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VA FREESTANDING (LEASE) OP DIALYSIS CENTER � 28
TWENTY EIGHT STATIONS
ANYCITY
Projected Year: 2013 Midpoint Year: 2013
VISN: 0 State: XX Station ID: 000
Station Name: VAXXX, Any City
Installation: VA Anywhere Healthcare System
Project Created: 11 Oct 2013 04:20PM ET by Laura DiConti
Space Plan Last Edited: 16 Dec 2013 10:58AM ET by Laura DiConti
Contents List Created: 24 Nov 2013 06:00PM ET by Lisa Ahlers
Contents List Last Edited: 16 Dec 2013 01:34PM ET by Lisa Ahlers
Report Generated: 16 Dec 2013 01:37PM ET
Project Room Contents (16 Dec 2013 01:37PM ET)
Privacy Act – FOR OFFICIAL USE ONLY (Page 2)
Department: VA FREESTANDING (LEASE) OP DIALYSIS CENTER 5 28 Functional Area: RECEPTION AREA Room Code: WRC01 Room Area: 280 Agency Room Name: Waiting Occupancy: 0 Criteria Room Name: Waiting Room Blueprint #:
JSN Content Name Qty Unit Of Issue
Unit Price Total Price Log Cat Util1 Util2 Util3 Util4 Util5 Util6 NSN
A5210 Bracket, Television, Wall Mounted, w/Adjust Arm 1 EA 226 226 A . . . . . . 7730
A6046 Artwork, Decorative, With Frame 1 EA 526 526 C . . . . . . 6230
F0305 Chair, Waiting Room, Single 16 EA 612 9,792 C . . . . . . 7100
F0305 Chair, Waiting Room, Single 2 EA 634 1,268 C . . . . . . 7100
modify to F0305M, Chair, Waiting Room, Single, Bariatric
F0740 Table, Occasional, Lamp 1 EA 338 338 C . . . . . . 7110
F3200 Clock, Battery, 12" Diameter 1 EA 49 49 C . . . . . . 6645
M0515 Television, Plasma 1 EA 755 755 C . A . . . A
Comment: Flat Screen LED TV, size TBD per room layout
Total Content Costs for this Room: 12,954
Department: VA FREESTANDING (LEASE) OP DIALYSIS CENTER 5 28 Functional Area: RECEPTION AREA Room Code: RECP1 Room Area: 120 Agency Room Name: Reception Occupancy: 0 Criteria Room Name: Reception Blueprint #:
JSN Content Name Qty Unit Of Issue
Unit Price Total Price Log Cat Util1 Util2 Util3 Util4 Util5 Util6 NSN
A1010 Telecommunication Outlet 4 EA 0 0 A . . . . . . 5805
A1015 Telephone, Desk, Multiple Line 1 EA 0 0 A . . . . . . 5805
A6105 Counter, Reception Control, Built5In 1 EA 6,854 6,854 A . A . . . . 6530
F0275 Chair, Swivel, High Back 2 EA 649 1,298 C . . . . . . 7110
F0420 Cabinet, Filing, Lateral, Half Height 1 EA 592 592 C . . . . . . 7110
F2000 Basket, Wastepaper, Round, Metal 1 EA 25 25 C . . . . . . 7520002051857
F2540 Shredder, Paper, Security 1 EA 246 246 C . A . . . . 7100
M1801 Computer, Microprocessing, w/Flat Panel Monitor 2 EA 1,509 3,018 C . A . . . . 7025
M1840 Printer/Copier/Fax Combination 1 EA 842 842 C . A . . . . 7100
Project Room Contents (16 Dec 2013 01:37PM ET)
Privacy Act – FOR OFFICIAL USE ONLY (Page 3)
modify to M1840M include scanner
Total Content Costs for this Room: 12,875
Department: VA FREESTANDING (LEASE) OP DIALYSIS CENTER 5 28 Functional Area: RECEPTION AREA Room Code: TLTU1 Room Area: 60 Agency Room Name: Toilet, Public Occupancy: 0 Criteria Room Name: Toilet, Unisex Blueprint #:
JSN Content Name Qty Unit Of Issue
Unit Price Total Price Log Cat Util1 Util2 Util3 Util4 Util5 Util6 NSN
A1066 Mirror, Float Glass, With SS Frame 1 EA 86 86 A . . . . . . 7105
A5075 Dispenser, Soap, Disposable 1 EA 17 17 C . . . . . . 4510
A5080 Dispenser, Paper Towel, SS, Surface Mounted 1 EA 89 89 A . . . . . . 4510
A5090 Disposal, Sanitary Napkin, SS, Surface Mounted 1 EA 52 52 A . . . . . . 7240
A5109 Grab Bar, 151/4" Dia., SS, 2 Wall, W/C Accessible 1 EA 159 159 A . . . . . . 6530
A5145 Hook, Garment, Double, SS, Surface Mounted 1 EA 32 32 A . . . . . . 5340007541678
A5200 Dispenser, Toilet Tissue, SS, 25Roll, Surface Mntd 1 EA 45 45 A . . . . . . 4510007026934
F2010 Basket, Wastepaper, Step5On 1 EA 35 35 C . . . . . . 7240007883953
P3000 Lavatory, Vitreous China, Straight Back 1 EA 387 387 A D . . . . . 4510
P9050 Toilet, Wall Hung, Siphon Jet 1 EA 797 797 A B . . . . . 4510
Total Content Costs for this Room: 1,699
Department: VA FREESTANDING (LEASE) OP DIALYSIS CENTER 5 28 Functional Area: RECEPTION AREA Room Code: LR001 Room Area: 80 Agency Room Name: Alcove, Patient Personal Property Lockers Occupancy: 0 Criteria Room Name: Locker Area, Personal Property Blueprint #:
JSN Content Name Qty Unit Of Issue
Unit Price Total Price Log Cat Util1 Util2 Util3 Util4 Util5 Util6 NSN
A1030 Locker, 2 Person, Over/Under 42 EA 285 11,970 C . . . . . . 7125
Total Content Costs for this Room: 11,970
Total Content Costs for this Functional Area: 39,498
Project Room Contents (16 Dec 2013 01:37PM ET)
Privacy Act – FOR OFFICIAL USE ONLY (Page 4)
Department: VA FREESTANDING (LEASE) OP DIALYSIS CENTER 5 28 Functional Area: PATIENT AREA Room Code: RDC01 Room Area: 80 Agency Room Name: Renal Dialysis, Chair Station Occupancy: 0 Criteria Room Name: Renal Dialysis, Chair Station Blueprint #:
JSN Content Name Qty Unit Of Issue
Unit Price Total Price Log Cat Util1 Util2 Util3 Util4 Util5 Util6 NSN
A5180 Track, Cubicle, Surface Mounted, With Curtain 18 FT 7 126 A . . . . . . 6530
A5215 Bracket, Television, Ceiling Mounted 1 EA 317 317 B . . . . . . 7730
M0506 Television, Flat Screen 1 EA 421 421 C . A . . . . 7730
M1715 Hemodialysis Unit, Hollow Fiber or Plate 1 EA 20,181 20,181 C E A . . . . 6515
M4905 Chair, Dialysis 1 EA 1,843 1,843 C . . . . . . 6530
P8705 Dialysis Box, Recessed, Single Valve 1 EA 810 810 A E . . . . . 4100
Total Content Costs for this Room: 23,698
Department: VA FREESTANDING (LEASE) OP DIALYSIS CENTER 5 28 Functional Area: PATIENT AREA Room Code: RDC01 Room Area: 80 Agency Room Name: Renal Dialysis, Chair Station Occupancy: 0 Criteria Room Name: Renal Dialysis, Chair Station Blueprint #:
JSN Content Name Qty Unit Of Issue
Unit Price Total Price Log Cat Util1 Util2 Util3 Util4 Util5 Util6 NSN
A5077 Dispenser, Hand Sanitizer, Hands5Free 1 EA 46 46 C . . . . . .
A5106 Waste Disposal Unit, Sharps w/Glove Dispenser 1 EA 73 73 C . . . . . . 6530
A5180 Track, Cubicle, Surface Mounted, With Curtain 18 FT 7 126 A . . . . . . 6530
A5215 Bracket, Television, Ceiling Mounted 1 EA 317 317 B . . . . . . 7730
F2010 Basket, Wastepaper, Step5On 1 EA 35 35 C . . . . . . 7240007883953
M0506 Television, Flat Screen 1 EA 421 421 C . A . . . . 7730
M1715 Hemodialysis Unit, Hollow Fiber or Plate 1 EA 20,181 20,181 C E A . . . . 6515
M4905 Chair, Dialysis 1 EA 1,843 1,843 C . . . . . . 6530
P8705 Dialysis Box, Recessed, Single Valve 1 EA 810 810 A E . . . . . 4100
Total Content Costs for this Room: 23,852
Project Room Contents (16 Dec 2013 01:37PM ET)
Privacy Act – FOR OFFICIAL USE ONLY (Page 5)
Department: VA FREESTANDING (LEASE) OP DIALYSIS CENTER 5 28 Functional Area: PATIENT AREA Room Code: RDC01 Room Area: 80 Agency Room Name: Renal Dialysis, Chair Station Occupancy: 0 Criteria Room Name: Renal Dialysis, Chair Station Blueprint #:
JSN Content Name Qty Unit Of Issue
Unit Price Total Price Log Cat Util1 Util2 Util3 Util4 Util5 Util6 NSN
A5180 Track, Cubicle, Surface Mounted, With Curtain 18 FT 7 126 A . . . . . . 6530
A5215 Bracket, Television, Ceiling Mounted 1 EA 317 317 B . . . . . . 7730
M0506 Television, Flat Screen 1 EA 421 421 C . A . . . . 7730
M1715 Hemodialysis Unit, Hollow Fiber or Plate 1 EA 20,181 20,181 C E A . . . . 6515
M4905 Chair, Dialysis 1 EA 1,843 1,843 C . . . . . . 6530
P8705 Dialysis Box, Recessed, Single Valve 1 EA 810 810 A E . . . . . 4100
Total Content Costs for this Room: 23,698
Department: VA FREESTANDING (LEASE) OP DIALYSIS CENTER 5 28 Functional Area: PATIENT AREA Room Code: RDC01 Room Area: 80 Agency Room Name: Renal Dialysis, Chair Station Occupancy: 0 Criteria Room Name: Renal Dialysis, Chair Station Blueprint #:
JSN Content Name Qty Unit Of Issue
Unit Price Total Price Log Cat Util1 Util2 Util3 Util4 Util5 Util6 NSN
A5077 Dispenser, Hand Sanitizer, Hands5Free 1 EA 46 46 C . . . . . .
A5106 Waste Disposal Unit, Sharps w/Glove Dispenser 1 EA 73 73 C . . . . . . 6530
A5180 Track, Cubicle, Surface Mounted, With Curtain 18 FT 7 126 A . . . . . . 6530
A5215 Bracket, Television, Ceiling Mounted 1 EA 317 317 B . . . . . . 7730
F2010 Basket, Wastepaper, Step5On 1 EA 35 35 C . . . . . . 7240007883953
M0506 Television, Flat Screen 1 EA 421 421 C . A . . . . 7730
M1715 Hemodialysis Unit, Hollow Fiber or Plate 1 EA 20,181 20,181 C E A . . . . 6515
M4905 Chair, Dialysis 1 EA 1,843 1,843 C . . . . . . 6530
P8705 Dialysis Box, Recessed, Single Valve 1 EA 810 810 A E . . . . . 4100
Total Content Costs for this Room: 23,852
Project Room Contents (16 Dec 2013 01:37PM ET)
Privacy Act – FOR OFFICIAL USE ONLY (Page 6)
Department: VA FREESTANDING (LEASE) OP DIALYSIS CENTER 5 28 Functional Area: PATIENT AREA Room Code: RDC01 Room Area: 80 Agency Room Name: Renal Dialysis, Chair Station Occupancy: 0 Criteria Room Name: Renal Dialysis, Chair Station Blueprint #:
JSN Content Name Qty Unit Of Issue
Unit Price Total Price Log Cat Util1 Util2 Util3 Util4 Util5 Util6 NSN
A5180 Track, Cubicle, Surface Mounted, With Curtain 18 FT 7 126 A . . . . . . 6530
A5215 Bracket, Television, Ceiling Mounted 1 EA 317 317 B . . . . . . 7730
M0506 Television, Flat Screen 1 EA 421 421 C . A . . . . 7730
M1715 Hemodialysis Unit, Hollow Fiber or Plate 1 EA 20,181 20,181 C E A . . . . 6515
M4905 Chair, Dialysis 1 EA 1,843 1,843 C . . . . . . 6530
P8705 Dialysis Box, Recessed, Single Valve 1 EA 810 810 A E . . . . . 4100
Total Content Costs for this Room: 23,698
Department: VA FREESTANDING (LEASE) OP DIALYSIS CENTER 5 28 Functional Area: PATIENT AREA Room Code: RDC01 Room Area: 80 Agency Room Name: Renal Dialysis, Chair Station Occupancy: 0 Criteria Room Name: Renal Dialysis, Chair Station Blueprint #:
JSN Content Name Qty Unit Of Issue
Unit Price Total Price Log Cat Util1 Util2 Util3 Util4 Util5 Util6 NSN
A5077 Dispenser, Hand Sanitizer, Hands5Free 1 EA 46 46 C . . . . . .
A5106 Waste Disposal Unit, Sharps w/Glove Dispenser 1 EA 73 73 C . . . . . . 6530
A5180 Track, Cubicle, Surface Mounted, With Curtain 18 FT 7 126 A . . . . . . 6530
A5215 Bracket, Television, Ceiling Mounted 1 EA 317 317 B . . . . . . 7730
F2010 Basket, Wastepaper, Step5On 1 EA 35 35 C . . . . . . 7240007883953
M0506 Television, Flat Screen 1 EA 421 421 C . A . . . . 7730
M1715 Hemodialysis Unit, Hollow Fiber or Plate 1 EA 20,181 20,181 C E A . . . . 6515
M4905 Chair, Dialysis 1 EA 1,843 1,843 C . . . . . . 6530
P8705 Dialysis Box, Recessed, Single Valve 1 EA 810 810 A E . . . . . 4100
Total Content Costs for this Room: 23,852
Project Room Contents (16 Dec 2013 01:37PM ET)
Privacy Act – FOR OFFICIAL USE ONLY (Page 7)
Department: VA FREESTANDING (LEASE) OP DIALYSIS CENTER 5 28 Functional Area: PATIENT AREA Room Code: RDC01 Room Area: 80 Agency Room Name: Renal Dialysis, Chair Station Occupancy: 0 Criteria Room Name: Renal Dialysis, Chair Station Blueprint #:
JSN Content Name Qty Unit Of Issue
Unit Price Total Price Log Cat Util1 Util2 Util3 Util4 Util5 Util6 NSN
A5180 Track, Cubicle, Surface Mounted, With Curtain 18 FT 7 126 A . . . . . . 6530
A5215 Bracket, Television, Ceiling Mounted 1 EA 317 317 B . . . . . . 7730
M0506 Television, Flat Screen 1 EA 421 421 C . A . . . . 7730
M1715 Hemodialysis Unit, Hollow Fiber or Plate 1 EA 20,181 20,181 C E A . . . . 6515
M4905 Chair, Dialysis 1 EA 1,843 1,843 C . . . . . . 6530
P8705 Dialysis Box, Recessed, Single Valve 1 EA 810 810 A E . . . . . 4100
Total Content Costs for this Room: 23,698
Department: VA FREESTANDING (LEASE) OP DIALYSIS CENTER 5 28 Functional Area: PATIENT AREA Room Code: RDC01 Room Area: 80 Agency Room Name: Renal Dialysis, Chair Station Occupancy: 0 Criteria Room Name: Renal Dialysis, Chair Station Blueprint #:
JSN Content Name Qty Unit Of Issue
Unit Price Total Price Log Cat Util1 Util2 Util3 Util4 Util5 Util6 NSN
A5077 Dispenser, Hand Sanitizer, Hands5Free 1 EA 46 46 C . . . . . .
A5106 Waste Disposal Unit, Sharps w/Glove Dispenser 1 EA 73 73 C . . . . . . 6530
A5180 Track, Cubicle, Surface Mounted, With Curtain 18 FT 7 126 A . . . . . . 6530
A5215 Bracket, Television, Ceiling Mounted 1 EA 317 317 B . . . . . . 7730
F2010 Basket, Wastepaper, Step5On 1 EA 35 35 C . . . . . . 7240007883953
M0506 Television, Flat Screen 1 EA 421 421 C . A . . . . 7730
M1715 Hemodialysis Unit, Hollow Fiber or Plate 1 EA 20,181 20,181 C E A . . . . 6515
M4905 Chair, Dialysis 1 EA 1,843 1,843 C . . . . . . 6530
P8705 Dialysis Box, Recessed, Single Valve 1 EA 810 810 A E . . . . . 4100
Total Content Costs for this Room: 23,852
Project Room Contents (16 Dec 2013 01:37PM ET)
Privacy Act – FOR OFFICIAL USE ONLY (Page 8)
Department: VA FREESTANDING (LEASE) OP DIALYSIS CENTER 5 28 Functional Area: PATIENT AREA Room Code: RDC01 Room Area: 80 Agency Room Name: Renal Dialysis, Chair Station Occupancy: 0 Criteria Room Name: Renal Dialysis, Chair Station Blueprint #:
JSN Content Name Qty Unit Of Issue
Unit Price Total Price Log Cat Util1 Util2 Util3 Util4 Util5 Util6 NSN
A5180 Track, Cubicle, Surface Mounted, With Curtain 18 FT 7 126 A . . . . . . 6530
A5215 Bracket, Television, Ceiling Mounted 1 EA 317 317 B . . . . . . 7730
M0506 Television, Flat Screen 1 EA 421 421 C . A . . . . 7730
M1715 Hemodialysis Unit, Hollow Fiber or Plate 1 EA 20,181 20,181 C E A . . . . 6515
M4905 Chair, Dialysis 1 EA 1,843 1,843 C . . . . . . 6530
P8705 Dialysis Box, Recessed, Single Valve 1 EA 810 810 A E . . . . . 4100
Total Content Costs for this Room: 23,698
Department: VA FREESTANDING (LEASE) OP DIALYSIS CENTER 5 28 Functional Area: PATIENT AREA Room Code: RDC01 Room Area: 80 Agency Room Name: Renal Dialysis, Chair Station Occupancy: 0 Criteria Room Name: Renal Dialysis, Chair Station Blueprint #:
JSN Content Name Qty Unit Of Issue
Unit Price Total Price Log Cat Util1 Util2 Util3 Util4 Util5 Util6 NSN
A5077 Dispenser, Hand Sanitizer, Hands5Free 1 EA 46 46 C . . . . . .
A5106 Waste Disposal Unit, Sharps w/Glove Dispenser 1 EA 73 73 C . . . . . . 6530
A5180 Track, Cubicle, Surface Mounted, With Curtain 18 FT 7 126 A . . . . . . 6530
A5215 Bracket, Television, Ceiling Mounted 1 EA 317 317 B . . . . . . 7730
F2010 Basket, Wastepaper, Step5On 1 EA 35 35 C . . . . . . 7240007883953
M0506 Television, Flat Screen 1 EA 421 421 C . A . . . . 7730
M1715 Hemodialysis Unit, Hollow Fiber or Plate 1 EA 20,181 20,181 C E A . . . . 6515
M4905 Chair, Dialysis 1 EA 1,843 1,843 C . . . . . . 6530
P8705 Dialysis Box, Recessed, Single Valve 1 EA 810 810 A E . . . . . 4100
Total Content Costs for this Room: 23,852
Project Room Contents (16 Dec 2013 01:37PM ET)
Privacy Act – FOR OFFICIAL USE ONLY (Page 9)
Department: VA FREESTANDING (LEASE) OP DIALYSIS CENTER 5 28 Functional Area: PATIENT AREA Room Code: RDC01 Room Area: 80 Agency Room Name: Renal Dialysis, Chair Station Occupancy: 0 Criteria Room Name: Renal Dialysis, Chair Station Blueprint #:
JSN Content Name Qty Unit Of Issue
Unit Price Total Price Log Cat Util1 Util2 Util3 Util4 Util5 Util6 NSN
A5077 Dispenser, Hand Sanitizer, Hands5Free 1 EA 46 46 C . . . . . .
A5106 Waste Disposal Unit, Sharps w/Glove Dispenser 1 EA 73 73 C . . . . . . 6530
A5180 Track, Cubicle, Surface Mounted, With Curtain 18 FT 7 126 A . . . . . . 6530
A5215 Bracket, Television, Ceiling Mounted 1 EA 317 317 B . . . . . . 7730
F2010 Basket, Wastepaper, Step5On 1 EA 35 35 C . . . . . . 7240007883953
M0506 Television, Flat Screen 1 EA 421 421 C . A . . . . 7730
M1715 Hemodialysis Unit, Hollow Fiber or Plate 1 EA 20,181 20,181 C E A . . . . 6515
M4905 Chair, Dialysis 1 EA 1,843 1,843 C . . . . . . 6530
P8705 Dialysis Box, Recessed, Single Valve 1 EA 810 810 A E . . . . . 4100
Total Content Costs for this Room: 23,852
Department: VA FREESTANDING (LEASE) OP DIALYSIS CENTER 5 28 Functional Area: PATIENT AREA Room Code: RDC01 Room Area: 80 Agency Room Name: Renal Dialysis, Chair Station Occupancy: 0 Criteria Room Name: Renal Dialysis, Chair Station Blueprint #:
JSN Content Name Qty Unit Of Issue
Unit Price Total Price Log Cat Util1 Util2 Util3 Util4 Util5 Util6 NSN
A5180 Track, Cubicle, Surface Mounted, With Curtain 18 FT 7 126 A . . . . . . 6530
A5215 Bracket, Television, Ceiling Mounted 1 EA 317 317 B . . . . . . 7730
M0506 Television, Flat Screen 1 EA 421 421 C . A . . . . 7730
M1715 Hemodialysis Unit, Hollow Fiber or Plate 1 EA 20,181 20,181 C E A . . . . 6515
M4905 Chair, Dialysis 1 EA 1,843 1,843 C . . . . . . 6530
P8705 Dialysis Box, Recessed, Single Valve 1 EA 810 810 A E . . . . . 4100
Total Content Costs for this Room: 23,698
Project Room Contents (16 Dec 2013 01:37PM ET)
Privacy Act – FOR OFFICIAL USE ONLY (Page 10)
Department: VA FREESTANDING (LEASE) OP DIALYSIS CENTER 5 28 Functional Area: PATIENT AREA Room Code: RDC01 Room Area: 80 Agency Room Name: Renal Dialysis, Chair Station Occupancy: 0 Criteria Room Name: Renal Dialysis, Chair Station Blueprint #:
JSN Content Name Qty Unit Of Issue
Unit Price Total Price Log Cat Util1 Util2 Util3 Util4 Util5 Util6 NSN
A5077 Dispenser, Hand Sanitizer, Hands5Free 1 EA 46 46 C . . . . . .
A5106 Waste Disposal Unit, Sharps w/Glove Dispenser 1 EA 73 73 C . . . . . . 6530
A5180 Track, Cubicle, Surface Mounted, With Curtain 18 FT 7 126 A . . . . . . 6530
A5215 Bracket, Television, Ceiling Mounted 1 EA 317 317 B . . . . . . 7730
F2010 Basket, Wastepaper, Step5On 1 EA 35 35 C . . . . . . 7240007883953
M0506 Television, Flat Screen 1 EA 421 421 C . A . . . . 7730
M1715 Hemodialysis Unit, Hollow Fiber or Plate 1 EA 20,181 20,181 C E A . . . . 6515
M4905 Chair, Dialysis 1 EA 1,843 1,843 C . . . . . . 6530
P8705 Dialysis Box, Recessed, Single Valve 1 EA 810 810 A E . . . . . 4100
Total Content Costs for this Room: 23,852
Department: VA FREESTANDING (LEASE) OP DIALYSIS CENTER 5 28 Functional Area: PATIENT AREA Room Code: RDC01 Room Area: 80 Agency Room Name: Renal Dialysis, Chair Station Occupancy: 0 Criteria Room Name: Renal Dialysis, Chair Station Blueprint #:
JSN Content Name Qty Unit Of Issue
Unit Price Total Price Log Cat Util1 Util2 Util3 Util4 Util5 Util6 NSN
A5180 Track, Cubicle, Surface Mounted, With Curtain 18 FT 7 126 A . . . . . . 6530
A5215 Bracket, Television, Ceiling Mounted 1 EA 317 317 B . . . . . . 7730
M0506 Television, Flat Screen 1 EA 421 421 C . A . . . . 7730
M1715 Hemodialysis Unit, Hollow Fiber or Plate 1 EA 20,181 20,181 C E A . . . . 6515
M4905 Chair, Dialysis 1 EA 1,843 1,843 C . . . . . . 6530
P8705 Dialysis Box, Recessed, Single Valve 1 EA 810 810 A E . . . . . 4100
Total Content Costs for this Room: 23,698
Project Room Contents (16 Dec 2013 01:37PM ET)
Privacy Act – FOR OFFICIAL USE ONLY (Page 11)
Department: VA FREESTANDING (LEASE) OP DIALYSIS CENTER 5 28 Functional Area: PATIENT AREA Room Code: RDC01 Room Area: 80 Agency Room Name: Renal Dialysis, Chair Station Occupancy: 0 Criteria Room Name: Renal Dialysis, Chair Station Blueprint #:
JSN Content Name Qty Unit Of Issue
Unit Price Total Price Log Cat Util1 Util2 Util3 Util4 Util5 Util6 NSN
A5077 Dispenser, Hand Sanitizer, Hands5Free 1 EA 46 46 C . . . . . .
A5106 Waste Disposal Unit, Sharps w/Glove Dispenser 1 EA 73 73 C . . . . . . 6530
A5180 Track, Cubicle, Surface Mounted, With Curtain 18 FT 7 126 A . . . . . . 6530
A5215 Bracket, Television, Ceiling Mounted 1 EA 317 317 B . . . . . . 7730
F2010 Basket, Wastepaper, Step5On 1 EA 35 35 C . . . . . . 7240007883953
M0506 Television, Flat Screen 1 EA 421 421 C . A . . . . 7730
M1715 Hemodialysis Unit, Hollow Fiber or Plate 1 EA 20,181 20,181 C E A . . . . 6515
M4905 Chair, Dialysis 1 EA 1,843 1,843 C . . . . . . 6530
P8705 Dialysis Box, Recessed, Single Valve 1 EA 810 810 A E . . . . . 4100
Total Content Costs for this Room: 23,852
Department: VA FREESTANDING (LEASE) OP DIALYSIS CENTER 5 28 Functional Area: PATIENT AREA Room Code: RDC01 Room Area: 80 Agency Room Name: Renal Dialysis, Chair Station Occupancy: 0 Criteria Room Name: Renal Dialysis, Chair Station Blueprint #:
JSN Content Name Qty Unit Of Issue
Unit Price Total Price Log Cat Util1 Util2 Util3 Util4 Util5 Util6 NSN
A5180 Track, Cubicle, Surface Mounted, With Curtain 18 FT 7 126 A . . . . . . 6530
A5215 Bracket, Television, Ceiling Mounted 1 EA 317 317 B . . . . . . 7730
M0506 Television, Flat Screen 1 EA 421 421 C . A . . . . 7730
M1715 Hemodialysis Unit, Hollow Fiber or Plate 1 EA 20,181 20,181 C E A . . . . 6515
M4905 Chair, Dialysis 1 EA 1,843 1,843 C . . . . . . 6530
P8705 Dialysis Box, Recessed, Single Valve 1 EA 810 810 A E . . . . . 4100
Total Content Costs for this Room: 23,698
Project Room Contents (16 Dec 2013 01:37PM ET)
Privacy Act – FOR OFFICIAL USE ONLY (Page 12)
Department: VA FREESTANDING (LEASE) OP DIALYSIS CENTER 5 28 Functional Area: PATIENT AREA Room Code: RDC01 Room Area: 80 Agency Room Name: Renal Dialysis, Chair Station Occupancy: 0 Criteria Room Name: Renal Dialysis, Chair Station Blueprint #:
JSN Content Name Qty Unit Of Issue
Unit Price Total Price Log Cat Util1 Util2 Util3 Util4 Util5 Util6 NSN
A5077 Dispenser, Hand Sanitizer, Hands5Free 1 EA 46 46 C . . . . . .
A5106 Waste Disposal Unit, Sharps w/Glove Dispenser 1 EA 73 73 C . . . . . . 6530
A5180 Track, Cubicle, Surface Mounted, With Curtain 18 FT 7 126 A . . . . . . 6530
A5215 Bracket, Television, Ceiling Mounted 1 EA 317 317 B . . . . . . 7730
F2010 Basket, Wastepaper, Step5On 1 EA 35 35 C . . . . . . 7240007883953
M0506 Television, Flat Screen 1 EA 421 421 C . A . . . . 7730
M1715 Hemodialysis Unit, Hollow Fiber or Plate 1 EA 20,181 20,181 C E A . . . . 6515
M4905 Chair, Dialysis 1 EA 1,843 1,843 C . . . . . . 6530
P8705 Dialysis Box, Recessed, Single Valve 1 EA 810 810 A E . . . . . 4100
Total Content Costs for this Room: 23,852
Department: VA FREESTANDING (LEASE) OP DIALYSIS CENTER 5 28 Functional Area: PATIENT AREA Room Code: RDC01 Room Area: 80 Agency Room Name: Renal Dialysis, Chair Station Occupancy: 0 Criteria Room Name: Renal Dialysis, Chair Station Blueprint #:
JSN Content Name Qty Unit Of Issue
Unit Price Total Price Log Cat Util1 Util2 Util3 Util4 Util5 Util6 NSN
A5180 Track, Cubicle, Surface Mounted, With Curtain 18 FT 7 126 A . . . . . . 6530
A5215 Bracket, Television, Ceiling Mounted 1 EA 317 317 B . . . . . . 7730
M0506 Television, Flat Screen 1 EA 421 421 C . A . . . . 7730
M1715 Hemodialysis Unit, Hollow Fiber or Plate 1 EA 20,181 20,181 C E A . . . . 6515
M4905 Chair, Dialysis 1 EA 1,843 1,843 C . . . . . . 6530
P8705 Dialysis Box, Recessed, Single Valve 1 EA 810 810 A E . . . . . 4100
Total Content Costs for this Room: 23,698
Project Room Contents (16 Dec 2013 01:37PM ET)
Privacy Act – FOR OFFICIAL USE ONLY (Page 13)
Department: VA FREESTANDING (LEASE) OP DIALYSIS CENTER 5 28 Functional Area: PATIENT AREA Room Code: RDC01 Room Area: 80 Agency Room Name: Renal Dialysis, Chair Station Occupancy: 0 Criteria Room Name: Renal Dialysis, Chair Station Blueprint #:
JSN Content Name Qty Unit Of Issue
Unit Price Total Price Log Cat Util1 Util2 Util3 Util4 Util5 Util6 NSN
A5180 Track, Cubicle, Surface Mounted, With Curtain 18 FT 7 126 A . . . . . . 6530
A5215 Bracket, Television, Ceiling Mounted 1 EA 317 317 B . . . . . . 7730
M0506 Television, Flat Screen 1 EA 421 421 C . A . . . . 7730
M1715 Hemodialysis Unit, Hollow Fiber or Plate 1 EA 20,181 20,181 C E A . . . . 6515
M4905 Chair, Dialysis 1 EA 1,843 1,843 C . . . . . . 6530
P8705 Dialysis Box, Recessed, Single Valve 1 EA 810 810 A E . . . . . 4100
Total Content Costs for this Room: 23,698
Department: VA FREESTANDING (LEASE) OP DIALYSIS CENTER 5 28 Functional Area: PATIENT AREA Room Code: RDC01 Room Area: 80 Agency Room Name: Renal Dialysis, Chair Station Occupancy: 0 Criteria Room Name: Renal Dialysis, Chair Station Blueprint #:
JSN Content Name Qty Unit Of Issue
Unit Price Total Price Log Cat Util1 Util2 Util3 Util4 Util5 Util6 NSN
A5077 Dispenser, Hand Sanitizer, Hands5Free 1 EA 46 46 C . . . . . .
A5106 Waste Disposal Unit, Sharps w/Glove Dispenser 1 EA 73 73 C . . . . . . 6530
A5180 Track, Cubicle, Surface Mounted, With Curtain 18 FT 7 126 A . . . . . . 6530
A5215 Bracket, Television, Ceiling Mounted 1 EA 317 317 B . . . . . . 7730
F2010 Basket, Wastepaper, Step5On 1 EA 35 35 C . . . . . . 7240007883953
M0506 Television, Flat Screen 1 EA 421 421 C . A . . . . 7730
M1715 Hemodialysis Unit, Hollow Fiber or Plate 1 EA 20,181 20,181 C E A . . . . 6515
M4905 Chair, Dialysis 1 EA 1,843 1,843 C . . . . . . 6530
P8705 Dialysis Box, Recessed, Single Valve 1 EA 810 810 A E . . . . . 4100
Total Content Costs for this Room: 23,852
Project Room Contents (16 Dec 2013 01:37PM ET)
Privacy Act – FOR OFFICIAL USE ONLY (Page 14)
Department: VA FREESTANDING (LEASE) OP DIALYSIS CENTER 5 28 Functional Area: PATIENT AREA Room Code: RDC01 Room Area: 80 Agency Room Name: Renal Dialysis, Chair Station Occupancy: 0 Criteria Room Name: Renal Dialysis, Chair Station Blueprint #:
JSN Content Name Qty Unit Of Issue
Unit Price Total Price Log Cat Util1 Util2 Util3 Util4 Util5 Util6 NSN
A5180 Track, Cubicle, Surface Mounted, With Curtain 18 FT 7 126 A . . . . . . 6530
A5215 Bracket, Television, Ceiling Mounted 1 EA 317 317 B . . . . . . 7730
M0506 Television, Flat Screen 1 EA 421 421 C . A . . . . 7730
M1715 Hemodialysis Unit, Hollow Fiber or Plate 1 EA 20,181 20,181 C E A . . . . 6515
M4905 Chair, Dialysis 1 EA 1,843 1,843 C . . . . . . 6530
P8705 Dialysis Box, Recessed, Single Valve 1 EA 810 810 A E . . . . . 4100
Total Content Costs for this Room: 23,698
Department: VA FREESTANDING (LEASE) OP DIALYSIS CENTER 5 28 Functional Area: PATIENT AREA Room Code: RDC01 Room Area: 80 Agency Room Name: Renal Dialysis, Chair Station Occupancy: 0 Criteria Room Name: Renal Dialysis, Chair Station Blueprint #:
JSN Content Name Qty Unit Of Issue
Unit Price Total Price Log Cat Util1 Util2 Util3 Util4 Util5 Util6 NSN
A5077 Dispenser, Hand Sanitizer, Hands5Free 1 EA 46 46 C . . . . . .
A5106 Waste Disposal Unit, Sharps w/Glove Dispenser 1 EA 73 73 C . . . . . . 6530
A5180 Track, Cubicle, Surface Mounted, With Curtain 18 FT 7 126 A . . . . . . 6530
A5215 Bracket, Television, Ceiling Mounted 1 EA 317 317 B . . . . . . 7730
F2010 Basket, Wastepaper, Step5On 1 EA 35 35 C . . . . . . 7240007883953
M0506 Television, Flat Screen 1 EA 421 421 C . A . . . . 7730
M1715 Hemodialysis Unit, Hollow Fiber or Plate 1 EA 20,181 20,181 C E A . . . . 6515
M4905 Chair, Dialysis 1 EA 1,843 1,843 C . . . . . . 6530
P8705 Dialysis Box, Recessed, Single Valve 1 EA 810 810 A E . . . . . 4100
Total Content Costs for this Room: 23,852
Project Room Contents (16 Dec 2013 01:37PM ET)
Privacy Act – FOR OFFICIAL USE ONLY (Page 15)
Department: VA FREESTANDING (LEASE) OP DIALYSIS CENTER 5 28 Functional Area: PATIENT AREA Room Code: RDC01 Room Area: 80 Agency Room Name: Renal Dialysis, Chair Station Occupancy: 0 Criteria Room Name: Renal Dialysis, Chair Station Blueprint #:
JSN Content Name Qty Unit Of Issue
Unit Price Total Price Log Cat Util1 Util2 Util3 Util4 Util5 Util6 NSN
A5180 Track, Cubicle, Surface Mounted, With Curtain 18 FT 7 126 A . . . . . . 6530
A5215 Bracket, Television, Ceiling Mounted 1 EA 317 317 B . . . . . . 7730
M0506 Television, Flat Screen 1 EA 421 421 C . A . . . . 7730
M1715 Hemodialysis Unit, Hollow Fiber or Plate 1 EA 20,181 20,181 C E A . . . . 6515
M4905 Chair, Dialysis 1 EA 1,843 1,843 C . . . . . . 6530
P8705 Dialysis Box, Recessed, Single Valve 1 EA 810 810 A E . . . . . 4100
Total Content Costs for this Room: 23,698
Department: VA FREESTANDING (LEASE) OP DIALYSIS CENTER 5 28 Functional Area: PATIENT AREA Room Code: RDC01 Room Area: 80 Agency Room Name: Renal Dialysis, Chair Station Occupancy: 0 Criteria Room Name: Renal Dialysis, Chair Station Blueprint #:
JSN Content Name Qty Unit Of Issue
Unit Price Total Price Log Cat Util1 Util2 Util3 Util4 Util5 Util6 NSN
A5077 Dispenser, Hand Sanitizer, Hands5Free 1 EA 46 46 C . . . . . .
A5106 Waste Disposal Unit, Sharps w/Glove Dispenser 1 EA 73 73 C . . . . . . 6530
A5180 Track, Cubicle, Surface Mounted, With Curtain 18 FT 7 126 A . . . . . . 6530
A5215 Bracket, Television, Ceiling Mounted 1 EA 317 317 B . . . . . . 7730
F2010 Basket, Wastepaper, Step5On 1 EA 35 35 C . . . . . . 7240007883953
M0506 Television, Flat Screen 1 EA 421 421 C . A . . . . 7730
M1715 Hemodialysis Unit, Hollow Fiber or Plate 1 EA 20,181 20,181 C E A . . . . 6515
M4905 Chair, Dialysis 1 EA 1,843 1,843 C . . . . . . 6530
P8705 Dialysis Box, Recessed, Single Valve 1 EA 810 810 A E . . . . . 4100
Total Content Costs for this Room: 23,852
Project Room Contents (16 Dec 2013 01:37PM ET)
Privacy Act – FOR OFFICIAL USE ONLY (Page 16)
Department: VA FREESTANDING (LEASE) OP DIALYSIS CENTER 5 28 Functional Area: PATIENT AREA Room Code: RDC01 Room Area: 80 Agency Room Name: Renal Dialysis, Chair Station Occupancy: 0 Criteria Room Name: Renal Dialysis, Chair Station Blueprint #:
JSN Content Name Qty Unit Of Issue
Unit Price Total Price Log Cat Util1 Util2 Util3 Util4 Util5 Util6 NSN
A5180 Track, Cubicle, Surface Mounted, With Curtain 18 FT 7 126 A . . . . . . 6530
A5215 Bracket, Television, Ceiling Mounted 1 EA 317 317 B . . . . . . 7730
M0506 Television, Flat Screen 1 EA 421 421 C . A . . . . 7730
M1715 Hemodialysis Unit, Hollow Fiber or Plate 1 EA 20,181 20,181 C E A . . . . 6515
M4905 Chair, Dialysis 1 EA 1,843 1,843 C . . . . . . 6530
P8705 Dialysis Box, Recessed, Single Valve 1 EA 810 810 A E . . . . . 4100
Total Content Costs for this Room: 23,698
Department: VA FREESTANDING (LEASE) OP DIALYSIS CENTER 5 28 Functional Area: PATIENT AREA Room Code: XXYYC Room Area: 100 Agency Room Name: Renal Dialysis, Bariatric Chair Station Occupancy: 0 Criteria Room Name: test code Blueprint #:
JSN Content Name Qty Unit Of Issue
Unit Price Total Price Log Cat Util1 Util2 Util3 Util4 Util5 Util6 NSN
A1200 Lift System, Overhead, Patient Room 1 EA 8,198 8,198 A . F . . . J 6530
Lift to be shared with adjacent room if location allows
A5077 Dispenser, Hand Sanitizer, Hands5Free 1 EA 46 46 C . . . . . .
A5106 Waste Disposal Unit, Sharps w/Glove Dispenser 1 EA 73 73 C . . . . . . 6530
A5180 Track, Cubicle, Surface Mounted, With Curtain 18 FT 7 126 A . . . . . . 6530
A5215 Bracket, Television, Ceiling Mounted 1 EA 317 317 B . . . . . . 7730
F2010 Basket, Wastepaper, Step5On 1 EA 35 35 C . . . . . . 7240007883953
M0506 Television, Flat Screen 1 EA 421 421 C . A . . . . 7730
M1715 Hemodialysis Unit, Hollow Fiber or Plate 1 EA 20,181 20,181 C E A . . . . 6515
M4905 Chair, Dialysis 1 EA 1,843 1,843 C . . . . . . 6530
modify to M4905M bariatric
P8705 Dialysis Box, Recessed, Single Valve 1 EA 810 810 A E . . . . . 4100
Project Room Contents (16 Dec 2013 01:37PM ET)
Privacy Act – FOR OFFICIAL USE ONLY (Page 17)
Total Content Costs for this Room: 32,050
Department: VA FREESTANDING (LEASE) OP DIALYSIS CENTER 5 28 Functional Area: PATIENT AREA Room Code: XXYYC Room Area: 100 Agency Room Name: Renal Dialysis, Bariatric Chair Station Occupancy: 0 Criteria Room Name: test code Blueprint #:
JSN Content Name Qty Unit Of Issue
Unit Price Total Price Log Cat Util1 Util2 Util3 Util4 Util5 Util6 NSN
A5106 Waste Disposal Unit, Sharps w/Glove Dispenser 1 EA 73 73 C . . . . . . 6530
A5180 Track, Cubicle, Surface Mounted, With Curtain 18 FT 7 126 A . . . . . . 6530
A5215 Bracket, Television, Ceiling Mounted 1 EA 317 317 B . . . . . . 7730
M0506 Television, Flat Screen 1 EA 421 421 C . A . . . . 7730
M1715 Hemodialysis Unit, Hollow Fiber or Plate 1 EA 20,181 20,181 C E A . . . . 6515
M4905 Chair, Dialysis 1 EA 1,843 1,843 C . . . . . . 6530
modify to M4905M bariatric
P8705 Dialysis Box, Recessed, Single Valve 1 EA 810 810 A E . . . . . 4100
Total Content Costs for this Room: 23,771
Department: VA FREESTANDING (LEASE) OP DIALYSIS CENTER 5 28 Functional Area: PATIENT AREA Room Code: XXYYC Room Area: 100 Agency Room Name: Renal Dialysis, Bariatric Chair Station Occupancy: 0 Criteria Room Name: test code Blueprint #:
JSN Content Name Qty Unit Of Issue
Unit Price Total Price Log Cat Util1 Util2 Util3 Util4 Util5 Util6 NSN
A1200 Lift System, Overhead, Patient Room 1 EA 8,198 8,198 A . F . . . J 6530
Lift to be shared with adjacent room if location allows
A5077 Dispenser, Hand Sanitizer, Hands5Free 1 EA 46 46 C . . . . . .
A5106 Waste Disposal Unit, Sharps w/Glove Dispenser 1 EA 73 73 C . . . . . . 6530
A5180 Track, Cubicle, Surface Mounted, With Curtain 18 FT 7 126 A . . . . . . 6530
A5215 Bracket, Television, Ceiling Mounted 1 EA 317 317 B . . . . . . 7730
F2010 Basket, Wastepaper, Step5On 1 EA 35 35 C . . . . . . 7240007883953
M0506 Television, Flat Screen 1 EA 421 421 C . A . . . . 7730
Project Room Contents (16 Dec 2013 01:37PM ET)
Privacy Act – FOR OFFICIAL USE ONLY (Page 18)
M1715 Hemodialysis Unit, Hollow Fiber or Plate 1 EA 20,181 20,181 C E A . . . . 6515
M4905 Chair, Dialysis 1 EA 1,843 1,843 C . . . . . . 6530
modify to M4905M bariatric
P8705 Dialysis Box, Recessed, Single Valve 1 EA 810 810 A E . . . . . 4100
Total Content Costs for this Room: 32,050
Department: VA FREESTANDING (LEASE) OP DIALYSIS CENTER 5 28 Functional Area: PATIENT AREA Room Code: RDC02 Room Area: 140 Agency Room Name: Renal Dialysis, Separation Room Occupancy: 0 Criteria Room Name: Renal Dialysis, Chair Station, Negative Pressure Blueprint #:
JSN Content Name Qty Unit Of Issue
Unit Price Total Price Log Cat Util1 Util2 Util3 Util4 Util5 Util6 NSN
A1010 Telecommunication Outlet 1 EA 0 0 A . . . . . . 5805
A5075 Dispenser, Soap, Disposable 1 EA 17 17 C . . . . . . 4510
A5077 Dispenser, Hand Sanitizer, Hands5Free 1 EA 46 46 C . . . . . .
A5080 Dispenser, Paper Towel, SS, Surface Mounted 1 EA 89 89 A . . . . . . 4510
A5106 Waste Disposal Unit, Sharps w/Glove Dispenser 1 EA 73 73 C . . . . . . 6530
A5180 Track, Cubicle, Surface Mounted, With Curtain 14 FT 7 98 A . . . . . . 6530
A5215 Bracket, Television, Ceiling Mounted 1 EA 306 306 B . . . . . . 7730
F2010 Basket, Wastepaper, Step5On 1 EA 35 35 C . . . . . . 7240007883953
F3200 Clock, Battery, 12" Diameter 1 EA 49 49 C . . . . . . 6645
M0506 Television, Flat Screen 1 EA 421 421 C . A . . . . 7730
M1715 Hemodialysis Unit, Hollow Fiber or Plate 1 EA 20,181 20,181 C E A . . . . 6515
M1801 Computer, Microprocessing, w/Flat Panel Monitor 1 EA 1,457 1,457 C . A . . . . 7025
M1802 Work Station, Computer, Retractable, Wall Mounted 1 EA 1,033 1,033 C . B . . . D 7110
M3070 Hamper, Linen, Mobile, w/Lid 1 EA 545 545 C . . . . . . 7240
Comment: modify to M3070M, smaller model
M3072 Frame, Infectious Waste Bag w/Lid 1 EA 300 300 C . . . . . . 7240
Comment: modify to M3072M, smaller model
M4905 Chair, Dialysis 1 EA 1,843 1,843 C . . . . . . 6530
P2000 Eyewash, Wall Mounted, Hands5Free 1 EA 370 370 A B . . . . . 4510
P2450 Valve, Mixing, Thermostatic 1 EA 2,643 2,643 A A . . . . . 6530
Project Room Contents (16 Dec 2013 01:37PM ET)
Privacy Act – FOR OFFICIAL USE ONLY (Page 19)
Modify to P2450M1 0 Thermostatic Mixing Valve for Emergency Eyewash/Facewash
P3100 Lavatory, Vitreous China, Slab Type 1 EA 498 498 A D . . . . . 4510
P8705 Dialysis Box, Recessed, Single Valve 1 EA 810 810 A E . . . . . 4100
Total Content Costs for this Room: 30,814
Department: VA FREESTANDING (LEASE) OP DIALYSIS CENTER 5 28 Functional Area: PATIENT AREA Room Code: TLTU1 Room Area: 60 Agency Room Name: Toilet, Separation Room Patient Occupancy: 0 Criteria Room Name: Toilet, Unisex Blueprint #:
JSN Content Name Qty Unit Of Issue
Unit Price Total Price Log Cat Util1 Util2 Util3 Util4 Util5 Util6 NSN
A1066 Mirror, Float Glass, With SS Frame 1 EA 86 86 A . . . . . . 7105
A5075 Dispenser, Soap, Disposable 1 EA 17 17 C . . . . . . 4510
A5080 Dispenser, Paper Towel, SS, Surface Mounted 1 EA 89 89 A . . . . . . 4510
A5090 Disposal, Sanitary Napkin, SS, Surface Mounted 1 EA 52 52 A . . . . . . 7240
A5109 Grab Bar, 151/4" Dia., SS, 2 Wall, W/C Accessible 1 EA 159 159 A . . . . . . 6530
A5145 Hook, Garment, Double, SS, Surface Mounted 1 EA 32 32 A . . . . . . 5340007541678
A5200 Dispenser, Toilet Tissue, SS, 25Roll, Surface Mntd 1 EA 45 45 A . . . . . . 4510007026934
F2010 Basket, Wastepaper, Step5On 1 EA 35 35 C . . . . . . 7240007883953
P3000 Lavatory, Vitreous China, Straight Back 1 EA 387 387 A D . . . . . 4510
P9050 Toilet, Wall Hung, Siphon Jet 1 EA 797 797 A B . . . . . 4510
Total Content Costs for this Room: 1,699
Department: VA FREESTANDING (LEASE) OP DIALYSIS CENTER 5 28 Functional Area: PATIENT AREA Room Code: RDPD1 Room Area: 120 Agency Room Name: Home Training Room Occupancy: 0 Criteria Room Name: Renal Dialysis, Peritoneal Station Blueprint #:
JSN Content Name Qty Unit Of Issue
Unit Price Total Price Log Cat Util1 Util2 Util3 Util4 Util5 Util6 NSN
A5075 Dispenser, Soap, Disposable 1 EA 17 17 C . . . . . . 4510
A5077 Dispenser, Hand Sanitizer, Hands5Free 1 EA 46 46 C . . . . . .
Project Room Contents (16 Dec 2013 01:37PM ET)
Privacy Act – FOR OFFICIAL USE ONLY (Page 20)
A5080 Dispenser, Paper Towel, SS, Surface Mounted 1 EA 89 89 A . . . . . . 4510
A5106 Waste Disposal Unit, Sharps w/Glove Dispenser 1 EA 73 73 C . . . . . . 6530
A5180 Track, Cubicle, Surface Mounted, With Curtain 10 FT 7 70 A . . . . . . 6530
A5210 Bracket, Television, Wall Mounted, w/Adjust Arm 1 EA 226 226 A . . . . . . 7730
E0963 Cart, General Storage, Mobile 1 EA 2,113 2,113 C . . . . . . 6530
F0205 Chair, Side With Arms 1 EA 543 543 C . . . . . . 7110
F0780 Table, Work, 60W x 30D 1 EA 488 488 C . . . . . . 7110
Modify to F0780M 0 size 24" deep and 36" wide
F2010 Basket, Wastepaper, Step5On 1 EA 35 35 C . . . . . . 7240007883953
F3200 Clock, Battery, 12" Diameter 1 EA 49 49 C . . . . . . 6645
M0506 Television, Flat Screen 1 EA 421 421 C . A . . . . 7730
M1715 Hemodialysis Unit, Hollow Fiber or Plate 1 EA 19,493 19,493 C E A . . . . 6515
comment: M1715M 0 Home Hemo Dialysis Machine for Training
M3072 Frame, Infectious Waste Bag w/Lid 1 EA 300 300 C . . . . . . 7240
Comment: modify to M3072M, smaller model
M4860 Peritoneal Dialysis Unit, Hollow 1 EA 16,130 16,130 C E A . . . . 6515
Comment: Peritoneal Dialysis unit optional if Hometraining for Peritoneal Dialysis is part of the Functional Program
M4905 Chair, Dialysis 1 EA 1,780 1,780 C . . . . . . 6530
P3100 Lavatory, Vitreous China, Slab Type 1 EA 498 498 A D . . . . . 4510
P8705 Dialysis Box, Recessed, Single Valve 1 EA 810 810 A E . . . . . 4100
U0011 Signature Pad, Electronic, 1 EA 153 153 C . . . . . .
Total Content Costs for this Room: 43,334
Department: VA FREESTANDING (LEASE) OP DIALYSIS CENTER 5 28 Functional Area: PATIENT AREA Room Code: NSTA4 Room Area: 190 Agency Room Name: Nurse Station / Workarea Occupancy: 0 Criteria Room Name: Nurse Station, Outpatient Blueprint #:
JSN Content Name Qty Unit Of Issue
Unit Price Total Price Log Cat Util1 Util2 Util3 Util4 Util5 Util6 NSN
A1010 Telecommunication Outlet 2 EA 0 0 A . . . . . . 5805
A1015 Telephone, Desk, Multiple Line 1 EA 0 0 A . . . . . . 5805
A5070 Dispenser, Liquid Soap, SS, Surface Mounted 2 EA 60 120 A . . . . . . 4510
Project Room Contents (16 Dec 2013 01:37PM ET)
Privacy Act – FOR OFFICIAL USE ONLY (Page 21)
A5077 Dispenser, Hand Sanitizer, Hands5Free 2 EA 46 92 C . . . . . .
A5080 Dispenser, Paper Towel, SS, Surface Mounted 2 EA 89 178 A . . . . . . 4510
C0045 Frame, Apron, 1 Drawer, 4x36x22 1 EA 381 381 A . . . . . . 6530
C0046 Frame, Apron, 2 Drawer, 4x48x22 1 EA 590 590 A . . . . . . 6530
C06M0 Cabinet, U/C/B, 1 PBD, 2 DR, 1 File DR, 30x18x22 2 EA 960 1,920 A . . . . . . 6530
C09F0 Cabinet, U/C/B, 2 Half Drawer, 2 Door, 36" W 2 EA 1,041 2,082 A . . . . . . 6530
C09G0 Cabinet, U/C/B, 1 Shelf, 2 Door, 30x36x22 2 EA 836 1,672 A . . . . . . 6530
CS150 Sink, SS, Single Compartment, 10x19x16 ID 1 EA 1,064 1,064 A D . . . . . 6530
CS180 Sink, SS, Single Compartment, 12x22x16 ID 1 EA 1,173 1,173 A D . . . . . 6530
CT020 Countertop, Solid Surface 30 LF 176 5,280 A . . . . . . 6530
F0280 Chair, Swivel, Low Back 2 EA 503 1,006 C . . . . . . 7110
F2010 Basket, Wastepaper, Step5On 2 EA 35 70 C . . . . . . 7240007883953
F3200 Clock, Battery, 12" Diameter 1 EA 49 49 C . . . . . . 6645
M1801 Computer, Microprocessing, w/Flat Panel Monitor 1 EA 1,509 1,509 C . A . . . . 7025
M1830 Printer, Label, Pharmacy 1 EA 1,644 1,644 C . A . . . . 7100
M1840 Printer/Copier/Fax Combination 1 EA 842 842 C . A . . . . 7100
modify to M1840M to include scanner
M4116 Monitor, Vital Signs 1 EA 2,387 2,387 C . A . . . . 6515
P2450 Valve, Mixing, Thermostatic 1 EA 2,643 2,643 A A . . . . . 6530
Modify to P2450M2 0 Thermostatic Mixing Valve for Emergency Shower
P5210 Shower, Safety, Freestanding, With Eye/Face Wash 1 EA 909 909 A B . . . . . 4510
comment: Emergency Showers shall be located in open treatment area
U0005 Meter, Water Quality, Multi Parameters, Battery powered
1 EA 966 966 C . . . . . .
Total Content Costs for this Room: 26,577
Department: VA FREESTANDING (LEASE) OP DIALYSIS CENTER 5 28 Functional Area: PATIENT AREA Room Code: NSTA4 Room Area: 190 Agency Room Name: Nurse Station / Workarea Occupancy: 0 Criteria Room Name: Nurse Station, Outpatient Blueprint #:
JSN Content Name Qty Unit Of Issue
Unit Price Total Price Log Cat Util1 Util2 Util3 Util4 Util5 Util6 NSN
Project Room Contents (16 Dec 2013 01:37PM ET)
Privacy Act – FOR OFFICIAL USE ONLY (Page 22)
A1010 Telecommunication Outlet 2 EA 0 0 A . . . . . . 5805
A1015 Telephone, Desk, Multiple Line 1 EA 0 0 A . . . . . . 5805
A5070 Dispenser, Liquid Soap, SS, Surface Mounted 2 EA 60 120 A . . . . . . 4510
A5077 Dispenser, Hand Sanitizer, Hands5Free 2 EA 46 92 C . . . . . .
A5080 Dispenser, Paper Towel, SS, Surface Mounted 2 EA 89 178 A . . . . . . 4510
C0045 Frame, Apron, 1 Drawer, 4x36x22 1 EA 381 381 A . . . . . . 6530
C0046 Frame, Apron, 2 Drawer, 4x48x22 1 EA 590 590 A . . . . . . 6530
C06M0 Cabinet, U/C/B, 1 PBD, 2 DR, 1 File DR, 30x18x22 2 EA 960 1,920 A . . . . . . 6530
C09F0 Cabinet, U/C/B, 2 Half Drawer, 2 Door, 36" W 2 EA 1,041 2,082 A . . . . . . 6530
C09G0 Cabinet, U/C/B, 1 Shelf, 2 Door, 30x36x22 2 EA 836 1,672 A . . . . . . 6530
CS150 Sink, SS, Single Compartment, 10x19x16 ID 2 EA 1,064 2,128 A D . . . . . 6530
CS180 Sink, SS, Single Compartment, 12x22x16 ID 1 EA 1,173 1,173 A D . . . . . 6530
CT020 Countertop, Solid Surface 30 LF 176 5,280 A . . . . . . 6530
F0280 Chair, Swivel, Low Back 2 EA 503 1,006 C . . . . . . 7110
F2010 Basket, Wastepaper, Step5On 2 EA 35 70 C . . . . . . 7240007883953
M1801 Computer, Microprocessing, w/Flat Panel Monitor 1 EA 1,509 1,509 C . A . . . . 7025
M4116 Monitor, Vital Signs 1 EA 2,387 2,387 C . A . . . . 6515
P2450 Valve, Mixing, Thermostatic 1 EA 2,643 2,643 A A . . . . . 6530
Modify to P2450M2 0 Thermostatic Mixing Valve for Emergency Shower
P5210 Shower, Safety, Freestanding, With Eye/Face Wash 1 EA 909 909 A B . . . . . 4510
comment: Emergency Showers shall be located in open treatment area
Total Content Costs for this Room: 24,140
Department: VA FREESTANDING (LEASE) OP DIALYSIS CENTER 5 28 Functional Area: PATIENT AREA Room Code: NSTA4 Room Area: 190 Agency Room Name: Nurse Station / Workarea Occupancy: 0 Criteria Room Name: Nurse Station, Outpatient Blueprint #:
JSN Content Name Qty Unit Of Issue
Unit Price Total Price Log Cat Util1 Util2 Util3 Util4 Util5 Util6 NSN
A1010 Telecommunication Outlet 2 EA 0 0 A . . . . . . 5805
A1015 Telephone, Desk, Multiple Line 1 EA 0 0 A . . . . . . 5805
A5070 Dispenser, Liquid Soap, SS, Surface Mounted 2 EA 60 120 A . . . . . . 4510
Project Room Contents (16 Dec 2013 01:37PM ET)
Privacy Act – FOR OFFICIAL USE ONLY (Page 23)
A5077 Dispenser, Hand Sanitizer, Hands5Free 2 EA 46 92 C . . . . . .
A5080 Dispenser, Paper Towel, SS, Surface Mounted 2 EA 89 178 A . . . . . . 4510
C0045 Frame, Apron, 1 Drawer, 4x36x22 1 EA 381 381 A . . . . . . 6530
C0046 Frame, Apron, 2 Drawer, 4x48x22 1 EA 590 590 A . . . . . . 6530
C06M0 Cabinet, U/C/B, 1 PBD, 2 DR, 1 File DR, 30x18x22 2 EA 960 1,920 A . . . . . . 6530
C09F0 Cabinet, U/C/B, 2 Half Drawer, 2 Door, 36" W 2 EA 1,041 2,082 A . . . . . . 6530
C09G0 Cabinet, U/C/B, 1 Shelf, 2 Door, 30x36x22 2 EA 836 1,672 A . . . . . . 6530
CS150 Sink, SS, Single Compartment, 10x19x16 ID 2 EA 1,064 2,128 A D . . . . . 6530
CS180 Sink, SS, Single Compartment, 12x22x16 ID 1 EA 1,173 1,173 A D . . . . . 6530
CT020 Countertop, Solid Surface 30 LF 176 5,280 A . . . . . . 6530
F0280 Chair, Swivel, Low Back 2 EA 503 1,006 C . . . . . . 7110
F2010 Basket, Wastepaper, Step5On 2 EA 35 70 C . . . . . . 7240007883953
M1801 Computer, Microprocessing, w/Flat Panel Monitor 1 EA 1,509 1,509 C . A . . . . 7025
M1830 Printer, Label, Pharmacy 1 EA 1,644 1,644 C . A . . . . 7100
M1840 Printer/Copier/Fax Combination 1 EA 842 842 C . A . . . . 7100
modify to M1840M to include scanner
M4116 Monitor, Vital Signs 1 EA 2,387 2,387 C . A . . . . 6515
P2450 Valve, Mixing, Thermostatic 1 EA 2,643 2,643 A A . . . . . 6530
Modify to P2450M2 0 Thermostatic Mixing Valve for Emergency Shower
P5210 Shower, Safety, Freestanding, With Eye/Face Wash 1 EA 909 909 A B . . . . . 4510
comment: Emergency Showers shall be located in open treatment area
U0005 Meter, Water Quality, Multi Parameters, Battery powered
1 EA 966 966 C . . . . . .
Total Content Costs for this Room: 27,592
Department: VA FREESTANDING (LEASE) OP DIALYSIS CENTER 5 28 Functional Area: PATIENT AREA Room Code: NSTA4 Room Area: 190 Agency Room Name: Nurse Station / Workarea Occupancy: 0 Criteria Room Name: Nurse Station, Outpatient Blueprint #:
JSN Content Name Qty Unit Of Issue
Unit Price Total Price Log Cat Util1 Util2 Util3 Util4 Util5 Util6 NSN
A1010 Telecommunication Outlet 2 EA 0 0 A . . . . . . 5805
Project Room Contents (16 Dec 2013 01:37PM ET)
Privacy Act – FOR OFFICIAL USE ONLY (Page 24)
A1015 Telephone, Desk, Multiple Line 1 EA 0 0 A . . . . . . 5805
A5070 Dispenser, Liquid Soap, SS, Surface Mounted 2 EA 60 120 A . . . . . . 4510
A5077 Dispenser, Hand Sanitizer, Hands5Free 2 EA 46 92 C . . . . . .
A5080 Dispenser, Paper Towel, SS, Surface Mounted 2 EA 89 178 A . . . . . . 4510
C0045 Frame, Apron, 1 Drawer, 4x36x22 1 EA 381 381 A . . . . . . 6530
C0046 Frame, Apron, 2 Drawer, 4x48x22 1 EA 590 590 A . . . . . . 6530
C06M0 Cabinet, U/C/B, 1 PBD, 2 DR, 1 File DR, 30x18x22 2 EA 960 1,920 A . . . . . . 6530
C09F0 Cabinet, U/C/B, 2 Half Drawer, 2 Door, 36" W 2 EA 1,041 2,082 A . . . . . . 6530
C09G0 Cabinet, U/C/B, 1 Shelf, 2 Door, 30x36x22 2 EA 836 1,672 A . . . . . . 6530
CS150 Sink, SS, Single Compartment, 10x19x16 ID 1 EA 1,064 1,064 A D . . . . . 6530
CS180 Sink, SS, Single Compartment, 12x22x16 ID 1 EA 1,173 1,173 A D . . . . . 6530
CT020 Countertop, Solid Surface 30 LF 176 5,280 A . . . . . . 6530
F0280 Chair, Swivel, Low Back 2 EA 503 1,006 C . . . . . . 7110
F2010 Basket, Wastepaper, Step5On 2 EA 35 70 C . . . . . . 7240007883953
M1801 Computer, Microprocessing, w/Flat Panel Monitor 1 EA 1,509 1,509 C . A . . . . 7025
M4116 Monitor, Vital Signs 1 EA 2,387 2,387 C . A . . . . 6515
P2450 Valve, Mixing, Thermostatic 1 EA 2,643 2,643 A A . . . . . 6530
Modify to P2450M2 0 Thermostatic Mixing Valve for Emergency Shower
P5210 Shower, Safety, Freestanding, With Eye/Face Wash 1 EA 909 909 A B . . . . . 4510
comment: Emergency Showers shall be located in open treatment area
Total Content Costs for this Room: 23,076
Department: VA FREESTANDING (LEASE) OP DIALYSIS CENTER 5 28 Functional Area: PATIENT AREA Room Code: NCWD2 Room Area: 40 Agency Room Name: Nourishment Station Occupancy: 0 Criteria Room Name: Sleep Studies, Nourishment Blueprint #:
JSN Content Name Qty Unit Of Issue
Unit Price Total Price Log Cat Util1 Util2 Util3 Util4 Util5 Util6 NSN
A5077 Dispenser, Hand Sanitizer, Hands5Free 1 EA 45 45 C . . . . . .
C03E0 Cabinet, U/C/B, 1 Shelf, 1 Drawer, 2 DO, 36x30x22 1 EA 1,049 1,049 A . . . . . . 6530
CE030 Cabinet, W/H, 2 SH, 2 GDO, Sloping Top, 38x30x13 3 EA 839 2,517 A . . . . . . 6530
CS090 Sink, SS, Single Compartment, 7.5x19x16 ID 1 EA 953 953 A D . . . . . 6530
Project Room Contents (16 Dec 2013 01:37PM ET)
Privacy Act – FOR OFFICIAL USE ONLY (Page 25)
CT020 Countertop, Solid Surface 6 LF 176 1,056 A . . . . . . 6530
R4650 Ice Maker, Flaked, With Dispenser 1 EA 14,847 14,847 A B B . . . . 4110
Modify to R4650M 0 smaller countertop model
R6200 Refrigerator, U/C or F/S, 5 Cu Ft 1 EA 1,927 1,927 C . A . . . . 4110
Modify to R6200M 0 not to be used for medication.
U0007 Thermometer w/ Glykol Probe, battery powerd 1 EA 305 305 C . . . . . .
comment: for refrigerator R6200M
Total Content Costs for this Room: 22,699
Department: VA FREESTANDING (LEASE) OP DIALYSIS CENTER 5 28 Functional Area: PATIENT AREA Room Code: EXRG0 Room Area: 120 Agency Room Name: Exam Room Occupancy: 0 Criteria Room Name: Exam Room, VA Blueprint #:
JSN Content Name Qty Unit Of Issue
Unit Price Total Price Log Cat Util1 Util2 Util3 Util4 Util5 Util6 NSN
A1010 Telecommunication Outlet 2 EA 0 0 A . . . . . . 5805
A1012 Telephone, Wall Mounted, 1 Line 1 EA 0 0 A . . . . . . 5805
A1066 Mirror, Float Glass, With SS Frame 1 EA 86 86 A . . . . . . 7105
A1132 Rail, Accessory Mounting, Length As Required 1 LF 125 125 C . . . . . . 6530
A5075 Dispenser, Soap, Disposable 1 EA 17 17 C . . . . . . 4510
A5077 Dispenser, Hand Sanitizer, Hands5Free 1 EA 46 46 C . . . . . .
A5080 Dispenser, Paper Towel, SS, Surface Mounted 1 EA 89 89 A . . . . . . 4510
A5106 Waste Disposal Unit, Sharps w/Glove Dispenser 1 EA 73 73 C . . . . . . 6530
A5145 Hook, Garment, Double, SS, Surface Mounted 2 EA 32 64 A . . . . . . 5340007541678
A5180 Track, Cubicle, Surface Mounted, With Curtain 10 FT 7 70 A . . . . . . 6530
A6046 Artwork, Decorative, With Frame 1 EA 526 526 C . . . . . . 6230
E0117 Workstation, Straight, Free Standing, 48" W 1 EA 4,072 4,072 C . A . . . . 6530
E0948 Cart, General Storage, Mobile, 42"H x 32"W x 22"D 1 EA 1,174 1,174 C . . . . . . 6530
F0205 Chair, Side With Arms 1 EA 543 543 C . . . . . . 7110
F0280 Chair, Swivel, Low Back 1 EA 503 503 C . . . . . . 7110
F2010 Basket, Wastepaper, Step5On 1 EA 236 236 C . . . . . . 7240007883953
F3200 Clock, Battery, 12" Diameter 1 EA 49 49 C . . . . . . 6645
Project Room Contents (16 Dec 2013 01:37PM ET)
Privacy Act – FOR OFFICIAL USE ONLY (Page 26)
M1801 Computer, Microprocessing, w/Flat Panel Monitor 1 EA 1,509 1,509 C . A . . . . 7025
M3072 Frame, Infectious Waste Bag w/Lid 1 EA 300 300 C . . . . . . 7240
Comment: modify to M3072M, smaller model
M4100 Sphygmomanometer, Aneroid, Wall Mounted 1 EA 165 165 C . . . . . . 6520
Comment: detachable for use in other rooms
M4200 Otoscope/Ophthalmoscope, Wall Mounted 1 EA 1,572 1,572 C . A . . . . 6515
Comment: detachable for use in other rooms
M9035 Chair/Table, Exam/Treatment, Combination Unit 1 EA 9,310 9,310 C . A . . . . 7110LL0006217
P3100 Lavatory, Vitreous China, Slab Type 1 EA 498 498 A D . . . . . 4510
U0011 Signature Pad, Electronic, 1 EA 153 153 C . . . . . .
Total Content Costs for this Room: 21,180
Department: VA FREESTANDING (LEASE) OP DIALYSIS CENTER 5 28 Functional Area: PATIENT AREA Room Code: TLTU1 Room Area: 75 Agency Room Name: Toilet, Patient Occupancy: 0 Criteria Room Name: Toilet, Unisex Blueprint #:
JSN Content Name Qty Unit Of Issue
Unit Price Total Price Log Cat Util1 Util2 Util3 Util4 Util5 Util6 NSN
A1066 Mirror, Float Glass, With SS Frame 1 EA 86 86 A . . . . . . 7105
A5075 Dispenser, Soap, Disposable 1 EA 17 17 C . . . . . . 4510
A5080 Dispenser, Paper Towel, SS, Surface Mounted 1 EA 89 89 A . . . . . . 4510
A5090 Disposal, Sanitary Napkin, SS, Surface Mounted 1 EA 52 52 A . . . . . . 7240
A5109 Grab Bar, 151/4" Dia., SS, 2 Wall, W/C Accessible 1 EA 159 159 A . . . . . . 6530
A5145 Hook, Garment, Double, SS, Surface Mounted 1 EA 32 32 A . . . . . . 5340007541678
A5200 Dispenser, Toilet Tissue, SS, 25Roll, Surface Mntd 1 EA 45 45 A . . . . . . 4510007026934
F2010 Basket, Wastepaper, Step5On 1 EA 244 244 C . . . . . . 7240007883953
P3000 Lavatory, Vitreous China, Straight Back 1 EA 387 387 A D . . . . . 4510
U0009 Toilet, Bariatric, floor mounted 1 EA 5,187 5,187 A B . . . . .
Comment: provide either floor mounted or wall mounted toilet for patients with up to 500 lbs weight and sufficient structural support for the toilet.
Total Content Costs for this Room: 6,298
Project Room Contents (16 Dec 2013 01:37PM ET)
Privacy Act – FOR OFFICIAL USE ONLY (Page 27)
Department: VA FREESTANDING (LEASE) OP DIALYSIS CENTER 5 28 Functional Area: PATIENT AREA Room Code: TLTU1 Room Area: 60 Agency Room Name: Toilet, Patient Occupancy: 0 Criteria Room Name: Toilet, Unisex Blueprint #:
JSN Content Name Qty Unit Of Issue
Unit Price Total Price Log Cat Util1 Util2 Util3 Util4 Util5 Util6 NSN
A1066 Mirror, Float Glass, With SS Frame 1 EA 86 86 A . . . . . . 7105
A5075 Dispenser, Soap, Disposable 1 EA 17 17 C . . . . . . 4510
A5080 Dispenser, Paper Towel, SS, Surface Mounted 1 EA 89 89 A . . . . . . 4510
A5090 Disposal, Sanitary Napkin, SS, Surface Mounted 1 EA 52 52 A . . . . . . 7240
A5109 Grab Bar, 151/4" Dia., SS, 2 Wall, W/C Accessible 1 EA 159 159 A . . . . . . 6530
A5145 Hook, Garment, Double, SS, Surface Mounted 1 EA 32 32 A . . . . . . 5340007541678
A5200 Dispenser, Toilet Tissue, SS, 25Roll, Surface Mntd 1 EA 45 45 A . . . . . . 4510007026934
F2010 Basket, Wastepaper, Step5On 1 EA 244 244 C . . . . . . 7240007883953
P3000 Lavatory, Vitreous China, Straight Back 1 EA 387 387 A D . . . . . 4510
U0009 Toilet, Bariatric, floor mounted 1 EA 5,187 5,187 A B . . . . .
Comment: provide either floor mounted or wall mounted toilet for patients with up to 500 lbs weight and sufficient structural support for the toilet.
Total Content Costs for this Room: 6,298
Department: VA FREESTANDING (LEASE) OP DIALYSIS CENTER 5 28 Functional Area: PATIENT AREA Room Code: EXR11 Room Area: 60 Agency Room Name: In5Floor Scale Occupancy: 0 Criteria Room Name: Alcove, Height / Weight Blueprint #:
JSN Content Name Qty Unit Of Issue
Unit Price Total Price Log Cat Util1 Util2 Util3 Util4 Util5 Util6 NSN
A1180 Scale, Roll On, Built In, 2000 Pound Capacity 1 EA 5,000 5,000 A . A . . . . 6530
Modify to A1180M 0 flush mounted floor scale for wheelchair, chair and stand0on weighing, 800 lbs weight capacity, heavy duty hand rail for patient safety. Including rough0in frame, 100g accuracy and a flush or surface mounted computer enhanced readout.
A5070 Dispenser, Liquid Soap, SS, Surface Mounted 1 EA 58 58 A . . . . . . 4510
A5077 Dispenser, Hand Sanitizer, Hands5Free 1 EA 45 45 C . . . . . .
A5080 Dispenser, Paper Towel, SS, Surface Mounted 1 EA 86 86 A . . . . . . 4510
F3010 Board, Bulletin, 48 x 48 1 EA 119 119 A . . . . . . 7195
P3100 Lavatory, Vitreous China, Slab Type 1 EA 481 481 A D . . . . . 4510
Project Room Contents (16 Dec 2013 01:37PM ET)
Privacy Act – FOR OFFICIAL USE ONLY (Page 28)
Total Content Costs for this Room: 5,789
Department: VA FREESTANDING (LEASE) OP DIALYSIS CENTER 5 28 Functional Area: PATIENT AREA Room Code: SRLW1 Room Area: 120 Agency Room Name: Alcove, Wheelchair Occupancy: 0 Criteria Room Name: Storage Room/area, Litter/Wheelchair Blueprint #:
JSN Content Name Qty Unit Of Issue
Unit Price Total Price Log Cat Util1 Util2 Util3 Util4 Util5 Util6 NSN
M4705 Wheelchair, Patient Transport, Folding 2 EA 496 992 C . . . . . . 6530
Total Content Costs for this Room: 992
Department: VA FREESTANDING (LEASE) OP DIALYSIS CENTER 5 28 Functional Area: PATIENT AREA Room Code: RCA01 Room Area: 20 Agency Room Name: Alcove, Quick Response Cart Occupancy: 0 Criteria Room Name: Resuscitation Cart Alcove Blueprint #:
JSN Content Name Qty Unit Of Issue
Unit Price Total Price Log Cat Util1 Util2 Util3 Util4 Util5 Util6 NSN
M1100 Resuscitator, Bag5Mask, Hand Operated 1 EA 288 288 C . . . . . . 6515
M7665 Defibrillator/Monitor/Recorder Automatic 1 EA 3,448 3,448 C . A . . . . 6515
M7905 Oximeter, Pulse 1 EA 2,604 2,604 C . A . . . . 6515
M8770 Aspirator/Pressure Unit, General Purpose 1 EA 1,763 1,763 C . A . . . . 6515
U0012 Cart, Quick Response 1 EA 1,017 1,017 C . . . . . .
Total Content Costs for this Room: 9,120
Department: VA FREESTANDING (LEASE) OP DIALYSIS CENTER 5 28 Functional Area: PATIENT AREA Room Code: RCA01 Room Area: 20 Agency Room Name: Alcove, Quick Response Cart Occupancy: 0 Criteria Room Name: Resuscitation Cart Alcove Blueprint #:
JSN Content Name Qty Unit Of Issue
Unit Price Total Price Log Cat Util1 Util2 Util3 Util4 Util5 Util6 NSN
M1100 Resuscitator, Bag5Mask, Hand Operated 1 EA 288 288 C . . . . . . 6515
Project Room Contents (16 Dec 2013 01:37PM ET)
Privacy Act – FOR OFFICIAL USE ONLY (Page 29)
M7665 Defibrillator/Monitor/Recorder Automatic 1 EA 3,448 3,448 C . A . . . . 6515
M7905 Oximeter, Pulse 1 EA 2,604 2,604 C . A . . . . 6515
M8770 Aspirator/Pressure Unit, General Purpose 1 EA 1,763 1,763 C . A . . . . 6515
U0012 Cart, Quick Response 1 EA 1,017 1,017 C . . . . . .
Total Content Costs for this Room: 9,120
Department: VA FREESTANDING (LEASE) OP DIALYSIS CENTER 5 28 Functional Area: PATIENT AREA Room Code: RCA02 Room Area: 20 Agency Room Name: Alcove, Portable Lift Occupancy: 0 Criteria Room Name: Alcove, Equipment Blueprint #:
JSN Content Name Qty Unit Of Issue
Unit Price Total Price Log Cat Util1 Util2 Util3 Util4 Util5 Util6 NSN
A5077 Dispenser, Hand Sanitizer, Hands5Free 1 EA 45 45 C . . . . . .
M8080 Lift, Patient, Hydraulic, 350 Lb. Cap, Adj U5Base 1 EA 2,949 2,949 C . . . . . . 6530
comment: modify to M8080M Lift, Patient, powered, capacity TBD, Adjustable U0Base
Total Content Costs for this Room: 2,994
Department: VA FREESTANDING (LEASE) OP DIALYSIS CENTER 5 28 Functional Area: PATIENT AREA Room Code: RCA02 Room Area: 20 Agency Room Name: Alcove, Mobile Equipment Occupancy: 0 Criteria Room Name: Alcove, Equipment Blueprint #:
JSN Content Name Qty Unit Of Issue
Unit Price Total Price Log Cat Util1 Util2 Util3 Util4 Util5 Util6 NSN
E0945 Cart, Computer, Mobile 2 EA 1,893 3,786 C . . . . . . 6530
M1801 Computer, Microprocessing, w/Flat Panel Monitor 2 EA 1,457 2,914 C . A . . . . 7025
M4116 Monitor, Vital Signs 1 EA 2,387 2,387 C . A . . . . 6515
U0011 Signature Pad, Electronic, 2 EA 153 306 C . . . . . .
Total Content Costs for this Room: 9,393
Department: VA FREESTANDING (LEASE) OP DIALYSIS CENTER 5 28 Functional Area: PATIENT AREA
Project Room Contents (16 Dec 2013 01:37PM ET)
Privacy Act – FOR OFFICIAL USE ONLY (Page 30)
Room Code: RCA02 Room Area: 20 Agency Room Name: Alcove, Mobile Equipment Occupancy: 0 Criteria Room Name: Alcove, Equipment Blueprint #:
JSN Content Name Qty Unit Of Issue
Unit Price Total Price Log Cat Util1 Util2 Util3 Util4 Util5 Util6 NSN
E0945 Cart, Computer, Mobile 1 EA 1,893 1,893 C . . . . . . 6530
M1801 Computer, Microprocessing, w/Flat Panel Monitor 1 EA 1,457 1,457 C . A . . . . 7025
M4116 Monitor, Vital Signs 1 EA 2,387 2,387 C . A . . . . 6515
U0011 Signature Pad, Electronic, 1 EA 153 153 C . . . . . .
Total Content Costs for this Room: 5,890
Total Content Costs for this Functional Area: 959,174
Department: VA FREESTANDING (LEASE) OP DIALYSIS CENTER 5 28 Functional Area: SUPPORT AREA Room Code: RDWT1 Room Area: 345 Agency Room Name: Water Treatment / Dialysis Prep Room Occupancy: 0 Criteria Room Name: Renal Dialysis, Water Treatment Room Blueprint #:
JSN Content Name Qty Unit Of Issue
Unit Price Total Price Log Cat Util1 Util2 Util3 Util4 Util5 Util6 NSN
A1010 Telecommunication Outlet 1 EA 0 0 A . . . . . . 5805
A1019 Telephone, Wall Mounted, Multi5Line, Cordless 1 EA 0 0 A . . . . . . 5805
A5075 Dispenser, Soap, Disposable 1 EA 16 16 C . . . . . . 4510
A5080 Dispenser, Paper Towel, SS, Surface Mounted 1 EA 86 86 A . . . . . . 4510
E0120 Workstation, Straight, Free Standing, 60" W 1 EA 6,315 6,315 C . A . . . . 6530
F0230 Chair, Drafting, Rotary 1 EA 371 371 C . . . . . . 7110002814469
P2450 Valve, Mixing, Thermostatic 1 EA 2,643 2,643 A A . . . . . 6530
Modify to P2450M2 0 Thermostatic Mixing Valve for Shower, Safety, Freestanding with Eye/Face Wash
P3100 Lavatory, Vitreous China, Slab Type 1 EA 481 481 A D . . . . . 4510
P5210 Shower, Safety, Freestanding, With Eye/Face Wash 1 EA 909 909 A B . . . . . 4510
U0001 Direct Feed, RO Water 1 EA 152,550 152,550 C D G . . . .
U0002 Distribution System, Acid 1 EA 15,255 15,255 C . A . . . .
U0003 Pump, Drum / Barrel 1 EA 811 811 C . A . . . .
U0004 Meter, Chlorine, battery powered, Kit 3 EA 432 1,296 C . . . . . .
Project Room Contents (16 Dec 2013 01:37PM ET)
Privacy Act – FOR OFFICIAL USE ONLY (Page 31)
comment: qty (2) for low range and qty (1) for high range
U0005 Meter, Water Quality, Multi Parameters, Battery powered
2 EA 966 1,932 C . . . . . .
Total Content Costs for this Room: 182,665
Department: VA FREESTANDING (LEASE) OP DIALYSIS CENTER 5 28 Functional Area: SUPPORT AREA Room Code: MECH1 Room Area: 40 Agency Room Name: Water Heater Room Occupancy: 0 Criteria Room Name: Mechanical Rooms Blueprint #:
JSN Content Name Qty Unit Of Issue
Unit Price Total Price Log Cat Util1 Util2 Util3 Util4 Util5 Util6 NSN
A1000 Extinguisher, Fire 1 EA 112 112 C . . . . . . 5805
Total Content Costs for this Room: 112
Department: VA FREESTANDING (LEASE) OP DIALYSIS CENTER 5 28 Functional Area: SUPPORT AREA Room Code: MEDP1 Room Area: 90 Agency Room Name: Medication Preparation Room Occupancy: 0 Criteria Room Name: Medication Preparation Station Blueprint #:
JSN Content Name Qty Unit Of Issue
Unit Price Total Price Log Cat Util1 Util2 Util3 Util4 Util5 Util6 NSN
A1010 Telecommunication Outlet 3 EA 0 0 A . . . . . . 5805
A1014 Telephone, Wall Mounted, 1 Line, With Speaker 1 EA 0 0 A . . . . . . 5805
A5075 Dispenser, Soap, Disposable 1 EA 17 17 C . . . . . . 4510
A5077 Dispenser, Hand Sanitizer, Hands5Free 1 EA 46 46 C . . . . . .
A5080 Dispenser, Paper Towel, SS, Surface Mounted 1 EA 89 89 A . . . . . . 4510
A5106 Waste Disposal Unit, Sharps w/Glove Dispenser 1 EA 73 73 C . . . . . . 6530
C03H0 Cabinet, U/C/B, 2 Half Drawers, 3 DR, 36x30x22 1 EA 1,342 1,342 A . . . . . . 6530
C03J0 Cabinet, U/C/B, 8 Half Drawers, 36x30x22 1 EA 1,464 1,464 A . . . . . . 6530
C03P0 Cabinet, Sink, U/C/B, 2 Door, 30" W 1 EA 804 804 A . . . . . . 6530
CE030 Cabinet, W/H, 2 SH, 2 GDO, Sloping Top, 38x30x13 2 EA 869 1,738 A . . . . . . 6530
CS090 Sink, SS, Single Compartment, 7.5x19x16 ID 1 EA 987 987 A D . . . . . 6530
Project Room Contents (16 Dec 2013 01:37PM ET)
Privacy Act – FOR OFFICIAL USE ONLY (Page 32)
CT020 Countertop, Solid Surface 10 LF 176 1,760 A . . . . . . 6530
E0930 Locker, Supply, 6 Drawers, Mobile, 29"W x 20"D 2 EA 3,118 6,236 C . . . . . . 6530
F2010 Basket, Wastepaper, Step5On 1 EA 35 35 C . . . . . . 7240007883953
R6200 Refrigerator, U/C or F/S, 5 Cu Ft 1 EA 1,995 1,995 C . A . . . . 4110
Remote Temperature monitoring to be included in Refrigerator
Total Content Costs for this Room: 16,586
Department: VA FREESTANDING (LEASE) OP DIALYSIS CENTER 5 28 Functional Area: SUPPORT AREA Room Code: LBSP1 Room Area: 90 Agency Room Name: Laboratory, Biochemistry Occupancy: 0 Criteria Room Name: Laboratory, Satellite Blueprint #:
JSN Content Name Qty Unit Of Issue
Unit Price Total Price Log Cat Util1 Util2 Util3 Util4 Util5 Util6 NSN
A1010 Telecommunication Outlet 3 EA 0 0 A . . . . . . 5805
A1014 Telephone, Wall Mounted, 1 Line, With Speaker 1 EA 0 0 A . . . . . . 5805
A5075 Dispenser, Soap, Disposable 1 EA 17 17 C . . . . . . 4510
A5077 Dispenser, Hand Sanitizer, Hands5Free 1 EA 46 46 C . . . . . .
A5080 Dispenser, Paper Towel, SS, Surface Mounted 1 EA 89 89 A . . . . . . 4510
A5106 Waste Disposal Unit, Sharps w/Glove Dispenser 1 EA 73 73 C . . . . . . 6530
A5145 Hook, Garment, Double, SS, Surface Mounted 1 EA 31 31 A . . . . . . 5340007541678
C03H0 Cabinet, U/C/B, 2 Half Drawers, 3 DR, 36x30x22 1 EA 1,342 1,342 A . . . . . . 6530
C03J0 Cabinet, U/C/B, 8 Half Drawers, 36x30x22 1 EA 1,464 1,464 A . . . . . . 6530
C03P0 Cabinet, Sink, U/C/B, 2 Door, 30" W 1 EA 804 804 A . . . . . . 6530
CE030 Cabinet, W/H, 2 SH, 2 GDO, Sloping Top, 38x30x13 2 EA 869 1,738 A . . . . . . 6530
CS090 Sink, SS, Single Compartment, 7.5x19x16 ID 1 EA 987 987 A D . . . . . 6530
CT020 Countertop, Solid Surface 10 LF 176 1,760 A . . . . . . 6530
F2010 Basket, Wastepaper, Step5On 1 EA 35 35 C . . . . . . 7240007883953
F3200 Clock, Battery, 12" Diameter 1 EA 49 49 C . . . . . . 6645
L1350 Centrifuge, Table, Small, 3200 RPM, 6 Place 2 EA 2,759 5,518 C . A . . . . 6640004129450
M2070 Shelving, Storage, 77hx36wx18d 2 EA 215 430 C . . . . . . 7100
P1965 Eyewash, Eye/Face, Sink Mounted, Hands5free 1 EA 571 571 A A . . . . . 4510
Project Room Contents (16 Dec 2013 01:37PM ET)
Privacy Act – FOR OFFICIAL USE ONLY (Page 33)
P2450 Valve, Mixing, Thermostatic 1 EA 2,643 2,643 A A . . . . . 6530
modify to P2450M 0 mixing valve for emergency eyewash station
U0006 Glucometer, handheld, battery powered 1 EA 585 585 C . . . . . .
U0007 Thermometer w/ Glykol Probe, battery powerd 1 EA 61 61 C . . . . . .
comment: for U0013 Refrigerator/Freezer combination
U0013 Refrigerator, UC, Scientific, w/freezer compartment 1 EA 1,200 1,200 C . A . . . .
Total Content Costs for this Room: 19,443
Department: VA FREESTANDING (LEASE) OP DIALYSIS CENTER 5 28 Functional Area: SUPPORT AREA Room Code: BMER1 Room Area: 180 Agency Room Name: Biomed Engineering Occupancy: 0 Criteria Room Name: Biomedical, Electronic Repair Blueprint #:
JSN Content Name Qty Unit Of Issue
Unit Price Total Price Log Cat Util1 Util2 Util3 Util4 Util5 Util6 NSN
A1010 Telecommunication Outlet 1 EA 0 0 A . . . . . . 5805
A1011 Telephone, Desk, 1 Line 1 EA 0 0 A . . . . . . 5805
C03G0 Cabinet, U/C/B, 2 Shelf, 2 Door, 36x30x22 1 EA 794 794 A . . . . . . 6530
C03P0 Cabinet, Sink, U/C/B, 2 Door, 30" W 1 EA 777 777 A . . . . . . 6530
CD030 Cabinet, W/H, 2 Shelf, 2 DO, Sloping Top, 38x30x13 2 EA 1,020 2,040 A . . . . . . 6530
CS140 Sink, SS, Single Compartment, 10x14x16 ID 1 EA 1,025 1,025 A D . . . . . 6530
CT020 Countertop, Solid Surface 6 LF 176 1,056 A . . . . . . 6530
E0120 Workstation, Straight, Free Standing, 60" W 1 EA 6,315 6,315 C . A . . . . 6530
F0230 Chair, Drafting, Rotary 1 EA 371 371 C . . . . . . 7110002814469
F2000 Basket, Wastepaper, Round, Metal 1 EA 25 25 C . . . . . . 7520002051857
Total Content Costs for this Room: 12,403
Department: VA FREESTANDING (LEASE) OP DIALYSIS CENTER 5 28 Functional Area: SUPPORT AREA Room Code: USCL1 Room Area: 90 Agency Room Name: Utility Room, Soiled Occupancy: 0 Criteria Room Name: Utility, Soiled Blueprint #:
Project Room Contents (16 Dec 2013 01:37PM ET)
Privacy Act – FOR OFFICIAL USE ONLY (Page 34)
JSN Content Name Qty Unit Of Issue
Unit Price Total Price Log Cat Util1 Util2 Util3 Util4 Util5 Util6 NSN
A5075 Dispenser, Soap, Disposable 1 EA 17 17 C . . . . . . 4510
A5077 Dispenser, Hand Sanitizer, Hands5Free 1 EA 45 45 C . . . . . .
A5080 Dispenser, Paper Towel, SS, Surface Mounted 1 EA 89 89 A . . . . . . 4510
A5106 Waste Disposal Unit, Sharps w/Glove Dispenser 1 EA 73 73 C . . . . . . 6530
F0510 Cart, Linen, Soiled 1 EA 1,903 1,903 C . . . . . . 7100
F2020 Can, Trash, 44 Gallon 1 EA 152 152 C . . . . . . 7100
M3070 Hamper, Linen, Mobile, w/Lid 1 EA 545 545 C . . . . . . 7240
M3072 Frame, Infectious Waste Bag w/Lid 1 EA 444 444 C . . . . . . 7240
P3100 Lavatory, Vitreous China, Slab Type 1 EA 481 481 A D . . . . . 4510
P6350 Sink, Flushing Rim, China 1 EA 1,913 1,913 A D . . . . . 5410
U0010 Rack, dunnage 2 EA 203 406 C . . . . . .
Total Content Costs for this Room: 6,068
Department: VA FREESTANDING (LEASE) OP DIALYSIS CENTER 5 28 Functional Area: SUPPORT AREA Room Code: UCCL1 Room Area: 110 Agency Room Name: Utility Room, Clean Occupancy: 0 Criteria Room Name: Utility, Clean Blueprint #:
JSN Content Name Qty Unit Of Issue
Unit Price Total Price Log Cat Util1 Util2 Util3 Util4 Util5 Util6 NSN
F0515 Cart, Supply, Linen 2 EA 2,215 4,430 C . . . . . . 7100
F2000 Basket, Wastepaper, Round, Metal 1 EA 25 25 C . . . . . . 7520002051857
M2025 Rack, Storage, Cylinder, Gas 2 EA 488 976 A . . . . . . 7125
M2055 Shelving, Storage, Wire, CRS, w/Adjustable Shelves 2 EA 874 1,748 C . . . . . . 7100
M2115 Truck, Hand, 2 Wheel 1 EA 154 154 C . . . . . . 3920
U0010 Rack, dunnage 2 EA 203 406 C . . . . . .
Total Content Costs for this Room: 7,739
Department: VA FREESTANDING (LEASE) OP DIALYSIS CENTER 5 28 Functional Area: SUPPORT AREA Room Code: SRE01 Room Area: 180
Project Room Contents (16 Dec 2013 01:37PM ET)
Privacy Act – FOR OFFICIAL USE ONLY (Page 35)
Agency Room Name: Storage, Equipment Occupancy: 0 Criteria Room Name: Storage Room, Equipment Blueprint #:
JSN Content Name Qty Unit Of Issue
Unit Price Total Price Log Cat Util1 Util2 Util3 Util4 Util5 Util6 NSN
A5108 Waste Disposal Unit, Sharps 7 CS 207 1,449 C . . . . . . 6530
Comment: for use in treatment area
F2010 Basket, Wastepaper, Step5On 7 EA 35 245 C . . . . . . 7240007883953
Comment: for use in treatment area
M1715 Hemodialysis Unit, Hollow Fiber or Plate 7 EA 19,493 136,451 C E A . . . . 6515
M3072 Frame, Infectious Waste Bag w/Lid 7 EA 429 3,003 C . . . . . . 7240
Comment: for use in treatment area
M4645 Patient Transfer Device 1 EA 762 762 C . . . . . . 6515
Total Content Costs for this Room: 141,910
Department: VA FREESTANDING (LEASE) OP DIALYSIS CENTER 5 28 Functional Area: SUPPORT AREA Room Code: SRS01 Room Area: 500 Agency Room Name: Storage, Supplies Occupancy: 0 Criteria Room Name: Storage Room, Shelving Blueprint #:
JSN Content Name Qty Unit Of Issue
Unit Price Total Price Log Cat Util1 Util2 Util3 Util4 Util5 Util6 NSN
M2035 Rack, Storage, Mobile, Wire, CRS 20 EA 577 11,540 C . . . . . . 6530
comment: length of the shelving can deviate to best accommodate the room layout
M2055 Shelving, Storage, Wire, CRS, w/Adjustable Shelves 15 EA 833 12,495 C . . . . . . 7100
comment: length of the shelving can deviate to best accommodate the room layout
U0014 Track Set, for OH support of Wire shelving 32 FT 51 1,632 C . . . . . .
Total Content Costs for this Room: 25,667
Department: VA FREESTANDING (LEASE) OP DIALYSIS CENTER 5 28 Functional Area: SUPPORT AREA Room Code: JANC1 Room Area: 60 Agency Room Name: Housekeeping Aides Closet 55 HAC Occupancy: 0 Criteria Room Name: Janitors Closet Blueprint #:
Project Room Contents (16 Dec 2013 01:37PM ET)
Privacy Act – FOR OFFICIAL USE ONLY (Page 36)
JSN Content Name Qty Unit Of Issue
Unit Price Total Price Log Cat Util1 Util2 Util3 Util4 Util5 Util6 NSN
A5135 Shelf, Utility W/ Mop/Broom Holders, SS, Surf Mntd 1 EA 301 301 A . . . . . . 7125
F0505 Bucket, Mop, With Wringer, 26 Quart 1 EA 120 120 C . . . . . . 7100
M2600 Vacuum, Wet/Dry, HEPA Filtration 1 EA 2,773 2,773 C . A . . . . 7910
P4700 Sink, Mop, Molded Stone 1 EA 622 622 A D . . . . . 4510
Total Content Costs for this Room: 3,816
Total Content Costs for this Functional Area: 416,409
Department: VA FREESTANDING (LEASE) OP DIALYSIS CENTER 5 28 Functional Area: STAFF AND ADMINISTRATION AREA Room Code: OFA04 Room Area: 140 Agency Room Name: Office, Physician Occupancy: 1 Criteria Room Name: Office, Private Blueprint #:
JSN Content Name Qty Unit Of Issue
Unit Price Total Price Log Cat Util1 Util2 Util3 Util4 Util5 Util6 NSN
A1010 Telecommunication Outlet 4 EA 0 0 A . . . . . . 5805
A1016 Telephone, Desk, With Speaker 1 EA 0 0 A . . . . . . 5805
A5145 Hook, Garment, Double, SS, Surface Mounted 1 EA 31 31 A . . . . . . 5340007541678
E0078 Workstation, L5Shaped w/Peninsula, Free Std, 78x72 1 EA 7,385 7,385 C . A . . . . 6530
F0110 Bookcase, 3 Shelf 1 EA 426 426 C . . . . . . 7110
F0205 Chair, Side With Arms 1 EA 543 543 C . . . . . . 7110
F0275 Chair, Swivel, High Back 1 EA 626 626 C . . . . . . 7110
F0420 Cabinet, Filing, Lateral, Half Height 1 EA 572 572 C . . . . . . 7110
F2000 Basket, Wastepaper, Round, Metal 1 EA 24 24 C . . . . . . 7520002051857
M1801 Computer, Microprocessing, w/Flat Panel Monitor 1 EA 1,457 1,457 C . A . . . . 7025
M1825 Printer, Computer 1 EA 796 796 C . A . . . . 7025
Total Content Costs for this Room: 11,860
Department: VA FREESTANDING (LEASE) OP DIALYSIS CENTER 5 28 Functional Area: STAFF AND ADMINISTRATION AREA Room Code: OFA04 Room Area: 120 Agency Room Name: Office, Physician Occupancy: 1
Project Room Contents (16 Dec 2013 01:37PM ET)
Privacy Act – FOR OFFICIAL USE ONLY (Page 37)
Criteria Room Name: Office, Private Blueprint #:
JSN Content Name Qty Unit Of Issue
Unit Price Total Price Log Cat Util1 Util2 Util3 Util4 Util5 Util6 NSN
A1010 Telecommunication Outlet 4 EA 0 0 A . . . . . . 5805
A1016 Telephone, Desk, With Speaker 1 EA 0 0 A . . . . . . 5805
A5145 Hook, Garment, Double, SS, Surface Mounted 1 EA 31 31 A . . . . . . 5340007541678
E0078 Workstation, L5Shaped w/Peninsula, Free Std, 78x72 1 EA 7,385 7,385 C . A . . . . 6530
F0110 Bookcase, 3 Shelf 1 EA 426 426 C . . . . . . 7110
F0205 Chair, Side With Arms 1 EA 543 543 C . . . . . . 7110
F0275 Chair, Swivel, High Back 1 EA 626 626 C . . . . . . 7110
F0420 Cabinet, Filing, Lateral, Half Height 1 EA 572 572 C . . . . . . 7110
F2000 Basket, Wastepaper, Round, Metal 1 EA 24 24 C . . . . . . 7520002051857
M1801 Computer, Microprocessing, w/Flat Panel Monitor 1 EA 1,457 1,457 C . A . . . . 7025
M1825 Printer, Computer 1 EA 796 796 C . A . . . . 7025
Total Content Costs for this Room: 11,860
Department: VA FREESTANDING (LEASE) OP DIALYSIS CENTER 5 28 Functional Area: STAFF AND ADMINISTRATION AREA Room Code: OFA04 Room Area: 120 Agency Room Name: Office, Nurse Manager Occupancy: 1 Criteria Room Name: Office, Private Blueprint #:
JSN Content Name Qty Unit Of Issue
Unit Price Total Price Log Cat Util1 Util2 Util3 Util4 Util5 Util6 NSN
A1010 Telecommunication Outlet 4 EA 0 0 A . . . . . . 5805
A1016 Telephone, Desk, With Speaker 1 EA 0 0 A . . . . . . 5805
A5145 Hook, Garment, Double, SS, Surface Mounted 1 EA 31 31 A . . . . . . 5340007541678
E0078 Workstation, L5Shaped w/Peninsula, Free Std, 78x72 1 EA 7,385 7,385 C . A . . . . 6530
F0110 Bookcase, 3 Shelf 1 EA 426 426 C . . . . . . 7110
F0205 Chair, Side With Arms 1 EA 543 543 C . . . . . . 7110
F0275 Chair, Swivel, High Back 1 EA 626 626 C . . . . . . 7110
F0420 Cabinet, Filing, Lateral, Half Height 1 EA 572 572 C . . . . . . 7110
F2000 Basket, Wastepaper, Round, Metal 1 EA 24 24 C . . . . . . 7520002051857
Project Room Contents (16 Dec 2013 01:37PM ET)
Privacy Act – FOR OFFICIAL USE ONLY (Page 38)
M1801 Computer, Microprocessing, w/Flat Panel Monitor 1 EA 1,457 1,457 C . A . . . . 7025
M1825 Printer, Computer 1 EA 796 796 C . A . . . . 7025
Total Content Costs for this Room: 11,860
Department: VA FREESTANDING (LEASE) OP DIALYSIS CENTER 5 28 Functional Area: STAFF AND ADMINISTRATION AREA Room Code: OFA04 Room Area: 120 Agency Room Name: Office, Dietitian Occupancy: 1 Criteria Room Name: Office, Private Blueprint #:
JSN Content Name Qty Unit Of Issue
Unit Price Total Price Log Cat Util1 Util2 Util3 Util4 Util5 Util6 NSN
A1010 Telecommunication Outlet 4 EA 0 0 A . . . . . . 5805
A1016 Telephone, Desk, With Speaker 1 EA 0 0 A . . . . . . 5805
A5145 Hook, Garment, Double, SS, Surface Mounted 1 EA 31 31 A . . . . . . 5340007541678
E0078 Workstation, L5Shaped w/Peninsula, Free Std, 78x72 1 EA 7,385 7,385 C . A . . . . 6530
F0110 Bookcase, 3 Shelf 1 EA 426 426 C . . . . . . 7110
F0205 Chair, Side With Arms 1 EA 543 543 C . . . . . . 7110
F0275 Chair, Swivel, High Back 1 EA 626 626 C . . . . . . 7110
F0420 Cabinet, Filing, Lateral, Half Height 1 EA 572 572 C . . . . . . 7110
F2000 Basket, Wastepaper, Round, Metal 1 EA 24 24 C . . . . . . 7520002051857
M1801 Computer, Microprocessing, w/Flat Panel Monitor 1 EA 1,457 1,457 C . A . . . . 7025
M1825 Printer, Computer 1 EA 796 796 C . A . . . . 7025
Total Content Costs for this Room: 11,860
Department: VA FREESTANDING (LEASE) OP DIALYSIS CENTER 5 28 Functional Area: STAFF AND ADMINISTRATION AREA Room Code: OFA04 Room Area: 120 Agency Room Name: Office, Social Worker Occupancy: 1 Criteria Room Name: Office, Private Blueprint #:
JSN Content Name Qty Unit Of Issue
Unit Price Total Price Log Cat Util1 Util2 Util3 Util4 Util5 Util6 NSN
A1010 Telecommunication Outlet 4 EA 0 0 A . . . . . . 5805
A1016 Telephone, Desk, With Speaker 1 EA 0 0 A . . . . . . 5805
Project Room Contents (16 Dec 2013 01:37PM ET)
Privacy Act – FOR OFFICIAL USE ONLY (Page 39)
A5145 Hook, Garment, Double, SS, Surface Mounted 1 EA 31 31 A . . . . . . 5340007541678
E0078 Workstation, L5Shaped w/Peninsula, Free Std, 78x72 1 EA 7,385 7,385 C . A . . . . 6530
F0110 Bookcase, 3 Shelf 1 EA 426 426 C . . . . . . 7110
F0205 Chair, Side With Arms 1 EA 543 543 C . . . . . . 7110
F0275 Chair, Swivel, High Back 1 EA 626 626 C . . . . . . 7110
F0420 Cabinet, Filing, Lateral, Half Height 1 EA 572 572 C . . . . . . 7110
F2000 Basket, Wastepaper, Round, Metal 1 EA 24 24 C . . . . . . 7520002051857
M1801 Computer, Microprocessing, w/Flat Panel Monitor 1 EA 1,457 1,457 C . A . . . . 7025
M1825 Printer, Computer 1 EA 796 796 C . A . . . . 7025
Total Content Costs for this Room: 11,860
Department: VA FREESTANDING (LEASE) OP DIALYSIS CENTER 5 28 Functional Area: STAFF AND ADMINISTRATION AREA Room Code: CLR01 Room Area: 300 Agency Room Name: Classroom / Conference Room Occupancy: 0 Criteria Room Name: Classroom, Table w/chair Blueprint #:
JSN Content Name Qty Unit Of Issue
Unit Price Total Price Log Cat Util1 Util2 Util3 Util4 Util5 Util6 NSN
A1010 Telecommunication Outlet 4 EA 0 0 A . . . . . . 5805
A1011 Telephone, Desk, 1 Line 1 EA 0 0 A . . . . . . 5805
A5145 Hook, Garment, Double, SS, Surface Mounted 1 EA 32 32 A . . . . . . 5340007541678
E0117 Workstation, Straight, Free Standing, 48" W 1 EA 4,072 4,072 C . A . . . . 6530
F0220 Chair, Conference 12 EA 545 6,540 C . . . . . . 7110
F0465 Cabinet, Storage, 2 Door, 5 Shelf 1 EA 662 662 C . . . . . . 7100
F0780 Table, Work, 60W x 30D 5 EA 505 2,525 C . . . . . . 7110
F2000 Basket, Wastepaper, Round, Metal 1 EA 25 25 C . . . . . . 7520002051857
F3060 Whiteboard, Projection Screen Combination 1 EA 566 566 A . . . . . . 6730
F3200 Clock, Battery, 12" Diameter 1 EA 49 49 C . . . . . . 6645
M0507 Video Teleconferencing System 1 EA 20,805 20,805 C . A . . . . 7730
comment: on mobile cart, includes wall mounted TV
M1801 Computer, Microprocessing, w/Flat Panel Monitor 1 EA 1,509 1,509 C . A . . . . 7025
Total Content Costs for this Room: 36,785
Project Room Contents (16 Dec 2013 01:37PM ET)
Privacy Act – FOR OFFICIAL USE ONLY (Page 40)
Department: VA FREESTANDING (LEASE) OP DIALYSIS CENTER 5 28 Functional Area: STAFF AND ADMINISTRATION AREA Room Code: SL001 Room Area: 190 Agency Room Name: Lounge, Staff Occupancy: 0 Criteria Room Name: Staff Lounge Blueprint #:
JSN Content Name Qty Unit Of Issue
Unit Price Total Price Log Cat Util1 Util2 Util3 Util4 Util5 Util6 NSN
A1010 Telecommunication Outlet 1 EA 0 0 A . . . . . . 5805
A1012 Telephone, Wall Mounted, 1 Line 1 EA 0 0 A . . . . . . 5805
A5075 Dispenser, Soap, Disposable 1 EA 17 17 C . . . . . . 4510
A5080 Dispenser, Paper Towel, SS, Surface Mounted 1 EA 89 89 A . . . . . . 4510
A5145 Hook, Garment, Double, SS, Surface Mounted 1 EA 32 32 A . . . . . . 5340007541678
C02C0 Cabinet, U/C/B, 1 Shelf, 1 Drawer, 1 DO, 36x24x22 1 EA 875 875 A . . . . . . 6530
C02D0 Cabinet, U/C/B, 4 Drawer, 36x24x22 1 EA 1,052 1,052 A . . . . . . 6530
C04P0 Cabinet, Sink, U/C/B, 2 Door, 36x36x22 1 EA 861 861 A . . . . . . 6530
CB020 Cabinet, W/H, 2 Shelf, 1 DO, Sloping Top, 38x24x13 2 EA 737 1,474 A . . . . . . 6530
CS010 Sink, SS, Single Compartment, 7.5x12x12 ID 1 EA 875 875 A D . . . . . 6530
CT020 Countertop, Solid Surface 7 LF 176 1,232 A . . . . . . 6530
F0225 Chair, Dining Room 8 EA 260 2,080 C . . . . . . 7110
F0795 Table, Dining 2 EA 580 1,160 C . . . . . . 7110
F2000 Basket, Wastepaper, Round, Metal 1 EA 25 25 C . . . . . . 7520002051857
F3025 Board, Bulletin, Wood Framed 1 EA 60 60 A . . . . . . 7195
F3200 Clock, Battery, 12" Diameter 1 EA 49 49 C . . . . . . 6645
R7000 Refrigerator, 14 Cubic Feet 1 EA 673 673 C . A . . . . 4110
Total Content Costs for this Room: 10,554
Department: VA FREESTANDING (LEASE) OP DIALYSIS CENTER 5 28 Functional Area: STAFF AND ADMINISTRATION AREA Room Code: LR002 Room Area: 50 Agency Room Name: Lockers, Staff Occupancy: 0 Criteria Room Name: Locker Room, Changing Blueprint #:
JSN Content Name Qty Unit Of Issue
Unit Price Total Price Log Cat Util1 Util2 Util3 Util4 Util5 Util6 NSN
A1030 Locker, 2 Person, Over/Under 10 EA 285 2,850 C . . . . . . 7125
Project Room Contents (16 Dec 2013 01:37PM ET)
Privacy Act – FOR OFFICIAL USE ONLY (Page 41)
Total Content Costs for this Room: 2,850
Department: VA FREESTANDING (LEASE) OP DIALYSIS CENTER 5 28 Functional Area: STAFF AND ADMINISTRATION AREA Room Code: TLTU1 Room Area: 60 Agency Room Name: Toilet, Staff Occupancy: 0 Criteria Room Name: Toilet, Unisex Blueprint #:
JSN Content Name Qty Unit Of Issue
Unit Price Total Price Log Cat Util1 Util2 Util3 Util4 Util5 Util6 NSN
A1066 Mirror, Float Glass, With SS Frame 1 EA 86 86 A . . . . . . 7105
A5075 Dispenser, Soap, Disposable 1 EA 17 17 C . . . . . . 4510
A5080 Dispenser, Paper Towel, SS, Surface Mounted 1 EA 89 89 A . . . . . . 4510
A5090 Disposal, Sanitary Napkin, SS, Surface Mounted 1 EA 52 52 A . . . . . . 7240
A5109 Grab Bar, 151/4" Dia., SS, 2 Wall, W/C Accessible 1 EA 159 159 A . . . . . . 6530
A5145 Hook, Garment, Double, SS, Surface Mounted 1 EA 32 32 A . . . . . . 5340007541678
A5200 Dispenser, Toilet Tissue, SS, 25Roll, Surface Mntd 1 EA 45 45 A . . . . . . 4510007026934
F2010 Basket, Wastepaper, Step5On 1 EA 35 35 C . . . . . . 7240007883953
P3000 Lavatory, Vitreous China, Straight Back 1 EA 387 387 A D . . . . . 4510
P9050 Toilet, Wall Hung, Siphon Jet 1 EA 797 797 A B . . . . . 4510
Total Content Costs for this Room: 1,699
Department: VA FREESTANDING (LEASE) OP DIALYSIS CENTER 5 28 Functional Area: STAFF AND ADMINISTRATION AREA Room Code: TLTU1 Room Area: 60 Agency Room Name: Toilet, Staff Occupancy: 0 Criteria Room Name: Toilet, Unisex Blueprint #:
JSN Content Name Qty Unit Of Issue
Unit Price Total Price Log Cat Util1 Util2 Util3 Util4 Util5 Util6 NSN
A1066 Mirror, Float Glass, With SS Frame 1 EA 86 86 A . . . . . . 7105
A5075 Dispenser, Soap, Disposable 1 EA 17 17 C . . . . . . 4510
A5080 Dispenser, Paper Towel, SS, Surface Mounted 1 EA 89 89 A . . . . . . 4510
A5090 Disposal, Sanitary Napkin, SS, Surface Mounted 1 EA 52 52 A . . . . . . 7240
A5109 Grab Bar, 151/4" Dia., SS, 2 Wall, W/C Accessible 1 EA 159 159 A . . . . . . 6530
Project Room Contents (16 Dec 2013 01:37PM ET)
Privacy Act – FOR OFFICIAL USE ONLY (Page 42)
A5145 Hook, Garment, Double, SS, Surface Mounted 1 EA 32 32 A . . . . . . 5340007541678
A5200 Dispenser, Toilet Tissue, SS, 25Roll, Surface Mntd 1 EA 45 45 A . . . . . . 4510007026934
F2010 Basket, Wastepaper, Step5On 1 EA 35 35 C . . . . . . 7240007883953
P3000 Lavatory, Vitreous China, Straight Back 1 EA 387 387 A D . . . . . 4510
P9050 Toilet, Wall Hung, Siphon Jet 1 EA 797 797 A B . . . . . 4510
Total Content Costs for this Room: 1,699
Total Content Costs for this Functional Area: 112,887
Total Content Costs for this Department: 1,527,968
Project Room Contents (16 Dec 2013 01:37PM ET)
Privacy Act – FOR OFFICIAL USE ONLY (Page 43)
Department Contents Cost Summary
Department Total Contents Cost
1 5 VA FREESTANDING (LEASE) OP DIALYSIS CENTER 5 28 1,527,968
Facility Totals: 1,527,968
Project Room Contents (16 Dec 2013 01:37PM ET)
Privacy Act – FOR OFFICIAL USE ONLY (Page 44)
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