A.01.30_Attachment_I_NEW_FFE.pdf

Project Room Contents

NEW CHESAPEAKE TPC - CONTENTS

NEW LEASE

CHESAPEAKE

Projected Year: 2016 Midpoint Year: 2016

1391 Processor ID: 12345

DMIS ID: 0519 State: VA

Facility: NBHC CHESAPEAKE

Installation: CHESAPEAKE

Project Funding Source: MILCON - Military Construction

Project Created: 23 Apr 2015 11:51AM ET by Brian Holbrook

Space Plan Last Edited: 25 May 2017 03:49PM ET by Susan Swisher

Contents List Created: 18 Jun 2015 01:31PM ET by Susan Swisher

Contents List Last Edited: 26 May 2017 11:31AM ET by Susan Swisher

Report Generated: 26 May 2017 11:46AM ET

Project Room Contents (26 May 2017 11:46AM ET)

Privacy Act – FOR OFFICIAL USE ONLY (Page 2)

Department: COMMON AREAS Functional Area: LOBBIES Room Code: LOB02 Room Area: 60 Agency Room Name: Vestibule Staff: 0 Criteria Room Name: Vestibule Blueprint #:

JSN Content Name Qty Unit Of Issue

Unit Price Total Price

Log Cat/ Acq

Code

Fund Src Util1 Util2 Util3 Util4 Util5 Util6 NSN

F2015 Basket, Wastepaper, Metal/Plastic,2 Swinging Doors

1 EA 259 259 C OM

F2100 Lectern, Mobile, With Reading Light 1 EA 1,004 1,004 C OM . A

Reading light and audio not required.

U0230 Chair, Drafting, Rotary 1 EA 357 357 C OM

Total Content Costs for this Room: 1,620

Total Content Costs for this Functional Area: 1,620

Department: COMMON AREAS Functional Area: TOILETS, LOCKERS, COMMUNICATION AND JANITOR'S

CLOSETS

Room Code: COMC1 Room Area: 110 Agency Room Name: Communications Room Staff: 0 Criteria Room Name: Communications Room Blueprint #:

Issue

Unit Price Total Price

Log Cat/ Acq

Code

Fund Src Util1 Util2 Util3 Util4 Util5 Util6 NSN

A0900 Relay Rack, Aluminum 4 EA 274 1,096 C OM

A0901 Cable Management, Horizontal Base Unit 30 EA 74 2,220 C OM

A0902 Rear Wire Frame 22 EA 76 1,672 C OM

A0903 Rear Hinged Cover, for LAN Rack 22 EA 39 858 C OM

A0904 Fiber Optic Cabinet, 36 Port, Rack Mounted 2 EA 414 828 C OM

A0908 Patch Panel, 110 Block/RJ-45, Cat 5E, 48 Port,568A

22 EA 240 5,280 C OM

A0911 Power Supply, Uninterruptable, Rack Mounted 2 EA 1,269 2,538 C OM . B

A0912 Battery Pack, Extended for use with UPS (A0911)

2 EA 801 1,602 C OM

Privacy Act – FOR OFFICIAL USE ONLY (Page 3)

A0913 Switch, Local Area Network (LAN) 8 EA 28,586 228,688 C OM . A

A0914 Management Processor Module for LAN Switch 2 EA 2,500 5,000 C OM . A

A0915 Power Supply, 725 W, for LAN Switch 4 EA 2,515 10,060 C OM . A

Total Content Costs for this Room: 259,842

Department: COMMON AREAS Functional Area: TOILETS, LOCKERS, COMMUNICATION AND JANITOR'S

CLOSETS

Room Code: Z0001 Room Area: 0 Agency Room Name: Circulation Staff: 0 Criteria Room Name: Circulation Blueprint #:

Issue

Unit Price Total Price

Log Cat/ Acq

Code

Fund Src Util1 Util2 Util3 Util4 Util5 Util6 NSN

M1880 Patient Flow, Queuing System, Basic 1 EA 26,390 26,390 C OM . A

System will service Pharmacy and Lab.

U0001 Way-finding/Signage 1 SY 75,000 75,000 C MILCON

U6046 Artwork, Decorative, Frameless 40 EA 508 20,320 C OM

Total Content Costs for this Room: 121,710

Total Content Costs for this Functional Area: 381,552

Total Content Costs for this Department: 383,172

Department: GENERAL ADMINISTRATION Functional Area: CLINIC ADMINISTRATION Room Code: RPR01 Room Area: 60 Agency Room Name: Copy Room Staff: 0 Criteria Room Name: Copy Room Blueprint #:

Room Comments: Decreased from criteria due to direction from NMCP

Issue

Unit Price Total Price

Log Cat/ Acq

Code

Fund Src Util1 Util2 Util3 Util4 Util5 Util6 NSN

M2055 Shelving, Storage, Wire, CRS, w/Adjustable Shelves

3 EA 831 2,493 C OM

Privacy Act – FOR OFFICIAL USE ONLY (Page 4)

U0465 Cabinet, Storage, 2 Door, 5 Shelf 1 EA 638 638 C OM

U1840 Printer/Copier/Fax Combination 1 EA 8,120 8,120 D OM . A

U2000 Basket, Wastepaper, Round, Metal 1 EA 50 50 C OM

U2540 Shed-it PHI/PII Paper Box 1 EA 0 0 D OM

Total Content Costs for this Room: 11,301

Room Code: OFA02 Room Area: 100 Agency Room Name: Clinic Coordinator Staff: 1 Criteria Room Name: Private Office, System Furniture Blueprint #:

Issue

Unit Price Total Price

Log Cat/ Acq

Code

Fund Src Util1 Util2 Util3 Util4 Util5 Util6 NSN

A1015 Telephone, Desk, Multiple Line 1 EA 400 400 C OM

Multi-line phone shall also have speaker.

F3200 Clock, Battery, 12" Diameter 1 EA 49 49 C OM

M1801 Computer, Microprocessing, w/Flat Panel Monitor 1 EA 1,485 1,485 C OM . A

U0078 Workstation, L-Shaped w/Peninsula, Free Standing

1 EA 7,371 7,371 C OM . A

U0110 Bookcase, 3 Shelf 1 EA 660 660 C OM

U0205 Chair, Side With Arms 2 EA 542 1,084 C OM

U0275 Chair, Swivel, High Back 1 EA 625 625 C OM

U0420 Cabinet, Filing, Lateral, Half Height 1 EA 609 609 C OM

U1620 Holder, Chart, Patient, Wall Mounted 1 EA 91 91 C OM

U2000 Basket, Wastepaper, Round, Metal 1 EA 50 50 C OM

U3065 Whiteboard/Bulletin Board, Combination 1 EA 365 365 C OM

U6046 Artwork, Decorative, Frameless 2 EA 508 1,016 C OM

Total Content Costs for this Room: 13,805

Privacy Act – FOR OFFICIAL USE ONLY (Page 5)

Agency Room Name: Clinic RN Manager Staff: 1

Issue

Unit Price Total Price

Log Cat/ Acq

Code

Fund Src Util1 Util2 Util3 Util4 Util5 Util6 NSN

A1015 Telephone, Desk, Multiple Line 1 EA 400 400 C OM

Multi-line phone shall also have speaker.

F3200 Clock, Battery, 12" Diameter 1 EA 49 49 C OM

M1801 Computer, Microprocessing, w/Flat Panel Monitor 1 EA 1,485 1,485 C OM . A

U0078 Workstation, L-Shaped w/Peninsula, Free Standing

1 EA 7,371 7,371 C OM . A

U0110 Bookcase, 3 Shelf 1 EA 660 660 C OM

U0205 Chair, Side With Arms 2 EA 542 1,084 C OM

U0275 Chair, Swivel, High Back 1 EA 625 625 C OM

U0420 Cabinet, Filing, Lateral, Half Height 1 EA 609 609 C OM

U1620 Holder, Chart, Patient, Wall Mounted 1 EA 91 91 C OM

U2000 Basket, Wastepaper, Round, Metal 1 EA 50 50 C OM

Agency Room Name: Contract Administrator Staff: 1

Issue

Unit Price Total Price

Log Cat/ Acq

Code

Fund Src Util1 Util2 Util3 Util4 Util5 Util6 NSN

A1015 Telephone, Desk, Multiple Line 1 EA 400 400 C OM

Privacy Act – FOR OFFICIAL USE ONLY (Page 6)

Multi-line phone shall also have speaker.

F3200 Clock, Battery, 12" Diameter 1 EA 49 49 C OM

M1801 Computer, Microprocessing, w/Flat Panel Monitor 1 EA 1,485 1,485 C OM . A

U0078 Workstation, L-Shaped w/Peninsula, Free Standing

1 EA 7,371 7,371 C OM . A

U0110 Bookcase, 3 Shelf 1 EA 660 660 C OM

U0205 Chair, Side With Arms 2 EA 542 1,084 C OM

U0275 Chair, Swivel, High Back 1 EA 625 625 C OM

U0420 Cabinet, Filing, Lateral, Half Height 1 EA 609 609 C OM

U1620 Holder, Chart, Patient, Wall Mounted 1 EA 91 91 C OM

U2000 Basket, Wastepaper, Round, Metal 1 EA 50 50 C OM

Room Code: SRS01 Room Area: 365 Agency Room Name: Central Storage Staff: 0 Criteria Room Name: Command Suite Storage Blueprint #:

Room Comments: Increased from criteria due to direction from NMCP

Issue

Unit Price Total Price

Log Cat/ Acq

Code

Fund Src Util1 Util2 Util3 Util4 Util5 Util6 NSN

A1015 Telephone, Desk, Multiple Line 1 EA 400 400 C OM

Multi-line phone shall also have speaker.

F3200 Clock, Battery, 12" Diameter 1 EA 49 49 C OM

M1801 Computer, Microprocessing, w/Flat Panel Monitor

1 EA 1,485 1,485 C OM . A

M2055 Shelving, Storage, Wire, CRS, w/Adjustable Shelves

18 EA 831 14,958 C OM

Size units appropriately for the room and provide solid metal bottom shelf only to protect from splashes.

U0102 Cabinet, Distribution, Mail 1 EA 303 303 C OM

Privacy Act – FOR OFFICIAL USE ONLY (Page 7)

U0117 Workstation, Straight, Free Standing 1 EA 4,064 4,064 C OM . A

U0275 Chair, Swivel, High Back 1 EA 625 625 C OM

U0465 Cabinet, Storage, 2 Door, 5 Shelf 1 EA 638 638 C OM

U0775 Table, Work 1 EA 926 926 C OM

Total Content Costs for this Room: 31,618

Total Content Costs for this Functional Area: 84,334

Total Content Costs for this Department: 84,334

Department: HEALTH BENEFITS & PATIENT ADMINISTRATION (250) Functional Area: PATIENT SERVICES ADMINISTRATION Room Code: OFA04 Room Area: 100 Agency Room Name: HBA Office Staff: 1 Criteria Room Name: Office, Private Blueprint #:

Issue

Unit Price Total Price

Log Cat/ Acq

Code

Fund Src Util1 Util2 Util3 Util4 Util5 Util6 NSN

A1015 Telephone, Desk, Multiple Line 1 EA 400 400 C OM

Multi-line phone shall also have speaker.

F3200 Clock, Battery, 12" Diameter 1 EA 49 49 C OM

M1801 Computer, Microprocessing, w/Flat Panel Monitor 1 EA 1,485 1,485 C OM . A

U0078 Workstation, L-Shaped w/Peninsula, Free Standing

1 EA 7,371 7,371 C OM . A

U0110 Bookcase, 3 Shelf 1 EA 660 660 C OM

U0205 Chair, Side With Arms 2 EA 542 1,084 C OM

U0275 Chair, Swivel, High Back 1 EA 625 625 C OM

U0420 Cabinet, Filing, Lateral, Half Height 1 EA 609 609 C OM

U1620 Holder, Chart, Patient, Wall Mounted 1 EA 91 91 C OM

U2000 Basket, Wastepaper, Round, Metal 1 EA 50 50 C OM

Privacy Act – FOR OFFICIAL USE ONLY (Page 8)

Total Content Costs for this Functional Area: 13,805

Department: HEALTH BENEFITS & PATIENT ADMINISTRATION (250) Functional Area: MEDICAL RECORDS CLERK Room Code: RECP3 Room Area: 60 Agency Room Name: Reception, Records Transaction Staff: 0 Criteria Room Name: Reception, Records Transaction Blueprint #:

Issue

Unit Price Total Price

Log Cat/ Acq

Code

Fund Src Util1 Util2 Util3 Util4 Util5 Util6 NSN

A1015 Telephone, Desk, Multiple Line 1 EA 400 400 C OM

Multi-line phone shall also have speaker.

M1801 Computer, Microprocessing, w/Flat Panel Monitor

1 EA 1,485 1,485 C OM . A

U0275 Chair, Swivel, High Back 1 EA 625 625 C OM

Total Content Costs for this Room: 2,560

Department: HEALTH BENEFITS & PATIENT ADMINISTRATION (250) Functional Area: MEDICAL RECORDS CLERK Room Code: RPR01 Room Area: 80 Agency Room Name: Copy / Office Supply Staff: 0 Criteria Room Name: Copy / Office Supply Blueprint #:

Issue

Unit Price Total Price

Log Cat/ Acq

Code

Fund Src Util1 Util2 Util3 Util4 Util5 Util6 NSN

U2540 Shed-it PHI/PII Paper Box 1 EA 0 0 D OM

Total Content Costs for this Room: 8,120

Total Content Costs for this Functional Area: 10,680

Privacy Act – FOR OFFICIAL USE ONLY (Page 9)

Total Content Costs for this Department: 24,485

Department: PATHOLOGY Functional Area: OUTPATIENT CLINIC LAB Room Code: LBVP1 Room Area: 200 Agency Room Name: Blood Drawing Area Staff: 1 Criteria Room Name: Blood Drawing Area Blueprint #:

Issue

Unit Price Total Price

Log Cat/ Acq

Code

Fund Src Util1 Util2 Util3 Util4 Util5 Util6 NSN

A1015 Telephone, Desk, Multiple Line 1 EA 400 400 C OM

Multi-line phone shall also have speaker.

A5077 Dispenser, Hand Sanitizer, Hands-Free 1 EA 45 45 C OM

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

2 EA 1,804 3,608 C OM

F3200 Clock, Battery, 12" Diameter 1 EA 49 49 C OM

U0210 Chair, Side, Without Arms 3 EA 368 1,104 C OM

U0265 Chair, Phlebotomy, Recliner 1 EA 2,013 2,013 C OM

U0266 Chair, Phlebotomy, Adjustable Height 1 EA 1,585 1,585 C OM

U0267 Chair, Phlebotomy, Bariatric 1 EA 1,142 1,142 C OM

U0340 Stool, Pneumatic 3 EA 366 1,098 C OM

U0949 Storage, Phlebotomy, Supplies 3 EA 159 477 C OM

U2010 Basket, Wastepaper, Step-On 2 EA 162 324 C OM

U2011 Basket, Infectious Waste, Step-On 2 EA 162 324 C OM

U5107 Dispenser, Glove, Surgical/Examination, Wall Mntd

3 EA 36 108 C OM

U5108 Waste Disposal Unit, Sharps 3 EA 70 210 C OM

U6046 Artwork, Decorative, Frameless 1 EA 508 508 C OM

Total Content Costs for this Room: 12,995

Room Code: LBSC1 Room Area: 242 Agency Room Name: Laboratory, Small Clinic, Standard Staff: 0

Privacy Act – FOR OFFICIAL USE ONLY (Page 10)

Criteria Room Name: Laboratory, Small Clinic, Standard Blueprint #:

Issue

Unit Price Total Price

Log Cat/ Acq

Code

Fund Src Util1 Util2 Util3 Util4 Util5 Util6 NSN

A1015 Telephone, Desk, Multiple Line 2 EA 400 800 C OM

Multi-line phone shall also have speaker.

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

1 EA 1,804 1,804 C OM

L0100 Microscope, Binocular 2 EA 10,444 20,888 C OM . A

L0105 Microscope, Binocular, Phase Contrast 2 EA 2,564 5,128 C OM . A

L0990 Analyzer, Urine, Basic 1 EA 12,402 12,402 C OM . A

L1100 Meter, pH 1 EA 2,058 2,058 C OM . A

L1115 Analyzer, Hematology, Differential, Automatic 1 EA 98,279 98,279 C OM . A

L1182 Refractometer 1 EA 4,624 4,624 C OM . A

L1185 Analyzer, Glucose 1 EA 13,289 13,289 C OM . A

L1190 Osmometer 1 EA 8,968 8,968 C OM . A

L1400 Centrifuge, Microhematocrit, 24 Tube 1 EA 2,072 2,072 C OM . A

L1502 Centrifuge, Tabletop 1 EA 6,770 6,770 C OM . A

L2000 Purification System, Water 1 EA 8,219 8,219 C OM B A

L2570 Incubator, Bacteriological, Single 1 EA 4,046 4,046 C OM . A

L2600 Counter, Cell, Auto 1 EA 39,716 39,716 C OM . A

L2630 Counter/Timer, Digital 1 EA 384 384 C OM . A

L2650 Counter, Bacteria 1 EA 2,486 2,486 C OM . A

L7305 Mixer, Vortex, Test Tube 1 EA 450 450 C OM . A

L8520 Shaker, Rotating, 12 Standard Tubes 1 EA 1,091 1,091 C OM . A

L8580 Stainer, Slide, Automatic, Hematology 1 EA 11,120 11,120 C OM . A

M1801 Computer, Microprocessing, w/Flat Panel Monitor 2 EA 1,485 2,970 C OM . A

M1830 Printer, Label, Pharmacy 1 EA 1,588 1,588 C OM . A

M3072 Frame, Infectious Waste Bag w/Lid 1 EA 429 429 C OM

R6070 Refrigerator/Freezer, Biological, Upright, 18 Cu Ft

1 EA 9,538 9,538 C OM . A . . . C 4110

U0230 Chair, Drafting, Rotary 2 EA 357 714 C OM

Privacy Act – FOR OFFICIAL USE ONLY (Page 11)

U0949 Storage, Phlebotomy, Supplies 3 EA 159 477 C OM

U2010 Basket, Wastepaper, Step-On 3 EA 162 486 C OM

U5107 Dispenser, Glove, Surgical/Examination, Wall Mntd

2 EA 36 72 C OM

U5108 Waste Disposal Unit, Sharps 2 EA 70 140 C OM

Total Content Costs for this Room: 261,008

Room Code: TLTU1 Room Area: 50 Agency Room Name: Specimen Toilet Staff: 0 Criteria Room Name: Specimen Toilet Blueprint #:

Issue

Unit Price Total Price

Log Cat/ Acq

Code

U2010 Basket, Wastepaper, Step-On 1 EA 162 162 C OM

Total Content Costs for this Room: 162

Room Code: TLTU1 Room Area: 50 Agency Room Name: Specimen Toilet Staff: 0 Criteria Room Name: Specimen Toilet Blueprint #:

Issue

Unit Price Total Price

Log Cat/ Acq

Code

Total Content Costs for this Room: 162

Total Content Costs for this Functional Area: 274,327

Department: PATHOLOGY Functional Area: RECEPTION AREAS Room Code: RECP1 Room Area: 60

Privacy Act – FOR OFFICIAL USE ONLY (Page 12)

Agency Room Name: Reception Staff: 0 Criteria Room Name: Reception Blueprint #:

Issue

Unit Price Total Price

Log Cat/ Acq

Code

Fund Src Util1 Util2 Util3 Util4 Util5 Util6 NSN

A1015 Telephone, Desk, Multiple Line 1 EA 400 400 C OM

Multi-line phone shall also have speaker.

M1801 Computer, Microprocessing, w/Flat Panel Monitor

1 EA 1,485 1,485 C OM . A

M1830 Printer, Label, Pharmacy 1 EA 1,588 1,588 C OM . A

U0275 Chair, Swivel, High Back 1 EA 625 625 C OM

Total Content Costs for this Room: 12,268

Room Code: WRC01 Room Area: 100 Agency Room Name: Waiting Room Staff: 0 Criteria Room Name: Waiting Room Blueprint #:

Issue

Unit Price Total Price

Log Cat/ Acq

Code

Fund Src Util1 Util2 Util3 Util4 Util5 Util6 NSN

A5076 Dispenser, Hand Sanitizer, Free Standing 1 EA 132 132 C OM

A5210 Bracket, Television, Wall Mounted, w/Adjust Arm 1 EA 218 218 C OM

A5220 Bracket, Television, Wall Backing 1 EA 91 91 C OM

F3200 Clock, Battery, 12" Diameter 1 EA 49 49 C OM

U0305 Chair, Waiting Room, Single 2 EA 611 1,222 C OM

U0306 Chair, Waiting Room, Bariatric 2 EA 729 1,458 C OM

U0310 Chair, Waiting Room, Tandem 2 EA 1,100 2,200 C OM

Tandem seating will consist of (1) single seat and (1) end table.

Privacy Act – FOR OFFICIAL USE ONLY (Page 13)

U0515 Television, HDTV 1 EA 728 728 C OM . A . . . A

For Q-Flow and information. Requires data and power.

Total Content Costs for this Room: 6,606

Room Code: CLSC1 Room Area: 30 Agency Room Name: Kiosk, Patient Check-in Staff: 0 Criteria Room Name: Kiosk, Patient Check-in Blueprint #:

Issue

Unit Price Total Price

Log Cat/ Acq

Code

Fund Src Util1 Util2 Util3 Util4 Util5 Util6 NSN

U1890 Kiosk, Stand Up 1 EA 0 0 C OM . A

Q-Flow Check-in

Total Content Costs for this Room: 0

Total Content Costs for this Functional Area: 18,874

Total Content Costs for this Department: 293,201

Department: PHARMACY (OUTPATIENT) (550) Functional Area: OP PHARMACY RECEPTION Room Code: WRC01 Room Area: 445 Agency Room Name: Waiting Staff: 0 Criteria Room Name: Waiting Blueprint #:

Issue

Unit Price Total Price

Log Cat/ Acq

Code

Fund Src Util1 Util2 Util3 Util4 Util5 Util6 NSN

A5076 Dispenser, Hand Sanitizer, Free Standing 1 EA 132 132 C OM

A5210 Bracket, Television, Wall Mounted, w/Adjust Arm 4 EA 218 872 C OM

A5220 Bracket, Television, Wall Backing 11 EA 91 1,001 C OM

F2015 Basket, Wastepaper, Metal/Plastic,2 Swinging Doors

2 EA 259 518 C OM

Privacy Act – FOR OFFICIAL USE ONLY (Page 14)

F2300 Rack, Magazine, Wall Mounted 1 EA 249 249 C OM

F2310 Rack, Pamphlet, Wall Mounted 1 EA 171 171 C OM

F3200 Clock, Battery, 12" Diameter 1 EA 49 49 C OM

M1801 Computer, Microprocessing, w/Flat Panel Monitor

1 EA 1,485 1,485 C OM . A

For information TV

U0306 Chair, Waiting Room, Bariatric 5 EA 729 3,645 C OM

U0310 Chair, Waiting Room, Tandem 1 EA 25,000 25,000 C OM

Tandem seating with 1-3 seats connected and appropriate tables at corners in center of grouping as needed to design 35 seats in the space with the associated bariatric seating U0306.

U0500 Monitor, Color, 17" Diagonal 6 EA 203 1,218 C OM . A

U0515 Television, HDTV 4 EA 728 2,912 C OM . A . . . A

U5210 Bracket, Television, Wall Mounted, w/Adjust Arm 6 EA 101 606 C OM

U6046 Artwork, Decorative, Frameless 4 EA 508 2,032 C OM

Total Content Costs for this Room: 39,890

Department: PHARMACY (OUTPATIENT) (550) Functional Area: OP PHARMACY RECEPTION Room Code: CLSC1 Room Area: 30 Agency Room Name: Kiosk, Patient Check-in Staff: 0 Criteria Room Name: Kiosk, Patient Check-in Blueprint #:

Issue

Unit Price Total Price

Log Cat/ Acq

Code

Fund Src Util1 Util2 Util3 Util4 Util5 Util6 NSN

U1890 Kiosk, Stand Up 1 EA 0 0 C OM . A

Q-Flow Check-in

Total Content Costs for this Room: 0

Total Content Costs for this Functional Area: 39,890

Department: PHARMACY (OUTPATIENT) (550) Functional Area: OP PHARMACY Room Code: PHEV1 Room Area: 30 Agency Room Name: Receiving Workstation, Inventory Staff: 0 Criteria Room Name: Receiving, Documentation Station Blueprint #:

Privacy Act – FOR OFFICIAL USE ONLY (Page 15)

Issue

Unit Price Total Price

Log Cat/ Acq

Code

Fund Src Util1 Util2 Util3 Util4 Util5 Util6 NSN

A1011 Telephone, Desk, 1 Line 1 EA 400 400 C OM

F3200 Clock, Battery, 12" Diameter 1 EA 49 49 C OM

M1801 Computer, Microprocessing, w/Flat Panel Monitor

1 EA 1,485 1,485 C OM . A

U0230 Chair, Drafting, Rotary 1 EA 357 357 C OM

Total Content Costs for this Room: 10,461

Room Code: PHBS1 Room Area: 100 Agency Room Name: Receiving, Breakdown Room Staff: 0 Criteria Room Name: Receiving, Breakdown Room Blueprint #:

Issue

Unit Price Total Price

Log Cat/ Acq

Code

Fund Src Util1 Util2 Util3 Util4 Util5 Util6 NSN

E0665 Pharmacy Bulk Storage Low Volume 1 EA 47,707 47,707 C OM . F

F0535 Cart, Utility 1 EA 418 418 C OM

Total Content Costs for this Room: 48,125

Room Code: PHBS1 Room Area: 80 Agency Room Name: Storage, Non-Injectables Staff: 0 Criteria Room Name: Storage, Non-Injectables Blueprint #:

Privacy Act – FOR OFFICIAL USE ONLY (Page 16)

Issue

Unit Price Total Price

Log Cat/ Acq

Code

Fund Src Util1 Util2 Util3 Util4 Util5 Util6 NSN

A1011 Telephone, Desk, 1 Line 1 EA 400 400 C OM

E0665 Pharmacy Bulk Storage Low Volume 1 EA 47,707 47,707 C OM . F

M1801 Computer, Microprocessing, w/Flat Panel Monitor

1 EA 1,485 1,485 C OM . A

M1830 Printer, Label, Pharmacy 1 EA 1,588 1,588 C OM . A

Total Content Costs for this Room: 51,587

Room Code: SSV01 Room Area: 60 Agency Room Name: Storage, Controlled Substance Vault Staff: 0 Criteria Room Name: Storage, Controlled Substance Vault Blueprint #:

Issue

Unit Price Total Price

Log Cat/ Acq

Code

U3105 Safe, Pharmaceutical 1 EA 4,669 4,669 C OM

Total Content Costs for this Room: 4,669

Room Code: PHR01 Room Area: 120 Agency Room Name: Robotics / Automation Prescription Assembly Area Staff: 0 Criteria Room Name: Prescription Order Collation Area, Robotics / Automation Blueprint #:

Room Comments: Decrease based on direction from NMCP

Issue

Unit Price Total Price

Log Cat/ Acq

Code

Privacy Act – FOR OFFICIAL USE ONLY (Page 17)

M7280 Dispensing System, Prescription, Robotic 1 EA 30,000 30,000 C OM . F

Existing Unit to be relocated by a certified installer for that particular brand and unit.

Total Content Costs for this Room: 30,000

Room Code: PHUD1 Room Area: 30 Agency Room Name: Prescription Assembly Area, Manual Pick Station Staff: 0 Criteria Room Name: Prescription Assembly Area, Manual Pick Station Blueprint #:

Issue

Unit Price Total Price

Log Cat/ Acq

Code

Fund Src Util1 Util2 Util3 Util4 Util5 Util6 NSN

A1011 Telephone, Desk, 1 Line 2 EA 400 800 C OM

A5210 Bracket, Television, Wall Mounted, w/Adjust Arm 1 EA 218 218 C OM

A5220 Bracket, Television, Wall Backing 1 EA 91 91 C OM

M1801 Computer, Microprocessing, w/Flat Panel Monitor

2 EA 1,485 2,970 C OM . A

M1825 Printer, Computer 2 EA 795 1,590 C OM . A

U0230 Chair, Drafting, Rotary 2 EA 357 714 C OM

U0515 Television, HDTV 1 EA 728 728 C OM . A . . . A

U2010 Basket, Wastepaper, Step-On 2 EA 162 324 C OM

U4870 Fill System, Reverse Osmosis, Water 1 EA 500 500 C OM A A

Relocate existing, verify relocation requirements with manufacturer.

Total Content Costs for this Room: 7,935

Room Code: PHEV1 Room Area: 30 Agency Room Name: Workstation, Prescription Validation Staff: 0 Criteria Room Name: Workstation, Pharmacy Technician Blueprint #:

Privacy Act – FOR OFFICIAL USE ONLY (Page 18)

Issue

Unit Price Total Price

Log Cat/ Acq

Code

Fund Src Util1 Util2 Util3 Util4 Util5 Util6 NSN

M1801 Computer, Microprocessing, w/Flat Panel Monitor

1 EA 1,485 1,485 C OM . A

M1825 Printer, Computer 1 EA 795 795 C OM . A

U7781 Scanner, Barcode, Handheld 2 EA 152 304 C OM

Total Content Costs for this Room: 2,941

Room Code: PHOD1 Room Area: 30 Agency Room Name: Dispensing Window Staff: 1 Criteria Room Name: Dispensing Window Blueprint #:

Room Comments: Increase from direction from NMCP

Issue

Unit Price Total Price

Log Cat/ Acq

Code

Fund Src Util1 Util2 Util3 Util4 Util5 Util6 NSN

A1011 Telephone, Desk, 1 Line 1 EA 400 400 C OM

M1801 Computer, Microprocessing, w/Flat Panel Monitor

1 EA 1,485 1,485 C OM . A

M1825 Printer, Computer 1 EA 795 795 C OM . A

U0230 Chair, Drafting, Rotary 1 EA 357 357 C OM

U7781 Scanner, Barcode, Handheld 1 EA 152 152 C OM

Total Content Costs for this Room: 3,239

Agency Room Name: Dispensing Window Staff: 1

Privacy Act – FOR OFFICIAL USE ONLY (Page 19)

Issue

Unit Price Total Price

Log Cat/ Acq

Code

Fund Src Util1 Util2 Util3 Util4 Util5 Util6 NSN

A1011 Telephone, Desk, 1 Line 1 EA 400 400 C OM

M1801 Computer, Microprocessing, w/Flat Panel Monitor

1 EA 1,485 1,485 C OM . A

M1825 Printer, Computer 1 EA 795 795 C OM . A

U0230 Chair, Drafting, Rotary 1 EA 357 357 C OM

Agency Room Name: Dispensing Window Staff: 1

Issue

Unit Price Total Price

Log Cat/ Acq

Code

Fund Src Util1 Util2 Util3 Util4 Util5 Util6 NSN

A1011 Telephone, Desk, 1 Line 1 EA 400 400 C OM

M1801 Computer, Microprocessing, w/Flat Panel Monitor

1 EA 1,485 1,485 C OM . A

M1825 Printer, Computer 1 EA 795 795 C OM . A

U0230 Chair, Drafting, Rotary 1 EA 357 357 C OM

Privacy Act – FOR OFFICIAL USE ONLY (Page 20)

Agency Room Name: Dispensing Window Staff: 1

Issue

Unit Price Total Price

Log Cat/ Acq

Code

Fund Src Util1 Util2 Util3 Util4 Util5 Util6 NSN

A1011 Telephone, Desk, 1 Line 1 EA 400 400 C OM

M1801 Computer, Microprocessing, w/Flat Panel Monitor

1 EA 1,485 1,485 C OM . A

M1825 Printer, Computer 1 EA 795 795 C OM . A

U0230 Chair, Drafting, Rotary 1 EA 357 357 C OM

Agency Room Name: Dispensing Window Staff: 1

Issue

Unit Price Total Price

Log Cat/ Acq

Code

Fund Src Util1 Util2 Util3 Util4 Util5 Util6 NSN

A1011 Telephone, Desk, 1 Line 1 EA 400 400 C OM

M1801 Computer, Microprocessing, w/Flat Panel Monitor

1 EA 1,485 1,485 C OM . A

M1825 Printer, Computer 1 EA 795 795 C OM . A

U0230 Chair, Drafting, Rotary 1 EA 357 357 C OM

Privacy Act – FOR OFFICIAL USE ONLY (Page 21)

Agency Room Name: Dispensing Area, Staff Issue, Transaction Area Staff: 0 Criteria Room Name: Workstation, Pharmacist Blueprint #:

Issue

Unit Price Total Price

Log Cat/ Acq

Code

Fund Src Util1 Util2 Util3 Util4 Util5 Util6 NSN

A1011 Telephone, Desk, 1 Line 1 EA 400 400 C OM

M1801 Computer, Microprocessing, w/Flat Panel Monitor

1 EA 1,485 1,485 C OM . A

M1825 Printer, Computer 1 EA 795 795 C OM . A

U0230 Chair, Drafting, Rotary 1 EA 357 357 C OM

Agency Room Name: Dispensing Area, Prescription Holding and Staging Staff: 0 Criteria Room Name: Dispensing Area, Prescription Holding and Staging Blueprint #:

Issue

Unit Price Total Price

Log Cat/ Acq

Code

Fund Src Util1 Util2 Util3 Util4 Util5 Util6 NSN

A1011 Telephone, Desk, 1 Line 1 EA 400 400 C OM

M1801 Computer, Microprocessing, w/Flat Panel Monitor

1 EA 1,485 1,485 C OM . A

M1825 Printer, Computer 1 EA 795 795 C OM . A

U0230 Chair, Drafting, Rotary 1 EA 357 357 C OM

U0675 Pharmacy Auotmated Dispensing & Storage Medium Volume

1 EA 25,000 25,000 C OM D F

Privacy Act – FOR OFFICIAL USE ONLY (Page 22)

Existing Unit to be relocated by a certified installer for that particular brand and unit.

Total Content Costs for this Room: 28,239

Total Content Costs for this Functional Area: 203,391

Department: PHARMACY (OUTPATIENT) (550) Functional Area: OP PHARMACY SUPPORT Room Code: PHBS1 Room Area: 120 Agency Room Name: Storage Bulk, Medications and OTC Staff: 0 Criteria Room Name: Storage Bulk, Medications and OTC Blueprint #:

Issue

Unit Price Total Price

Log Cat/ Acq

Code

Fund Src Util1 Util2 Util3 Util4 Util5 Util6 NSN

A1011 Telephone, Desk, 1 Line 2 EA 400 800 C OM

E0665 Pharmacy Bulk Storage Low Volume 1 EA 47,707 47,707 C OM . F

F2015 Basket, Wastepaper, Metal/Plastic,2 Swinging Doors

6 EA 259 1,554 C OM

F3200 Clock, Battery, 12" Diameter 1 EA 49 49 C OM

M1801 Computer, Microprocessing, w/Flat Panel Monitor

2 EA 1,485 2,970 C OM . A

R6110 Refrigerator, 2 Swing Doors, Shelves, 40 CUFT 1 EA 8,456 8,456 C OM I A

Provide glass sliding doors instead of solid swing doors as indicated in the cut sheet.

U0230 Chair, Drafting, Rotary 2 EA 357 714 C OM

U2000 Basket, Wastepaper, Round, Metal 2 EA 50 100 C OM

U7781 Scanner, Barcode, Handheld 2 EA 152 304 C OM

Total Content Costs for this Room: 62,654

Department: PHARMACY (OUTPATIENT) (550) Functional Area: OP PHARMACY SUPPORT Room Code: PHUD1 Room Area: 120 Agency Room Name: Automated Dispensing Unit Staff: 0 Criteria Room Name: Automated Dispensing Unit, Set-up and Maintenance Area Blueprint #:

Room Comments: Increase from criteria due to direction from NMCP

Privacy Act – FOR OFFICIAL USE ONLY (Page 23)

Issue

Unit Price Total Price

Log Cat/ Acq

Code

Fund Src Util1 Util2 Util3 Util4 Util5 Util6 NSN

A1015 Telephone, Desk, Multiple Line 1 EA 400 400 C OM

Multi-line phone shall also have speaker.

M1801 Computer, Microprocessing, w/Flat Panel Monitor

3 EA 1,485 4,455 C OM . A

U0230 Chair, Drafting, Rotary 4 EA 357 1,428 C OM

U2010 Basket, Wastepaper, Step-On 6 EA 162 972 C OM

Total Content Costs for this Room: 7,255

Total Content Costs for this Functional Area: 69,909

Total Content Costs for this Department: 313,190

Department: MEDICAL HOME PORT (301) Functional Area: RECEPTION Room Code: RECP1 Room Area: 120 Agency Room Name: Reception Staff: 4 Criteria Room Name: Reception Blueprint #:

Issue

Unit Price Total Price

Log Cat/ Acq

Code

Fund Src Util1 Util2 Util3 Util4 Util5 Util6 NSN

A1015 Telephone, Desk, Multiple Line 4 EA 400 1,600 C OM

Multi-line phone shall also have speaker.

F3200 Clock, Battery, 12" Diameter 1 EA 49 49 C OM

M1801 Computer, Microprocessing, w/Flat Panel Monitor

2 EA 1,485 2,970 C OM . A

U0275 Chair, Swivel, High Back 4 EA 625 2,500 C OM

U0420 Cabinet, Filing, Lateral, Half Height 4 EA 609 2,436 C OM

U2000 Basket, Wastepaper, Round, Metal 2 EA 50 100 C OM

Total Content Costs for this Room: 17,775

Privacy Act – FOR OFFICIAL USE ONLY (Page 24)

Room Code: WRC01 Room Area: 500 Agency Room Name: Waiting Staff: 0 Criteria Room Name: Waiting Blueprint #:

Issue

Unit Price Total Price

Log Cat/ Acq

Code

Fund Src Util1 Util2 Util3 Util4 Util5 Util6 NSN

A5076 Dispenser, Hand Sanitizer, Free Standing 1 EA 132 132 C OM

A5210 Bracket, Television, Wall Mounted, w/Adjust Arm 2 EA 218 436 C OM

A5220 Bracket, Television, Wall Backing 2 EA 91 182 C OM

F2015 Basket, Wastepaper, Metal/Plastic,2 Swinging Doors

1 EA 259 259 C OM

F2300 Rack, Magazine, Wall Mounted 1 EA 249 249 C OM

F2310 Rack, Pamphlet, Wall Mounted 1 EA 171 171 C OM

F3200 Clock, Battery, 12" Diameter 1 EA 49 49 C OM

M1801 Computer, Microprocessing, w/Flat Panel Monitor

1 EA 1,485 1,485 C OM . A

For information TV

U0306 Chair, Waiting Room, Bariatric 14 EA 729 10,206 C OM

U0310 Chair, Waiting Room, Tandem 1 EA 35,000 35,000 C OM

Tandem seating with 1-3 seats connected and appropriate tables at corners in center of grouping as needed to design 35 seats in the space with the associated bariatric seating U0306.

U0515 Television, HDTV 2 EA 728 1,456 C OM . A . . . A

U6046 Artwork, Decorative, Frameless 3 EA 508 1,524 C OM

Total Content Costs for this Room: 51,149

Room Code: PLAY1 Room Area: 100 Agency Room Name: Sick/Well Waiting Staff: 0 Criteria Room Name: Playroom Blueprint #:

Privacy Act – FOR OFFICIAL USE ONLY (Page 25)

Issue

Unit Price Total Price

Log Cat/ Acq

Code

Fund Src Util1 Util2 Util3 Util4 Util5 Util6 NSN

A5210 Bracket, Television, Wall Mounted, w/Adjust Arm 1 EA 218 218 C OM

A5220 Bracket, Television, Wall Backing 1 EA 91 91 C OM

F2015 Basket, Wastepaper, Metal/Plastic,2 Swinging Doors

1 EA 259 259 C OM

F3200 Clock, Battery, 12" Diameter 1 EA 49 49 C OM

U0215 Chair, Child's 4 EA 42 168 C OM

U0305 Chair, Waiting Room, Single 6 EA 611 3,666 C OM

U0310 Chair, Waiting Room, Tandem 2 EA 1,100 2,200 C OM

Tandem seating will consist of (1) single seat and (1) end table.

U0515 Television, HDTV 1 EA 728 728 C OM . A . . . A

U0760 Table, Child's 1 EA 221 221 C OM

Total Content Costs for this Room: 8,616

Total Content Costs for this Functional Area: 77,540

Department: MEDICAL HOME PORT (301) Functional Area: EXAM PATIENT AREA Room Code: EXR11 Room Area: 30 Agency Room Name: Alcove, Height / Weight Staff: 0 Criteria Room Name: Alcove, Height / Weight Blueprint #:

Issue

Unit Price Total Price

Log Cat/ Acq

Code

Fund Src Util1 Util2 Util3 Util4 Util5 Util6 NSN

A5077 Dispenser, Hand Sanitizer, Hands-Free 1 EA 45 45 C OM

F3200 Clock, Battery, 12" Diameter 1 EA 49 49 C OM

M4020 Scale, Person Weighing, High Capacity 1 EA 2,321 2,321 C OM . A

M4040 Scale, Weighing, 300 Pound Capacity 1 EA 484 484 C OM

M4050 Height Measuring Device, Precision 1 EA 795 795 C OM

M9020 Table, Exam, Pediatric, With Scale 1 EA 2,629 2,629 C OM . A

Privacy Act – FOR OFFICIAL USE ONLY (Page 26)

U0210 Chair, Side, Without Arms 1 EA 368 368 C OM

Total Content Costs for this Room: 6,691

Issue

Unit Price Total Price

Log Cat/ Acq

Code

Fund Src Util1 Util2 Util3 Util4 Util5 Util6 NSN

A5077 Dispenser, Hand Sanitizer, Hands-Free 1 EA 45 45 C OM

F3200 Clock, Battery, 12" Diameter 1 EA 49 49 C OM

M4020 Scale, Person Weighing, High Capacity 1 EA 2,321 2,321 C OM . A

M4040 Scale, Weighing, 300 Pound Capacity 1 EA 484 484 C OM

M4050 Height Measuring Device, Precision 1 EA 795 795 C OM

Issue

Unit Price Total Price

Log Cat/ Acq

Code

Fund Src Util1 Util2 Util3 Util4 Util5 Util6 NSN

A5077 Dispenser, Hand Sanitizer, Hands-Free 1 EA 45 45 C OM

F3200 Clock, Battery, 12" Diameter 1 EA 49 49 C OM

M4020 Scale, Person Weighing, High Capacity 1 EA 2,321 2,321 C OM . A

M4040 Scale, Weighing, 300 Pound Capacity 1 EA 484 484 C OM

Privacy Act – FOR OFFICIAL USE ONLY (Page 27)

Issue

Unit Price Total Price

Log Cat/ Acq

Code

Fund Src Util1 Util2 Util3 Util4 Util5 Util6 NSN

A5077 Dispenser, Hand Sanitizer, Hands-Free 1 EA 45 45 C OM

F3200 Clock, Battery, 12" Diameter 1 EA 49 49 C OM

M4040 Scale, Weighing, 300 Pound Capacity 1 EA 484 484 C OM

M4050 Height Measuring Device, Precision 1 EA 795 795 C OM

Total Content Costs for this Room: 4,370

Issue

Unit Price Total Price

Log Cat/ Acq

Code

Fund Src Util1 Util2 Util3 Util4 Util5 Util6 NSN

A5077 Dispenser, Hand Sanitizer, Hands-Free 1 EA 45 45 C OM

M4040 Scale, Weighing, 300 Pound Capacity 1 EA 484 484 C OM

Privacy Act – FOR OFFICIAL USE ONLY (Page 28)

Total Content Costs for this Room: 4,370

Room Code: EXRG1 Room Area: 100 Agency Room Name: Exam Room, General Staff: 0 Criteria Room Name: Exam Room, General Blueprint #:

Issue

Unit Price Total Price

Log Cat/ Acq

Code

Fund Src Util1 Util2 Util3 Util4 Util5 Util6 NSN

A1011 Telephone, Desk, 1 Line 1 EA 400 400 C OM

A5077 Dispenser, Hand Sanitizer, Hands-Free 1 EA 45 45 C OM

F3200 Clock, Battery, 12" Diameter 1 EA 49 49 C OM

M1801 Computer, Microprocessing, w/Flat Panel Monitor 1 EA 1,485 1,485 C OM . A

M4200 Otoscope/Ophthalmoscope, Wall Mounted 1 EA 1,517 1,517 C OM . A

NMCP currently has Welch Allyn wall mounted Macroview Otoscope and Coaxial Ophthslmoscope with Kleenspec dispenser. Refer to cut sheets for details. DO NOT include wall board.

M7401 Light, Exam, Mobile, Spotlight, Mobile Stand 1 EA 1,108 1,108 C OM . A

M8810 Stand, Mayo 1 EA 726 726 C OM

M9025 Table, Examination/Treatment, With Cabinet 1 EA 1,826 1,826 C OM . A

Include Stirrups and power for table receptacle only.

U0210 Chair, Side, Without Arms 1 EA 368 368 C OM

U0340 Stool, Pneumatic 2 EA 366 732 C OM

U0945 Cart, Computer, Mobile 1 EA 1,889 1,889 C OM

U1620 Holder, Chart, Patient, Wall Mounted 1 EA 91 91 C OM

U2010 Basket, Wastepaper, Step-On 1 EA 162 162 C OM

U2011 Basket, Infectious Waste, Step-On 1 EA 162 162 C OM

U4116 Monitor, Vital Signs 1 EA 3,015 3,015 C OM . A

Privacy Act – FOR OFFICIAL USE ONLY (Page 29)

NMCP currently has Welch Allyn Connex Vital Sign Monitor 6000 series. Refer to cut sheets for details. Include pediatric and adult cuffs for all units.

U5107 Dispenser, Glove, Surgical/Examination, Wall Mntd

1 EA 36 36 C OM

U5108 Waste Disposal Unit, Sharps 1 EA 70 70 C OM

Total Content Costs for this Room: 14,554

Agency Room Name: Exam Room, General Staff: 0

Issue

Unit Price Total Price

Log Cat/ Acq

Code

Fund Src Util1 Util2 Util3 Util4 Util5 Util6 NSN

A1011 Telephone, Desk, 1 Line 1 EA 400 400 C OM

A5077 Dispenser, Hand Sanitizer, Hands-Free 1 EA 45 45 C OM

F3200 Clock, Battery, 12" Diameter 1 EA 49 49 C OM

M1801 Computer, Microprocessing, w/Flat Panel Monitor 1 EA 1,485 1,485 C OM . A

M4200 Otoscope/Ophthalmoscope, Wall Mounted 1 EA 1,517 1,517 C OM . A

NMCP currently has Welch Allyn wall mounted Macroview Otoscope and Coaxial Ophthslmoscope with Kleenspec dispenser. Refer to cut sheets for details. DO NOT include wall board.

M7401 Light, Exam, Mobile, Spotlight, Mobile Stand 1 EA 1,108 1,108 C OM . A

M8810 Stand, Mayo 1 EA 726 726 C OM

M9025 Table, Examination/Treatment, With Cabinet 1 EA 1,826 1,826 C OM . A

Include Stirrups and power for table receptacle only.

U0210 Chair, Side, Without Arms 1 EA 368 368 C OM

U0340 Stool, Pneumatic 2 EA 366 732 C OM

U0945 Cart, Computer, Mobile 1 EA 1,889 1,889 C OM

U1620 Holder, Chart, Patient, Wall Mounted 1 EA 91 91 C OM

U2011 Basket, Infectious Waste, Step-On 1 EA 162 162 C OM

Privacy Act – FOR OFFICIAL USE ONLY (Page 30)

NMCP currently has Welch Allyn Connex Vital Sign Monitor 6000 series. Refer to cut sheets for details. Include pediatric and adult cuffs for all units.

U5107 Dispenser, Glove, Surgical/Examination, Wall Mntd

1 EA 36 36 C OM

Agency Room Name: Exam Room, General Staff: 0

Issue

Unit Price Total Price

Log Cat/ Acq

Code

Fund Src Util1 Util2 Util3 Util4 Util5 Util6 NSN

A1011 Telephone, Desk, 1 Line 1 EA 400 400 C OM

A5077 Dispenser, Hand Sanitizer, Hands-Free 1 EA 45 45 C OM

F3200 Clock, Battery, 12" Diameter 1 EA 49 49 C OM

M1801 Computer, Microprocessing, w/Flat Panel Monitor 1 EA 1,485 1,485 C OM . A

M4200 Otoscope/Ophthalmoscope, Wall Mounted 1 EA 1,517 1,517 C OM . A

NMCP currently has Welch Allyn wall mounted Macroview Otoscope and Coaxial Ophthslmoscope with Kleenspec dispenser. Refer to cut sheets for details. DO NOT include wall board.

M7401 Light, Exam, Mobile, Spotlight, Mobile Stand 1 EA 1,108 1,108 C OM . A

M8810 Stand, Mayo 1 EA 726 726 C OM

M9025 Table, Examination/Treatment, With Cabinet 1 EA 1,826 1,826 C OM . A

Include Stirrups and power for table receptacle only.

U0210 Chair, Side, Without Arms 1 EA 368 368 C OM

U0340 Stool, Pneumatic 2 EA 366 732 C OM

U0945 Cart, Computer, Mobile 1 EA 1,889 1,889 C OM

U1620 Holder, Chart, Patient, Wall Mounted 1 EA 91 91 C OM

Privacy Act – FOR OFFICIAL USE ONLY (Page 31)

U3065 Whiteboard/Bulletin Board, Combination 1 EA 365 365 C OM

U4116 Monitor, Vital Signs 1 EA 3,015 3,015 C OM . A

NMCP currently has Welch Allyn Connex Vital Sign Monitor 6000 series. Refer to cut sheets for details. Include pediatric and adult cuffs for all units.

U5107 Dispenser, Glove, Surgical/Examination, Wall Mntd

1 EA 36 36 C OM

Agency Room Name: Exam Room, General EX Vitals Staff: 0

Issue

Unit Price Total Price

Log Cat/ Acq

Code

Fund Src Util1 Util2 Util3 Util4 Util5 Util6 NSN

A1011 Telephone, Desk, 1 Line 1 EA 400 400 C OM

A5077 Dispenser, Hand Sanitizer, Hands-Free 1 EA 45 45 C OM

F3200 Clock, Battery, 12" Diameter 1 EA 49 49 C OM

M1801 Computer, Microprocessing, w/Flat Panel Monitor 1 EA 1,485 1,485 C OM . A

M4200 Otoscope/Ophthalmoscope, Wall Mounted 1 EA 1,517 1,517 C OM . A

NMCP currently has Welch Allyn wall mounted Macroview Otoscope and Coaxial Ophthslmoscope with Kleenspec dispenser. Refer to cut sheets for details. DO NOT include wall board.

M7401 Light, Exam, Mobile, Spotlight, Mobile Stand 1 EA 1,108 1,108 C OM . A

M8810 Stand, Mayo 1 EA 726 726 C OM

M9025 Table, Examination/Treatment, With Cabinet 1 EA 1,826 1,826 C OM . A

Include Stirrups and power for table receptacle only.

U0340 Stool, Pneumatic 1 EA 366 366 C OM

Privacy Act – FOR OFFICIAL USE ONLY (Page 32)

U2010 Basket, Wastepaper, Step-On 1 EA 162 162 C OM

U2011 Basket, Infectious Waste, Step-On 1 EA 162 162 C OM

U3065 Whiteboard/Bulletin Board, Combination 1 EA 365 365 C OM

U4116 Monitor, Vital Signs 1 EA 3,015 3,015 C OM . A

Existing unit relocated from current clinic. Coordinate with Equipment Management to update Equipment Inventory.

U5107 Dispenser, Glove, Surgical/Examination, Wall Mntd

1 EA 36 36 C OM

Total Content Costs for this Room: 14,188

Agency Room Name: Exam Room, General EX Vitals Staff: 0

Issue

Unit Price Total Price

Log Cat/ Acq

Code

Fund Src Util1 Util2 Util3 Util4 Util5 Util6 NSN

A1011 Telephone, Desk, 1 Line 1 EA 400 400 C OM

A5077 Dispenser, Hand Sanitizer, Hands-Free 1 EA 45 45 C OM

F3200 Clock, Battery, 12" Diameter 1 EA 49 49 C OM

M1801 Computer, Microprocessing, w/Flat Panel Monitor 1 EA 1,485 1,485 C OM . A

M4200 Otoscope/Ophthalmoscope, Wall Mounted 1 EA 1,517 1,517 C OM . A

NMCP currently has Welch Allyn wall mounted Macroview Otoscope and Coaxial Ophthslmoscope with Kleenspec dispenser. Refer to cut sheets for details. DO NOT include wall board.

M7401 Light, Exam, Mobile, Spotlight, Mobile Stand 1 EA 1,108 1,108 C OM . A

M8810 Stand, Mayo 1 EA 726 726 C OM

M9025 Table, Examination/Treatment, With Cabinet 1 EA 1,826 1,826 C OM . A

Include Stirrups and power for table receptacle only.

Privacy Act – FOR OFFICIAL USE ONLY (Page 33)

U0340 Stool, Pneumatic 1 EA 366 366 C OM

U0945 Cart, Computer, Mobile 1 EA 1,889 1,889 C OM

U1620 Holder, Chart, Patient, Wall Mounted 1 EA 91 91 C OM

U2010 Basket, Wastepaper, Step-On 1 EA 162 162 C OM

U2011 Basket, Infectious Waste, Step-On 1 EA 162 162 C OM

U3065 Whiteboard/Bulletin Board, Combination 1 EA 365 365 C OM

U4116 Monitor, Vital Signs 1 EA 3,015 3,015 C OM . A

Existing unit relocated from current clinic. Coordinate with Equipment Management to update Equipment Inventory.

U5107 Dispenser, Glove, Surgical/Examination, Wall Mntd

1 EA 36 36 C OM

Agency Room Name: Exam Room, General EX Vitals Staff: 0

Issue

Unit Price Total Price

Log Cat/ Acq

Code

Fund Src Util1 Util2 Util3 Util4 Util5 Util6 NSN

A1011 Telephone, Desk, 1 Line 1 EA 400 400 C OM

A5077 Dispenser, Hand Sanitizer, Hands-Free 1 EA 45 45 C OM

F3200 Clock, Battery, 12" Diameter 1 EA 49 49 C OM

M1801 Computer, Microprocessing, w/Flat Panel Monitor 1 EA 1,485 1,485 C OM . A

M4200 Otoscope/Ophthalmoscope, Wall Mounted 1 EA 1,517 1,517 C OM . A

NMCP currently has Welch Allyn wall mounted Macroview Otoscope and Coaxial Ophthslmoscope with Kleenspec dispenser. Refer to cut sheets for details. DO NOT include wall board.

M7401 Light, Exam, Mobile, Spotlight, Mobile Stand 1 EA 1,108 1,108 C OM . A

M8810 Stand, Mayo 1 EA 726 726 C OM

Privacy Act – FOR OFFICIAL USE ONLY (Page 34)

U0210 Chair, Side, Without Arms 1 EA 368 368 C OM

U0340 Stool, Pneumatic 1 EA 366 366 C OM

U0945 Cart, Computer, Mobile 1 EA 1,889 1,889 C OM

U1620 Holder, Chart, Patient, Wall Mounted 1 EA 91 91 C OM

U2010 Basket, Wastepaper, Step-On 1 EA 162 162 C OM

U2011 Basket, Infectious Waste, Step-On 1 EA 162 162 C OM

U3065 Whiteboard/Bulletin Board, Combination 1 EA 365 365 C OM

U4116 Monitor, Vital Signs 1 EA 3,015 3,015 C OM . A

Existing unit relocated from current clinic. Coordinate with Equipment Management to update Equipment Inventory.

U5107 Dispenser, Glove, Surgical/Examination, Wall Mntd

1 EA 36 36 C OM

Agency Room Name: Exam Room, General EX Vitals Staff: 0

Issue

Unit Price Total Price

Log Cat/ Acq

Code

Fund Src Util1 Util2 Util3 Util4 Util5 Util6 NSN

A1011 Telephone, Desk, 1 Line 1 EA 400 400 C OM

A5077 Dispenser, Hand Sanitizer, Hands-Free 1 EA 45 45 C OM

F3200 Clock, Battery, 12" Diameter 1 EA 49 49 C OM

M1801 Computer, Microprocessing, w/Flat Panel Monitor 1 EA 1,485 1,485 C OM . A

M4200 Otoscope/Ophthalmoscope, Wall Mounted 1 EA 1,517 1,517 C OM . A

NMCP currently has Welch Allyn wall mounted Macroview Otoscope and Coaxial Ophthslmoscope with Kleenspec dispenser. Refer to cut sheets for details. DO NOT include wall board.

Privacy Act – FOR OFFICIAL USE ONLY (Page 35)

M9025 Table, Examination/Treatment, With Cabinet 1 EA 1,826 1,826 C OM . A

Include Stirrups and power for table receptacle only.

U0210 Chair, Side, Without Arms 1 EA 368 368 C OM

U0340 Stool, Pneumatic 1 EA 366 366 C OM

U0945 Cart, Computer, Mobile 1 EA 1,889 1,889 C OM

U1620 Holder, Chart, Patient, Wall Mounted 1 EA 91 91 C OM

U2010 Basket, Wastepaper, Step-On 1 EA 162 162 C OM

U2011 Basket, Infectious Waste, Step-On 1 EA 162 162 C OM

U3065 Whiteboard/Bulletin Board, Combination 1 EA 365 365 C OM

U4116 Monitor, Vital Signs 1 EA 3,015 3,015 C OM . A

Existing unit relocated from current clinic. Coordinate with Equipment Management to update Equipment Inventory.

U5107 Dispenser, Glove, Surgical/Examination, Wall Mntd

1 EA 36 36 C OM

Agency Room Name: Exam Room, General EX Vitals Staff: 0

Issue

Unit Price Total Price

Log Cat/ Acq

Code

Fund Src Util1 Util2 Util3 Util4 Util5 Util6 NSN

A1011 Telephone, Desk, 1 Line 1 EA 400 400 C OM

A5077 Dispenser, Hand Sanitizer, Hands-Free 1 EA 45 45 C OM

F3200 Clock, Battery, 12" Diameter 1 EA 49 49 C OM

M1801 Computer, Microprocessing, w/Flat Panel Monitor 1 EA 1,485 1,485 C OM . A

M4200 Otoscope/Ophthalmoscope, Wall Mounted 1 EA 1,517 1,517 C OM . A

Privacy Act – FOR OFFICIAL USE ONLY (Page 36)

NMCP currently has Welch Allyn wall mounted Macroview Otoscope and Coaxial Ophthslmoscope with Kleenspec dispenser. Refer to cut sheets for details. DO NOT include wall

M7401 Light, Exam, Mobile, Spotlight, Mobile Stand 1 EA 1,108 1,108 C OM . A

M8810 Stand, Mayo 1 EA 726 726 C OM

M9025 Table, Examination/Treatment, With Cabinet 1 EA 1,826 1,826 C OM . A

Include Stirrups and power for table receptacle only.

U0210 Chair, Side, Without Arms 1 EA 368 368 C OM

U0340 Stool, Pneumatic 1 EA 366 366 C OM

U0945 Cart, Computer, Mobile 1 EA 1,889 1,889 C OM

U1620 Holder, Chart, Patient, Wall Mounted 1 EA 91 91 C OM

U2010 Basket, Wastepaper, Step-On 1 EA 162 162 C OM

U2011 Basket, Infectious Waste, Step-On 1 EA 162 162 C OM

U3065 Whiteboard/Bulletin Board, Combination 1 EA 365 365 C OM

U4116 Monitor, Vital Signs 1 EA 3,015 3,015 C OM . A

Existing unit relocated from current clinic. Coordinate with Equipment Management to update Equipment Inventory.

U5107 Dispenser, Glove, Surgical/Examination, Wall Mntd

1 EA 36 36 C OM

Agency Room Name: Exam Room, General EX Vitals Staff: 0

Issue

Unit Price Total Price

Log Cat/ Acq

Code

Fund Src Util1 Util2 Util3 Util4 Util5 Util6 NSN

A1011 Telephone, Desk, 1 Line 1 EA 400 400 C OM

A5077 Dispenser, Hand Sanitizer, Hands-Free 1 EA 45 45 C OM

Privacy Act – FOR OFFICIAL USE ONLY (Page 37)

M1801 Computer, Microprocessing, w/Flat Panel Monitor 1 EA 1,485 1,485 C OM . A

M4200 Otoscope/Ophthalmoscope, Wall Mounted 1 EA 1,517 1,517 C OM . A

NMCP currently has Welch Allyn wall mounted Macroview Otoscope and Coaxial Ophthslmoscope with Kleenspec dispenser. Refer to cut sheets for details. DO NOT include wall board.

M7401 Light, Exam, Mobile, Spotlight, Mobile Stand 1 EA 1,108 1,108 C OM . A

M8810 Stand, Mayo 1 EA 726 726 C OM

M9025 Table, Examination/Treatment, With Cabinet 1 EA 1,826 1,826 C OM . A

Include Stirrups and power for table receptacle only.

U0210 Chair, Side, Without Arms 1 EA 368 368 C OM

U0340 Stool, Pneumatic 1 EA 366 366 C OM

U0945 Cart, Computer, Mobile 1 EA 1,889 1,889 C OM

U1620 Holder, Chart, Patient, Wall Mounted 1 EA 91 91 C OM

U2010 Basket, Wastepaper, Step-On 1 EA 162 162 C OM

U2011 Basket, Infectious Waste, Step-On 1 EA 162 162 C OM

U3065 Whiteboard/Bulletin Board, Combination 1 EA 365 365 C OM

U4116 Monitor, Vital Signs 1 EA 3,015 3,015 C OM . A

Existing unit relocated from current clinic. Coordinate with Equipment Management to update Equipment Inventory.

U5107 Dispenser, Glove, Surgical/Examination, Wall Mntd

1 EA 36 36 C OM

Agency Room Name: Exam Room, General EX Vitals Staff: 0

Issue

Unit Price Total Price

Log Cat/ Acq

Code

A1011 Telephone, Desk, 1 Line 1 EA 400 400 C OM

Privacy Act – FOR OFFICIAL USE ONLY (Page 38)

A5077 Dispenser, Hand Sanitizer, Hands-Free 1 EA 45 45 C OM

M1801 Computer, Microprocessing, w/Flat Panel Monitor 1 EA 1,485 1,485 C OM . A

M4200 Otoscope/Ophthalmoscope, Wall Mounted 1 EA 1,517 1,517 C OM . A

NMCP currently has Welch Allyn wall mounted Macroview Otoscope and Coaxial Ophthslmoscope with Kleenspec dispenser. Refer to cut sheets for details. DO NOT include wall board.

M7401 Light, Exam, Mobile, Spotlight, Mobile Stand 1 EA 1,108 1,108 C OM . A

M8810 Stand, Mayo 1 EA 726 726 C OM

M9025 Table, Examination/Treatment, With Cabinet 1 EA 1,826 1,826 C OM . A

Include Stirrups and power for table receptacle only.

U0210 Chair, Side, Without Arms 1 EA 368 368 C OM

U0340 Stool, Pneumatic 1 EA 366 366 C OM

U0945 Cart, Computer, Mobile 1 EA 1,889 1,889 C OM

U1620 Holder, Chart, Patient, Wall Mounted 1 EA 91 91 C OM

U2010 Basket, Wastepaper, Step-On 1 EA 162 162 C OM

U2011 Basket, Infectious Waste, Step-On 1 EA 162 162 C OM

U3065 Whiteboard/Bulletin Board, Combination 1 EA 365 365 C OM

U4116 Monitor, Vital Signs 1 EA 3,015 3,015 C OM . A

Existing unit relocated from current clinic. Coordinate with Equipment Management to update Equipment Inventory.

U5107 Dispenser, Glove, Surgical/Examination, Wall Mntd

1 EA 36 36 C OM

Agency Room Name: Exam Room, General EX Vitals Staff: 0

Privacy Act – FOR OFFICIAL USE ONLY (Page 39)

Issue

Unit Price Total Price

Log Cat/ Acq

Code

Fund Src Util1 Util2 Util3 Util4 Util5 Util6 NSN

A1011 Telephone, Desk, 1 Line 1 EA 400 400 C OM

A5077 Dispenser, Hand Sanitizer, Hands-Free 1 EA 45 45 C OM

F3200 Clock, Battery, 12" Diameter 1 EA 49 49 C OM

M1801 Computer, Microprocessing, w/Flat Panel Monitor 1 EA 1,485 1,485 C OM . A

M4200 Otoscope/Ophthalmoscope, Wall Mounted 1 EA 1,517 1,517 C OM . A

NMCP currently has Welch Allyn wall mounted Macroview Otoscope and Coaxial Ophthslmoscope with Kleenspec dispenser. Refer to cut sheets for details. DO NOT include wall board.

M7401 Light, Exam, Mobile, Spotlight, Mobile Stand 1 EA 1,108 1,108 C OM . A

M8810 Stand, Mayo 1 EA 726 726 C OM

M9025 Table, Examination/Treatment, With Cabinet 1 EA 1,826 1,826 C OM . A

Include Stirrups and power for table receptacle only.

U0210 Chair, Side, Without Arms 1 EA 368 368 C OM

U0340 Stool, Pneumatic 1 EA 366 366 C OM

U0945 Cart, Computer, Mobile 1 EA 1,889 1,889 C OM

U1620 Holder, Chart, Patient, Wall Mounted 1 EA 91 91 C OM

U2010 Basket, Wastepaper, Step-On 1 EA 162 162 C OM

U2011 Basket, Infectious Waste, Step-On 1 EA 162 162 C OM

U3065 Whiteboard/Bulletin Board, Combination 1 EA 365 365 C OM

U4116 Monitor, Vital Signs 1 EA 3,015 3,015 C OM . A

Existing unit relocated from current clinic. Coordinate with Equipment Management to update Equipment Inventory.

U5107 Dispenser, Glove, Surgical/Examination, Wall Mntd

1 EA 36 36 C OM

Agency Room Name: Exam Room, General EX Vitals Staff: 0

Privacy Act – FOR OFFICIAL USE ONLY (Page 40)

Issue

Unit Price Total Price

Log Cat/ Acq

Code

Fund Src Util1 Util2 Util3 Util4 Util5 Util6 NSN

A1011 Telephone, Desk, 1 Line 1 EA 400 400 C OM

A5077 Dispenser, Hand Sanitizer, Hands-Free 1 EA 45 45 C OM

F3200 Clock, Battery, 12" Diameter 1 EA 49 49 C OM

M1801 Computer, Microprocessing, w/Flat Panel Monitor 1 EA 1,485 1,485 C OM . A

M4200 Otoscope/Ophthalmoscope, Wall Mounted 1 EA 1,517 1,517 C OM . A

NMCP currently has Welch Allyn wall mounted Macroview Otoscope and Coaxial Ophthslmoscope with Kleenspec dispenser. Refer to cut sheets for details. DO NOT include wall board.

M7401 Light, Exam, Mobile, Spotlight, Mobile Stand 1 EA 1,108 1,108 C OM . A

M8810 Stand, Mayo 1 EA 726 726 C OM

M9025 Table, Examination/Treatment, With Cabinet 1 EA 1,826 1,826 C OM . A

Include Stirrups and power for table receptacle only.

U0210 Chair, Side, Without Arms 1 EA 368 368 C OM

U0340 Stool, Pneumatic 1 EA 366 366 C OM

U0945 Cart, Computer, Mobile 1 EA 1,889 1,889 C OM

U1620 Holder, Chart, Patient, Wall Mounted 1 EA 91 91 C OM

U2010 Basket, Wastepaper, Step-On 1 EA 162 162 C OM

U2011 Basket, Infectious Waste, Step-On 1 EA 162 162 C OM

U3065 Whiteboard/Bulletin Board, Combination 1 EA 365 365 C OM

U4116 Monitor, Vital Signs 1 EA 3,015 3,015 C OM . A

Existing unit relocated from current clinic. Coordinate with Equipment Management to update Equipment Inventory.

U5107 Dispenser, Glove, Surgical/Examination, Wall Mntd

1 EA 36 36 C OM

Privacy Act – FOR OFFICIAL USE ONLY (Page 41)

Agency Room Name: Exam Room, Pediatric Staff: 0

Issue

Unit Price Total Price

Log Cat/ Acq

Code

Fund Src Util1 Util2 Util3 Util4 Util5 Util6 NSN

A1011 Telephone, Desk, 1 Line 1 EA 400 400 C OM

A5077 Dispenser, Hand Sanitizer, Hands-Free 1 EA 45 45 C OM

F3200 Clock, Battery, 12" Diameter 1 EA 49 49 C OM

M1801 Computer, Microprocessing, w/Flat Panel Monitor 1 EA 1,485 1,485 C OM . A

M4200 Otoscope/Ophthalmoscope, Wall Mounted 1 EA 1,517 1,517 C OM . A

NMCP currently has Welch Allyn wall mounted Macroview Otoscope and Coaxial Ophthslmoscope with Kleenspec dispenser. Refer to cut sheets for details. DO NOT include wall board.

M7401 Light, Exam, Mobile, Spotlight, Mobile Stand 1 EA 1,108 1,108 C OM . A

M8810 Stand, Mayo 1 EA 726 726 C OM

M9025 Table, Examination/Treatment, With Cabinet 1 EA 1,826 1,826 C OM . A

Include Stirrups and power for table receptacle only.

U0210 Chair, Side, Without Arms 1 EA 368 368 C OM

U0340 Stool, Pneumatic 2 EA 366 732 C OM

U0945 Cart, Computer, Mobile 1 EA 1,889 1,889 C OM

U1620 Holder, Chart, Patient, Wall Mounted 1 EA 91 91 C OM

U2010 Basket, Wastepaper, Step-On 1 EA 162 162 C OM

U2011 Basket, Infectious Waste, Step-On 1 EA 162 162 C OM

U3065 Whiteboard/Bulletin Board, Combination 1 EA 365 365 C OM

U4116 Monitor,…