Exhibit L - Unit Price List.xlsx
XLSX spreadsheet 56 KB Posted
- Attached to
- X1DZ--Space for Lease at Ashtabula, OH for a CBOC 16, 218 RSF/ 13, 815 ABOA/ 12, 013 NUSF
- Solicitation number
- 36C24424R0066
About this file
This document is an Exhibit L - Unit Price List for a Department of Veterans Affairs Outpatient/PACT Clinic located in Ashtabula, Ohio, detailing specific furniture, equipment, and fixture requirements for various rooms within the medical facility. The comprehensive inventory lists items for spaces including vestibules, waiting areas, reception, exam rooms, telehealth rooms, restrooms, staff areas, storage rooms, and specialized medical spaces like a blood collection lab, with each item designated as the responsibility of either the VA (VV) or the Lessor (CC).
The detailed list covers equipment ranging from medical devices like examination tables, otoscopes, and blood draw chairs to furniture including workstations, chairs, shelving, and cubicle systems, as well as technological requirements such as telephones, computers, monitors, and specialized medical equipment. Each room has a precise inventory with quantities, specifications, and designated procurement responsibilities, reflecting a meticulously planned medical facility design. The document is associated with Solicitation Number 36C24424R0066 for a Community Based Outpatient Clinic (CBOC) in Ashtabula, Ohio, with a total space requirement of 16,218 RSF and 13,815 ABOA square feet.
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Report Info
Contents - VA PG-18-5
Department of Veterans Affairs
OUTPATIENT / PACT CLINIC (265)
FY 2018 - Qtr 2 (02-02-2018)
Report Generated: 16 Jan 2019 04:05PM ET
OUTPATIENT PACT CLINIC (265)
| OUTPATIENT / PACT CLINIC (265) | |||||||||
| Entrance Vestibule / Wheelchair Alcove | |||||||||
| Name on Room Sign -TBD | Room Quantity = 1 | Name | Acquire (ACQ) / Install (INS) - V = VA & C = Lessor | Description | VA Dept. / Lessor(Building Owner) Responsible to order item | Notes | Qty | Price per Unit | Total Price |
| Vestibule | Snap Frames | VV | Sign holders for Mandatory posting | Interior Designer | 6 | ||||
| Wheelchair, Transport, Folding | VV | Folding patient transport wheelchair. | Clinical Services | 2 | |||||
| Wheelchair, Bariatric, Transport, Folding | VV | Folding bariatric patient transport wheelchair. | Clinical Services | 1 | |||||
| Receptacle, Duplex | CC | Standard height | Lessor | 1 | |||||
| Waiting Area, Patient | |||||||||
| Name on Room Sign -TBD | Room Quantity = 1 | Name | Acquire (ACQ) / Install (INS) - V = VA & C = Lessor | Description | VA Dept. / Lessor(Building Owner) Responsible to order item | Notes | QTY | Price per Unit | Total Price |
| Waiting/ Lobby | Hand Sanitizer Dispenser, Hands-Free | CC | A touch free wall-mounted hand sanitizer dispenser. | Lessor | Automatic dispensing with disposable sanitizer | 4 | |||
| Television Bracket Wall-Mounted, Tilt/Angle | VC | Tilt/ Angle/ Extension TV wall bracket for 60" TV | Interior Designer | Mount 80" AFF to Center. 20 A recep/ CATV/ 2 runs CAT 6A cable. Install backing. | 1 | ||||
| Televison | VV | 60" Televsion | Clinical Services | 1 | |||||
| Board, Bulletin | VC | Bulletin board approximately 48"W x 24"H. | Interior Designer | 2 | |||||
| Artwork Framed | VV | framed artwork size TBD | Interior Designer | 8 | |||||
| Chair, Side, Bariatric, With Arms | VV | 30" Bariatric side chair with arms. | Interior Designer | 13 | |||||
| Chair, Waiting Room, Single | VV | Single seat waiting room chair with arms. | Interior Designer | 23 | |||||
| End Tables | VV | End Table | Interior Designer | 13 | |||||
| Storage credenza | VV | Located under TV | Interior Designer | 1 | |||||
| Basket, Wastepaper | VV | Wastepaper basket, approximately 40 quart capacity. | Interior Designer | 3 | |||||
| Rack, Magazine, Wall Mounted | VV | Wall mounted magazine rack with nine (9) magazine holding compartments. | Interior Designer | 2 | |||||
| Charging Station for phones | VV | Multi cord - freestanding phone charging station standard plug | Interior Designer | This is a standard plug locate outlet next to TV area | 1 | ||||
| Clock, Battery, 12" Diameter | VV | Clock, 12" diameter. | Interior Designer | 1 | |||||
| Dispenser, Soap at sink | CC | Surface mounted, sensor activated dispenser with refillable soap. | Lessor | 1 | |||||
| Dispenser, Paper Towel at sink | CC | A surface mounted, roll or c-fold towel dispenser. | Lessor | 1 | |||||
| Cabinet base with Sink and above cabinets | CC | Standing height counter with sink gooseneck spout; wrist blade handles; ada access with cabinets and drawers above and below for storage of supplies for coffee station. | Lessor | 1 | |||||
| Brewer, Coffee, Auto, Elect, 3 Burner, Front/Back | VV | Space saving front to back automatic coffee maker. | Clinical Services | 1 | |||||
| Water Line | CC | Recessed box with 1/4 turn shut off | Lessor | For coffee pot | 1 | ||||
| Receptacle, Duplex | CC | 5 standard height; 1 at 72" for TV | Lessor | 6 | |||||
| Receptacle, Duplex GFIC | CC | Counter height at coffee bar. | Lessor | Receptacles on dedicated circuit | 2 | ||||
| Data Outlet | CC | 3 Standard height; 1 at 72" for TV | Dual data outlets | 4 | |||||
| Reception/ Patient Check - In | |||||||||
| Name on Room Sign -TBD | Room Quantity = 1 | Name | Acquire (ACQ) / Install (INS) - V = VA & C = Lessor | Description | VA Dept. / Lessor(Building Owner) Responsible to order item | Notes | QTY | Price per Unit | Total Price |
| Reception | Telephone, Laptop w/ Docking Station & 2 Monitors | VV | Telephone, desk, multiple line. | OIT /Clinical Services | 2 Monitors per reception/ MSA | 3 | |||
| 48" sit to stand Desk with 3 Drawer pedestal | VV | 48" sit to stand desk with mobile storage file cabinet | Interior Designer | 3 | |||||
| Panic Button - Desk Mounted | CC | To be installed on desks once installed | Lessor | 3 | |||||
| Board, Bulletin | VC | Bulletin board approximately 48"W x 24"H. | Interior Designer | 3 for each work area and 1 for over printer area | 3 | ||||
| Chair, Task | VV | Chair on casters with fully function adjustments and mesh seat/back | Interior Designer | 3 | |||||
| File Cabinet | VV | Furniture Freestanding | Interior Designer | 1 | |||||
| Storage Cabinet | VV | Furniture Freestanding | Interior Designer | 1 | |||||
| Basket, Wastepaper | VV | Wastepaper basket small desk size | Interior Designer | 3 | |||||
| Table with storage below | VV | Furniture Freestanding | Interior Designer | 1 | |||||
| Clock, Battery, 12" Diameter | VV | Clock, 12" diameter. | Interior Designer | 1 | |||||
| Multi function Device printer - floor standing | VV | Printer with MDF options | Logistics/Clinical Services | 1 | |||||
| Shred box | VV | No power | EMS/ Clinical Services | 1 | |||||
| Receptacle, Duplex | CC | Standard height | Lessor | 8 | |||||
| Data Outlet | CC | Standard height | Lessor | 4 Dual Data; 1 Quad Data at copier | 5 | ||||
| Nurse Call Staff Station | CC | Nurse Call Staff Control Station | Lessor | Location TBD | 1 | ||||
| Work area, Volunteer located in Waiting Area | |||||||||
| Room Quantity = 1 | Name | Acquire (ACQ) / Install (INS) - V = VA & C = Lessor | Description | VA Dept. / Lessor(Building Owner) Responsible to order item | Notes | QTY | Price per Unit | Total Price | |
| No wall sign needed | Telephone, Computer with Monitor | VV | Computer Equipment | OIT /Clinical Services | 1 | ||||
| Welcome Desk | VV | Desk with Storage | Interior Designer | 1 | |||||
| Chair, 4 Legged with Arms | VV | Chair with 4 legs and arms | Interior Designer | 1 | |||||
| Basket, Wastepaper | VV | Wastepaper basket approximately 40 quart capacity. | Interior Designer | 1 | |||||
| Board, Bulletin | VC | Bulletin board approximately 36"W x 24"H. | Interior Designer | 1 | |||||
| Receptacle | CC | Standard height | Lessor | 1 | |||||
| Data Outlet | CC | Standard height | Lessor | Dual data outlet | 1 | ||||
| Height/Weight Station Area | |||||||||
| Name on Room Sign -TBD | Room Quantity = 2 | Name | Acquire (ACQ) / Install (INS) - V = VA & C = Lessor | Description | VA Dept. / Lessor(Building Owner) Responsible to order item | Notes | QTY | Price per Unit | Total Price |
| Sign to indicated room number only no name | Scale, wheelchair | VV | Person weighing scale with 550 pound capacity. | Clinical Services | No power required | 1 | |||
| Scale, Stand up | VV | Stand up scale for weighing patients. | Clinical Services | No power required | 1 | ||||
| Hook, Garment | CC | A surface mounted, satin finish stainless steel, double garment hook. - Locate 1 by each scale | Lessor | 1 Hook by each scale | 2 | ||||
| Patient Education | |||||||||
| Name on Room Sign -TBD | Room Quantity = 1 | Name | Acquire (ACQ) / Install (INS) - V = VA & C = Lessor | Description | VA Dept. / Lessor(Building Owner) Responsible to order item | Notes | QTY | Price per Unit | Total Price |
| Sign to indicated room number only no name | Telephone, Computer with Monitor | VV | Computer Equipment | Tele-Health/ OIT /Clinical Services | My Health E - vet Area | 1 | |||
| Storage credenza | VV | Freestanding furniture | Interior Designer | 1 | |||||
| 48" sit to stand Desk with 3 Drawer pedestal | VV | 48" sit to stand desk with mobile storage file cabinet | Interior Designer | 1 | |||||
| Chair, 4 Legged with Arms | VV | Chair with 4 legs and arms | Interior Designer | 1 | |||||
| Basket, Wastepaper | VV | Wastepaper basket approximately 40 quart capacity. | Interior Designer | 1 | |||||
| Board, Bulletin | VC | Bulletin board approximately 36"W x 24"H. | Interior Designer | 1 | |||||
| Hand Sanitizer Dispenser, Hands-Free | CC | A touch free sensor activated wall-mounted hand sanitizer dispenser. | Lessor | 1 | |||||
| Receptacle | CC | Standard height | Lessor | 1 | |||||
| Data Outlet | CC | Standard height | Lessor | Dual data outlet | 1 | ||||
| Toilet Room, Family | |||||||||
| Name on Room Sign -TBD | Room Quantity = 1 | Name | Acquire (ACQ) / Install (INS) - V = VA & C = Lessor | Description | VA Dept. / Lessor(Building Owner) Responsible to order item | Notes | QTY | Price per Unit | Total Price |
| Unisex Toilet | Sink | CC | Sink and faucet w/ gooseneck spout; wrist blade handles, exposed pipes must have pipe insulation kit | Lessor | 1 | ||||
| Casework | CC | HC sink vanity with solid surface top | Lessor | 1 | |||||
| Mirror | CC | 24" x 36" channel frame mirror | Lessor | 1 | |||||
| Diaper Changing Table | CC | Wall mounted diaper changing table for use in public restrooms. | Lessor | 1 | |||||
| Dispenser, Soap | CC | Surface mounted, sensor activated dispenser with refillable soap. | Lessor | Automatic dispensing with disposable, replaceable soap | 1 | ||||
| Dispenser, Paper Towel | CC | A surface mounted, roll or c-fold towel dispenser. | Lessor | 1 | |||||
| Disposal, Sanitary Napkin | CC | A surface mounted, satin finish stainless steel, sanitary napkin disposal. | Lessor | 1 | |||||
| Dispenser, Sanitary Napkin | CC | Provide free wall mounted sanitary napkin dispenser to work with VA standard products | Lessor | 1 | |||||
| Grab Bar, 1-1/2" Dia., SS, 2 Wall, W/C Accessible | CC | A 1-1/2" diameter, satin finish stainless steel, peened gripping surface, 2 wall toilet stall/ room, grab bar with concealed mounting flanges. | Lessor | 1- 42" 1- 36" Grab bar | 1 | ||||
| Hook, Garment | CC | A surface mounted, satin finish stainless steel, double garment hook. | Lessor | Locate 1 for each toilet | 1 | ||||
| Toilet Tissue Dispenser | CC | A concealed surface mounted, double roll, satin finish stainless steel, toilet tissue dispenser. | Lessor | 1 | |||||
| Basket, Wastepaper | VV | "Step-on" wastepaper basket with inner liner and foot petal activated flip top. | Interior Designer | 1 | |||||
| Nurse Call Pull Station | CC | Locate adjacent to toilet | Lessor | 1 | |||||
| Toilet | CC | Bariatric siphon jet water closet/ toilet with manual flush valve | Lessor | Wall carrier mounted | 1 | ||||
| Receptacle | CC | Mount at 48" | Lessor | GFIC | 1 | ||||
| Multi- stall Toilet, Male | |||||||||
| Name on Room Sign -TBD | Room Quantity = 1 | Name | Acquire (ACQ) / Install (INS) - V = VA & C = Lessor | Description | VA Dept. / Lessor(Building Owner) Responsible to order item | Notes | QTY | Price per Unit | Total Price |
| Men's Toilet Room | Mirror, Float Glass, ADA Accessible | CC | A high quality 1/4" polished float glass mirror with a stainless steel frame. | Lessor | 2 | ||||
| Diaper Changing, Wall Mounted | CC | Wall mounted diaper changing table for use in public restrooms. | Lessor | 1 | |||||
| Soap Dispenser | CC | Surface mounted, sensor activated dispenser with refillable soap. | Lessor | Automatic dispensing. Disposible soap | 2 | ||||
| Paper Towel Dispenser | CC | A surface mounted, roll or c-fold towel dispenser. | Lessor | 2 | |||||
| Dispenser, Sanitary Napkin | CC | Provide free wall mounted sanitary napkin dispenser to work with VA standard products | Lessor | Men's room needs to have dispenser | 1 | ||||
| Disposal, Sanitary Napkin | 1 | ||||||||
| Grab Bar, 1-1/2" Dia., SS, 2 Wall, W/C Accessible | CC | A 1-1/2" diameter, satin finish stainless steel, peened gripping surface, 2 wall toilet stall/ room, grab bar with concealed mounting flanges. | Lessor | 1- 42" 1- 36" Grab bar | 1 | ||||
| Toilet Partition | CC | Floor mounted, overhead braced partition with stainless steel hardware | Lessor | 2 | |||||
| Hook, Garment, Double, SS, Surface Mounted | CC | A surface mounted, satin finish stainless steel, double garment hook. | Lessor | Locate on back of toilet partitions in each stall | 1 | ||||
| Dispenser, Toilet Tissue, SS, 2-Roll, Surface mounted | CC | A concealed surface mounted, double roll, satin finish stainless steel, toilet tissue dispenser. | Lessor | 2 | |||||
| Countertop with 2 sinks | CC | A solid, nonporous countertop with a smooth seamless appearance with undermounted sink gooseneck spout; wrist blade handles | Lessor | Sink supply and waste to have insulation kits | 1 | ||||
| Basket, Wastepaper | VV | "Step-on" wastepaper basket with inner liner and foot petal activated flip top. | Interior Designer | 1 | |||||
| Urinal | CC | Urinal with manual flush valve | Lessor | Urinal screen between | 2 | ||||
| Nurse Call Pull Stations | CC | Located near toilets | Lessor | 2 | |||||
| Toilet | CC | Bariatric siphon jet water closet/ toilet with manual flush valve | Lessor | Wall carrier mounted | 2 | ||||
| Touchless/ Wave Door Operator | CC | Automatic Door Operator with touchless/ wave operators | Lessor | Automatic opener with wave operators each side of door | 2 | ||||
| Receptacle | CC | Mount at 48" | Lessor | GFIC | 1 | ||||
| Multi- stall Toilet, Female | |||||||||
| Name on Room Sign -TBD | Room Quantity = 1 | Name | Acquire (ACQ) / Install (INS) - V = VA & C = Lessor | Description | VA Dept. / Lessor(Building Owner) Responsible to order item | Notes | QTY | Price per Unit | Total Price |
| Women's Toilet Room | Mirror, Float Glass, ADA Accessible | CC | A high quality 1/4" polished float glass mirror with a stainless steel frame. | Lessor | 2 | ||||
| Diaper Changing, Wall Mounted | CC | Wall mounted diaper changing table for use in public restrooms. | Lessor | 1 | |||||
| Soap Dispenser | CC | Surface mounted, sensor activated dispenser with refillable soap. | Lessor | Automatic dispensing. Disposible soap | 2 | ||||
| Paper Towel Dispenser | CC | A surface mounted, roll or c-fold towel dispenser. | Lessor | 2 | |||||
| Dispenser, Sanitary Napkin | CC | Provide free wall mounted sanitary napkin dispenser to work with VA standard products | Lessor | 2 | |||||
| Disposal, Sanitary Napkin | CC | A surface mounted, satin finish stainless steel, sanitary napkin disposal. | Lessor | 2 | |||||
| Grab Bar, 1-1/2" Dia., SS, 2 Wall, W/C Accessible | CC | A 1-1/2" diameter, satin finish stainless steel, peened gripping surface, 2 wall toilet stall/ room, grab bar with concealed mounting flanges. | Lessor | 1- 42" 1- 36" Grab bar | 1 | ||||
| Toilet Partition | CC | Floor mounted, overhead braced partition with stainless steel hardware | Lessor | 3 | |||||
| Hook, Garment, Double, SS, Surface Mounted | CC | A surface mounted, satin finish stainless steel, double garment hook. | Lessor | Locate on bath of toilet partitions in each stall | 3 | ||||
| Dispenser, Toilet Tissue, SS, 2-Roll, Surface mounted | CC | A concealed surface mounted, double roll, satin finish stainless steel, toilet tissue dispenser. | Lessor | 3 | |||||
| Countertop with 2 sinks | CC | A solid, nonporous countertop with a smooth seamless appearance with undermounted sink faucet gooseneck spout; wrist blade handles | Lessor | Sink supply and waste to have insulation kits | 1 | ||||
| Basket, Wastepaper | VV | "Step-on" wastepaper basket with inner liner and foot petal activated flip top. | Interior Designer | 1 | |||||
| Nurse Call Pull Stations | CC | Located near toilets | Lessor | 3 | |||||
| Toilet | CC | Bariatric siphon jet water closet/ toilet w/ manual flush valve | Lessor | Wall carrier mounted | 3 | ||||
| Touchless/ Wave Door Operator | CC | Automatic Door Operator with touchless/ wave operators | Lessor | Automatic opener with wave operators each side of door | 2 | ||||
| Receptacle | CC | Mount at 48" | Lessor | GFIC | 1 | ||||
| Consult Room, Patient Aligned Care Team (PACT) - Items needed per room typical - qty: 2 total consult rooms | |||||||||
| Name on Room Sign -TBD | Room Quantity = 2 | Name | Acquire (ACQ) / Install (INS) - V = VA & C = Lessor | Description | VA Dept. / Lessor(Building Owner) Responsible to order item | Notes | QTY | Price per Unit | Total Price |
| Consult Room | Telephone, Docking Station & 2 Monitors | VV | Computer Equipment | OIT /Clinical Services | 1 | ||||
| Laptop Cart | VV | W/ dual monitor arm | Interior Designer | 1 | |||||
| Panic Button - Desk Mounted | CC | To be installed on desks once installed | Lessor | 1 | |||||
| Stool | VV | Self adjusting stool. Consists of a foam padded upholstered seat with attached foot rest for added comfort. Mounted on swivel casters. Designed for doctor's use during examinations. | Interior Designer | 1 | |||||
| Table, Examination/Treatment | VV | Table, examination/treatment chair | Clinical Services | 115VAC 50/60HZ, 12A. Provide power receptacle | 1 | ||||
| Board, Bulletin | VC | Bulletin board approximately 36"W x 24"H. | Interior Designer | 1 | |||||
| Dispenser, Soap | CC | Surface mounted, sensor activated dispenser with refillable soap. | Lessor | Automatic dispensing. Disposible soap | 1 | ||||
| Dispener, Paper Towel | CC | A surface mounted, roll or c-fold towel dispenser. | Lessor | 1 | |||||
| PDI Universal Sani Bracket | CC | wall mounted 3-in-1 universal sanitary wipe bracket | Lessor | Lessor to provide bracket. VA to provide wipes | 1 | ||||
| Holder, Glove box | CC | Wall mounted glove box holder to hold 3 standard size glove boxes | Lessor | 1 | |||||
| Hook, Garment, Double | CC | A surface mounted, satin finish stainless steel, double garment hook. | Lessor | 1 | |||||
| Cabinet with counter sink and below storage | CC | Standing height counter w/ open sink vanity w/ apron covering plumbing, undermounted stainless steel sink w/ faucet gooseneck spout; wrist blade handles, and drawer base cabinets | Lessor | 1 | |||||
| Upper Wall Cabinets | CC | 2 Upper cabinets with 2 adjustable shelving. Cabinet top to be angled. | Interior Designer | 1- 30" deep cabinet; 1- 15" deep cabinet above sink. Size to match base cabinets. | 1 | ||||
| Chair, Side, Bariatric, With Arms | VV | 30" Bariatric side chair with arms. | Interior Designer | 1 | |||||
| Chair, Waiting Room, Single | VV | Single seat waiting room chair with arms. | Interior Designer | 1 | |||||
| Basket, Wastepaper | VV | Wastepaper basket | Interior Designer | 1 | |||||
| Sharps Box Disposal | VC | A container for collecting and transporting syringes and other sharps for decontamination and disposal. Lessor to install. | Environmental Services (EMS) | 1 | |||||
| Sphygmomanometer Regular & Large | VC | Aneroid sphygmomanometer. | Clinical Services | located in drawers. No power or data | 1 | ||||
| Otoscope/Ophthalmoscope, Wall Mounted | VC | Wall mounted otoscope and ophthalmoscope. | Clinical Services | single gang receptacle for plug-in unit. Mount at 48" AFF | 1 | ||||
| Clock | VV | Clock, 12" diameter. | Interior Designer | 1 | |||||
| Television, Flat Screen | VC | Flat screen television with approximately 40' diagonal screen. | Clinical Services | Mount TV, power and data at 70" Center AFF | 1 | ||||
| Television Bracket Wall-Mounted, Tilt/Angle | VC | Wall bracket to be installed by Lessor | Interior Designer | 1 | |||||
| Room Kit | VV | V-tel equipment for Conference calls | Telehealth/Clinical Services | Connector Panel power - 120/60/1, 1.2 A. HDMI at 48" with concealed cable to tv HDMI at 68". Cisco tablet and camera to connect to connector panel by VA. | 1 | ||||
| Shelf | VV | 1' x 3' shelf for under TV to hold MX80 camera and v-tel equipment | Interior Designer | Mount shelf @ 48" AFF | 1 | ||||
| Small Conference Style table | VV | 60" x 30" Straight table on wheels | Interior Designer | 1 | |||||
| Artwork, Decorative, With Frame | VV | framed artwork size TBD | Interior Designer | 1 | |||||
| Track, Cubicle | CC | Surface mounted cubicle track - Located at either door location. Must match "On the Right Track System". | Lessor | 2 | |||||
| Cubicle Disposable curtains | CC | Disposable hookless curtains Basis of Design- "On the Right Track" | Lessor | 2 | |||||
| Receptacle | CC | 1 at 70"; 1 at counter height; 3 at standard height | Lessor | GFIC at counter receptacle | 5 | ||||
| Data Outlet | CC | 1 at 70"; 1 at counter height; 3 at standard height | Lessor | All data outlets are dual outlets | 5 | ||||
| Telehealth CVT - Items needed per room - qty: 1 total consult rooms | |||||||||
| Name on Room Sign -TBD | Room Quantity = 1 | Name | Acquire (ACQ) / Install (INS) - V = VA & C = Lessor | Description | VA Dept. / Lessor(Building Owner) Responsible to order item | Notes | QTY | Price per Unit | Total Price |
| Telehealth CVT Room | Telephone, Docking Station & 2 Monitors | VV | Computer Equipment | OIT /Clinical Services | 1 | ||||
| Laptop Cart | VV | W/ dual monitor arm | Interior Designer | 1 | |||||
| Panic Button - Desk Mounted | CC | To be installed on desks once installed | Lessor | 1 | |||||
| Stool | VV | Self adjusting stool. Consists of a foam padded upholstered seat with attached foot rest for added comfort. Mounted on swivel casters. Designed for doctor's use during examinations. | Interior Designer | 1 | |||||
| Table, Examination/Treatment | VV | Table, examination/treatment chair | Clinical Services | 115VAC 50/60HZ, 12A. Provide power receptacle | 1 | ||||
| Board, Bulletin | VC | Bulletin board approximately 36"W x 24"H. | Interior Designer | 1 | |||||
| Dispenser, Soap | CC | Surface mounted, sensor activated dispenser with refillable soap. | Lessor | Automatic dispensing. Disposible soap | 1 | ||||
| Dispener, Paper Towel | CC | A surface mounted, roll or c-fold towel dispenser. | Lessor | 1 | |||||
| Holder, Glove box | CC | Wall mounted glove box holder to hold 3 standard size glove boxes | Lessor | 1 | |||||
| PDI Universal Sani Bracket | CC | wall mounted 3-in-1 universal sanitary wipe bracket | Lessor | Lessor to provide bracket. VA to provide wipes | 1 | ||||
| Hook, Garment, Double | CC | A surface mounted, satin finish stainless steel, double garment hook. | Lessor | 1 | |||||
| Chair, Side, Bariatric, With Arms | VV | 30" Bariatric side chair with arms. | Interior Designer | 1 | |||||
| Chair, Waiting Room, Single | VV | Single seat waiting room chair with arms. | Interior Designer | 1 | |||||
| Cabinet with counter sink and below storage | CC | Standing height counter w/ open sink vanity w/ apron covering plumbing, undermounted stainless steel sink w/ faucet gooseneck spout; wrist blade handles, and drawer base cabinets | Lessor | 1 | |||||
| Upper Wall Cabinets | CC | 2 Upper cabinets with 2 adjustable shelving. Cabinet top to be angled. | Lessor | 1- 30" deep cabinet; 1- 15" deep cabinet above sink. Size to match base cabinets. | 1 | ||||
| Basket, Wastepaper | VV | Wastepaper basket | Interior Designer | 1 | |||||
| Clock | VV | Clock, 12" diameter. | Interior Designer | 1 | |||||
| Television, Flat Screen with wall bracket | VC | Flat screen television with approximately 40" diagonal screen size include wall bracket for mounting. Lessor to install wall bracket | Clinical Services | Mount TV, power and data at 70" Center AFF | 1 | ||||
| Room Kit | VV | V-tel equipment for Conference calls | Telehealth/Clinical Services | Connector Panel power - 120/60/1, 1.2 A. HDMI at 48" with concealed cable to tv HDMI at 68". Cisco tablet and camera to connect to connector panel by VA. | 1 | ||||
| Shelf | VV | 1' x 3' shelf for under TV to hold MX80 camera and v-tel equipment | Interior Designer | Mount shelf @ 48" AFF | 1 | ||||
| Small Conference Style table | VV | 60" x 30" Straight table on wheels | Interior Designer | 1 | |||||
| Artwork, Decorative, With Frame | VV | framed artwork size TBD | Interior Designer | 1 | |||||
| Track, Cubicle | CC | Surface mounted cubicle track - Located at either door location. Must match "On the Right Track" System. | Lessor | 2 | |||||
| Cubicle Disposable curtains | CC | Disposable hookless curtains Basis of Design "On the Right Track" | Lessor | 2 | |||||
| CVT Cart | VV | Telehealth CVT cart | Clinical Serivces | 1 | |||||
| Receptacle | CC | 1 at 70"; 1 at counter height; 3 at standard height | Lessor | GFIC at counter receptacle | 6 | ||||
| Data Outlet | CC | 1 at 70"; 1 at counter height; 3 at standard height | Lessor | All data outlets are dual outlets | 6 | ||||
| Telehealth Individual Room- Items needed per room - qty: 2 total rooms | |||||||||
| Name on Room Sign -TBD | Room Quantity = 2 | Name | Acquire (ACQ) / Install (INS) - V = VA & C = Lessor | Description | VA Dept. / Lessor(Building Owner) Responsible to order item | Notes | QTY | Price per Unit | Total Price |
| Telehealth Room | Telephone, Docking Station & 2 Monitors | VV | Computer Equipment | OIT /Clinical Services | 1 | ||||
| Panic Button - Desk Mounted | CC | To be installed on desks once installed | Lessor | 1 | |||||
| Stool | VV | Self adjusting stool. Consists of a foam padded upholstered seat with attached foot rest for added comfort. Mounted on swivel casters. Designed for doctor's use during examinations. | Interior Designer | 1 | |||||
| Board, Bulletin | VC | Bulletin board approximately 36"W x 24"H. | Interior Designer | 1 | |||||
| Dispenser, Soap | CC | Surface mounted, sensor activated dispenser with refillable soap. | Lessor | 1 | |||||
| Dispener, Paper Towel | CC | A surface mounted, roll or c-fold towel dispenser. | Lessor | 1 | |||||
| PDI Universal Sani Bracket | CC | wall mounted 3-in-1 universal sanitary wipe bracket | Lessor | Lessor to provide bracket. VA to provide wipes | 1 | ||||
| Holder, Glove box | CC | Wall mounted glove box holder to hold 3 standard size glove boxes | Lessor | 1 | |||||
| Hook, Garment, Double | CC | A surface mounted, satin finish stainless steel, double garment hook. | Lessor | 1 | |||||
| Cabinet with counter sink and below storage | CC | Standing height counter w/ open sink vanity w/ apron covering plumbing, undermounted stainless steel sink w/ faucet gooseneck spout; wrist blade handles, and drawer base cabinets | Lessor | 2 | |||||
| Upper Wall Cabinets | CC | 2 Upper cabinets with 2 adjustable shelving. Cabinet top to be angled. | Lessor | 1- 30" deep cabinet; 1- 15" deep cabinet above sink. Size to match base cabinets. | 2 | ||||
| Chair, Side, Bariatric, With Arms | VV | 30" Bariatric side chair with arms. | Interior Designer | 1 | |||||
| Chair, Waiting Room, Single | VV | Single seat waiting room chair with arms. | Interior Designer | 1 | |||||
| Basket, Wastepaper | VV | Wastepaper basket | Interior Designer | 1 | |||||
| Clock | VV | Clock, 12" diameter. | Interior Designer | 1 | |||||
| Television, Flat Screen | VV | Flat screen television with approximately 40' diagonal screen size. | Clinical Services | Mount TV, power and data at 70" Center AFF | 1 | ||||
| TV Cart- mobile | VV | 1 | |||||||
| Room Kit | VV | V-tel equipment for Conference calls | Telehealth/Clinical Services | Connector Panel power - 120/60/1, 1.2 A. HDMI at 48" with concealed cable to tv HDMI at 68". Cisco tablet and camera to connect to connector panel by VA. | 1 | ||||
| Shelf | VV | 1' x 3' shelf for under TV to hold MX80 camera and v-tel equipment | Interior Designer | Mount shelf @ 48" AFF | 1 | ||||
| Small Conference Style table | VV | 60" x 30" Straight table on wheels | Interior Designer | 1 | |||||
| Artwork, Decorative, With Frame | VV | framed artwork size TBD | Interior Designer | 1 | |||||
| Track, Cubicle | CC | Surface mounted cubicle track - Located at either door location. Must match On the Right Track System. | Lessor | 2 | |||||
| Cubicle Disposable curtains | CC | Disposable hookless curtains On the Right track | Interior Designer | 2 | |||||
| Receptacle | CC | 1 at 70"; 1 at counter height; 3 at standard height | Lessor | GFIC at counter receptacle | 6 | ||||
| Data Outlet | CC | 1 at 70"; 1 at counter height; 3 at standard height | Lessor | All data outlets are dual outlets | 6 | ||||
| Tele-Retinal Telehealth - Items needed per room - Qty: 1 total room | |||||||||
| Name on Room Sign -TBD | Room Quantity = 1 | Name | Acquire (ACQ) / Install (INS) - V = VA & C = Lessor | Description | VA Dept. / Lessor(Building Owner) Responsible to order item | Notes | QTY | Price per Unit | Total Price |
| Tele-Retinal Room | Telephone, Docking Station & 2 Monitors | VV | Computer Equipment | OIT /Clinical Services | Add data and power on both walls for options of flexibility for this room | 1 | |||
| 48" sit to stand Desk | VV | 48" sit to stand desk | Interior Designer | 1 | |||||
| Stool | VV | Self adjusting stool. Consists of a foam padded upholstered seat with attached foot rest for added comfort. Mounted on swivel casters. Designed for doctor's use during examinations. | Interior Designer | 1 | |||||
| Table electric to hold Tele-retinal equipment - Eye testing equipment | VV | Existing Equipment | Telehealth | 1 | |||||
| Tele-Retinal equipment | VV | Existing Equipment | Telehealth | Va to connect Tele-retinal equipment to computer equipment. | 1 | ||||
| Panic Button - Desk Mounted | CC | To be installed on desks once installed | Lessor | 1 | |||||
| Board, Bulletin | VC | Bulletin board approximately 36"W x 24"H. | Interior Designer | 1 | |||||
| Dispenser, Soap | CC | Surface mounted, sensor activated dispenser with refillable soap. | Lessor | 1 | |||||
| Dispener, Paper Towel | CC | A surface mounted, roll or c-fold towel dispenser. | Lessor | 1 | |||||
| PDI Universal Sani Bracket | CC | wall mounted 3-in-1 universal sanitary wipe bracket | Lessor | Lessor to provide bracket. VA to provide wipes | 1 | ||||
| Holder, Glove box | CC | Wall mounted glove box holder to hold 3 standard size glove boxes | Lessor | 1 | |||||
| Hook, Garment, Double | CC | A surface mounted, satin finish stainless steel, double garment hook. | Lessor | 1 | |||||
| Cabinet with counter sink and below storage | CC | Standing height counter w/ open sink vanity w/ apron covering plumbing, undermounted stainless steel sink w/ faucet gooseneck spout; wrist blade handles, and drawer base cabinets | Lessor | 2 | |||||
| Upper Wall Cabinets | CC | 2 Upper cabinets with 2 adjustable shelving. Cabinet top to be angled. | Lessor | 1- 30" deep cabinet; 1- 15" deep cabinet above sink. Size to match base cabinets. | 2 | ||||
| Chair, Side, Bariatric, With Arms | VV | 30" Bariatric side chair with arms. | Interior Designer | 1 | |||||
| Chair, Waiting Room, Single | VV | Single seat waiting room chair with arms. | Interior Designer | 1 | |||||
| Basket, Wastepaper | VV | Wastepaper basket | Interior Designer | 1 | |||||
| Clock | VV | Clock, 12" diameter. | Interior Designer | 1 | |||||
| Mobile Tele-retinal cart | VV | 60" x 30" Straight table on wheels | Interior Designer | 1 | |||||
| Artwork, Decorative, With Frame | VV | framed artwork size TBD | Interior Designer | 1 | |||||
| Track, Cubicle | CC | Surface mounted cubicle track - Located at either door location. Must match On the Right Track System. | Lessor | 2 | |||||
| Cubicle Disposable curtains | VV | Disposable hookless curtains On the Right track | Interior Designer | 2 | |||||
| Receptacle | CC | 1 at 70"; 1 at counter height; 3 at standard height | Lessor | GFIC at counter receptacle | 6 | ||||
| Data Outlet | CC | 1 at 70"; 1 at counter height; 3 at standard height | Lessor | All data outlets are dual outlets | 6 | ||||
| Light switches | CC | Light switch at each door | Lessor | Switches need to turn lights completely off for testing | 2 | ||||
| Primary Care Exam Room - Items needed per room - qty: 7 standard PACT Team Exam Rooms, 2 Specialty Clinic, 1 Growth | |||||||||
| Name on Room Sign -TBD | Room Quantity = 10 | Name | Acquire (ACQ) / Install (INS) - V = VA & C = Lessor | Description | VA Dept. / Lessor(Building Owner) Responsible to order item | Notes | QTY | Price per Unit | Total Price |
| Exam Room | Telephone, Docking Station & 2 Monitors | VV | Computer Equipment | OIT /Clinical Services | 1 | ||||
| Laptop Cart | VV | W/ dual monitor arm | Interior Designer | 1 | |||||
| Panic Button - Desk Mounted | CC | To be installed on desks once installed | Lessor | 1 | |||||
| Board, Bulletin | VV | Bulletin board approximately 36"W x 24"H. | Interior Designer | 1 | |||||
| Dispenser, Soap | CC | Surface mounted, sensor activated dispenser with refillable soap. | Lessor | 1 | |||||
| Dispener, Paper Towel | CC | A surface mounted, roll or c-fold towel dispenser. | Lessor | 1 | |||||
| PDI Universal Sani Bracket | CC | wall mounted 3-in-1 universal sanitary wipe bracket | Lessor | Lessor to provide bracket. VA to provide wipes | 1 | ||||
| Holder, Glove box | CC | Wall mounted glove box holder to hold 3 standard size glove boxes | Lessor | 1 | |||||
| Hook, Garment, Double | CC | A surface mounted, satin finish stainless steel, double garment hook. | Lessor | 1 | |||||
| Cabinet with counter sink and below storage | CC | Standing height counter w/ open sink vanity w/ apron covering plumbing, undermounted stainless steel sink w/ faucet gooseneck spout; wrist blade handles, and drawer base cabinets | Lessor | 2 | |||||
| Upper Wall Cabinets | CC | 2 Upper cabinets with 2 adjustable shelving. Cabinet top to be angled. | Lessor | 1- 30" deep cabinet; 1- 15" deep cabinet above sink. Size to match base cabinets. | 2 | ||||
| Chair, Side, Bariatric, With Arms | VV | 30" Bariatric side chair with arms. | Interior Designer | 1 | |||||
| Basket, Wastepaper | VV | Wastepaper basket | Interior Designer | 1 | |||||
| Clock | VV | Clock, 12" diameter. | Interior Designer | 1 | |||||
| Stool | VV | Self adjusting stool. Consists of a foam padded upholstered seat with attached foot rest for added comfort. Mounted on swivel casters. Designed for doctor's use during examinations. | Interior Designer | 1 | |||||
| Sharps Box Disposal | VC | A container for collecting and transporting syringes and other sharps for decontamination and disposal. | Environmental Services (EMS) | 1 | |||||
| Sphygmomanometer Regular & Large | VC | Aneroid sphygmomanometer. | Clinical Services | located in drawers. No power or data | 1 | ||||
| Otoscope/Ophthalmoscope, Wall Mounted | VC | Wall mounted otoscope and ophthalmoscope. | Clinical Services | single gang receptacle for plug-in unit. Mount at 48" AFF | 1 | ||||
| Light, Exam, Mobile, Spotlight, Mobile Stand | VV | The exam light shall be a mobile floor unit. | Clinical Services | mobile rolling unit. Provide 120v 15A receptacle | 1 | ||||
| Table, Examination/Treatment | VV | Table, examination/treatment chair | Clinical Services | 115VAC 50/60HZ, 12A. Provide power receptacle | 1 | ||||
| Track, Cubicle | CC | Surface mounted cubicle track - Located at either door location. Must match On the Right Track System. | Lessor | 2 | |||||
| Artwork, Decorative, With Frame | VV | framed artwork size TBD | Interior Designer | 1 | |||||
| Cubicle Disposable curtains | CC | Disposable hookless curtains On the Right track | Interior Designer | 2 | |||||
| Data Outlet | CC | 1 at counter height; 3 at standard heights | Lessor | All data outlets are dual outlets | 4 | ||||
| Receptacle | CC | 1 at counter height, 3 at standard heights; 1 at Otoscope height | Lessor | GFIC at counter | 5 |
| Behavioral Health Exam Room - Items needed per room | |||||||||
| Name on Room Sign -TBD | Room Quantity = 2 | Name | Acquire (ACQ) / Install (INS) - V = VA & C = Lessor | Description | VA Dept. / Lessor(Building Owner) Responsible to order item | Notes | QTY | Price per Unit | Total Price |
| Behavioral Health | Telephone, Docking Station & 2 Monitors | VV | Computer Equipment | OIT /Clinical Services | 1 | ||||
| Laptop Cart | VV | W/ dual monitor arm | Interior Designer | 1 | |||||
| Panic Button - Desk Mounted | CC | To be installed on desks once installed | Lessor | 1 | |||||
| Board, Bulletin | VV | Bulletin board approximately 36"W x 24"H. | Interior Designer | 1 | |||||
| Dispenser, Soap | CC | Surface mounted, sensor activated dispenser with refillable soap. | Lessor | 1 | |||||
| Dispener, Paper Towel | CC | A surface mounted, roll or c-fold towel dispenser. | Lessor | 1 | |||||
| PDI Universal Sani Bracket | CC | wall mounted 3-in-1 universal sanitary wipe bracket | Lessor | Lessor to provide bracket. VA to provide wipes | 1 | ||||
| Hand Sanitizer Dispenser, Hands-Free | CC | A touch free sensor activated wall-mounted hand sanitizer dispenser. | Lessor | 1 | |||||
| Holder, Glove box | CC | Wall mounted glove box holder to hold 3 standard size glove boxes | Lessor | 1 | |||||
| Hook, Garment, Double | CC | A surface mounted, satin finish stainless steel, double garment hook. | Lessor | 1 | |||||
| Cabinet with counter sink and below storage | CC | Standing height counter w/ open sink vanity w/ apron covering plumbing, undermounted stainless steel sink w/ faucet gooseneck spout; wrist blade handles, and drawer base cabinets | Lessor | 2 | |||||
| Upper Wall Cabinets | CC | 2 Upper cabinets with 2 adjustable shelving. Cabinet top to be angled. | Lessor | 1- 30" deep cabinet; 1- 15" deep cabinet above sink. Size to match base cabinets. | 2 | ||||
| Chair, Side, Bariatric, With Arms | VV | 30" Bariatric side chair with arms. | Interior Designer | 1 | |||||
| Basket, Wastepaper | VV | Wastepaper basket | Interior Designer | 1 | |||||
| Clock | VV | Clock, 12" diameter. | Interior Designer | 1 | |||||
| Sharps Box Disposal | VV | A container for collecting and transporting syringes and other sharps for decontamination and disposal. | Environmental Services (EMS) | 1 | |||||
| Track, Cubicle | CC | Surface mounted cubicle track - Located at either door location. Must match On the Right Track System. | Lessor | 2 | |||||
| Artwork, Decorative, With Frame | VV | framed artwork size TBD | Interior Designer | 1 | |||||
| Cubicle Disposable curtains | CC | Disposable hookless curtains On the Right track | Interior Designer | 2 | |||||
| Data Outlet | CC | 1 at counter height; 3 at standard heights | Lessor | All data outlets are dual data outlets | 4 | ||||
| Receptacle | CC | 1 at counter height; 3 at standard heights | Lessor | GFIC at counter | 4 | ||||
| Women's Health Exam Room - Items needed per room - qty: 2 total standard exam rooms | |||||||||
| Name on Room Sign -TBD | Room Quantity = 2 | Name | Acquire (ACQ) / Install (INS) - V = VA & C = Lessor | Description | VA Dept. / Lessor(Building Owner) Responsible to order item | Notes | QTY | Price per Unit | Total Price |
| Women's Health Exam Room | Telephone, Docking Station & 2 Monitors | VV | Computer Equipment | OIT /Clinical Services | 1 | ||||
| Telephone, Docking Station & 2 Monitors | VV | Computer Equipment | OIT /Clinical Services | 1 | |||||
| Laptop Cart | VV | W/ dual monitor arm | Interior Designer | 1 | |||||
| Chair, Task | VV | Chair on casters with fully function adjustments and mesh seat/back | Interior Designer | 1 | |||||
| Board, Bulletin | VV | Bulletin board approximately 36"W x 24"H. | Interior Designer | 1 | |||||
| Dispenser, Soap | CC | Surface mounted, sensor activated dispenser with refillable soap. | Lessor | 1 | |||||
| Dispener, Paper Towel | CC | A surface mounted, roll or c-fold towel dispenser. | Lessor | 1 | |||||
| PDI Universal Sani Bracket | CC | wall mounted 3-in-1 universal sanitary wipe bracket | Lessor | Lessor to provide bracket. VA to provide wipes | 1 | ||||
| Holder, Glove box | CC | Wall mounted glove box holder to hold 3 standard size glove boxes | Lessor | 1 | |||||
| Hook, Garment, Double | CC | A surface mounted, satin finish stainless steel, double garment hook. | Lessor | 1 | |||||
| Cabinet with counter sink and below storage | CC | Standing height counter w/ open sink vanity w/ apron covering plumbing, undermounted stainless steel sink w/ faucet gooseneck spout; wrist blade handles, and drawer base cabinets | Lessor | 2 | |||||
| Upper Wall Cabinets | CC | 2 Upper cabinets with 2 adjustable shelving. Cabinet top to be angled. | Lessor | 1- 30" deep cabinet; 1- 15" deep cabinet above sink. Size to match base cabinets. | 2 | ||||
| Chair, Side, Bariatric, With Arms | VV | 30" Bariatric side chair with arms. | Interior Designer | 1 | |||||
| Basket, Wastepaper | VV | Wastepaper basket | Interior Designer | 1 | |||||
| Clock | VV | Clock, 12" diameter. | Interior Designer | 1 | |||||
| Stool | VV | Self adjusting stool. Consists of a foam padded upholstered seat with attached foot rest for added comfort. Mounted on swivel casters. Designed for doctor's use during examinations. | Interior Designer | 1 | |||||
| Sharps Box Disposal | VV | A container for collecting and transporting syringes and other sharps for decontamination and disposal. | Environmental Services (EMS) | 1 | |||||
| Mayo Stand Medium | VV | Overbed table on wheels | Interior Designer | 1 | |||||
| Procedure Cart | VV | Freestanding procedure cart on wheels for women health instruments and supplies | Clinical Services | 1 | |||||
| Sphygmomanometer Regular & Large | VV | Aneroid sphygmomanometer. | Clinical Services | located in drawers | 1 | ||||
| Handheld Thermometer | VV | Need area at counter to plug in as needed | Clinical Services | 1 | |||||
| Battery Power Head lamp | VV | Need area at counter to plug in as needed | Clinical Services | Will need power for the batteries - Use power at casework cabinets | 1 | ||||
| Otoscope/Ophthalmoscope, Wall Mounted | VC | Wall mounted otoscope and ophthalmoscope. | Clinical Services | single gang receptacle for plug-in unit. Mount at 48" AFF | 1 | ||||
| Table, Examination/Treatment | VV | Table, examination/treatment chair | Clinical Services | 115VAC 50/60HZ, 12A. Provide power receptacle | 1 | ||||
| Track, Cubicle | CC | Surface mounted cubicle track - Located at either door location. Must match On the Right Track System. | Lessor | 2 | |||||
| Artwork, Decorative, With Frame | VV | framed artwork size TBD | Interior Designer | 1 | |||||
| Cubicle Disposable curtains | CC | Disposable hookless curtains On the Right track | Interior Designer | 2 | |||||
| Data Outlet | CC | 1 at counter height; 3 at standard heights | Lessor | All data outlets are dual data outlets | 4 | ||||
| Receptacle | CC | 1 at counter height; 3 at standard heights; 1 at Otoscope height | Lessor | GFIC at counter | 5 | ||||
| Toilet, Women's Health Exam Room - Items needed per room - qty: 2 total toilet rooms | |||||||||
| Name on Room Sign -TBD | Room Quantity = 2 | Name | Acquire (ACQ) / Install (INS) - V = VA & C = Lessor | Description | VA Dept. / Lessor(Building Owner) Responsible to order item | Notes | QTY | Price per Unit | Total Price |
| Women's Health Toilet Unisex | Mirror, Float Glass | CC | Float glass mirror with a stainless steel frame. | Lessor | 1 | ||||
| Dispenser, Soap | CC | Surface mounted, sensor activated dispenser with refillable soap. | Lessor | 1 | |||||
| Nurse Call Pull Station | CC | Locate adjacent to toilet | Lessor | 1 | |||||
| Dispenser, Paper Towel | CC | A surface mounted, roll or c-fold towel dispenser. | Lessor | 1 | |||||
| Disposal, Sanitary Napkin | CC | A surface mounted, satin finish stainless steel, sanitary napkin disposal. | Lessor | 1 | |||||
| Dispenser, Sanitary Napkin | CC | Provide free wall mounted sanitary napkin dispenser to work with VA standard products | Lessor | 1 | |||||
| Grab Bar, 1-1/2" Dia., SS, 2 Wall, W/C Accessible | CC | A 1-1/2" diameter, satin finish stainless steel, peened gripping surface, 2 wall toilet stall/ room, grab bar with concealed mounting flanges. | Lessor | 1- 42" 1- 36" Grab bar | 1 | ||||
| Hook, Garment, Double | CC | A surface mounted, satin finish stainless steel, double garment hook. | Lessor | 1 | |||||
| Dispenser, Toilet Tissue | CC | A concealed surface mounted, double roll, satin finish stainless steel, toilet tissue dispenser. | Lessor | 1 | |||||
| Basket, Wastepaper, Step-On | VV | "Step-on" wastepaper basket with inner liner and foot petal activated flip top. | Interior Designer | 1 | |||||
| Lavatory, Vitreous China, Straight Back | CC | vitreous china lavatory (approximate bowl size 7"x15"x10") with: straight-front apron, straight or contoured back; faucet holes on 4" centers; gooseneck spout; wrist blade handles; and grid strainer. | Lessor | 1 | |||||
| Toilet | CC | Bariatric siphon jet water closet/ toilet. | Lessor | Wall mounted carrier | 1 | ||||
| Receptacle | CC | Mount at 48" | Lessor | GFIC | 1 |
| Primary Care Procedure / Treatment Room | |||||||||
| Name on Room Sign -TBD | Room Quantity = 1 | Name | Acquire (ACQ) / Install (INS) - V = VA & C = Lessor | Description | VA Dept. / Lessor(Building Owner) Responsible to order item | Notes | QTY | Price per Unit | Total Price |
| Treatment Room | Telephone, Docking Station & 2 Monitors | VV | Computer Equipment | OIT /Clinical Services | 1 | ||||
| Laptop Cart | VV | W/ dual monitor arm | Interior Designer | 1 | |||||
| Panic Button - Desk Mounted | CC | To be installed on desks once installed | Lessor | 1 | |||||
| EKG - Data | VV | Data for cart to plug in and upload data. Battery powered | Clinical Services | mobile rolling unit | 1 | ||||
| Board, Bulletin | VV | Bulletin board approximately 36"W x 24"H. | Interior Designer | 1 | |||||
| Dispenser, Soap | CC | Surface mounted, sensor activated dispenser with refillable soap. | Lessor | 1 | |||||
| Dispener, Paper Towel | CC | A surface mounted, roll or c-fold towel dispenser. | Lessor | 1 | |||||
| PDI Universal Sani Bracket | CC | wall mounted 3-in-1 universal sanitary wipe bracket | Lessor | Lessor to provide bracket. VA to provide wipes | 1 | ||||
| Holder, Glove box | CC | Wall mounted glove box holder to hold 3 standard size glove boxes | Lessor | 1 | |||||
| Hook, Garment, Double | CC | A surface mounted, satin finish stainless steel, double garment hook. | Lessor | 1 Coat hook will be need by sink for ear wash unit | 2 | ||||
| Cabinet with counter sink and below storage | CC | Standing height counter w/ open sink vanity w/ apron covering plumbing, undermounted stainless steel sink w/ faucet gooseneck spout; wrist blade handles, and drawer base cabinets | Lessor | Sink to be 9" Deep for ear wash unit | 2 | ||||
| Upper Wall Cabinets | CC | 2 Upper cabinets with 2 adjustable shelving. Cabinet top to be angled. | Lessor | 1- 30" deep cabinet; 1- 15" deep cabinet above sink. Size to match base cabinets. | 2 | ||||
| Chair, Side, Bariatric, With Arms | VV | 30" Bariatric side chair with arms. | Interior Designer | 1 | |||||
| Basket, Wastepaper | VV | Wastepaper basket | Interior Designer | 1 | |||||
| Clock | VV | Clock, 12" diameter. | Interior Designer | 1 | |||||
| Stool | VV | Self adjusting stool. Consists of a foam padded upholstered seat with attached foot rest for added comfort. Mounted on swivel casters. Designed for doctor's use during examinations. | Interior Designer | 1 | |||||
| Sharps Box Disposal | VV | A container for collecting and transporting syringes and other sharps for decontamination and disposal. | Environmental Services (EMS) | 1 | |||||
| Overbed table | VV | Overbed table on wheels | Interior Designer | 1 | |||||
| Procedure Cart | VV | Freestanding procedure cart on wheels for women health instruments and supplies | Clinical Services | 1 | |||||
| Sphygmomanometer Regular & Large | VV | Aneroid sphygmomanometer. | Clinical Services | located in drawers | 1 | ||||
| Handheld Thermometer | VV | Battery powered. | Clinical Services | Wall mounted bracket | 1 | ||||
| Otoscope/Ophthalmoscope, Wall Mounted | VC | Wall mounted otoscope and ophthalmoscope. | Clinical Services | single gang receptacle for plug-in unit. Mount at 48" AFF | 1 | ||||
| Table, Examination/Treatment | VV | Table, examination/treatment chair | Clinical Services | 115VAC 50/60HZ, 12A. Provide power receptacle | 1 | ||||
| Ear Wash Unit | VV | Ear Wash Unit | Attaches to faucet with supplied snap aerator | 1 | |||||
| Track, Cubicle | CC | Surface mounted cubicle track - Located at either door location. Must match On the Right Track System. | Lessor | 2 | |||||
| Artwork, Decorative, With Frame | VV | framed artwork size TBD | Interior Designer | 1 | |||||
| Hyfrecator | VV | Freestanding electorsurgical system on mobile stand | Clinical Services | Plug into general purpose receptacle at point of use location | 1 | ||||
| Cubicle Disposable curtains | CC | Disposable hookless curtains On the Right track | Interior Designer | 2 | |||||
| Data Outlet | CC | 1 at counter height; 4 at standard heights | Lessor | All data outlets are dual data outlets | 5 | ||||
| Receptacle | CC | 1 at counter height; 3 at standard heights; 1 at Otoscope height | Lessor | GFIC at counter | 5 | ||||
| Toilet Attached to Procedure Room | |||||||||
| Name on Room Sign -TBD | Room Quantity = 1 | Name | Acquire (ACQ) / Install (INS) - V = VA & C = Lessor | Description | VA Dept. / Lessor(Building Owner) Responsible to order item | Notes | QTY | Price per Unit | Total Price |
| Procedure Room Toilet Unisex | Mirror, Float Glass | CC | Float glass mirror with a stainless steel frame. | Lessor | 1 | ||||
| Dispenser, Soap | CC | Surface mounted, sensor activated dispenser with refillable soap. | Lessor | 1 | |||||
| Nurse Call | CC | Locate adjacent to toilet | Lessor | 1 | |||||
| Dispenser, Paper Towel | CC | A surface mounted, roll or c-fold towel dispenser. | Lessor | 1 | |||||
| Disposal, Sanitary Napkin | CC | A surface mounted, satin finish stainless steel, sanitary napkin disposal. | Lessor | 1 | |||||
| Grab Bar, 1-1/2" Dia., SS, 2 Wall, W/C Accessible | CC | A 1-1/2" diameter, satin finish stainless steel, peened gripping surface, 2 wall toilet stall/ room, grab bar with concealed mounting flanges. | Lessor | 1- 42" 1- 36" Grab bar | 1 | ||||
| Hook, Garment, Double | CC | A surface mounted, satin finish stainless steel, double garment hook. | Lessor | 1 | |||||
| Dispenser, Toilet Tissue | CC | A concealed surface mounted, double roll, satin finish stainless steel, toilet tissue dispenser. | Lessor | 1 | |||||
| Basket, Wastepaper, Step-On | VV | "Step-on" wastepaper basket with inner liner and foot petal activated flip top. | Interior Designer | 1 | |||||
| Lavatory, Vitreous China, Straight Back | CC | vitreous china lavatory (approximate bowl size 7"x15"x10") with: straight-front apron, straight or contoured back; faucet holes on 4" centers; gooseneck spout; wrist blade handles; and grid strainer. | Lessor | Exposed supply and waste lines to have insulation kit | 1 | ||||
| Toilet | CC | Baratric siphon jet water closet/ toilet. | Lessor | Wall mounted carrier | 1 | ||||
| Dispenser, Sanitary Napkin | CC | Provide free wall mounted sanitary napkin dispenser to work with VA standard products | Lessor | 1 | |||||
| Receptacle | CC | Mount at 48" | Lessor | GFIC | 1 | ||||
| Medication Room | |||||||||
| Name on Room Sign -TBD | Room Quantity = 1 | Name | Acquire (ACQ) / Install (INS) - V = VA & C = Lessor | Description | VA Dept. / Lessor(Building Owner) Responsible to order item | Notes | QTY | Price per Unit | Total Price |
| Medication Room | Telephone, Wall Mounted, 1 Line | VV | Telephone, wall mounted, 1 line. | OIT /Clinical Services | 1 | ||||
| Dispenser, Soap, Disposable | CC | Surface mounted, sensor activated dispenser with refillable soap. | Lessor | 1 | |||||
| Dispenser, Paper Towel | CC | A surface mounted, roll or c-fold towel dispenser. | Lessor | 1 | |||||
| Holder, Glove box | CC | Wall mounted glove box holder to hold 3 standard size glove boxes | Lessor | 1 | |||||
| PDI Universal Sani Bracket | CC | wall mounted 3-in-1 universal sanitary wipe bracket | Lessor | Lessor to provide bracket. VA to provide wipes | 1 | ||||
| Hand Sanitizer Dispenser, Hands-Free | CC | A touch free sensor activated wall-mounted hand sanitizer dispenser. | Lessor | 1 | |||||
| Waste Disposal Unit, Sharps | VV | A container for collecting and transporting syringes and other sharps for decontamination and disposal. | Environmental Services (EMS) | 1 | |||||
| Cabinet with counter sink upper and lower storage | CC | Standing height counter under counter base sink cabinet apron covering plumbing, undermounted sink faucet gooseneck spout; wrist blade handles, drawer storage and cabinet storage below with adjustable shelving. | Lessor | Provide power and data along counter top - quantity 3 duplex electrical and 2 - quad data for future needs | 2 | ||||
| Upper Wall Cabinets | CC | Full length upper cabinets about base cabinets with 2 adjustable shelving. Cabinet top to be angled. | Lessor | 30" deep wall cabinets. | 2 | ||||
| Basket, Wastepaper | VV | Wastepaper basket. | Interior Designer | 1 | |||||
| Cactus Med Disposal | VV | Counter Mounted Cactus Med Disposal Unit w/ AC adapter | Clinical Services | AC adapter to plug into standard outlet at standard height | 1 | ||||
| Temparmour Fridge | VV | Large Deep freeze Fridge | Clinical Services | Refrigerator 110-120v/60hz/1 20A; Battery backup power -Xantrex PowerHub 1800-400. Provide dedicated 20A circuit for battery backup system. | 1 | ||||
| Refrigerator | VV | Large floor standing Refrigerator | Clinical Services | 115V/60/1; 8.4 run load amps,NEMA 5-15 90 degree hospital grade plug, max fuse 15 amps. | 1 | ||||
| PACS | CV | PACS access control | Lessor | Power at door for PACS | 1 | ||||
| Phone Outlet | CC | Wall phone outlet | Lessor | 1 | |||||
| Data Outlet | CC | 2 at counter height; 2 at standard height | Lessor | All data outlets are dual outlets | 4 | ||||
| Receptacle | CC | 3 at counter height; 4 at standard height | Lessor | GFIC at counter; 3 receptacles for refrigerators | 7 | ||||
| Refrigerator Monitor Sensors | CC | Install at wall to monitor refrigerator temperature | Lessor | Single gang cable pass thru plate. Cable runs to Facility Closet by Lessor. VA to provide sensor in hook-up | 2 | ||||
| Team Work Area - requirements for per area - Qty: 4 PACT Team Work Stations | |||||||||
| Name on Room Sign -TBD | Room Quantity = 2 | Name | Acquire (ACQ) / Install (INS) - V = VA & C = Lessor | Description | VA Dept. / Lessor(Building Owner) Responsible to order item | Notes | QTY | Price per Unit | Total Price |
| Sign to indicated room number only no name | Telephone, Laptop, Docking Station & 2 Monitors | VV | Computer Equipment | OIT /Clinical Services | 16 | ||||
| Workstation with cubicle walls | VV/ C | One workstation = one cubicle. Cubicles are 5' wide x 2'-6" deep. Workstations are 48" wide x 24" deep sit to stand with mobile pedestals. | Interior Designer | Power pole installation for data and power. Lessor will have to provide electrical to connect power poles and punch down data to all cubicles - each cubicle to have a dual outlet for data - data plates by Lessor. Not part of furniture. Power poles will be provided as part of the furniture package. | 16 | ||||
| Panic Button - Desk Mounted | CC | To be installed on desks once installed | Lessor | 16 | |||||
| Shred box | VV | No power | EMS/ Clinical Services | 1 | |||||
| Chair, Task | VV | Chair on casters with fully function adjustments and mesh seat/back | Interior Designer | 16 | |||||
| Cabinet, Filing, Lateral, Half Height with common top | VV | Half height (3) drawer lateral filing cabinet.qty: 1 and half heights storage cabinet with adjustable shelves qty:2 with common top. | Interior Designer | 1 | |||||
| Basket, Wastepaper | VV | Wastepaper basket. | Environmental Services (EMS) | 16 | |||||
| Clock | VV | Clock, 12" diameter. | Interior Designer | 2 | |||||
| Multi function Device printer - floor standing | VV | Printer with MDF options | Logistics/Clinical Services | 1 Additional MDF printer will need to be provided through logistics | 1 | ||||
| Staff mailboxes | VV | Area for staff mailboxes in central location | Interior Designer | 1 | |||||
| Flag/ occupied system at each exam room door | CC | Standard each exam room door - multicolored flag indicator | Lessor | 16 | |||||
| Hand Sanitizer Dispenser, Hands-Free | CC | A touch free sensor activated wall-mounted hand sanitizer dispenser. | Lessor | 6 |
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