV 6-IT/Computers 21 19 23 45 120 60 600 5 Mental Health Consult, Mental Health OFDC1 9 P3100 1 Lavatory, Vitreous China, Slab Type CC 1-Fixed 20 19 21 52 Mental Health Consult, Mental Health OFDC1 9 P8710 1 Utility Center, Plumbing Connection CC 1-Fixed 12 4 10 1 Mental Health Consult, Mental Health OFDC1 9 U0536 1 Webcam VV 6-IT/Computers Mental Health Group Therapy Room, Mental HealthOPMH1 2 A1020 1 Telephone, Conferencing System VV 6-IT/Computers 110 60 Mental Health Group Therapy Room, Mental HealthOPMH1 2 A5077 1 Dispenser, Hand Sanitizer, Hands Free VV 1-Fixed 7 6 15 2 Mental Health Group Therapy Room, Mental HealthOPMH1 2 A5220 1 Bracket, Television, Wall Backing CC 1-Fixed 27 2 13 10 Mental Health Group Therapy Room, Mental HealthOPMH1 2 F0295 12 Chair, Stacking VV 5-Furniture 21 23 32 16

VA ORP Lawrence, IN - Outpatient Clinic - Medical Equipment Master Planning Final Submittal Update- 01 September 2022

Department Room Name Room Code

Room Qty JSN

JSN

Qty Nomenclature

10 of 29 VA ORP Lawrence, IN - Outpatient Clinic

Mental Health Group Therapy Room, Mental HealthOPMH1 2 F0295B 4 Chair, Stacking, Bariatric VV 5-Furniture 21 23 32 16 Mental Health Group Therapy Room, Mental HealthOPMH1 2 F0705A 1 Table, Computer, Small VV 5-Furniture 36 30 34 72 Mental Health Group Therapy Room, Mental HealthOPMH1 2 F0765 4 Table, Folding / Nesting VV 5-Furniture 60 30 85 Mental Health Group Therapy Room, Mental HealthOPMH1 2 F2017 1 Waste Receptacle, 24 GAL VV 3-Movable, Non-Electric 15 15 36 29 Mental Health Group Therapy Room, Mental HealthOPMH1 2 F3050M 1 Whiteboard, Dry Erase, Magnetic, Mobile VV 5-Furniture 48 2 36 30 Mental Health Group Therapy Room, Mental HealthOPMH1 2 F3200 1 Clock, Battery, 12" Diameter VV 5-Furniture 13 2 13 2 Mental Health Group Therapy Room, Mental HealthOPMH1 2 M0507A 1 Telehealth Video Conferencing System VV 2-Movable, Electric 120 60 840 7 Mental Health Group Therapy Room, Mental HealthOPMH1 2 M1801A 1 Computer, CPU Only (no mouse or keyboard) VV 6-IT/Computers 21 19 23 45 120 60 600 5 Mental Health Group Therapy Room, Mental HealthOPMH1 2 M1801A1 1 Input Device, Wireless Keyboard and Mouse VV 6-IT/Computers 21 19 23 45 120 60 600 5 Mental Health Group Therapy Room, Mental HealthOPMH1 2 M1801A2 1 PIV Card Reader VV 6-IT/Computers 21 19 23 45 120 60 600 5 Mental Health Group Therapy Room, Mental HealthOPMH1 2 U0100 1 Shelf, Small, Wall Mounted VV 1-Fixed Mental Health Storage, General Mental Health SRS01 1 M2055 2 Shelving, Storage, Wire, CRS, w/Adjustable Shelves VV 3-Movable, Non-Electric 48 18 74 70 Mental Health Team Work Area, Mental Health WRTM1 1 A1015 4 Telephone, Desk, Multiple Line VV 6-IT/Computers Mental Health Team Work Area, Mental…