Attachment 3 - Project Room Contents_15Nov2019.pdf

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Eglin NICoE Initial Outfitting Project
Solicitation number
W9127S20Q6000
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Written by GovTribe AI ·

This is a combined synopsis/solicitation for commercial items issued by the U.S. Army Corps of Engineers Engineering District Little Rock. It is a total Service-Disabled Veteran-Owned Small Business set-aside for the Eglin NICoE Initial Outfitting Project. Quotes are due by January 8, 2020 at 1:00pm Central Time. A site visit is tentatively scheduled for December 4, 2019 at 9:00am Central Time at Eglin Air Force Base. Interested contractors must RSVP by November 29, 2019 with contact information for base access. The solicitation seeks quotes to outfit and transition the new National Intrepid Center of Excellence at Eglin Air Force Base, Florida in accordance with the project room contents list and space plan attachments.

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Other files

File Type Posted
Amendment 2 Attachment 10 - Site Visit Sign-In.pdf PDF
Amendment 2 Attachment 2A - Cut Sheets (Salient Features_Specs).pdf PDF
Amendment 2 Attachment 3A - Project Room Contents_25Dec2019.pdf PDF
Amendment 2 Attachment 9 - Sound_Masking_Systems (ProjNet ID 8304607).pdf PDF
Amendment 2 Attachment 11 - ProjNet Questions_Answers.pdf PDF
Amendment 2 Attachment 1 - Bid Schedule.xlsx XLSX spreadsheet
W9127S20Q6000 AMENDMENT 0002.pdf PDF
Amendment 2 Attachment 8 - ESS_Video_Surveillance_VSS (ProjNet ID 8304557).pdf PDF
Amendment 1 Attachment 3 - Project Room Contents.pdf PDF
W9127S20Q6000 Amendment 0001.pdf PDF
Amendment 1 Attachment 2 - Cut Sheets (Salient Features_Specs).pdf PDF
Amendment 1 Attachment 1 - Bid Schedule (Amendment 01).xlsx XLSX spreadsheet
Amendment 1 Attachment 4 - Eglin Invisible Wounds Clinic (IWC)_As-Built Drawings.pdf PDF
Attachment 4 - Drawings 10 Electrical.pdf PDF
Attachment 4 - Drawings 05 Architecture.pdf PDF
Attachment 5 - Reuse List.xlsx XLSX spreadsheet
Attachment 7 - IO&T Submittal Examples.pdf PDF
Attachment 4 - Drawings 04 Structure.pdf PDF
Attachment 4 - Drawings 08 Fire Alarm.pdf PDF
Attachment 4 - Drawings 06 Mechanical.pdf PDF
Attachment 4 - Drawings 03 Landscape Arch.pdf PDF
Attachment 4 - Drawings 01 General.pdf PDF
Attachment 6 - DMLSS RPIE List.xls XLS spreadsheet
W9127S20Q6000 - Combined Synopsis Solicitation NICoE - Eglin AFB IO Project.pdf PDF
Attachment 4 - Drawings Specifications Vol 1.pdf PDF
Attachment 1 - Bid Schedule.xlsx XLSX spreadsheet
Attachment 2 - Cut Sheets.pdf PDF
Attachment 4 - Drawings MEDICAL EQUIPMENT.pdf PDF
Attachment 4 - Drawings 09 Fire Protection.pdf PDF
Attachment 4 - Drawings Specifications Vol 2.pdf PDF
Attachment 4 - Drawings 02 Civil.pdf PDF
Attachment 4 - Drawings 07 Plumbing.pdf PDF
Attachment 4 - Drawings FURNITURE.pdf PDF
Attachment 4 - Drawings 11 Technology.pdf PDF
Attachment 4 - Drawings FFE.pdf PDF
Show all 35

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Project Room Contents

FY20 NATIONAL INTREPID CENTER OF EXCELLENCE NICOE

INITIAL OUTFITTING AND TRANSITION (IO-T)

EGLIN AFB, FL

Projected Year: 2020 Midpoint Year: 2020

1391 Processor ID: 93775 DMIS ID: 0042 State: FL

Facility: 96th MEDICAL GROUP Installation: EGLIN AFB

Project Funding Source: OM - Operations and Maintenance

Project Created: 02 Aug 2012 12:26PM ET by Brian Helms Space Plan Last Edited: 15 Nov 2019 03:00PM ET by Deborah Hurrell-Zitelman

Contents List Created: 17 Jan 2013 01:27PM ET by Brian Helms Contents List Last Edited: 15 Nov 2019 02:57PM ET by Deborah Hurrell-Zitelman

Report Generated: 15 Nov 2019 05:36PM ET

Project Room Contents (15 Nov 2019 05:36PM ET)

Privacy Act – FOR OFFICIAL USE ONLY (Page 2)

Department: COMMON AREAS Functional Area: LOBBY Room Code: LOB01 Room Area: 664 Agency Room Name: Central Park/Healing Garden Staff: 0 Criteria Room Name: Lobby Blueprint #: 102

JSN Content Name Qty Unit of Issue

Log Cat Fund Src Util1 Util2 Util3 Util4 Util5 Util6 NSN

F3200 Clock, Battery, 12" Diameter 1 EA R OM Relocate clocks from existing Invisible Wounds Clinic. Verify existing quantity to be moved to new NICoE.

Room Code: WRC01 Room Area: 140 Agency Room Name: Family Waiting Staff: 0 Criteria Room Name: WAITING Blueprint #: 101

Log Cat Fund Src Util1 Util2 Util3 Util4 Util5 Util6 NSN

Relocate clocks from existing Invisible Wounds Clinic. Verify existing quantity to be moved to new NICoE.

Room Code: BX001 Room Area: 15 Agency Room Name: Alcove, Vending Staff: 0 Criteria Room Name: Exchange Vending Area - Utility Required Blueprint #: 106.1

Log Cat Fund Src Util1 Util2 Util3 Util4 Util5 Util6 NSN

A6030 Machine, Vending 1 EA R OM . A Vending machine provided by Others.

Room Code: NCWD4 Room Area: 60 Agency Room Name: Alcove, Day Room Break Staff: 0 Criteria Room Name: Alcove, Refreshment Center Blueprint #: 105.1

Privacy Act – FOR OFFICIAL USE ONLY (Page 3)

Log Cat Fund Src Util1 Util2 Util3 Util4 Util5 Util6 NSN

A1011 Telephone, Desk, 1 Line 1 EA R OM Relocate from existing Invisible Wounds Clinic. Verify existing quantity to be moved to new NICoE.

F2000 Basket, Wastepaper, Fire Resistant 1 EA R OM Relocate waste basket from existing Invisible Wounds Clinic. Verify existing quantity to be moved to new NICoE.

K1552 Brewer, Coffee, Auto, Elect, 3 Burner, Front/Back 1 EA R OM J A Relocate Keurig K155 from existing Invisible Wounds Clinic.

K4665 Oven, Microwave, Consumer 1 EA R OM . A Relocate Panasonic Inverter The Genius Sensor 1250 from existing Invisible Wounds Clinic

R7250 Refrigerator/Freezer, 20 Cubic Feet 1 EA R OM . A Relocate Amana model AS12575GRS00 from existing Invisible Wounds Clinic. Ensure icemaker has plumbed water connection.

Room Code: SRSE1 Room Area: 60 Agency Room Name: Storage Room, Equipment/Shelving Staff: 0 Criteria Room Name: Storage Room, Equipment/Shelving Blueprint #: CP

Log Cat Fund Src Util1 Util2 Util3 Util4 Util5 Util6 NSN

M2070 Shelving, Storage, 77hx36wx18d 2 EA R OM To be purchased/installed in new NICoE by Others (Intrepid Fallen Heroes Fund).

Department: COMMON AREAS Functional Area: EDUCATION Room Code: CLR01 Room Area: 300 Agency Room Name: Classroom, (One with table w/chairs, the other w/conference table/chairs Staff: 0

Criteria Room Name: Classroom, Table w/chair Blueprint #: 103

Log Cat Fund Src Util1 Util2 Util3 Util4 Util5 Util6 NSN

A1011 Telephone, Desk, 1 Line 1 EA R OM Relocate from existing Invisible Wounds Clinic. Verify existing quantity to be moved to new NICoE.

F2000 Basket, Wastepaper, Fire Resistant 2 EA R OM Relocate waste basket from existing Invisible Wounds Clinic. Verify existing quantity to be moved to new NICoE.

Privacy Act – FOR OFFICIAL USE ONLY (Page 4)

Relocate clocks from existing Invisible Wounds Clinic. Verify existing quantity to be moved to new NICoE.

M1801 Computer, Microprocessing, w/Flat Panel Monitor 1 EA R OM . A Relocate from existing Invisible Wounds Clinic. MDG IT DEPT responsible for installation.

Room Code: CLR01 Room Area: 300 Agency Room Name: Classroom, (One with table w/chairs, the other w/conference table/chairs

Criteria Room Name: Classroom, Table w/chair Blueprint #: 103.1

Log Cat Fund Src Util1 Util2 Util3 Util4 Util5 Util6 NSN

A1011 Telephone, Desk, 1 Line 1 EA R OM Relocate from existing Invisible Wounds Clinic. Verify existing quantity to be moved to new NICoE.

F2000 Basket, Wastepaper, Fire Resistant 2 EA R OM Relocate waste basket from existing Invisible Wounds Clinic. Verify existing quantity to be moved to new NICoE.

F3200 Clock, Battery, 12" Diameter 1 EA R OM Relocate clocks from existing Invisible Wounds Clinic. Verify existing quantity to be moved to new NICoE.

Room Code: SRSE1 Room Area: 60 Agency Room Name: Audio/Visual Supply Room Staff: 0 Criteria Room Name: Audio/Visual Supply Room Blueprint #: 104

Log Cat Fund Src Util1 Util2 Util3 Util4 Util5 Util6 NSN

M2070 Shelving, Storage, 77hx36wx18d 2 EA R OM

Department: COMMON AREAS Functional Area: ADMINISTRATION Room Code: OFA04 Room Area: 100

Privacy Act – FOR OFFICIAL USE ONLY (Page 5)

Agency Room Name: Office, NICoE Director Staff: 1 Criteria Room Name: OFFICE, ADMINISTRATIVE, PRIVATE Blueprint #: 112

Log Cat Fund Src Util1 Util2 Util3 Util4 Util5 Util6 NSN

A1011 Telephone, Desk, 1 Line 1 EA R OM Relocate from existing Invisible Wounds Clinic. Verify existing quantity to be moved to new NICoE.

F2000 Basket, Wastepaper, Fire Resistant 1 EA R OM Relocate waste basket from existing Invisible Wounds Clinic. Verify existing quantity to be moved to new NICoE.

F3200 Clock, Battery, 12" Diameter 1 EA R OM Relocate clocks from existing Invisible Wounds Clinic. Verify existing quantity to be moved to new NICoE.

M1801 Computer, Microprocessing, w/Flat Panel Monitor 1 EA R OM . A Relocate from existing Invisible Wounds Clinic. MDG IT DEPT responsible for installation.

M1825 Printer, Computer 1 EA R OM . A

Room Code: OFDC1 Room Area: 120 Agency Room Name: Office, Private Director of Clinical Services Staff: 1 Criteria Room Name: OFFICE, PROVIDER, BEHAVIORAL HEALTH Blueprint #: 110

Log Cat Fund Src Util1 Util2 Util3 Util4 Util5 Util6 NSN

A1011 Telephone, Desk, 1 Line 1 EA R OM Relocate from existing Invisible Wounds Clinic. Verify existing quantity to be moved to new NICoE.

F2000 Basket, Wastepaper, Fire Resistant 1 EA R OM Relocate waste basket from existing Invisible Wounds Clinic. Verify existing quantity to be moved to new NICoE.

F3200 Clock, Battery, 12" Diameter 1 EA R OM Relocate clocks from existing Invisible Wounds Clinic. Verify existing quantity to be moved to new NICoE.

M1801 Computer, Microprocessing, w/Flat Panel Monitor 1 EA R OM . A Relocate from existing Invisible Wounds Clinic. MDG IT DEPT responsible for installation.

Privacy Act – FOR OFFICIAL USE ONLY (Page 6)

Room Code: OFA05 Room Area: 100 Agency Room Name: Office, Shared Admin Staff: 2 Criteria Room Name: OFFICE, ADMINISTRATIVE, SHARED, 2-PERSON Blueprint #: 111

Log Cat Fund Src Util1 Util2 Util3 Util4 Util5 Util6 NSN

A1011 Telephone, Desk, 1 Line 1 EA R OM Relocate from existing Invisible Wounds Clinic. Verify existing quantity to be moved to new NICoE.

F2000 Basket, Wastepaper, Fire Resistant 2 EA R OM Relocate waste basket from existing Invisible Wounds Clinic. Verify existing quantity to be moved to new NICoE.

F3200 Clock, Battery, 12" Diameter 1 EA R OM Relocate clocks from existing Invisible Wounds Clinic. Verify existing quantity to be moved to new NICoE.

M1801 Computer, Microprocessing, w/Flat Panel Monitor 2 EA R OM . A Relocate from existing Invisible Wounds Clinic. MDG IT DEPT responsible for installation.

Room Code: OFA03 Room Area: 50 Agency Room Name: NCOIC / Admin / Copy Staff: 1 Criteria Room Name: Administrative Cubicle Blueprint #: 109

Log Cat Fund Src Util1 Util2 Util3 Util4 Util5 Util6 NSN

F2000 Basket, Wastepaper, Fire Resistant 2 EA R OM Relocate waste basket from existing Invisible Wounds Clinic. Verify existing quantity to be moved to new NICoE.

F2550 Shredder, Paper Heavy Duty 1 EA C OM . A M1801 Computer, Microprocessing, w/Flat Panel Monitor 2 EA R OM . A

Relocate from existing Invisible Wounds Clinic. MDG IT DEPT responsible for installation.

M1810 Copier, Floor Standing, Digital 1 EA R OM . B Coordinate with vendor for relocation/installation in new NICoE.

M1825 Printer, Computer 1 EA R OM . A

M1855 Facsimile Machine 1 EA R OM . A

Privacy Act – FOR OFFICIAL USE ONLY (Page 7)

Department: COMMON AREAS Functional Area: BUILDING SUPPORT Room Code: JANC1 Room Area: 40 Agency Room Name: Janitor Closet Staff: 0 Criteria Room Name: Janitor Closet Blueprint #: 113

Log Cat Fund Src Util1 Util2 Util3 Util4 Util5 Util6 NSN

F0500 Cart, Janitor's 1 EA R OM Relocate from existing Invisible Wounds Clinic.

F0505 Bucket, Mop, With Wringer, 26 Quart 1 EA R OM Relocate from existing Invisible Wounds Clinic.

F2020 Can, Trash, 44 Gallon 1 EA R OM Relocate from existing Invisible Wounds Clinic.

M2070 Shelving, Storage, 77hx36wx18d 1 EA R OM

Department: COMMON AREAS Functional Area: BUILDING SUPPORT Room Code: JANC1 Room Area: 40 Agency Room Name: Janitor Closet Staff: 0 Criteria Room Name: Janitor Closet Blueprint #: 320

Log Cat Fund Src Util1 Util2 Util3 Util4 Util5 Util6 NSN

F0500 Cart, Janitor's 1 EA R OM Relocate from existing Invisible Wounds Clinic.

F0505 Bucket, Mop, With Wringer, 26 Quart 1 EA R OM Relocate from existing Invisible Wounds Clinic.

F2020 Can, Trash, 44 Gallon 1 EA R OM Relocate from existing Invisible Wounds Clinic.

Department: PATIENT AREA CLINICAL FUNCTIONS Functional Area: RECEPTION AREA

Privacy Act – FOR OFFICIAL USE ONLY (Page 8)

Room Code: RECP1 Room Area: 150 Agency Room Name: Reception Staff: 3 Criteria Room Name: Reception/Control Outpatient Blueprint #: 300

Log Cat Fund Src Util1 Util2 Util3 Util4 Util5 Util6 NSN

A1011 Telephone, Desk, 1 Line 1 EA R OM Relocate from existing Invisible Wounds Clinic. Verify existing quantity to be moved to new NICoE.

F2000 Basket, Wastepaper, Fire Resistant 3 EA R OM Relocate waste basket from existing Invisible Wounds Clinic. Verify existing quantity to be moved to new NICoE.

F3200 Clock, Battery, 12" Diameter 1 EA R OM Relocate clocks from existing Invisible Wounds Clinic. Verify existing quantity to be moved to new NICoE.

M1801 Computer, Microprocessing, w/Flat Panel Monitor 3 EA R OM . A Relocate from existing Invisible Wounds Clinic. MDG IT DEPT responsible for installation.

M1810 Copier, Floor Standing, Digital 1 EA R OM . B Coordinate with vendor for relocation/installation in new NICoE.

Room Code: CLSC1 Room Area: 15 Agency Room Name: Patient Check-in Kiosk Staff: 0 Criteria Room Name: Patient Education Kiosk/Alcove Blueprint #: 300.2

Log Cat Fund Src Util1 Util2 Util3 Util4 Util5 Util6 NSN

Room Code: WRC01 Room Area: 300 Agency Room Name: Patient Waiting Staff: 0 Criteria Room Name: Waiting Room Blueprint #: C101

Log Cat Fund Src Util1 Util2 Util3 Util4 Util5 Util6 NSN

Relocate clocks from existing Invisible Wounds Clinic. Verify existing quantity to be moved to new NICoE.

Privacy Act – FOR OFFICIAL USE ONLY (Page 9)

Room Code: CLSC2 Room Area: 60 Agency Room Name: Patient Intake Cubicles (x4) Staff: 0 Criteria Room Name: Patient Education Cubicle Blueprint #: 300.1

Log Cat Fund Src Util1 Util2 Util3 Util4 Util5 Util6 NSN

F2000 Basket, Wastepaper, Fire Resistant 1 EA R OM Relocate waste basket from existing Invisible Wounds Clinic. Verify existing quantity to be moved to new NICoE.

M1801 Computer, Microprocessing, w/Flat Panel Monitor 4 EA R OM . A

Department: PATIENT AREA CLINICAL FUNCTIONS Functional Area: PATIENT AREA Room Code: EXRG1 Room Area: 100 Agency Room Name: Exam Room Staff: 0 Criteria Room Name: Primary Care Exam Blueprint #: 308

Log Cat Fund Src Util1 Util2 Util3 Util4 Util5 Util6 NSN

A1011 Telephone, Desk, 1 Line 1 EA R OM Relocate from existing Invisible Wounds Clinic. Verify existing quantity to be moved to new NICoE.

A5107 Dispenser, Glove, Surgical/Examination, Wall Mntd 1 EA R OM Relocate 3-Glove Box from existing Invisible Wounds Clinic. Verify existing quantity to be moved to new NICoE.

A5108 Waste Disposal Unit, Sharps 1 CS R OM Relocate Sharps containers from existing Invisible Wounds Clinic. Verify existing quantity to be moved to new NICoE

E0948 Cart, General Storage, Mobile, 42"H x 32"W x 22"D 1 EA R OM Relocate Storage cart from existing Invisible Wounds Clinic. Verify existing quantity to be moved to new NICoE.

F0340 Stool, Self Adjusting 1 EA R OM To be purchased/installed in new NICoE by Others (Intrepid Fallen Heroes Fund).

F2000 Basket, Wastepaper, Fire Resistant 1 EA R OM Relocate waste basket from existing Invisible Wounds Clinic. Verify existing quantity to be moved to new NICoE.

Relocate clocks from existing Invisible Wounds Clinic. Verify existing quantity to be moved to new NICoE.

Privacy Act – FOR OFFICIAL USE ONLY (Page 10)

M4100 Sphygmomanometer, Aneroid, Wall Mounted 1 EA R OM Relocate Sphygmomanometer from existing Invisible Wounds Clinic. Verify existing quantity to be moved to new NICoE.

M4116 Monitor, Vital Signs 1 EA R OM . A Relocate Welch Allyn on Mobile Stand from existing Invisible Wounds Clinic. Verify existing quantity to be moved to new NICoE.

M4200 Otoscope/Ophthalmoscope, Wall Mounted 1 EA R OM . A Relocate otoscopes from existing Invisible Wounds Clinic. Verify existing quantity to be moved to new NICoE.

M9025 Table, Examination/Treatment, With Cabinet 1 EA R OM . A Relocate Midmark model Ritter 204-011 from existing Invisible Wounds Clinic.

Room Code: TLTU1 Room Area: 55 Agency Room Name: Toilet, Patient Staff: 0 Criteria Room Name: Patient Toilet Blueprint #: 313

Log Cat Fund Src Util1 Util2 Util3 Util4 Util5 Util6 NSN

F2000 Basket, Wastepaper, Fire Resistant 1 EA R OM Relocate waste basket from existing Invisible Wounds Clinic. Verify existing quantity to be moved to new NICoE.

Agency Room Name: Toilet, Patient Staff: 0 Criteria Room Name: Patient Toilet Blueprint #: 340

Log Cat Fund Src Util1 Util2 Util3 Util4 Util5 Util6 NSN

Relocate waste basket from existing Invisible Wounds Clinic. Verify existing quantity to be moved to new NICoE.

Room Code: DAYR1 Room Area: 400 Agency Room Name: Dayroom (primary area for IOP patients during the day) Staff: 0

Privacy Act – FOR OFFICIAL USE ONLY (Page 11)

Criteria Room Name: DAYROOM Blueprint #: 105

Log Cat Fund Src Util1 Util2 Util3 Util4 Util5 Util6 NSN

A1011 Telephone, Desk, 1 Line 1 EA R OM Relocate from existing Invisible Wounds Clinic. Verify existing quantity to be moved to new NICoE.

F2000 Basket, Wastepaper, Fire Resistant 2 EA R OM Relocate waste basket from existing Invisible Wounds Clinic. Verify existing quantity to be moved to new NICoE.

F3200 Clock, Battery, 12" Diameter 1 EA R OM Relocate clocks from existing Invisible Wounds Clinic. Verify existing quantity to be moved to new NICoE.

M1801 Computer, Microprocessing, w/Flat Panel Monitor 1 EA R OM . A Relocate from existing Invisible Wounds Clinic. MDG IT DEPT responsible for installation.

U0007 PT / OT Gaming System 1 EA R OM . A Relocate Nintendo Switch from existing Invisible Wounds Clinic.

U0020 Chair, Recliner, Massage 2 EA R OM . A Relocate iRobotics Sofy Massage Chair from existing Invisible Wounds Clinic.

Room Code: EXR10 Room Area: 120 Agency Room Name: Exam Room, Consult (for Clinical Pharmacist and other consultants)

Criteria Room Name: EXAM, CONSULT Blueprint #: 306

Log Cat Fund Src Util1 Util2 Util3 Util4 Util5 Util6 NSN

A1011 Telephone, Desk, 1 Line 1 EA R OM Relocate from existing Invisible Wounds Clinic. Verify existing quantity to be moved to new NICoE.

A5107 Dispenser, Glove, Surgical/Examination, Wall Mntd 1 EA R OM To be purchased/installed in new NICoE by Others (Intrepid Fallen Heroes Fund).

A5108 Waste Disposal Unit, Sharps 1 CS R OM To be purchased/installed in new NICoE by Others (Intrepid Fallen Heroes Fund).

E0948 Cart, General Storage, Mobile, 42"H x 32"W x 22"D 1 EA R OM Relocate Storage cart from existing Invisible Wounds Clinic. Verify existing quantity to be moved to new NICoE.

F0340 Stool, Self Adjusting 1 EA R OM

Privacy Act – FOR OFFICIAL USE ONLY (Page 12)

Relocate waste basket from existing Invisible Wounds Clinic. Verify existing quantity to be moved to new NICoE.

F3200 Clock, Battery, 12" Diameter 1 EA R OM Relocate clocks from existing Invisible Wounds Clinic. Verify existing quantity to be moved to new NICoE.

M1801 Computer, Microprocessing, w/Flat Panel Monitor 1 EA R OM . A Relocate from existing Invisible Wounds Clinic. MDG IT DEPT responsible for installation.

M1825 Printer, Computer 1 EA R OM . A Relocate from existing Invisible Wounds Clinic. MDG IT DEPT responsible for installation.

M4100 Sphygmomanometer, Aneroid, Wall Mounted 1 EA R OM Relocate Sphygmomanometer from existing Invisible Wounds Clinic. Verify existing quantity to be moved to new NICoE.

M4116 Monitor, Vital Signs 1 EA R OM . A Relocate Welch Allyn on Mobile Stand from existing Invisible Wounds Clinic. Verify existing quantity to be moved to new NICoE.

M4200 Otoscope/Ophthalmoscope, Wall Mounted 1 EA R OM . A Relocate otoscopes from existing Invisible Wounds Clinic. Verify existing quantity to be moved to new NICoE.

Relocate Midmark model Ritter 204-011 from existing Invisible Wounds Clinic.

Criteria Room Name: Exam Rm, Army Blueprint #: 310

Log Cat Fund Src Util1 Util2 Util3 Util4 Util5 Util6 NSN

A1011 Telephone, Desk, 1 Line 1 EA R OM Relocate from existing Invisible Wounds Clinic. Verify existing quantity to be moved to new NICoE.

A5107 Dispenser, Glove, Surgical/Examination, Wall Mntd 1 EA R OM To be purchased/installed in new NICoE by Others (Intrepid Fallen Heroes Fund).

A5108 Waste Disposal Unit, Sharps 1 CS R OM To be purchased/installed in new NICoE by Others (Intrepid Fallen Heroes Fund).

E0948 Cart, General Storage, Mobile, 42"H x 32"W x 22"D 1 EA R OM Relocate Storage cart from existing Invisible Wounds Clinic. Verify existing quantity to be moved to new NICoE.

F0340 Stool, Self Adjusting 1 EA R OM

Privacy Act – FOR OFFICIAL USE ONLY (Page 13)

Relocate waste basket from existing Invisible Wounds Clinic. Verify existing quantity to be moved to new NICoE.

F3200 Clock, Battery, 12" Diameter 1 EA R OM Relocate clocks from existing Invisible Wounds Clinic. Verify existing quantity to be moved to new NICoE.

M1801 Computer, Microprocessing, w/Flat Panel Monitor 1 EA R OM . A Relocate from existing Invisible Wounds Clinic. MDG IT DEPT responsible for installation.

M4100 Sphygmomanometer, Aneroid, Wall Mounted 1 EA R OM Relocate Sphygmomanometer from existing Invisible Wounds Clinic. Verify existing quantity to be moved to new NICoE.

M4116 Monitor, Vital Signs 1 EA R OM . A Relocate Welch Allyn on Mobile Stand from existing Invisible Wounds Clinic. Verify existing quantity to be moved to new NICoE.

M4200 Otoscope/Ophthalmoscope, Wall Mounted 1 EA R OM . A Relocate otoscopes from existing Invisible Wounds Clinic. Verify existing quantity to be moved to new NICoE.

M9035 Chair/Table, Exam/Treatment, Combination Unit 1 EA R OM . A . . . . 7110LL0006217 Relocate Chattanooga Adapta Summit 7-Section Table Chat3321 from existing Invisible Wounds Clinic.

Criteria Room Name: Exam Rm, Army Blueprint #: 345

Log Cat Fund Src Util1 Util2 Util3 Util4 Util5 Util6 NSN

A1011 Telephone, Desk, 1 Line 1 EA R OM Relocate from existing Invisible Wounds Clinic. Verify existing quantity to be moved to new NICoE.

A5107 Dispenser, Glove, Surgical/Examination, Wall Mntd 1 EA R OM To be purchased/installed in new NICoE by Others (Intrepid Fallen Heroes Fund).

A5108 Waste Disposal Unit, Sharps 1 CS R OM To be purchased/installed in new NICoE by Others (Intrepid Fallen Heroes Fund).

E0948 Cart, General Storage, Mobile, 42"H x 32"W x 22"D 1 EA R OM Relocate Storage cart from existing Invisible Wounds Clinic. Verify existing quantity to be moved to new NICoE.

F0340 Stool, Self Adjusting 1 EA R OM To be purchased/installed in new NICoE by Others (Intrepid Fallen Heroes Fund).

Relocate waste basket from existing Invisible Wounds Clinic. Verify existing quantity to be moved to new NICoE.

Privacy Act – FOR OFFICIAL USE ONLY (Page 14)

Relocate clocks from existing Invisible Wounds Clinic. Verify existing quantity to be moved to new NICoE.

M1801 Computer, Microprocessing, w/Flat Panel Monitor 1 EA R OM . A Relocate from existing Invisible Wounds Clinic. MDG IT DEPT responsible for installation.

M4100 Sphygmomanometer, Aneroid, Wall Mounted 1 EA R OM To be purchased/installed in new NICoE by Others (Intrepid Fallen Heroes Fund).

M4116 Monitor, Vital Signs 1 EA R OM . A Relocate Welch Allyn on Mobile Stand from existing Invisible Wounds Clinic. Verify existing quantity to be moved to new NICoE.

M4200 Otoscope/Ophthalmoscope, Wall Mounted 1 EA R OM . A Relocate otoscopes from existing Invisible Wounds Clinic. Verify existing quantity to be moved to new NICoE.

Criteria Room Name: Exam Rm, Army Blueprint #: 347

Log Cat Fund Src Util1 Util2 Util3 Util4 Util5 Util6 NSN

A1011 Telephone, Desk, 1 Line 1 EA R OM Relocate from existing Invisible Wounds Clinic. Verify existing quantity to be moved to new NICoE.

A5107 Dispenser, Glove, Surgical/Examination, Wall Mntd 1 EA R OM To be purchased/installed in new NICoE by Others (Intrepid Fallen Heroes Fund).

A5108 Waste Disposal Unit, Sharps 1 CS R OM To be purchased/installed in new NICoE by Others (Intrepid Fallen Heroes Fund).

E0948 Cart, General Storage, Mobile, 42"H x 32"W x 22"D 1 EA R OM Relocate Storage cart from existing Invisible Wounds Clinic. Verify existing quantity to be moved to new NICoE.

F0340 Stool, Self Adjusting 1 EA R OM To be purchased/installed in new NICoE by Others (Intrepid Fallen Heroes Fund).

F2000 Basket, Wastepaper, Fire Resistant 1 EA R OM Relocate waste basket from existing Invisible Wounds Clinic. Verify existing quantity to be moved to new NICoE.

Relocate clocks from existing Invisible Wounds Clinic. Verify existing quantity to be moved to new NICoE.

Privacy Act – FOR OFFICIAL USE ONLY (Page 15)

M4100 Sphygmomanometer, Aneroid, Wall Mounted 1 EA R OM Relocate Sphygmomanometer from existing Invisible Wounds Clinic. Verify existing quantity to be moved to new NICoE.

M4116 Monitor, Vital Signs 1 EA R OM . A Relocate Welch Allyn on Mobile Stand from existing Invisible Wounds Clinic. Verify existing quantity to be moved to new NICoE.

M4200 Otoscope/Ophthalmoscope, Wall Mounted 1 EA R OM . A Relocate otoscopes from existing Invisible Wounds Clinic. Verify existing quantity to be moved to new NICoE.

Criteria Room Name: Exam Rm, Army Blueprint #: 348

Log Cat Fund Src Util1 Util2 Util3 Util4 Util5 Util6 NSN

A1011 Telephone, Desk, 1 Line 1 EA R OM Relocate from existing Invisible Wounds Clinic. Verify existing quantity to be moved to new NICoE.

A5107 Dispenser, Glove, Surgical/Examination, Wall Mntd 1 EA R OM To be purchased/installed in new NICoE by Others (Intrepid Fallen Heroes Fund).

A5108 Waste Disposal Unit, Sharps 1 CS R OM To be purchased/installed in new NICoE by Others (Intrepid Fallen Heroes Fund).

E0948 Cart, General Storage, Mobile, 42"H x 32"W x 22"D 1 EA R OM Relocate Storage cart from existing Invisible Wounds Clinic. Verify existing quantity to be moved to new NICoE.

F0340 Stool, Self Adjusting 1 EA R OM To be purchased/installed in new NICoE by Others (Intrepid Fallen Heroes Fund).

F2000 Basket, Wastepaper, Fire Resistant 1 EA R OM Relocate waste basket from existing Invisible Wounds Clinic. Verify existing quantity to be moved to new NICoE.

F3200 Clock, Battery, 12" Diameter 1 EA R OM Relocate clocks from existing Invisible Wounds Clinic. Verify existing quantity to be moved to new NICoE.

Privacy Act – FOR OFFICIAL USE ONLY (Page 16)

M4100 Sphygmomanometer, Aneroid, Wall Mounted 1 EA R OM Relocate Sphygmomanometer from existing Invisible Wounds Clinic. Verify existing quantity to be moved to new NICoE.

M4116 Monitor, Vital Signs 1 EA R OM . A Relocate Welch Allyn on Mobile Stand from existing Invisible Wounds Clinic. Verify existing quantity to be moved to new NICoE.

M4200 Otoscope/Ophthalmoscope, Wall Mounted 1 EA R OM . A Relocate otoscopes from existing Invisible Wounds Clinic. Verify existing quantity to be moved to new NICoE.

Criteria Room Name: Exam Rm, Army Blueprint #: 349

Log Cat Fund Src Util1 Util2 Util3 Util4 Util5 Util6 NSN

A1011 Telephone, Desk, 1 Line 1 EA R OM Relocate from existing Invisible Wounds Clinic. Verify existing quantity to be moved to new NICoE.

A5107 Dispenser, Glove, Surgical/Examination, Wall Mntd 1 EA R OM To be purchased/installed in new NICoE by Others (Intrepid Fallen Heroes Fund).

A5108 Waste Disposal Unit, Sharps 1 CS R OM To be purchased/installed in new NICoE by Others (Intrepid Fallen Heroes Fund).

E0948 Cart, General Storage, Mobile, 42"H x 32"W x 22"D 1 EA R OM Relocate Storage cart from existing Invisible Wounds Clinic. Verify existing quantity to be moved to new NICoE.

F0340 Stool, Self Adjusting 1 EA R OM To be purchased/installed in new NICoE by Others (Intrepid Fallen Heroes Fund).

F2000 Basket, Wastepaper, Fire Resistant 1 EA R OM Relocate waste basket from existing Invisible Wounds Clinic. Verify existing quantity to be moved to new NICoE.

F3200 Clock, Battery, 12" Diameter 1 EA R OM Relocate clocks from existing Invisible Wounds Clinic. Verify existing quantity to be moved to new NICoE.

M1801 Computer, Microprocessing, w/Flat Panel Monitor 1 EA R OM . A Relocate from existing Invisible Wounds Clinic. MDG IT DEPT responsible for installation.

M4100 Sphygmomanometer, Aneroid, Wall Mounted 1 EA R OM Relocate Sphygmomanometer from existing Invisible Wounds Clinic. Verify existing quantity to be moved to new NICoE.

Privacy Act – FOR OFFICIAL USE ONLY (Page 17)

M4116 Monitor, Vital Signs 1 EA R OM . A Relocate Welch Allyn on Mobile Stand from existing Invisible Wounds Clinic. Verify existing quantity to be moved to new NICoE.

M4200 Otoscope/Ophthalmoscope, Wall Mounted 1 EA R OM . A Relocate otoscopes from existing Invisible Wounds Clinic. Verify existing quantity to be moved to new NICoE.

To be purchased/installed in new NICOE by Others (Intrepid Fallen Heroes Fund).

Criteria Room Name: Primary Care Exam Blueprint #: 350

Log Cat Fund Src Util1 Util2 Util3 Util4 Util5 Util6 NSN

A1011 Telephone, Desk, 1 Line 1 EA R OM Relocate from existing Invisible Wounds Clinic. Verify existing quantity to be moved to new NICoE.

A5107 Dispenser, Glove, Surgical/Examination, Wall Mntd 1 EA R OM To be purchased/installed in new NICoE by Others (Intrepid Fallen Heroes Fund).

A5108 Waste Disposal Unit, Sharps 1 CS R OM To be purchased/installed in new NICoE by Others (Intrepid Fallen Heroes Fund).

E0948 Cart, General Storage, Mobile, 42"H x 32"W x 22"D 1 EA R OM Relocate Storage cart from existing Invisible Wounds Clinic. Verify existing quantity to be moved to new NICoE.

F0340 Stool, Self Adjusting 1 EA R OM To be purchased/installed in new NICoE by Others (Intrepid Fallen Heroes Fund).

F2000 Basket, Wastepaper, Fire Resistant 1 EA R OM Relocate waste basket from existing Invisible Wounds Clinic. Verify existing quantity to be moved to new NICoE.

F3200 Clock, Battery, 12" Diameter 1 EA R OM Relocate clocks from existing Invisible Wounds Clinic. Verify existing quantity to be moved to new NICoE.

M1801 Computer, Microprocessing, w/Flat Panel Monitor 1 EA R OM . A Relocate from existing Invisible Wounds Clinic. MDG IT DEPT responsible for installation.

M4100 Sphygmomanometer, Aneroid, Wall Mounted 1 EA R OM Relocate Sphygmomanometer from existing Invisible Wounds Clinic. Verify existing quantity to be moved to new NICoE.

M4116 Monitor, Vital Signs 1 EA R OM . A Relocate Welch Allyn on Mobile Stand from existing Invisible Wounds Clinic. Verify existing quantity to be moved to new NICoE.

Privacy Act – FOR OFFICIAL USE ONLY (Page 18)

M4200 Otoscope/Ophthalmoscope, Wall Mounted 1 EA R OM . A Relocate otoscopes from existing Invisible Wounds Clinic. Verify existing quantity to be moved to new NICoE.

To be purchased/installed in new NICOE by Others (Intrepid Fallen Heroes Fund).

Agency Room Name: Speech Therapist Testing Staff: 1 Criteria Room Name: OFFICE, ADMINISTRATIVE, PRIVATE Blueprint #: 214

Log Cat Fund Src Util1 Util2 Util3 Util4 Util5 Util6 NSN

A1011 Telephone, Desk, 1 Line 1 EA R OM Relocate from existing Invisible Wounds Clinic. Verify existing quantity to be moved to new NICoE.

F2000 Basket, Wastepaper, Fire Resistant 1 EA R OM Relocate waste basket from existing Invisible Wounds Clinic. Verify existing quantity to be moved to new NICoE.

F3200 Clock, Battery, 12" Diameter 1 EA R OM Relocate clocks from existing Invisible Wounds Clinic. Verify existing quantity to be moved to new NICoE.

M1801 Computer, Microprocessing, w/Flat Panel Monitor 1 EA R OM . A Relocate from existing Invisible Wounds Clinic. MDG IT DEPT responsible for installation.

M1825 Printer, Computer 1 EA R OM . A Relocate from existing Invisible Wounds Clinic. MDG IT DEPT responsible for installation.

U1808 Monitor, for Computer, Wall Mounted 60" 1 EA R OM . A Relocate from existing Invisible Wounds Clinic.

U5013 Bicycle, Recumbent, w-Virtual Reality 1 EA R OM . A To be purchased/installed in new NICoE by Others (Intrepid Fallen Heroes Fund).

U6013 Therapy System, Integrated (BITS) 1 EA R OM . A

Agency Room Name: Speech Therapist Office & Testing Staff: 1 Criteria Room Name: OFFICE, ADMINISTRATIVE, PRIVATE Blueprint #: 210

Privacy Act – FOR OFFICIAL USE ONLY (Page 19)

Log Cat Fund Src Util1 Util2 Util3 Util4 Util5 Util6 NSN

A1011 Telephone, Desk, 1 Line 1 EA R OM Relocate from existing Invisible Wounds Clinic. Verify existing quantity to be moved to new NICoE.

F2000 Basket, Wastepaper, Fire Resistant 1 EA R OM Relocate waste basket from existing Invisible Wounds Clinic. Verify existing quantity to be moved to new NICoE.

F3200 Clock, Battery, 12" Diameter 1 EA R OM Relocate clocks from existing Invisible Wounds Clinic. Verify existing quantity to be moved to new NICoE.

M1801 Computer, Microprocessing, w/Flat Panel Monitor 1 EA R OM . A Relocate from existing Invisible Wounds Clinic. MDG IT DEPT responsible for installation.

M1825 Printer, Computer 1 EA R OM . A

U1808 Monitor, for Computer, Wall Mounted 60" 1 EA C OM . A

Room Code: EXR11 Room Area: 50 Agency Room Name: Alcove, Scale Staff: 0 Criteria Room Name: ALCOVE, HEIGHT / WEIGHT Blueprint #: C306.1

Log Cat Fund Src Util1 Util2 Util3 Util4 Util5 Util6 NSN

M4020 Scale, Person Weighing, High Capacity 1 EA R OM . A Relocate Detecto 6854 DHR with height rod from existing Invisible Wounds Clinic.

Room Code: OFD01 Room Area: 120 Agency Room Name: Office, Clinical Pharmacist Staff: 1 Criteria Room Name: OFFICE, PROVIDER, PRIVATE Blueprint #: 305

Log Cat Fund Src Util1 Util2 Util3 Util4 Util5 Util6 NSN

A1011 Telephone, Desk, 1 Line 1 EA R OM Relocate from existing Invisible Wounds Clinic. Verify existing quantity to be moved to new NICoE.

Privacy Act – FOR OFFICIAL USE ONLY (Page 20)

Relocate waste basket from existing Invisible Wounds Clinic. Verify existing quantity to be moved to new NICoE.

Relocate clocks from existing Invisible Wounds Clinic. Verify existing quantity to be moved to new NICoE.

M1801 Computer, Microprocessing, w/Flat Panel Monitor 1 EA R OM . A Relocate from existing Invisible Wounds Clinic. MDG IT DEPT responsible for installation.

Room Code: OFD01 Room Area: 100 Agency Room Name: Office, Nutrisionist Staff: 1 Criteria Room Name: OFFICE, PROVIDER, PRIVATE Blueprint #: 352

Log Cat Fund Src Util1 Util2 Util3 Util4 Util5 Util6 NSN

A1011 Telephone, Desk, 1 Line 1 EA R OM Relocate from existing Invisible Wounds Clinic. Verify existing quantity to be moved to new NICoE.

F2000 Basket, Wastepaper, Fire Resistant 1 EA R OM Relocate waste basket from existing Invisible Wounds Clinic. Verify existing quantity to be moved to new NICoE.

F3200 Clock, Battery, 12" Diameter 1 EA R OM Relocate clocks from existing Invisible Wounds Clinic. Verify existing quantity to be moved to new NICoE.

M1801 Computer, Microprocessing, w/Flat Panel Monitor 1 EA R OM . A Relocate from existing Invisible Wounds Clinic. MDG IT DEPT responsible for installation.

Agency Room Name: Office, Primary Care MD Staff: 1 Criteria Room Name: OFFICE, PROVIDER, PRIVATE Blueprint #: 307

Log Cat Fund Src Util1 Util2 Util3 Util4 Util5 Util6 NSN

A1011 Telephone, Desk, 1 Line 1 EA R OM

Privacy Act – FOR OFFICIAL USE ONLY (Page 21)

Relocate waste basket from existing Invisible Wounds Clinic. Verify existing quantity to be moved to new NICoE.

F3200 Clock, Battery, 12" Diameter 1 EA R OM Relocate clocks from existing Invisible Wounds Clinic. Verify existing quantity to be moved to new NICoE.

M1801 Computer, Microprocessing, w/Flat Panel Monitor 1 EA R OM . A Relocate from existing Invisible Wounds Clinic. MDG IT DEPT responsible for installation.

Department: PATIENT AREA CLINICAL FUNCTIONS Functional Area: CASE MANAGERS

Agency Room Name: Office, Case Manager Staff: 1 Criteria Room Name: OFFICE, PROVIDER, PRIVATE Blueprint #: 303

Log Cat Fund Src Util1 Util2 Util3 Util4 Util5 Util6 NSN

A1011 Telephone, Desk, 1 Line 1 EA R OM Relocate from existing Invisible Wounds Clinic. Verify existing quantity to be moved to new NICoE.

F2000 Basket, Wastepaper, Fire Resistant 1 EA R OM Relocate waste basket from existing Invisible Wounds Clinic. Verify existing quantity to be moved to new NICoE.

F3200 Clock, Battery, 12" Diameter 1 EA R OM Relocate clocks from existing Invisible Wounds Clinic. Verify existing quantity to be moved to new NICoE.

M1801 Computer, Microprocessing, w/Flat Panel Monitor 1 EA R OM . A Relocate from existing Invisible Wounds Clinic. MDG IT DEPT responsible for installation.

Criteria Room Name: OFFICE, PROVIDER, PRIVATE Blueprint #: 311

Privacy Act – FOR OFFICIAL USE ONLY (Page 22)

Log Cat Fund Src Util1 Util2 Util3 Util4 Util5 Util6 NSN

A1011 Telephone, Desk, 1 Line 1 EA R OM Relocate from existing Invisible Wounds Clinic. Verify existing quantity to be moved to new NICoE.

F2000 Basket, Wastepaper, Fire Resistant 1 EA R OM Relocate waste basket from existing Invisible Wounds Clinic. Verify existing quantity to be moved to new NICoE.

F3200 Clock, Battery, 12" Diameter 1 EA R OM Relocate clocks from existing Invisible Wounds Clinic. Verify existing quantity to be moved to new NICoE.

M1801 Computer, Microprocessing, w/Flat Panel Monitor 1 EA R OM . A Relocate from existing Invisible Wounds Clinic. MDG IT DEPT responsible for installation.

Criteria Room Name: OFFICE, PROVIDER, PRIVATE Blueprint #: 339

Log Cat Fund Src Util1 Util2 Util3 Util4 Util5 Util6 NSN

A1011 Telephone, Desk, 1 Line 1 EA R OM Relocate from existing Invisible Wounds Clinic. Verify existing quantity to be moved to new NICoE.

F2000 Basket, Wastepaper, Fire Resistant 1 EA R OM Relocate waste basket from existing Invisible Wounds Clinic. Verify existing quantity to be moved to new NICoE.

F3200 Clock, Battery, 12" Diameter 1 EA R OM Relocate clocks from existing Invisible Wounds Clinic. Verify existing quantity to be moved to new NICoE.

M1801 Computer, Microprocessing, w/Flat Panel Monitor 1 EA R OM . A Relocate from existing Invisible Wounds Clinic. MDG IT DEPT responsible for installation.

Department: PATIENT AREA CLINICAL FUNCTIONS Functional Area: INTERDISCIPLINARY PAIN MANAGEMENT CLINIC (IPMC) Room Code: PTBT1 Room Area: 150 Agency Room Name: Acupuncture / Massage Therapy Staff: 0

Privacy Act – FOR OFFICIAL USE ONLY (Page 23)

Criteria Room Name: Physical Therapy Back Therapy Program Blueprint #: 341.1

Log Cat Fund Src Util1 Util2 Util3 Util4 Util5 Util6 NSN

A1011 Telephone, Desk, 1 Line 1 EA R OM Relocate from existing Invisible Wounds Clinic. Verify existing quantity to be moved to new NICoE.

A5104 Cart, Medical Waste Disposal, Mobile w/Foot Pedal 1 EA R OM To be purchased/installed in new NICoE by Others (Intrepid Fallen Heroes Fund).

A5107 Dispenser, Glove, Surgical/Examination, Wall Mntd 1 EA R OM To be purchased/installed in new NICoE by Others (Intrepid Fallen Heroes Fund).

E0948 Cart, General Storage, Mobile, 42"H x 32"W x 22"D 1 EA R OM Relocate Storage cart from existing Invisible Wounds Clinic. Verify existing quantity to be moved to new NICoE.

F0340 Stool, Self Adjusting 1 EA R OM To be purchased/installed in new NICoE by Others (Intrepid Fallen Heroes Fund).

F2000 Basket, Wastepaper, Fire Resistant 1 EA R OM Relocate waste basket from existing Invisible Wounds Clinic. Verify existing quantity to be moved to new NICoE.

F3200 Clock, Battery, 12" Diameter 1 EA R OM Relocate clocks from existing Invisible Wounds Clinic. Verify existing quantity to be moved to new NICoE.

M3070 Hamper, Linen, Mobile, w/Lid 1 EA R OM To be purchased/installed in new NICoE by Others (Intrepid Fallen Heroes Fund).

M8220 Light, Infrared 1 EA C OM . A

M8810 Stand, Mayo 1 EA R OM To be purchased/ installed in new NICOE by Others (Intrepid Fallen Heroes Fund).

M9035 Chair/Table, Exam/Treatment, Combination Unit 1 EA R OM . A . . . . 7110LL0006217 Relocate Chattanooga Adapta Summit 7-Section Table Chat3321 from existing Invisible Wounds Clinic.

U4567 Cabinet, Instrument w-Glass Doors 60h x 36w x 18d 1 EA R OM To be purchased/installed in new NICoE by Others (Intrepid Fallen Heroes Fund).

U5011 Electrotherapy Device, Microlight System 1 EA C OM . A IO-T to provide a model equal to Acutron Microlight System. Eastwestmed, Inc.

Department: PATIENT AREA CLINICAL FUNCTIONS Functional Area: INTERDISCIPLINARY PAIN MANAGEMENT CLINIC (IPMC)

Agency Room Name: Acupuncture / Massage Therapy Staff: 0 Criteria Room Name: Physical Therapy Back Therapy Program Blueprint #: 341.2

Privacy Act – FOR OFFICIAL USE ONLY (Page 24)

Log Cat Fund Src Util1 Util2 Util3 Util4 Util5 Util6 NSN

A1011 Telephone, Desk, 1 Line 1 EA R OM Relocate from existing Invisible Wounds Clinic. Verify existing quantity to be moved to new NICoE.

A5104 Cart, Medical Waste Disposal, Mobile w/Foot Pedal 1 EA R OM To be purchased/installed in new NICoE by Others (Intrepid Fallen Heroes Fund).

A5107 Dispenser, Glove, Surgical/Examination, Wall Mntd 1 EA R OM To be purchased/installed in new NICoE by Others (Intrepid Fallen Heroes Fund).

E0948 Cart, General Storage, Mobile, 42"H x 32"W x 22"D 1 EA R OM To be purchased/installed in new NICoE by Others (Intrepid Fallen Heroes Fund).

F0340 Stool, Self Adjusting 1 EA R OM To be purchased/installed in new NICoE by Others (Intrepid Fallen Heroes Fund).

F2000 Basket, Wastepaper, Fire Resistant 1 EA R OM Relocate waste basket from existing Invisible Wounds Clinic. Verify existing quantity to be moved to new NICoE.

F3200 Clock, Battery, 12" Diameter 1 EA R OM Relocate clocks from existing Invisible Wounds Clinic. Verify existing quantity to be moved to new NICoE.

M1801 Computer, Microprocessing, w/Flat Panel Monitor 1 EA R OM . A Relocate from existing Invisible Wounds Clinic. MDG IT DEPT responsible for installation.

M3070 Hamper, Linen, Mobile, w/Lid 1 EA R OM To be purchased/installed in new NICoE by Others (Intrepid Fallen Heroes Fund).

M8220 Light, Infrared 1 EA C OM . A

M8810 Stand, Mayo 1 EA R OM To be purchased/ installed in new NICOE by Others (Intrepid Fallen Heroes Fund).

M9035 Chair/Table, Exam/Treatment, Combination Unit 1 EA R OM . A . . . . 7110LL0006217 Relocate Chattanooga Adapta Summit 7-Section Table Chat3321 from existing Invisible Wounds Clinic.

U5002 Pain Management Device 1 EA R OM . A

U5011 Electrotherapy Device, Microlight System 1 EA R OM . A Relocate Acutron Microlight System, Eastwestmed, Inc. from existing Invisible Wounds Clinic.

Department: PATIENT AREA CLINICAL FUNCTIONS Functional Area: INTERDISCIPLINARY PAIN MANAGEMENT CLINIC (IPMC)

Agency Room Name: Chiro Treatment Staff: 0 Criteria Room Name: Physical Therapy Back Therapy Program Blueprint #: 319

Privacy Act – FOR OFFICIAL USE ONLY (Page 25)

Log Cat Fund Src Util1 Util2 Util3 Util4 Util5 Util6 NSN

A1011 Telephone, Desk, 1 Line 1 EA R OM Relocate from existing Invisible Wounds Clinic. Verify existing quantity to be moved to new NICoE.

A5107 Dispenser, Glove, Surgical/Examination, Wall Mntd 1 EA R OM To be purchased/installed in new NICoE by Others (Intrepid Fallen Heroes Fund).

A5108 Waste Disposal Unit, Sharps 1 CS R OM To be purchased/installed in new NICoE by Others (Intrepid Fallen Heroes Fund).

E0948 Cart, General Storage, Mobile, 42"H x 32"W x 22"D 1 EA R OM Relocate Storage cart from existing Invisible Wounds Clinic. Verify existing quantity to be moved to new NICoE.

F0340 Stool, Self Adjusting 1 EA R OM Relocate Stools from existing Invisible Wounds Clinic. Verify existing quantity to be moved to new NICoE.

F2000 Basket, Wastepaper, Fire Resistant 1 EA R OM Relocate waste basket from existing Invisible Wounds Clinic. Verify existing quantity to be moved to new NICoE.

F3200 Clock, Battery, 12" Diameter 1 EA R OM Relocate clocks from existing Invisible Wounds Clinic. Verify existing quantity to be moved to new NICoE.

M1801 Computer, Microprocessing, w/Flat Panel Monitor 1 EA R OM . A Relocate from existing Invisible Wounds Clinic. MDG IT DEPT responsible for installation.

M9045 Table, Chiropractic 1 EA R OM . A . . . A To be purchased/ installed in new NICOE by Others (Intrepid Fallen Heroes Fund).

Department: PATIENT AREA CLINICAL FUNCTIONS Functional Area: INTERDISCIPLINARY PAIN MANAGEMENT CLINIC (IPMC)

Agency Room Name: Chiro Treatment Staff: 0 Criteria Room Name: Physical Therapy Back Therapy Program Blueprint #: 321

Log Cat Fund Src Util1 Util2 Util3 Util4 Util5 Util6 NSN

A1011 Telephone, Desk, 1 Line 1 EA R OM Relocate from existing Invisible Wounds Clinic. Verify existing quantity to be moved to new NICoE.

A5107 Dispenser, Glove, Surgical/Examination, Wall Mntd 1 EA R OM To be purchased/installed in new NICoE by Others (Intrepid Fallen Heroes Fund).

A5108 Waste Disposal Unit, Sharps 1 CS R OM

Privacy Act – FOR OFFICIAL USE ONLY (Page 26)

E0948 Cart, General Storage, Mobile, 42"H x 32"W x 22"D 1 EA R OM Relocate Storage cart from existing Invisible Wounds Clinic. Verify existing quantity to be moved to new NICoE.

F0340 Stool, Self Adjusting 1 EA R OM Relocate Stools from existing Invisible Wounds Clinic. Verify existing quantity to be moved to new NICoE.

F2000 Basket, Wastepaper, Fire Resistant 1 EA R OM Relocate waste basket from existing Invisible Wounds Clinic. Verify existing quantity to be moved to new NICoE.

F3200 Clock, Battery, 12" Diameter 1 EA R OM Relocate clocks from existing Invisible Wounds Clinic. Verify existing quantity to be moved to new NICoE.

M1801 Computer, Microprocessing, w/Flat Panel Monitor 1 EA R OM . A Relocate from existing Invisible Wounds Clinic. MDG IT DEPT responsible for installation.

M9045 Table, Chiropractic 1 EA R OM . A . . . A

Department: PATIENT AREA CLINICAL FUNCTIONS Functional Area: INTERDISCIPLINARY PAIN MANAGEMENT CLINIC (IPMC) Room Code: TRGM1 Room Area: 225 Agency Room Name: Treatment Room, IPMC, with mobile C-Arm Staff: 0 Criteria Room Name: Treatment Room, General, 1 Bed Blueprint #: 346

Log Cat Fund Src Util1 Util2 Util3 Util4 Util5 Util6 NSN

A1011 Telephone, Desk, 1 Line 1 EA R OM Relocate from existing Invisible Wounds Clinic. Verify existing quantity to be moved to new NICoE.

A5104 Cart, Medical Waste Disposal, Mobile w/Foot Pedal 1 EA R OM To be purchased/installed in new NICoE by Others (Intrepid Fallen Heroes Fund).

A5107 Dispenser, Glove, Surgical/Examination, Wall Mntd 1 EA R OM To be purchased/installed in new NICoE by Others (Intrepid Fallen Heroes Fund).

E0948 Cart, General Storage, Mobile, 42"H x 32"W x 22"D 1 EA R OM To be purchased/installed in new NICoE by Others (Intrepid Fallen Heroes Fund).

F0340 Stool, Self Adjusting 1 EA R OM To be purchased/installed in new NICoE by Others (Intrepid Fallen Heroes Fund).

F2010 Basket, Wastepaper, Step-On 1 EA C OM F3200 Clock, Battery, 12" Diameter 1 EA R OM

Relocate clocks from existing Invisible Wounds Clinic. Verify existing quantity to be moved to new NICoE.

Privacy Act – FOR OFFICIAL USE ONLY (Page 27)

M3070 Hamper, Linen, Mobile, w/Lid 1 EA R OM To be purchased/installed in new NICoE by Others (Intrepid Fallen Heroes Fund).

M3072 Frame, Infectious Waste Bag w/Lid 1 EA R OM To be purchased/installed in new NICoE by Others (Intrepid Fallen Heroes Fund).

M4100 Sphygmomanometer, Aneroid, Wall Mounted 1 EA R OM Relocate Sphygmomanometer from existing Invisible Wounds Clinic. Verify existing quantity to be moved to new NICoE.

M4116 Monitor, Vital Signs 1 EA R OM . A Relocate Welch Allyn on Mobile Stand from existing Invisible Wounds Clinic. Verify existing quantity to be moved to new NICoE.

M4200 Otoscope/Ophthalmoscope, Wall Mounted 1 EA R OM . A To be purchased/ installed in new NICoE by Others (Intrepid Fallen Heroes Fund).

M4655 Stretcher, Mobile, CRS, 9 Position 1 EA R OM Relocate Stryker Medical Prime Serial #20180006600310 from existing Invisible Wounds Clinic.

M7405 Light, Exam, Ceiling Mounted 1 EA R OM . F Relocate Sunnex Leo Minor from existing Invisible Wounds Clinic.

M8810 Stand, Mayo 1 EA R OM To be purchased/ installed in new NICOE by Others (Intrepid Fallen Heroes Fund).

U0060 Defibrillator, AED, with Wall Cabinet, Recessed 1 EA R OM To be purchased/ installed in new NICOE by Others (Intrepid Fallen Heroes Fund).

U4567 Cabinet, Instrument w-Glass Doors 60h x 36w x 18d 1 EA R OM To be purchased/installed in new NICoE by Others (Intrepid Fallen Heroes Fund).

X2100 Scanner, Ultrasound, General Purpose 1 EA C OM . B IO-T to provide a model equal to Philips Epiq 5G with all options and features listed in the salient feature file.

X4890 Rad/Fluoro Unit, Digital, Mobile, C-Arm 1 EA C OM . F IO-T to provide a model equal to GE OEC Elite with all options and features listed in the salient feature file.

Department: PATIENT AREA CLINICAL FUNCTIONS Functional Area: INTERDISCIPLINARY PAIN MANAGEMENT CLINIC (IPMC)

Agency Room Name: Office, Pain MD Staff: 1 Criteria Room Name: OFFICE, PROVIDER, PRIVATE Blueprint #: 316

Log

Privacy Act – FOR OFFICIAL USE ONLY (Page 28)

Relocate waste basket from existing Invisible Wounds Clinic. Verify existing quantity to be moved to new NICoE.

F3200 Clock, Battery, 12" Diameter 1 EA R OM Relocate clocks from existing Invisible Wounds Clinic. Verify existing quantity to be moved to new NICoE.

M1801 Computer, Microprocessing, w/Flat Panel Monitor 1 EA R OM . A Relocate from existing Invisible Wounds Clinic. MDG IT DEPT responsible for installation.

Department: PATIENT AREA CLINICAL FUNCTIONS Functional Area: BEHAVIORAL HEALTH

Agency Room Name: Office, Psychologist Staff: 1 Criteria Room Name: OFFICE, PROVIDER, BEHAVIORAL HEALTH Blueprint #: 337

Log Cat Fund Src Util1 Util2 Util3 Util4 Util5 Util6 NSN

A1011 Telephone, Desk, 1 Line 1 EA R OM Relocate from existing Invisible Wounds Clinic. Verify existing quantity to be moved to new NICoE.

F2000 Basket, Wastepaper, Fire Resistant 1 EA R OM Relocate waste basket from existing Invisible Wounds Clinic. Verify existing quantity to be moved to new NICoE.

F3200 Clock, Battery, 12" Diameter 1 EA R OM Relocate clocks from existing Invisible Wounds Clinic. Verify existing quantity to be moved to new NICoE.

M1801 Computer, Microprocessing, w/Flat Panel Monitor 1 EA R OM . A Relocate from existing Invisible Wounds Clinic. MDG IT DEPT responsible for installation.

Agency Room Name: Office, Neuro-Psych Staff: 1 Criteria Room Name: OFFICE, PROVIDER, BEHAVIORAL HEALTH Blueprint #: 333

Privacy Act – FOR OFFICIAL USE ONLY (Page 29)

Log Cat Fund Src Util1 Util2 Util3 Util4 Util5 Util6 NSN

A1011 Telephone, Desk, 1 Line 1 EA R OM Relocate from existing Invisible Wounds Clinic. Verify existing quantity to be moved to new NICoE.

F2000 Basket, Wastepaper, Fire Resistant 1 EA R OM Relocate waste basket from existing Invisible Wounds Clinic. Verify existing quantity to be moved to new NICoE.

F3200 Clock, Battery, 12" Diameter 1 EA R OM Relocate clocks from existing Invisible Wounds Clinic. Verify existing quantity to be moved to new NICoE.

M1801 Computer, Microprocessing, w/Flat Panel Monitor 1 EA R OM . A Relocate from existing Invisible Wounds Clinic. MDG IT DEPT responsible for installation.

Agency Room Name: Office, NP Psych Staff: 1 Criteria Room Name: Office, Mental Health Provider Blueprint #: 336

Log Cat Fund Src Util1 Util2 Util3 Util4 Util5 Util6 NSN

A1011 Telephone, Desk, 1 Line 1 EA R OM Relocate from existing Invisible Wounds Clinic. Verify existing quantity to be moved to new NICoE.

F2000 Basket, Wastepaper, Fire Resistant 1 EA R OM Relocate waste basket from existing Invisible Wounds Clinic. Verify existing quantity to be moved to new NICoE.

F3200 Clock, Battery, 12" Diameter 1 EA R OM Relocate clocks from existing Invisible Wounds Clinic. Verify existing quantity to be moved to new NICoE.

M1801 Computer, Microprocessing, w/Flat Panel Monitor 2 EA R OM . A Relocate from existing Invisible Wounds Clinic. MDG IT DEPT responsible for installation.

Agency Room Name: Office, BH / SW Providers Staff: 1

Privacy Act – FOR OFFICIAL USE ONLY (Page 30)

Criteria Room Name: OFFICE, PROVIDER, BEHAVIORAL HEALTH Blueprint #: 326

Log Cat Fund Src Util1 Util2 Util3 Util4 Util5 Util6 NSN

A1011 Telephone, Desk, 1 Line 1 EA R OM Relocate from existing Invisible Wounds Clinic. Verify existing quantity to be moved to new NICoE.

F2000 Basket, Wastepaper, Fire Resistant 1 EA R OM Relocate waste basket from existing Invisible Wounds Clinic. Verify existing quantity to be moved to new NICoE.

F3200 Clock, Battery, 12" Diameter 1 EA R OM Relocate clocks from existing Invisible Wounds Clinic. Verify existing quantity to be moved to new NICoE.

M1801 Computer, Microprocessing, w/Flat Panel Monitor 1 EA R OM . A Relocate from existing Invisible Wounds Clinic. MDG IT DEPT responsible for installation.

Criteria Room Name: Office, Mental Health Provider Blueprint #: 327

Log Cat Fund Src Util1 Util2 Util3 Util4 Util5 Util6 NSN

A1011 Telephone, Desk, 1 Line 1 EA R OM Relocate from existing Invisible Wounds Clinic. Verify existing quantity to be moved to new NICoE.

F2000 Basket, Wastepaper, Fire Resistant 1 EA R OM Relocate waste basket from existing Invisible Wounds Clinic. Verify existing quantity to be moved to new NICoE.

F3200 Clock, Battery, 12" Diameter 1 EA R OM Relocate clocks from existing Invisible Wounds Clinic. Verify existing quantity to be moved to new NICoE.

M1801 Computer, Microprocessing, w/Flat Panel Monitor 1 EA R OM . A Relocate from existing Invisible Wounds Clinic. MDG IT DEPT responsible for installation.

Privacy Act – FOR OFFICIAL USE ONLY (Page 31)

Criteria Room Name: Office, Mental Health Provider Blueprint #: 329

Log Cat Fund…

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