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FY2013-23 Providence Health & Services Long-Term Care Center Lease AgreementOct 0313 04:20p PKIMC Admin 9074862336 „1 of t 0 LEASE AMENDMENT NO. i THE KODIAK ISLAND BOROUGH, ALASKA, a municipal corporation, organized and existing under the laws of the State of Alaska, hereinafter referred to as "KIB," whose address is 710 Mill Bay Road, Kodiak, Alaska 99615, and PROVIDENCE HEALTH & SERVICES - WASHINGTON d/b/a PROVIDENCE HEALTH & SERVICES IN ALASKA, whose address is 3200 Providence Drive, Anchorage, Alaska 99519, hereinafter referred to as "Providence," wish to amend that certain Long -Term Care Center Lease Agreement executed March 4, 2013, made between KIB and Providence (the "Original Lease"), as follows: Section 1: The definition of "Date of Possession" in Section 2 is deleted and replaced with the following: "Date of Possession" means the date of issuance of a temporary certificate of occupancy by the City of Kodiak or such date a temporary certificate of occupancy would have been issued but for any delays in purchasing, ordering, and installing the FF&E items in Exhibit C-2. The Date of Possession shall be no later than March 31, 2014, in accordance with Section 7.] (A). KIB will retain rights of access to allow its contractor to complete all construction in the manner and subject to the terms and conditions described in Section 7.1(C). All work by KIB, through its contractor, is expected to be complete by September 30, 2014. Section 2: Section 3.2 is hereby deleted and replaced with the following: 3.2 FF&E: Providence has identified fixtures, furniture, and equipment necessary to the operation of the Long -Term Care Center with a total cost of no greater than 51,451,010 (the "FF&E Amount"). The FF&E Amount will include the purchase price, freight, shipping insurance, labor to install. Exhibit C consists of two lists as follows: A. As to the items of fixtures. furniture, and equipment identified in Exhibit C-1, KIB shall be responsible to purchase, order, procure, and install such items in a commercially reasonable manner, however, KIB shall not be responsible for the delay in installing any such items in the Long -Term Care Center after March 31, 2014, if KIB has ordered, procured, and installed such items in a commercially reasonable manner, but was not provided with the description of such item by Providence in sufficient time to order, procure, and install such items in the Long -Term Care Center in a commercially reasonable manner by March 31, 2014. The total cost to KIB shall not exceed S 1,0 12,13 9.60. B. As to the items of fixtures, furniture, and equipment identified in Exhibit C-2, Providence shall be responsible to purchase, order, procure, and install such items in a commercially reasonable manner on or before March 31, 2014. The cost to Providence for the FF&E items listed in Exhibit C-2 is estimated to be $438,870.40. The lists of fixtures, furniture, and equipment attached as Exhibit C hereto replace the list previously provided by Providence in March 2013. ! 1' Ti Admin • 0 : • .666 Section 3: A new Section 7.1(D) is added as follows: D. Except as to the last sentence hereof, as used in this Section 7.1(D), Providence refers to Providence and its contractors and contractors' subcontractors. To the extent Providence desires to come onto the Premises prior to the Date of Possession to install the FF&L- described in Exhibit C-2, Providence will coordinate its access and activities with KIB and KIB's contractor. KIB and its contractors shall provide Providence and its contractors with reasonable access to complete its installation of FF&E described in Exhibit C-2. Providence shall act in good faith to not do or permit anything to be done in or about the Premises which will unreasonably obstruct or interfere with KIB's contractor. Providence shall not cause, commit, or maintain or permit any nuisance or waste in, on, or about the Premises. Providence shall not use the Premises in uny manner that would materially adversely affect or unreasonably interfere with any KIB's construction. If KIB determines that any employee or contractor of Providence has failed or refused to conduct its or his/her activities in accordance with the foregoing, KIB may require that Providence take immediate action to assure the situation is promptly remedied or cease to assign that person to the Premises. Providence shall provide in any contract with a contractor related to the Long -Term Care Center that the foregoing requirements be adhered to. Section 4: Article 16 is amended as follows: 16.1(B). Amended to add 51,000,000 Products and Completed Operations to the General Commercial Liability policy. 16.1(D). Workers' Compensation Insurance: Providence shall procure and maintain during the life of this contract. Workers' Compensation Insurance in accordance with all applicable statutes of the State of Alaska, including $2,500,000 Employers' Liability Coverage. 16.1(F). Providence shall require any contractor it uses to acquire and install items listed in Exhibit C-2 of this Lease Amendment No. 1, to provide KIB proof of a State of Alaska Business License along with the following insurance requirements prior to commencement of any work: $1,000,000 Commercial General Liability with $1,000,000 Products and Completed Operations. Motor Vehicle Liability Insurance, including applicable uninsured/underinsured coverage's, with limits of liability of not less than $1,000,000 per occurrence combined single limit Bodily Injury and Property Damage. Coverage shall include all owned vehicles, all non -owned vehicles, and all hired vehicles. Workers' Compensation Insurance: Contractors and subcontractors shall procure and maintain during the life of the Agreement Workers' Compensation Insurance ill accordance with all applicable statutes and regulations of time State of Alaska. Section 5: The second sentence of Section 7.3 shall be amended by the addition of the words "or Providence Chiniak Bay Elder House" at the end thereof. Nothing in this name is intended to restrict or limit the age of residents at the Long -Term Care Center. 2 Oct 0313 04:20p PKI Admin 9074862336 PA, Section 6: Section 17.2 is hereby deleted and replaced with the following: 17.2 ADDITIONAL EQUIPMENT: In addition to the FF&L purchased by KIB and Providence pursuant to Section 3.2 (including items described in Exhibit C-2 that are purchased and installed by Providence and will be contributed to KIB at no cost to KIB at the termination or expiration of this Agreement as provided hereinbelow), Providence may purchase additional equipment or personal property to be used in the maintenance or improvement of the Long -Term Care Center's operations. Such additional equipment or personal property shall be Providence's property, and shall be tagged as such. Upon termination or expiration of this Agreement, KIB may purchase any items of equipment or personal property used in the Long -Term Care Center and paid for by Providence. The purchase price shall be Providence's depreciated book value of the acquired equipment or personal property. Minor equipment previously expensed by Providence and equipment and furnishings purchased by Providence with no book value shall be contributed to the KIB at the termination or expiration of this Agreement. Any equipment or personal property which belongs to Providence and is not purchased or accepted by KIB will be removed by Providence after the termination or expiration of this Agreement. Section 7: All other provisions of the Original Lease remain unchanged and in full force and effect. IN WITNESS WHEREOF the parties have respectively executed and delivered this Lease Amendment No. 1 as of the day and year written below. Charles E. Cassidy. Jr. Its: Borough Manager ATTEST: Nova .lai; c MC Borough Clerk ki PROVIDENCE HEALTH & SERVICES - WASHINGTON dlbla Providence health Services in Alaska Bruce a....' odreux Its: Senior Vic resident Chief Executive Alaska Region Date: r LONG-TERM CARE CENTER LEASE AGREEMENT between KODIAK ISLAND BOROUGH and PROVIDENCE HEALTH & SERVICES,- WASHINGTON d/b/a PROVIDENCE HEALTH & SERVICES IN ALASKA LONG-TERM CARE CENTER LEASE AGREEMENT TABLE OF CONTENTS Ir AGREEMENT LEASE s . a r s + s s s. s s. s s i. i. r+#.#. r. r i+ r i. r.+ r a r.*+ r+ r s+ s i s a l s+ s s• r s i a r s i i. r i .. *+. i . r r r . r.+ r s i r s. s i. r s. r s• 1 2. DEFINITIONS .. r. i r i. i .. a r a . r. i+.* i. 4. r r a. r s i r s*+ r s r s s• s+ r i• s. r i a r s f r r a r fir *** i r r r. i r i r s a r r*++ s s s• r s .. s. r s a r i r*. r ... a M r i r s a+ r s+ s s+ 1 3. PREMISES, 1 E as+s.s.r.s.rss......................rrirar........................r.*....rrta+rri................*r............ *1 PREMISES ........................................................s+rariaaara............■................ra s ........era 3.2 i i &E ........ i r i# s a t a r r a*.# i r W#•. rt++ r rt+ r a+ s r a r s i s s• s s F i r t 1 a* r** r a r t i r# r r# W i+ r i W i+ r s+ r r r++ s s 4* s s a s f* s s s* f r a t i* r* a r a r s r a r r rt r s . TERM AND SURRENDER ......iaraarrr....rirs+rrtrr+......rafaa.afraea.......0......... 6rs4 rsa............... a r.... , 4 4.1 TERM OF AGREEMENT ........ s ear..# .... ■....iris+s+......*r*+ss+rat s .*irre+r.*rti+ririrrt+rr+r*..rarr..•* 4.2 SURRENDER O PREMISES ......... a RIGHT T C H S + a ............ r i r. i r a r s i ...................... .......................+ q6.464 5.1 IR kS. T RIGHT PURCHASE ■ .... . r+. i* r*+. rt i r s+ r i+ s+ s r r s. s i r s s. s a. r .......... r i+ r s+ ................... a t .2 NOTICE ......*s*.+,rtirRr.rrrt+ra*+ri+r*.rrar*+r*rrirrrrirrarrf�r•rrt#.i.rtirirrt+r#+.i++rr+irr�rra�af r+rri*.e�rfrrirrt+riiriara a RESIT e♦*rt.+ii.irrrrrtrrar*raaaar+assr.....re*rf.rr.♦r#.rt.•rtar i+iira+ r......**rr.......e r•ria*..rrr+rtrr+rr*i rrt+i*.rar...........•......# 6* LEASE PAYMENT...... ................. q ..... d.q r..... 6...............ra sa......rar•rti.r.+rirt+rtri............... 6.2 LEASE PAYMENT AMOUNT rs.s...... rs�rs�rfa.a a.ssirssas+s�ii*r*�r+r+ir*fir*...rri+sr+rsi /+ CERTAIN G J�..+M EN T S . r a.+ s i .. a ... • r.i *' i' + r i r s + r i r r i r r r+ s s. r i r r i r i. r 4,r s.. f a t a#*# i i+ r# i r r a r r a+ r i r r i r a s r i. r. r i .. f# .. #+ 5 r CONST J C T I N F F AC IL I l Y *.+.rt#*r...rir...... 6 ..................r. ofrrar#+rr�ri+i+ rar............. 7.2 PARKING..... ar+ r* a. r i. r* r .. 4,46-46-.4 r r + r a r r + r i ..... a.+ a............... r r i+ r a+ ... +............... a* r r *are . r rt+ ........ . 7.3 OPERATIONS i r r. r r. r i s. r r. r r*. r*. r+ e.**. i+ r rt r r+ r.+ r a+ r s. r r• r s. r . r i r + a. i r i a r+. r r+ .. r. i r r a+ r a+ s r a r a +rir i 0 r s. r e r+*+ r .... +' f a T AIN IN � e e i. i* i i r t i r s a •+ r a r r. + r r r •.. s i r s. r f# r#.#. r* a .. i r. i• a i r i r r+ r a r s i s r• r s r r r s . r* e r r.# r w.•. e• rt i r++ r a+ r. r r• r r a r r i. r• f' 8. T I IT I E ISS ............................. e ....... 4&46 rs.rirrsrr.rarri.ri.re.rirs*r#.. e. i w*+. rt. w# i+ ..................... a r i+ r i. i i+ &. 6 r. a ! i .XE S rrri.... e. i i+. r a. r +rarr + ..................... e s...# .. 4..6.6..6 ra+ssarr+rs•i.ar r .......... a m* 4...6 r i i ... r r a i s i ............. e. r e.7 TAXES 10. USE......... i r r r e r r* r*. e r f+ i r i r s r s rt+ r a+ r r a+ s s+ r s s+ r i t s i r i* b r i e. e. i.•. i+ r i+ r a r s rt r a r r i r a r a r r r+ r s+ a t r 0* r s r* r f e.+• r* i r i.* i r a r r r r r++ r i 9 r i a* I a QUIET N J OYM N T, TITLE, REGULATIONS............. ..... 6, ... 6....................... 4--6--4 ... 6 6 J 11.1 Q ENJOYMENT....... fr+ e f.* r r#+++.+rsr+ r i r s.+ .......... ......sfrrta.... 6.. 6..... 6 ................ e s 11.2 TITLE....... �rirrf r**rf rf*.f*r#..+ir++rrtra+rirs..++ss+rsa•rrerr**rr*see*rtirW*wi+rrtrrtrrsiirs•ri �# 11.3 IN G REGULATIONS..... a+ rr+r+........... rrar r ...... 4....... 4......rare r.+............e.e. ,,...8 12. PRIOR AGREEMENTS ........................ e.,•rid*+rrt+..4........................... e..e i*rri+airrr+air*i.............. a 8 13. ACCREDITATION ......rti.+i+sa.+ri+rar+ s......... s i r.... f i**e•r..i+r 4.4..6.4+r+.arts................... e.ier..rt+rsrii 6.......8 14. MEDICARE/MEDICAID PARTICIPATION . r...........+* r e. i+ r# r i*+ r i* &.. 6 rs*+rsa........... r r+*+ e. e, i+... 6 15. DISPOSAL OF MEDICAL WASTE AND/OR GARBAGE......frr�r+++rrta+wi+rri+r+ra+sysr+risrsr*ee*+ 16. fNIS RAN C ............rrr...irs.+ray+rrta+rrria+ia+rs......rs*re*......rt.+.irrt+r+ri+r+.......... 0.....f*rre*•..r e...... 4 6 4. 4+..... 16.1 PROVIDENCE.........fesrs*r...r•+rr■r.+++rarr....................................+.arra. 6....r+rr a r.. a........ 664.9 16.2 K.F. . rir ** r e .. ..+ r - r. W a+ r i r s+ r t a a+ r i o r r i% r i** i a r e 0 r. r f e r*+ 4 i+►*+ r a+ r i+ to r s+ *a** i r+++ r* r e* a* e* 0 e#• i r e. r i+ r i. r*+ r+ r on* 0 r s**++* r i s 16.3 DEDUCTIBLES........... ... 4... r s a+ r++.... alas■. s e g. e. e. r f*rt*r4.rtiriralit.+...0+raO ra.................... 66.s4+i1 644 PROOF OF INSURANCE................... ... 6 aa.................•.+.+r++rrt++isirrtr+r*+ri............. 4, 1 16.5 NOTICE sr....4.....6...aa+raa++rs++....0.a.+s+re........ 6...rsiia+iar*+i+ir+a++.r..as.•+r..rr•ri.....rt4.r+.......... 4.as 0 17. EQUIPMENT AND VEHICLES ra+s4+rr+sr�r+rrar*rsa*r**r*+re*�.�.+rt+r+r*+.rarrr4+r*+r+**++err***r****..rr+rt+rrs+sra 17.1 V HICS....................... e. f*.+ e. f+. i+ s*+ rt+ r i+ ........................... i* r a.+. a rt......++ r*+ r....... i. t e e.+ e■ 1 17.2 ADITION QU iP . N r+ e. s e ... Teri ... 1 18. MAINTENANCE AN REPAIRS +rsa+r+lar+s�rira�rf*r*err*.erer.e.riwiwtaarai+rsa+rs+rti�rri+rs+ir�terrt+r+r++rrai+ 1.9. CONDITION ON SURRENDER ........... a s a6.46.4..6 rra......rirfr .............. P.4 ...... r i a* r I 20. IMPROVEMENTS AND ALTERATIONS 4 s s++rtira+r*ra 4............as e...... 4.....rrr*r e.............++r " � �l 21. CONTRIBUTIONS r i a........... f e s s- 6..... 4................... e r+ f* r e r R e...... i r*++ r i+ r s a+ ........................ 4.4 ... 4... 2 2 . ADMISSION TO LONG-TERM CARE CENTER .......ri...r#..i.................................. m ars..1 23. INDEMNIFICATION . r s i s s............ i i. r.i............................................ I................................... 1 23.1 fNMN I I C AT ION Y PROVIDENCE r.........r................................I..airs......■..1 1 23.2 fND EM -N 1 I C A T I ON Y Ki ......... a s s r s a r s I of * t+ 4 P r. r rt# r. 6.464 6.44 i i r a a r s a t i r s i r+ r i r i f r* . r rt i r a r+ i r i i 1 1 23.3 HAZARDOUS SUBSTANCE fNDEMNIFICATION BY PROVIDENCE.ririi.+.rair..ir.....ap.......r.Pr.4.sr+*•..r#4friirir.i.ararsa.p...... .......6........P.... 12 23.4 LIMITED ..,EAS BY K ...... 4 ................ ..... p ........ 46 ............ ■.r.*f........ iarrtiri..... 12 24. RECORDS ......... s.* 4-.4 6.6 ....... 6 .............. s ...... s....... i r s a r i i r s i r s s i................ ....... s* t......... 12 24.1 ACCESS Tom# RECORDS .............. 00 *ssrsarspisrr.t+ 04.s4 rrt i r a 0 a r s p s i sss• r t s iirs a r s r s s m+s 12 24.2 OPERATIONAL RECORDS•................... y .sari ... q .......... 6 ....... 6 .......... P.... 4.. P r, 4..4..6 raa 3 24.3 CONFIDENTIAL INFO RMAT I I.rrti.ii....ar.+ir.•.......r....r#r.r+... 66 .................■ 0...#r•sr1 24.4 ADMINISTRATOR r.. ... ir..a.......p..s r..rrr..r.s..srs•...6.4....arar.a........ prr..#. rt*rt..� 4.4 6... 6.........1 24.5 T M fNI N OF M fNI iS RA .. a ......... i.+ r a s W i r r i ...art ....... p .......... s r w s+ r# i r i ..... 1 k 25. GOVERNANCE .■...rtir...ar....r.....a....s...... .rr.irrirrti.ir..rrti......■....ssf r.r..r....+*++ryaiirri.......... P...........1 26. COMMUNITY D A I S Y BOARD ......r. ....r.a...ra..rr........ 66....... a r.. I 27. RIGHT TO ENTER PREMISES...,..... i r.....air...r..........•r.s..sr.....i.rri++.ir.......■.....r....+.i.....46.46I 28. VENT S F DEFAULT rrar. p .............. ................ i r y i r a r s i. r s ... • r. . s r .... t s ....... i ... i r s i ..... i............... 1 2. DEFAULT REMEDIES., r s 6.4 i r.a.r...r......... •■r.r.....rrs....... 6..r. r. a.rr... r... r..s......srr++ri.srt..6.......... 15 30, ], RM fN T I ON.ar...a.ri.ap.*r.sr.**ts#..+iri+.r.aiirai................... st.yrs.#+w+....... i.......................rtirr+r.irrt 31. TRANSFERS I C N S S AND PERMITS........ ........... 0 ....... ......................... 1 32. NOTICESri.... ............. s r f# t+. rt s rt{•* rt i i r rt i i r. i i ...... i• ....... q0 ... p ......... i ................. P .. s. p ..... ir #* rt#. y+ ..... i...... 1 f 33.ASSIGNMENT N SUBLEASE..... .......ir............ P...*.s ................. 66......... t....... s....... 4617 34. - DAMAGE �J R D E S TRU 1 T I Ni t..•...* r. s s r. s� r s r#++ s+.+ rt. rt i. a s r. i r. r. a.. r.*...s r r* r r s# r rt rt rt i w a+ r. i r+ r+ a. i t 1. a r.* r* i r 1 8 35. CONDEMNATION... ............ 46--4 ... 46 ............. p .... q ........... a ....... 6.66 ........................ 6..... 1 364 WAIVER SUBROGATION.. ... p ..... -a ... 6.6..6 ....... p .................. r..... i ....... ■....... .s**sass•*.#+rti 37. MISCELLANEOUS..... 6. i ......... i ........... p ....... ........ P.............. s+.iii ...... 6.4....•............ 19 NG -TERM CARE CENTER PLEASE AGREEMENT This Long -Ten Care Center Lease Agreement ("Agreement") ent" between the Kodiak Island Borough, (the "Borough" o "KIK t) a municipal corporation of the State of Alaska and Providence Health & Services - Washington d/b/a Providence Health & Services in Alaska, a Washington non-profit corporation ("Providence"), is entered into as follows: WHEREAS, KIB is the owner of certain real property together with improvements located and to be constructed thereon (hereinafter referred to as the "Premises" and further defined in Section 2 below); and WHEREAS, Providence e has leased the adjacent hospital property and operated a hospital (the "Hospital") thereon since April 21, 1997, pursuant to a Lease and Operating Agreement, as amended, with the Borough (said agreement, the "Hospital Lease"); and WHEREAS, Providence desires to lease the Premises and operate a Long -`Perm Care Center co -located with the adjacent hospital and KIB is in the process of working to obtain financing to acquire, construct, design, and equip a co -located Long -Term Care Center; and WHEREAS, KIB, in the interest of sound fiscal management and to ensure the operation of the Long -Terra Care Center in a professional and efficient manner, has requested providence to lease and operate the Long -Tern Care Center; and WHEREAS, Providence owns and operates a number of health care facilities and has the knowledge and expertise to operate a Long -Tenn Care Center on the Premises i in keeping with its philosophy, mission, and vales, and it as a quasi -public facility governed by Alaska law; and WHEREAS, providence desires to lease the Premises from KIBI, subject to the tens and conditions contained herein, NOW, THEREFORE., in consideration of the mutual covenants contained herein, and each of the parties intending to be legally bound hereby, it is mutually agreed asfollows: . AGREEMENT TO LEASE: KIB agrees to lease to providence and Providence agrees to take from. KIB, the Premises, including the Long -Term Care Center described herein, for the terga and upon the terms and conditions set forth in this Agreement. 2. DEFINITIONS: As used in this Agreement, unless a different meaning clearly appears from the context, "Agreement" means this Long- `ern-. Care Center Lease Agreement, including the followingExhibits: Exhibit A - Drawing of Premises Exhibit B - Lease Payments Exhibit C - FF&E "Approved Plans" means the Approved Plans for construction of the Long -Tenn Care Center as further described in Section 7. 1. The Approved Plans are subject to changes as may be required by govemmental authorities _with jurisdiction over the construction of the Long -Tern Care Center. "Borough" or "KIB" means the Kodiak Island Borough, a municipal corporation of the State of Alaska. "Certificate of Needle means a Certificate of Need from the State of Alaska Department of Health and. Social Services pursuant to AS 15.07.021-. 111, and regulations adopted. thereunder. "Community Advisory Board" means the board formerly known as the Kodiak Island Service Area Community Board. "Date of Possession" means the date ofissuance of a. temporary certificate of occupancy by the City of Kodiak. The Date of Possession shall be no later than March 31, 2014, In accordance with Section 7.1(A). KIB will retain rights of access to allow its contractor to complete all construction in the manner and subject to the terms and conditions described i Section 7.1(C). All work by KIB, through its contractor, is expected to be complete by September 30, 2014. "Effective ate" means the effective date of this Agreement, which shall be on or before May 1, 2013, provided that Providence has obtained a Certificate of Need to operate the Long - 'ern Care Center. "Force Majeure" means, without limitation, the following if not reasonably within the control of KB: acts of nature; strikes, lockouts, or other labor or industrial disturbances; ants of terrorists, war, or escalation of existinghostilities; orders or restraints from the United States or the State of Alaska or any of their departments, agencies, subdivisions, or officials, or any civil r military authority; insurrection; riots; landslides; subsidence; icebergs; typhoons; hurricanes; material adverse weather conditions; tidal waves or tsunamis, earthquakes; es; fires; storms; droughts; floods; explosions; breakage, r alf nction, or accident to facilities, machinery, transmission infrastructure; or any other case or event not reasonably within the control of KIB. "FF&E t means the fixtures, furnishings, and equipment ent listed in Exhibit C to this Agreement, or any substitutions approved by both parties. "KIB Long -Tenn Care Center Revenue Bonds" means the revenue bonds issued by KIB in accordance with Resolution FY2013-13. "Long -Term Care Center" rear -is the long-tenii care facility that is to be acquired, constructed, designed, and equipped on the Premises by KIB, including PP&E, using proceeds of the KIB Long -Term Care Center Revenue Bonds, and leased to Providence by KIB under the tenns of this Agreement. 2 "Premises" means the FF&E and the real estate, including all buildings, appurtenances, and improvements operated as the Coag-Terin Care Center, described as: A portion of Lot 2A-1, Block 1, Hospital Subdivision, according t Plat 2012-20, located in the Kodiak Recording District, Third Judicial District, State of Alaska, and as further shown on Exhibit A. "Providence" means providence Health & Services - Washington Providence Health & Services in Alaska. 3.1 PREMISES- : the real and personalproperty which is # subject ratter o this Agreement and located on the following real property: A portion of Lot 2A-1, Block 1, Hospital Subdivision, according to Prat 2012-20, located in the Kodiak recording District, Third Judicial District, State of Alaska. The Premises include the real property, the FF& , and all buildings, appurtenances, and improvements hereto and operated as a Coag -Terra Care Center, The location of the Premises i shown on Exhibit A hereto. 3.2 &E: On one or more lists, Providence shall identify fixtures, furniture, and equipment necessar to the operation of the Long -Term Care Center with a. total cost of no greater than $1,451,010 (the "FF&E Amount"), which lists of fixtures, furniture, and equipment ent viii be attached as Exhibit C hereto. The & Amount will include the purchase price, freight, shipping insurance, labor to install, and all costs incurred by IIB related to ` `& . Exhibit C shall consist of one or more lists as follows: A. Providence shall provide an initial list of fixtures, famiture, and equipment y no later than March 31, 2013, which initial list will contain fixtures, famitur , and equipment with a oast of no less than 0% of the FF&E Amount. B. After March 31, 2013, on one or more subsequent lists, Providence shall identify the balance of the fixtures, fumitur- , and equipment to he included. on Exhibit C by no later than December 31, 2013. KIB will provide the balance of the FF&E to the extent there are funds available in the FF&E Amount. As to the iters of fixtures, faiter#e, and equipment identifie l pursuant to Section 3.2(B) above, KIB shall be responsible to order, procure, and install such items in a commercially reasonable manner; however, KIB shall not be responsible for the delay in installing any such items in theLong-Term Care Center after March 31, 2014, if KIB has ordered, procured, and installed such iters in a commercially reasonable manner, but was not provided with the description of such item by Providence in sufficient time to order, procure, and install suet iters in the -Term Care Center in a commercially reasonable marmer by March 31, 2 1 . 9 4. TERM ANIS SURRENDER: .1 TERM OF AGREEMENT: This Agreement shall commence on the Effective Date and continue for approximately 20 years until the end ofthe fiscal quarte- {March 3 1, June o, September 30, or December 31) next following the date the principal and interest on the IIB Long -Term Care Center Revenue Bonds are paid in fall. This Agreement shall immediately terminate if KIB does not issue Long -Tenn Care Center Revenue Bonds on or before Jure 28, 2013. .2 SURRENDER. of PREMISES: At the expiration of the term of this Agreement or upon the termination of this Agreement as provided for herein, Providence shall surrender possession of the Premises to KIB as set forth under the terms of this Agreement. In the evert o such a tennination. or expiration, Providence may remove all equipment, furniture, trade fixtures, or other personal property installed in or on the Premises that Providence owns or acquires, other than FF & . . RIGHT To PURCHASE.: .1 FIRST RIGHT To PURCHASE: IIB hereby gives and grants to Providence the first right to purchase all of KIB's interest in the Premises at any time from the date of this Agreement until the expiration or termination (as applicable) of this Agreement as provided for herein. KIB shall make any sale of its interest in the Premises to a third party conditioned upon and subject to Providence's first right to purchase as set out herein. Providence shall have the right to accept the purchase price and the terms of the intended sale to the third party as the terms and conditions of the sale between KIB and Providence. Providence shall be deemed to have waived any rights granted in this Section 5 apon the date of ars Event of Default of any provision of this AgTeerent. .2 NOTICE: Providence may exercise its first right to purchase by executing a agreement within 60 days of notice of KI 's intent to sell its interest in the Premises on terms and conditions as agreed between the parties. If Providence does not exercise its first right to purchase as provided for herein or eater into a purchase with KIB within 60 days of the notice by KIB to Providence of its first ght to purchase, thea and in that event Providence's first right t purchase shall lapse and KIB may sell the Premises or any Part thereof to said third party or any other parties on substantially the same terns stated in the notice. If IIB docs not enter into a binding agreement to sell and covey the Premises within 90 days after expiration of the -day notice per'od, any f i h r transaction shall he deer -n d a new determination by KIB to sell and convey the Premises and the provisions of Section 5.1 shall be applicable. 6. DENT: .1 LEASE PAYMENT: Commencing on the Date of Possession, the monthly rental rate for the Premises (the "Lease Payment") will be a fixed monthly amount calculated as provided below. The Lease Payment will be considered fair rental value for the Premises and will provide KIB with sufficient funds to make the annual debt service payments on the IIB Long -Term Care Center Revenue Bonds, Pro idence sball execute and deliver all documents as reasonably requested by KIB consistent with the terms hereof as necessary or desirable for Ell issuing the KIB Long -Term Care Center Revenue Bonds. Monthly Lease Payments shall be payable at the office of K, or at such other place designated by K, monthly in advance on the first day of each rnont . Lease Payments shall he made without demand and without any deduction or setoff whatsoever. The first Lease Payment will include the prorated ainount of the previous month's rent. (For example, if the Date of Possession was March 15, the first Lease Payment, made on Apr'l I or earlier, would include the prorated March rent from March 15 and the full monthly Lease Payment for April.) Payments received by KIB after the 15th day of each month shall include, as additional rent, .5%(one-half percent) of the monthly Lease Payment, 6.2 LEASE PAYMENT AMOUNTS: Providence will pay monthly Lease Payments to KIB in amounts no less than required t fully fund all debt service requirements plus an amount sufficient to cover MB's expenses in maintaining insurance for fire and other risks (including earthquakes) on the Premises, a provided. in Section 16.2(B). The parties estimate that Lease Payments will he approximately $96,600 based on a 20 year bond issue with a par amount of $15,375,000 and a premium of $2,245,000. The proceeds of the KIB Long -Term Care Center Revenue Bonds ("Bonds") will not exceed $18,500,000 and the tenn of the Bonds will not be less than 20 years without Providence's consent. .I is debt service payments and the corresponding portion of Providence's Lease Payments will be in approximately equal amounts for most of the tern of the Bonds. The fo.ula for calculating monthly Lease Payments will be insurance costs prorated on a monthly basis, plus (Total Debt Service payments less capitalized interest less Deposits into the Debt Service Reserve Fund) divided by 19 years divided by 12 months. The insurance costs are currently estimated to he approximately $0.06 per $100.00, and are subject to change. When the construction of the Long -Tem Care Center is complete, the Lease Payment may be adjusted if there are unspent fond proceeds. The parties agree within 30 days of the sale slate of the Bonds to memorialize in a Witten schedule the monthly Lease Payments due hereunder over the applicable term of the Agreement, subject to adjustments for insurance expenses, and shall attach said schedule as Exhibit B hereto. '. CERTAIN AGREEMENTS: .1 CONSTRUCTION of FACILITY: A. KIB shall take all actions necessary and appropriate to complete, or to cause its contractors and subcontractors to substantially complete the construction of the Long -Terry Car Center as contemplated and described in those drawings, details, manuals, plans, and specifications developed by KIB through Architects Alaska which are hereby approved by Providence (the "Approved Pans") so that, upon the Date of Possession, the Premises are delivered to Providence. If by reason of Force Majeure or as a result of delays caused in whole or in part by Providence, KIB is unable to obtain a temporary certificate of occupancy by March 1, 2014, KIB will not he in default. Any final work by KIB or its contractor after the rate of Possession will not unreasonably interfere with Providence's operations and will he undertaken in accordance with the terns and conditions of Section 7.1(C) below. All irnproverents contemplated by the Approved Plans shall be made by IIB at its sole cost and expense and without any pass-through back to providence other than the Lease ]Payments. Providence will be consulted on any change order that affects the functionality or operational capabilities of the Long -Term Care Center. B. Throughout construction of the Long -Term Care Center, KIB shall,, at its sole cost and expense without pass-through to Providence, obtain and maintain all authorizations, approvals, permits, and other consents whatsoever required under applicable state, local, and/or municipal law, and by or of any governmental entity or agency that relate to the construction of the Long -Term Care Center. KIB will require its general contractor to warrant that the construction, whether performed by the general contractor or a subcontractor, shall be completed for KIB in a good and workman -life manner, free From faulty materials, in accordance with all applicable laws, codes, regulations, restrictions and regulations, and other legal requirements whatsoever and sound engineering standards, and In accordance with the Approved Plans. KIB shall tale steps to ensure no liens or encumbrances or charges of any bind upon the Premises or any past thereof result from construction of the Dong -Term Care Center, KIB shall require its general contractor working on the construction of the Long -'berm Care Center to have payment and performance bods in Place which are in an amount not less than the guaranteed maximum price or fixed price set forth. In the construction contract for the Dong -Term Care Center. C. Except as to the last sentence hereof, as used in this Section 7. (C), KIB refers to KIB and its contractors and contractors' subcontractors. To the extent KIB desires to come onto the Premises after the rate of Possession to complete the construction of the Long -Term Care Center or inspect the Premises, KIB will coordinate its access and activities with Providence. KIB shall act in good faith to not do or permit anything to be done in or about the Premises which will unreasonably obstruct or interfere with the provision of care to Providence's patients. In addition, KIB shall comply with any i Providence policies relating to vendors and contractors performing work on the Premises, provided that Providence has submitted copies of such policies to KIB no later than 30 clays prior to the rate of Possession, and ii licensing, accreditation, or requirements of other governmental or accrediting agencies having jun'sdiction over the Long -Term Care Center, which laws or requirements are implicated by the presence of KIB in the Long -Tenn Care Center or work being conducted by KIB tberein. KIB shall not cause, commit., or maintain or permit any nuisance or waste in, on, or about the Premises. KIB shall not use the Premises in any manner that would 1 materially adversely affect or unreasonably interfere wltb any routine patient care services Providence is providing or preparing to provide, or h unreasonably interfere with or obstruct the proper and economical rendition of any such service or activities related to Providence's preparing to render such service, or (iii) endanger a patient or interfere in any way with emergency care being rendered to a patient. Accordingly, if and to the extent necessitated by Providence's activities related to emergent patient care or a Patient is endangered thereby, Providence may direct IIB to ease work on the Premises for so long as such patient care activities are continuing and KIB sball abide by such direction. If Providence determines that any employee or contractor has failed or refused to conduct its or his/her activities in accordance with the foregoing, Providence may require that IIB take immediate action to assure the situation is promptly remedied or cease to assign that person to the Premises. KIB shall provide in any contract with a contractor related to the Long -Term Care Center that the foregoing requirements be adhered to. R, D. If delays in construction including a permitted suspension of work by KIB's contractor) of the Long -Terra Care Center result from Force Majeure or are caused, In whole or in part, by Providence, KIB may elect, in its sole discretion, to resume work or may terminate the construction work. If a delay is caused, in whole or in part, by Providence, Providence shall pay all additional direct and Indirect construction costs incurred by KIB resulting from delays caused by Providence's actions or inactions, and if such delay caused by Providence prevents a temporary certificate of occupancy from being issued by the City of Kodiak by March 31, 2014, then Providence shall commence paying monthly Lease Payments on April 1, 2014. 7.2 PARKING: IIB shall ensure that the Premises has parking spaces for the Long - Term Care Center, as required by applicable zoning ordinances. 7.3 OPERATIONS: As of the Date of Possession, Providence shall have possession and quiet enjoyment oyment of the Premises subject to KIB's right of access for its contractor to complete construction. Providence shall be solely responsible operating theLong-Term Care Center. Providence shall operate the Long -Terra Care Center under the name Providence Kodiak Island Long -Tern Care Venter. Providence assumes all the rights, duties, liabilities, and obligations which shall arise out of its operation of the Long -Term Care Center and its other activities on the Premises during the terra of this Agreement. Providence is not responsible for KIB's activities on the Premises and KIB is not responsible for Providence's activities on the Premises. Providence shall cause all expenses incurred in operation of the Long -Tern Care Center after the Date of Possession to be paid, Including, but not limited to, utilities, insurance, salaries, supplies, fees, benefits, and other costs normally incurred in the operation of the Long - Tenn Care Center. 7.4 TRAINING: Providence may conduct medical educational training programs at the Long -Term Care Center, including training of interns and residents and other medical/technical personnel, in a manner consistent with applicable goverr mental regulations.- UTILITIES: on or after the Date of Possession, Providence shall arrange and pay for all utilities and other services to be furnished to the Premises including gas, fuel, oil, electricity, sewer, water, telephone, internet, cable television, and garbage collection. . TAXES: On or after the Date of Possession, Providence shall be responsible for and shall pay before delinquency all governmental taxes, assessments charges, or liens assessed during the terra of this Agreement against any leasehold interest or property of any kind or income or sales of any kind related to the Premises. Providence may contest, by appropriate proceedings, any tax assessment, charge, or lien, but such contest shall not subject any part of the Premises or Equipment to forfeiture or loss. Providence and KIB agree to negotiate in good faith regarding any KIB property taxes levied or assessed on the Premises owned by KIB and leased to Providence, or any property owned by Providence during the term of this Agreement. 10. USE: Providence shall use and operate the Premises for an extended care facility, for any additional health care -related purposes as may be appropriate, and for any uses which are accessory, ancillary, complimentary, or reasonably related thereto. Providence shall provide, equip, and maintain adequate facilities for the continuation of full range of general long -terra care services as economically feasible and warranted by the local physicians' levels of ability and the reasonable needs of the community, as determined in Providence's sole discretion and in accordance with the terms and conditions as set forth in this Agreement. Subject to the Borough's prior approval, Providence may convert parts of the Premises into se for other related purposes. Providence shall operate and maintain a duly licensed long-term care center under the Alaska Statutes and in accordance with the standards preer'ed by the Alaska Department of Health and Social Services or its successors. Providence will not tale any action that would cause the interest on the IIB Long -Tenn Care Center revenue Bonds to be taxable in accordance with 26 U.S.C. §§ 103 and 141 through 150, and applicable Treasury Regulations, Revenue Procedures, and applicable guidance from the Internal Revenue Service. 11. QUIET ENJOYMENT.- I LEL REGULATIONS: 11. i QUIET ENJOYMENT: From and after October I , 20141 KIB warrants that Providence, upon Paying the rent and any other charges as provided for in this Agreement and upon perfortning all other obligations herein, shall quietly have, hold, and enjoy the Premises without hindrance. 11.2 TITLE: IIB has procured title insurance for the real property portion of the Premises as shown by the standard owner's policy issued by western Alaska Land Title Company, IIB, to its knowledge, is not are of any unrecorded liens on the Premises. KI sloes not, expressly or impliedly, warrant title to the Premises. Providence will not take, or omit to takl, any action that results in a lien on the Premises, provided that Providence shall be given a reasonable amount of time to promptly have the lien released or to bond over such lien after Providence becomes aware, or reasonably should become aware, of any such lien. 11.3 BUILDING REGULATIONS: As of the Date of Possession, KIB will warrant that there are no existing violations of applicable building, fire, and health code regulations of which it is aware. 12. PRIOR AGREEMENTS: KIB warrants that entering into this Agreement does not breach any commitments or responsibilities of KI -under prior agreements, including, but not limited to, financing agreements, and that KIB shall defend and hold Providence harmless from any claims, liabilities, and expenses ar'sing from or in any way related to any prior agreements of IIB, except to the extent such agreements are assumed by Providence. 13. ACCREDITATION: Should Providence choose to seek such accreditation, Providence will use its Best efforts so long as it is in the best interests of Providence and KI to ea se the Long -Ten -n Care Center to become and remain accredited by such accrediting body as Providence deems appropriate. Providence will keep KIB apprised d of its accreditation status, 1 MEDICARE/MEDICAID PARTICIPATION: Providence hereby represents and warrants that it is not and at no time has been excluded from participation in any federally - funded health care program, including Medicare and Medicaid. Providence hereby agrees to promptly notify KIB upon learning of any threatened, proposed, or actual exclusion from any federally-funde l health care program, including Medicare and Medicaid, and shall promptly take all actions necessary or desirable to prevent exclusion from any such program. In the event that Providence is excluded from participation in any federally -funded health care program during the terra of this Agreement, or if at any time after the Effective Date of this Agreement it is determined that Providence is in breach of this Section, this Agreement shall, as of the Effective Date of such exclusion or breach, automatically terminate. 15. DISPOSAL OF MEDICAL WASTE AND/OR GARBAGE: : o or after the Date of possession, Providence s all, at its expense, properly and timely dispose of all medical waste and/or garbage refuse according to any and all lawsgoverning disposal of the same. 16. INSURANCE: 16.1 PROVIDENCE: Providence shall, at its expense, maintain .tain t .roug out the tern of this Agreement the following insurance: A. Insurance against loss or damage by fire and such other risks, including earthquake insurance, with extended coverage in an amount not less than the replacement value of Providence's property in and on the Premises from time to time; and B. Insurance against claims for personal injury and property damage occurring on the Premises under public liability and malpractice policies with limits of not less than i. ,o ,000 per person, $3,000,000 per oeeu.rrence, and. $ 5 00, 000 for property damage arising out of any single occurrence. Such insurance policies may provide for partial self-insurance under the same terns as the policies for long-term care facilities owned and operated by Providence. KIB shall be named as ars additional insured party on each such policy of insurance, and certificates thereof shall be famished to KIB. C. Insurance against loss or damage and claims for personal injury and property damage for all vehicles titled to and operated by Providence with limits of not less than $1,000,000 per person, $3,000,000 per occurrence, and $500 000 for property damage arising out of any single occurrence. Such insurance policies may provide for partial self-insurance under the same terms as the policies for long-termi care facilities owned and operated by Providence. KIB shall be named as an additional insured party on each such policy of insurance, and certificates thereof shall he furnished to KIB. ,2 KI; A. KIB shall, at its expense, maintain throughout the tern of this Agreement insurance to cover all conditions, events, and liabilities arising out of its actions and activities relating to the Premises, including construction of the Dong -Term Care Center. B. KIB shall maintain property coverage against loss or damage by fire and other risks, including earthquakes, for the Coag -Term Care Center, in ars amount not less than replacement value of the property. Providence shall he responsible for payment of MB's property and earthquake coverage cost, to be paid to KIB as part of each monthly Lease Payment. S .3 DEDUCTIBLES. Providence shall be responsible for all insurance deductibles, including MB's ear-thq ale coverage deductible of 2% per occurrence per unit of insurance (real and personal property and time element) subject to a $100,000 minimum, ff. 's flood coverage deductible and MB's deductibles for other covered perils, each not to exceed $100,000. The deductibles are subject to change from time to time following notice to Providence where such notice is given in accordance with Section 16.5. 16.4 PROOF of INSURANCE: On the Date of Possession and each year thereafter, the other party shall provide insurance certificates and endorsements confirming the existence of the insurance required of such party hereunder. 16.5 NOTICE: The parties shall request that all insurance policies maintained by either Pavy shall include a requirement that the other party be notified in Wr'tirrg at least 30 days prior, or promptly upon becoming aware, of way cancellation, reduction, or material change in any of the required insurance ce policies. If the insurance companies will not, or are unwilling to, provide such notice, the pasties shall notify each other at least 30 days prior, or promptly -upon becoming aware, of any cancellation, reduction, or material change in any of the required insurance policies. 17. EQUIPMENT AND VEHICLES; '.l VEHICLES: Any motorized vehicles acquired as FF&F shall be titled and documented in Providence's name and Providence shall be solely responsible for providing all necessary insurance, including the requirement stated in Section 16. i C of this Agreement, and all repairs and maintenance of said vehicles and their replacements for the ternn of the Agreement. 17.2 ADDITIONAL EQUIPMENT: Providence may purchase additional equipment or personal property to be used in the maintenance or improvement of the Long -Term Care Center's operations. Such additional equipment or personal property shall be Providence's property, and shall be tagged as such. Upon termination or expiration of this Agreement, RIB may purchase any items of equipment or personal property used in the Long -Term Care Center and paid for by Providence. The purchase price shall be Providence's depreciated book value of the acquired equipment or personal property. Minor equipment ent previously expensed by Providence and equipment and furnishings purchased by Providence with no book value shall be contributed to the KIB at the termination or expiration of this Agreement. Any equipment or personal property wbicb belongs to Providence and is not purchased or accepted by KIB will be removed by Providence after the termination or expiration of this Agreement. . MAINTENANCE AND REPAIRS: on or after the Date of Possession, Providence shall cause the Premises to be maintained and repaired in accordance with all state and local codes, and keep the Premises in a condition at all times consistent with industry standards including, but not limited to, cleaning, painting, decorating, plumbing, carpentry, grounds care, and such other maintenance and repair work as may be necessary. Throughout the term of this Agreement, KIB shall provide and pay for any major maintenance and repairs. 10 Major maintenance and repairs are defined as repairs equal to or greater than $25,000. If a repair is greater- than or equal to $25,000, KIB shall be responsible for the full amount of the repair. Providence shall be responsible for all repairs less than $25,000. If repairs go over the $25,000 limit because maintenance or repairs were not accomplished by Providence in a timely manner, KIB reserves the right to perform repairs or maintenance and KIB will be reimbursed by Providence for all costs of such repairs and maintenance. 19. CONDITION ON SURRENDER: Upon termination or expiration of this Agreement, Providence shall surrender the Premises to IIB, including any FF& , in substantially the sane condition as exists on the date Providence took possession of the Premises, except for reasonable wear and tear. 20. IMPROVEMENTS AND .ALTERATIONS: Providence shall make no material alterations in, or rnater'al additions or improvements to, the pennanent structure of the Premises without first obtaining the written consent of KIB. Any such additions and improvements made to the permanent structure of the Premises shall remain upon and be surrendered with such Premises as a part thereof at the expiration of the term of this Agreement, by lapse of time, or as otherwise provided herein. 21. CONTRIBUTIONS: In the event that contributions are made to Providence for the benefit of the Premises and/or KIB,, Providence may accept such contributions, it Being understood, however, that Providence shall comply with the wishes of the donor insofar as they are compatible with the operation of the Dong -Term Care Center and/or the use of the Premises, and that all property purchased with such contributions shall be and remain a part of the Premises and shall revert to KIB at the expiration or termination of Agreement. Should the teens or conditions of the contribution indicate that it is intended for Providence and not for the Premises or IIB, Providence shall accept the contribution on its oven behalf and utilize the funds in its sole discretion. For purposes of this paragraph the terrn "contribution" shall include a gift, bequest, grant, or donation of money or property. It is expressly understood that the ten "contribution" does not include any money derived by, or from, taxes or other govem.r ent .l funds or entities. 22. ADMISSION To LONG-TERM CARE CENTER: Persons in need of care available at the Dong -Ten -n Care Center shall not be denied admission, to the Long -Tenn Care Center on the basis of race, creed, color, national origin, or financial circulustances. 23. INDEMNIFICATION: 23.1 INDEMNIFICATION BY PROVIDENCE: Providence hereby agrees to indemnify and hold KIB harmless from and against any and all claims and demands for injury or death to persons and damage to property arising from Providence's operations on the Premises during the term hereof, and will defend KIB from any claire of liability on account thereof. Providence shall have no obligation for any and all liability with respect to any cams resulting from the negligence or intentional misconduct of KIB or its agents or employees. 23.2 INDEMNIFICATION BY KIB: To the extent permitted by law and subject t appropriation by the Kodiak Island Borough Assembly in its sole discretion, KIB hereby agrees to indemnify and hold Providence harnniess from and against any and all claims and demands for II injury or death to persons and damage to property an' sing from KIB's actions or inaction related to the Premises, including, but not limited to, construction of the improvements, and will defend Providence from any claim of liability on account thereof. KIB shall have no obligation for any and all liability witb respect to any claims resulting from the negligence or intentional misconduct of Providence or its agents or employees. 23.3 HAZARDOUS S SUBSTANC INDEMNIFICATION BY PROVIDENCE: Providence shall indemnify, defend, and bold KIB harmless from and against any and all claims, demands, damages, losses, liens, costs, and expenses (including; attorney's fees and disbursements) which accrue to or are incurred by KIB arising directly or indirectly From or out of or in any way connectedwith: a any activities of Providence or its agents or employees or invitees on the Premises during the tem of this Agreement which directly or indirectly resulted in the Premises being contaminated with Hazardous Substances; b the discovery of Hazardous Substances on the Premises whose presence was caused following the Date of Possession; and (c) the clean-up of Hazardous Substances on the Premises whose presence was caused following the Date of Possession. Providence shall have no obligation for any and all liability with respect to any claims resulting from the negligence or intentional misconduct of IIB or its agents or employees or, except as provided in a hereof, for activities or actions prior to the Date of Possession. For purposes of this subsection, Providence invitees do not include KIB or KIB contractors when perfornnin.g pursuant to a contract with KIB. 23.4 LIMITED RELEASE BY KIB: Except as provided in 23 , 3, KIB hereby releases Providence from damages, loss, and liability arising directly or indirectly from or out of or in any way connected with: a any activities on or nearby the Premises during the period from the Effective Date to the Date of Possession,, which directly or indirectly result in the Premises being contaminated with Hazardous Substances; (b) the discovery of Hazardous ardou.s Substances on the portion of the Premises whose presence was caused during the period from the Effective Date to the Date of Possession; and c cost of cleanup of Hazardous Substances on that portion of the Premises whose presence was caused during the period from the Effective Date to the Date of Possession. KIB small have no obligation to release Providence witb respect to any claims resulting from the negligence or intentional misconduct of Providence or its agents or employees or invitees. For purposes of this subsection, Providence invitees do not include IIB or KIB contractors when performing pursuant to a contract with KIB. 24. RECORDS: 24.1 ACCESS TO RECORDS: IIB and Providence further agree that Providence shall retain and make available upon request for a period of four years after the furnishing of such services (operation of the Long -Terra Care Center) as described in this Agreement, the boobs, documents, and records wbich are accessary to certify the nature and extent of the costs thereof when requested by the Secretary of Health and Human Services, or the Comptroller General, or any of their duly autborized representatives. tatives. If Providence cam es out any duties of this Agreement trough a subcontract with a related organization, valued at $10,000 or more over a. 12 -month period., the subcontract shall also provide that the Secretary of Health. and Human Services or the Comptroller General may have access to the subcontract and the subcontractor's boobs, documents, and records necessary to 12 verify the costs of the subcontract for a per'od of four years after the services have been furnished. This provision relating to the above retention and production of documents is included because of possible application of Section 1861(v)(1)(1) of the Social Security Act to this Agreement; if this Section should be found to be inapplicable, then this clause shall be deemed to be inoperative and without force and effect. 24.2 OPERATIONAL RECORDS: A. Throughout the term of this Agreement, Providence shall provide the following to (1) Upon request by IIB, audited financial statements, and a balance sheet and income statement for providence Kodiak Island Medical Center; (2) All federal and state inspection results, when received by Providence, relating to the condition of the Coag -Term Care Center and any renewal and replacement items identified y Providence as needing attention; (3) Upon request by IIB, a maintenance plan, including preventive maintenance, identifying routine and periodic maintenance required for the Premises. The maintenance plan will include evidence acceptable to KIB that Providence has adopted preventive maintenance plan that includes a formal systematic means of tracking the timing and costs associated with planned and completed maintenance activities,,. including ding scheduled preventive maintenance; addresses energy management for the Premises; includes a regular custodial care program for the premises; includes preventive maintenance training for facility managers and maintenance employees; and includes renewal and replacement schedules for electrical, mechanical,,, structural, and other components of the Coag -Terra Care Center operated y Providence. Within 30 days following a request by I IB, Providence and KIB will schedule mutually agreeable time for KIB to inspect and review the condition of the Premises. Such inspection and reviews will not occur more than once each year unless KIB determines that the 'remises are not being maintained in a. manner reasonable for such facilities. Upon request, Providence will also provide assurances necessary to demonstrate that Providence is adequately adhering to the maintenance plan; (4) At least 60 days prior to disposing of any FF&E, a list of the FF&E intended for disposal, and an opportunity for KIB to acquire such F&; and (5) An annual presentation to the Borough Assembly regarding utilization and operations at the Providence Kodiak Island Medical Center. B. on tennination of this Agreement, Providence agrees to provide KIB with the hoofs, documents, and records Including medical records, in regard to the operation of the Long -Term Care Center, in accordance with all federal, state, and local laves, rules, and regulations, including, but not limited to, privacy laws. 13 24.3 CONFIDENTIAL INFORMATION: Providence shall comply with all applicable laws, regulations, directives, or requirements in any form related to operating and managing long-terin ease facilities, including, but not limited to, the Health Insurance Portability and Accountability Act of 1996 "HIPAA" , and applicable provisions of the Health Information Technology Economic Clinical Health Act of 2009 "H T CH" . KIB shall not have access to Protected Health Information as defined by HIPAA and shall take no action that would be violation of or cause Providence to violate, HIPA.A. or HITECH or Alaska patient privacy statutes. 24.4 ADMINISTRATOR: ATOR: All administrators for the Coag -Terra Care Center shall be selected and hired by Providence. Providence shall conduct annual evaluations regarding the Administrator. Providence agrees to Provide reasonable support and assistance to the Administrator to enable the Administrator to administer the business and affairs of the Long - Tenn Care Center in an efficient and business -life manner consistent with the needs of the community. 24.5 TERMINATION INATION oP ADMf ISTRATOR: Notwithstanding any other terms and conditions of this Agreement to the contrary, in the event this Agreement is terminated prior to the expiration of its frill term as a result of a default by Providence, then Providence shall provide, at Providence's sole expense, an Administrator selected by KIB for the Long -Tenn ware Center on a contract basis for up to 180 days following the termination, if requested by KIB. 25. GOVERNANCE: The overall management and control of the Long -Term Care Center will rest with the Providence Alaska Regional Board. It is anticipated that two KIB residents will be eligible to participate as voting members on this Board. one member shall be the Chief of Staff and one member shall be the Board Chair of the Community Advisory Board. 26. COMMUNITY LAITY ADVISORY BOARD: An Advisory Board meeting the requirements of 7 AAC 13.030(a) will be appointed by Providence to provide input to the Long - Term Care Center and Providence Alaska Regional Board about the concerns of the community regarding the operation of the Dong -Term Care Center and to undertake the responsibilities set out at 7 A.AC 13.030(b) and (c). one KIB Assembly member shall be appointed by Providence as a full voting member of the Community Advisory Board, and Providence shall give KIB the opportunity for review and comment before appointments to the Board are made. Providence shall keep the Community Advisory Board updated with respect to matters of Long -Term Care Center policy and the relationship of the Long -Tern-. Care Center to the community and surrounding areas which it serves. 27. RIGHT To ENTER PREMISES; Upon reasonable notice, Providence shall Permit KIB, its agents, and employees to have access to and to enter the Prennises at all reasonable and necessary ties to inspect the Premises, 28. EVENTS OF DEFAULT: An "Event of Default" means any one or more of the following events, whatever the reason for such Event of Default, and whether it shall be voluntary or involuntary or he effected by operation of lair or pursuant to any judgment, decree, or order of any court or any order, rule, or regulation of any administrative or govermnental body: 14 A. Failure to pad' the Lease Payments pursuant to Section 6 of this Agreement, including any additional rent, when such Lease Payments become due and payable, and continuance of such failure to pay for a period of 15 days following notice from KIB that the Lease Payment is past due; or B. Default in the perfornnance, or breaeb of any other covenant or warranty by Providence under this Agreement, and continuance of such default or breach for a period of 30 days after there has been given, by registered or certified nail, to Providence by KIB a written notice specifying such default or breach and requiring it to be remedied stating that such notice is a notice of default hereunder, provided that if the nature of such default, other than for non- payment of rent or other sums, is such that the same cannot reasonable be cured within such thirty days, Providence shall not be deemed to be in default if Providence shall within such period commence the cure of such default and thereafter diligently prosecute the same to completion; or C. The end of a decree or order by a court having ur'sdiction in the premises adjudging Providence as bankrupt or insolvent, or approving as properly filed a petition seeping reorganization, arrangement, adjustment,, or composition of or in respect of Providence under the Federal Bankruptcy Act or any other applicable federal or state law, or appointing a receiver, liquidator, assignee, trustee or other similar official) of providence or of any substantial part to its property,, or orde .ng the winding up or liquidation of its affairs; or D. The institution by Providence of proceedings to be adjudicated as bankrupt or insolvent, or the consent by it to the institution of bankruptcy or insolvency proceedings against it, or the filing by it of a petition or answer or consent seeping reorganization or relief under the federal or state lav, or the consent by it to the fling of any such assignee, trustee or other similar official) of Providence or of any substantial part of its property, or the making by it of an assignment for the benefit of creditors, or the admission by it in uniting of its inability to pay its debts generally as they become due, or the taking of corporate action by Providence in furtherance of any such action; or E. The suspension, revocation, or termination by the State of Alaska of Providence's ability to operate a licensed health care facility on the Premises; or F. The exclusion of Providence from any federal]y-funded health care program, including Medicare and Medicaid; or G. The loss by Providence of its 26 U. S. C. § 5 01 e tax -exec pt status under federal law or nonprofit status under Alaska law. 29. DEFAULT REMEDIES: if an Event of Default by Providence occurs and is rn to .al and continuing after notice and an opportunity to cure to the extent provided in Section 28, KIB may: A. If the Event of Default is related to a payment owed by Providence not being made more than 15 days after notice from KIB that it is due, or if the Event of Default could result in KIB's reed to defense the IIB Lo - erg Care Center Revenue Bonds, or if Providence loses its 26 U.S.C. § 501(c)(3) tax-exempt status under federal lav or nonprofit 15 status under Alaska law, at MB's option, declare all installments of rent payable under this Agreement to be immediately due and payable by Providence; B. .e -enter and take possession of the Long -Term Care Center without terrnination of this Agreement, and use its best efforts to sublease the Long -Term Care Center for the account of Providence, holding Providence liable for amounts unpaid finder Section 24.5 and the shortfall, if any, between the Lease Payments and other amounts payable by the sublessee and the Lease Payments and other amounts payable by Providence hereunder; C. Tern mate this Agreement, excluding Providence from possession of the Long - Term Care Center and use its best efforts to lease the Dong -Term Care Center, or to another for the account of Providence, holding Providence liable for amounts unpaid under Section 24.5 and the shortfall, if any, between the Lease Payments received and the Lease Payments which would have been receivable hereunder; D. Terminate this Agreement, exclude Providence from possession of the Long -Term Care Center, and either operate the Bong -Terre Care Center or contract with a responsible operator to operate the Long -Term Care Center; E. With respect to any personal property, exercise any remedies available to a secured party under the Uniform Commercial Code; P. Take whatever action at law or in equity may appear necessary or appropriate to collect the Lease Payments then due and thereafter to become due, or to enforce performance and observance of any obligation, agreement, or covenant of Providence under this Agreement. 30. TERMINATION: This Agreement shall not become effective if Providence has not obtained a Certificate of Need by April 20, 2013. This Agreement shall imi ediately terminate if KIB does not issue its Long -Term Care Center Revenue Bonds on or before June 2, 2013, At any time following the Effective Date, either KIB or Providence may tenninae this Agreement by one year's advance vr'tten notice to the other party, This Agreement shall terminate one year from the date of such notice without further action by either party and shall be of no further Force and effect other than to perfo n any obligation incurred but not paid p r to the termination. If Providence is required to perforin any duty or provide any service under the tens of this Agreement that is in conflict with the philosophy, mission, on, and values of Providence Health. & Services, Providence may terminate this Agreement upon one year's prior Written notice to IIB. Upon any such termination, Providence shall surrender possession of the Long -Term Care Center to IIB. On the effective date of any such termination, KIB shall have the option to purchase any such accounts receivable, inventory, equipment, or supplies at a value agreed to by both parties. In the unlikely event that Providence terminates this Agreement prior to the expiration of the term of this Agreement, Providence agrees to assist KIB In locating, selecting, and transitioning a new prospective tenant to operate the facility. Providence also agrees to cooperate in such a way as to allow IIB to show the Long -Term Care Center to a prospective tenant and accommodate the active transition needs of IIB for the actual termination, KIB agrees to cooperate in such a way as to accommodate Providence's transition needs and the removal of Provi . Tr ANSFERS of LICENSES AND PERMITS: Upon termination of this Agreement, the parties will cooperate and jointly prepare and file all applications for transfer o licenses and permits necessary and incidental to the operation of the Coag -Term Care Center, including, but not limited to, transfer of permits for and inventories of alcohol, narcotics, and dangerous drugs. 2. NOTICES: All notices,, demands, or other writings in this Agreement provided to be given, made or seat, or which may be given, made or seat, by either party hereto to the other, shall be deemed to have been giver, made, or sent when made in writing and deposited in the United States Mail, Registered or Certified Mail, postage prepaid, and addressed as Follows: To KIB: Manager Kodiak Island Borough 710 Mill Bay Road Kodiak, Alaska 99615 To Providence: Regional vice President/Chiu' Executive Courtesy Copy; Providence Health & Services in Alaska Providence Health & Services — 3200 Providence Drive Alaska asl a - meal Estate P.O. Box 196604 3760 Piper Street, Suite 3035 Anchorage, Alaska 99519-96604 Anchorage, Alaska 99508 The address to which any notice, dernand, or other writing may be given or Trade or seat to any party as above provided may be changed by written notice given by such party as above provided.. . ASSIGNMENT AND SUBLEASE: Providence may assign this Agreement and may sublease the Coag -Tera Care Center, in whole or in part, only with the prior consent of the KIB, and subject to each of the following conditions: A. At the time of the making of any suet assignment or sublease, there shall be no event of Default ault under this Agreement; B. For so long as any bonds are outstanding, any assignee must be a non-profit 01 c corporation in order to maintain compliance with certain terms and conditions of the financing structure used to finance the acquisition, desip, construction, and equipping of the Premises; C. Any assignee will continue to operate the Premises as a long-term care center, i accordance with this Agreement; D. Any assignee of this Agreement t shall expressly assuine and agree to per o -n and comply with all the covenants and provisions of this Agreement on the part of Providence and shall be jointly and severally liable with Providence for any default in respect to any such covenant or provision; 7 E. No assignment or sublease shall relieve Providence from primary liability for all rents and other payments due and for the performance of all other obligations required under this .Agreement; F. In the ease of an assignment of the Agreement or a sublease of all or substantially all of the Long -`erns Care Center, the assignee or sublessee shall agree to pay all rent payable by it directly to KI, less a pro -rata share of reasonable maintenance, repair, or administrative handling costs; G. KIB shall be provided promptly a duplicate original of the instrument or instruments containing such assignnnent or sublease; H. Consent to any proposed assignment or sublease sball be determined by KIB, in its sole discretion; and I. Providence may not mortgage or grant a security interest in this Agreement o leasehold interest. Approval of all subleases assigned by Providence shall be concurrent with the terns of this Agreement. No assig=ent for the benefit of creditors or by operation of law shall be effective to transfer any rights to the Assignee. . DAMAGE OR DESTRUCTION: when all or any part of the Premises is destroyed or damaged, the KIB may: A. Proceed promptly to replace, repair, rebuild, and restore the Premises to substantially the same condition as existed before the taking or event causing the damage or destruction. B. All buildings, improvements, and equipment acquired in the repair, rebuilding, replacement, or restoration of the Premises, together with any interests in land conveyed to the KIB as necessary for such restoration, shall become a part of the Premises and available for use and occupancy by Providence without the payment of any rents other than those provided in Section 6.1 and 6.2. 5. CONDEMNATION: If the Premises, mises, or such part thereof as in the reasonable opinion of Providence renders the remainder unusable for its purpose shall be acquired by ei .inent domain, then this Agreement shall cease and tern-linate as of the date that possession is taken in such proceeding. Such tern.inatio., however, shall not be deemed to deprive Providence of any of its rights to receive compensation by reason of such taking. 6. WAIVED OF SUBROGATION: KIS and Providence, both on their own behalf and on behalf of all others claiming through or under either of then, hereby mutually waive and release all claims, liabilities, and causes of action against the other and the agents, servants, employees, and invitees of each other, for all loss, dal -nage to, or destruction of the Premises or any portion thereof, as well as the fixtures, equipment, supplies, and other property of either party located in, upon, or about the Premises resulting from fire or other perils covered by standard fire and extended coverage insurance, whether caused by the negligence of any of said persons or entities or otherwise, except to the extent such waiver would violate or otherwise abrogate the terms of such insurance coverage. V ' . MISCELLANEOUS: All covenants and agreements in this Agreement by KIB or Providence shall hind their successors and assigns, whether so expressed or not. In case any provision in this Agreement shall be invalid, illegal, or unenforceable, the validity, legality, and enforceability of the remaining provisions shall not in any way be affected or impaired thereby. None of the terms, conditions, covenants, or provisions of this Agreement can he waived by either party except by appropriate written instrument. The waiver by either party or any breach of any teen, condition, covenant or provision herein contained shall not be deenaed a waiver o the same of any term, condition, covenant, or provision herein contained or of any subsequent breach of the same or any other terra, condition, covenant, or provision herein. This Agreement shall be construed in accordance with the laws of the State of Alaska. Nothing in this Agreement, express or implied, shall give to any person, other than the parties hereto, and their successors and assigns, any benefit or other regal or equitable right, remedy, or claim under this Agreement. Headings in this Agreement are sorely for convenience or reference, do not constitute a part hereof, and shall not affect the meaning, construction, or effect hereof, The attached Exhibits shall be construed with and as an integral part of this Agreement to the same extent as if the same had been set forth verbatim herein. This Agreement may he executed in counterparts, each of which shall be deemed an original, bort all of which together shall constitute one and the same instrument. The parties agree that facsimile or PDF copies of signatures shall be deemed originals for all purposes hereof and that a party may produce such copies, without the need to produce original signatures, to prove the existence of this Agreement in any proceeding brought hereunder. [SIGNATURES APPEAR ON THE FOLLOWING PAGES] 19 IN WITNESS WHEREOF the parties have respectively executed this Agreement the day and year writer below. PROVIDENCE HEALTH & SERVICES - WASHfNGTON d/b/a rrovidence Health & Services in Alaska By' Its: k Date." r ATTEST: STATE of ALASKA SS. THIRD ,JUDICIAL DISTRICT THIS IS To CERTIFY that on the day of before me, a Notary is in ars . for the Mate of Alaska, duly commissioned and swor as such,R�rsp appeared {� to me known to be the �� 4-k �.# Providence Dealt & Services -Washington, and known t me to be tJ person who e ee the above and foregoing instrument on behalf of Providence Health & Services - Washington, and who acknowledged to me that he executed the same as a free act and deed of the said entity for the uses and purposes therein stated and pursuant to the authority granted to him by the Borough Assembly. WITNESS my bard and notarial seal tb-e..,.. ay...,and-,--year ....first, above in this Certificate mitten. r _Ndtary Pubhjc R,a for Aias6 ,ssion expires:7/JV 17 EXPO's 20 KODIAK ISLAND o o GI THIS IS TO CERTIFY that on the `relay of� c. ((�tY;� ��, before me, a Notary Public in and for the State of Alaska, duly commissioned ane'sworn as such, personally appeared Charles E. Cassidy, Jr., to nye known to be the Borough Manager of the Kodiak Island Borough, and known to nye to be the person who executed the above and foregoing instrument on behalf of the municipality, and who acknowledged to nye that he executed the same as a free act and deed of the said entity for the uses and purposes therein stated and pursuant to the authority granted to him by the Borough Assembly. WITNESS my hand seal the day and year first above in this Certificate 00.0 OPW * c;� ,.1� . * �t ublic in and for Alaska OF � � conn Ission expires - 21 EXHIBIT LEASE PAYMENTS The Lease Payments will be included as Exhibit B pursuant to Subsection 6.2 of this Agreement. Proceeds of the KIB Long -Term Care Center Revenue Bonds, including any original issue premum, will be used in accordance with theBorough's Resolution FY2013- 13. The Lease Payments will be set at amounts payable on the first day of each month beginning on the Bate of Possession, in amounts sufficient for the Borough to pay for insurance coverage and to pay sem.-annual debt service payments on the KIB Long -Term Care Center Revenue Bonds when due, excluding the first interest payment date (expected to be paid from a capitallized interest account) and the final debt service payment(s) (expected to be paid from the bond reserve account). The capitalized interest account and bond preserve account will be funded with proceeds of the KIB Long -Terra Care Center Revenue Bonds, if the bonds are issued. The capitalized interest is expected to be sufficient to make the first interest payment on the bonds when due, The bonds may sell with original issue premium or discount, which may affect the interest rate and debt service on the bonds, and the parties acknowledge that premium will likely result in a higher interest rate on the bonds. EXHIBIT C FF&E Providence Health System PROVIDENCE KODIAK ISLAND LTC DUPLEX Project/GMP FF&E items E, & e C_ Davis/KIB funded Room By Room Detail Report _= GPO Contract E= My Ora Contract Department: COMMONS SECTION Building: Unassigned Room: Break Room Room#: 216 Room Sign: Area/Phase: Unassigned Comments: Currency. Dollar (US) Atta ID Alt ID Qty Description Manufacturer Funding Source Item Status CAD ID Item ID F/I Model Vendor Cost Center Custom 1 Unit Cost Item Tax Price Type AC Item Notes Budget Name Custom 2 Opt Subtotal Opt Tax Total Config 5868-009 1 Dispenser, Soap, Wall Mounted STERIS Corporation (1307Q5) Project Future DSP0026 O/C SDS Dispenser STERIS Corporation (1307Q5) Unassigned Unassigned 0.00 0.00 Estimate 1 No charge item as of 12/2012 Unassigned Unassigned 0.00 Room Total: 0.00 Room Qty: 1 PLAN Powered by Attainia.com 08/22/2013 07:46 PM Page 1 of 26 Sorted by Dept Name, Room Name, Room No, Item Description Providence Health System PROVIDENCE KODIAK ISLAND LTC DUPLEX H e a E C Pr Room By Room Detail Report =j= GPO Contract LA = My Org Contract Department: COMMONS SECTION Building: Unassigned Room: General Storage Room#: 210 Room Sign: Area/Phase: Unassigned Comments: Currency: Dollar (US) Atta ID Alt ID Qty Description Manufacturer Funding Source Item Status CAD ID Item ID F/I Model Vendor Cost Center Custom 1 Unit Cost Item Tax Price Type AC Item Notes Budget Name Custom 2 Opt Subtotal Opt Tax Total Config 8714-001 1 Camera, Photo ID System TBD (TBD) Project Draft (New) CAM0141 O/O TBD TBD (TBD) Unassigned Unassigned 0 10,500.00 0.00 Estimate 2 Arctic Fire and Security quote dated 8/14/2013 $10,233.27 includes installation. quote Unassigned Unassigned 10,500.00 AFS.08.14.13 quote expires 9/13/13 Room Total: 10,500.00 Room Qty: 1 PLAN Powered by Attainia.com 08/22/2013 07:46 PM Page 2 of 26 Sorted by Dept Name, Room Name, Room No, Item Description Providence Health System PROVIDENCE KODIAK ISLAND LTC DUPLEX H e a E C Pr Room By Room Detail Report =j= GPO Contract LA = My Org Contract Department: COMMONS SECTION Building: Unassigned Room: Janitorial Room#: Room Sign: Area/Phase: Unassigned Comments: Currency: Dollar (US) Atta ID Alt ID Qty Description Manufacturer Funding Source Item Status CAD ID Item ID F/I Model Vendor Cost Center Custom 1 Unit Cost Item Tax Price Type AC Item Notes Budget Name Custom 2 Opt Subtotal Opt Tax Total Config 5868-009 1 Dispenser, Soap, Wall Mounted STERIS Corporation (130705) Project Draft (New) DSP0026 O/C SDS Dispenser STERIS Corporation (130705) Unassigned Unassigned 0 0.00 0.00 Estimate 1 No charge item as of 12/2012 Unassigned Unassigned 0.00 5353-004 1 Floor Machine, Extractor, Walk -Behind Windsor Industries, Inc. (1.008-022.0) Project Draft (New) FLR0236 O/O Cadet 7 (CDT7) Windsor Industries, Inc. (1.008-022.0) Unassigned Unassigned 2,596.00 0.00 Vendor 2 Unassigned Unassigned 2,596.00 4581-004 1 Vacuum, Upright Windsor Industries, Inc. (1.012-036.0 Project Draft (New) VAC0038 O/O Versamatic 18" (VS 18)) Unassigned Unassigned 992.00 0.00 Vendor 2 Jan Pak (1.012-036.0 (VS18)) Unassigned Unassigned 992.00 NEED TO GET THE SAME MODEL AS WHAT WAS PURCHASED FOR PROV AK COTTAGES Room Total: 3,588.00 Room Qty: 1 PLAN Powered by Attainia.com 08/22/2013 07:46 PM Page 3 of 26 Sorted by Dept Name, Room Name, Room No, Item Description Providence Health System PROVIDENCE KODIAK ISLAND LTC DUPLEX H e a E C Pr Room By Room Detail Report =j= GPO Contract LA = My Org Contract Department: COMMONS SECTION Building: Unassigned Room: Laundry - Dry Room#: 203B Room Sign: Area/Phase: Unassigned Comments: Currency: Dollar (US) Atta ID Alt ID Qty Description Manufacturer Funding Source Item Status CAD ID Item ID F/I Model Vendor Cost Center Custom 1 Unit Cost Item Tax Price Type AC Item Notes Budget Name Custom 2 Opt Subtotal Opt Tax Total Config 3754-024 2 Dryer, Laundry, Commercial Alliance Laundry Systems-UniMac Project Draft (New) DRY0087 O/C FEU17AWF (FEU17AWF) Unassigned Unassigned 0 0.00 0.00 Estimate 1 AUTOMATED LAUNDRY (FEU17AWF) DAVIS PURCHASES Unassigned 0.00 DAVIS CONTRACTORS TO PROVIDE QUOTED PRICE IS 661.00/EACH Room Total: 0.00 Room Qty: 1 PLAN Powered by Attainia.com 08/22/2013 07:46 PM Page 4 of 26 Sorted by Dept Name, Room Name, Room No, Item Description Providence Health System PROVIDENCE KODIAK ISLAND LTC DUPLEX H e a E C Pr Room By Room Detail Report =j= GPO Contract LA = My Org Contract Department: COMMONS SECTION Building: Unassigned Room: Laundry - Wash Room#: 203A Room Sign: Area/Phase: Unassigned Comments: Currency: Dollar (US) Atta ID Alt ID Qty Description Manufacturer Funding Source Item Status CAD ID Item ID F/I Model Vendor Cost Center Custom 1 Unit Cost Item Tax Price Type AC Item Notes Budget Name Custom 2 Opt Subtotal Opt Tax Total Config 5868-009 1 Dispenser, Soap, Wall Mounted STERIS Corporation (130705) Project Draft (New) DSP0026 O/C SDS Dispenser STERIS Corporation (130705) Unassigned Unassigned 0 0.00 0.00 Estimate 1 No charge item as of 12/2012 Unassigned Unassigned 0.00 Room Total: 0.00 Room Qty: 1 PLAN Powered by Attainia.com 08/22/2013 07:46 PM Page 5 of 26 Sorted by Dept Name, Room Name, Room No, Item Description Providence Health System PROVIDENCE KODIAK ISLAND LTC DUPLEX H e a E C Pr Room By Room Detail Report =j= GPO Contract LA = My Org Contract Department: COMMONS SECTION Building: Unassigned Room: RECV/GARAGE Room#: 213 Room Sign: Area/Phase: Unassigned Comments: Currency: Dollar (US) Atta ID Alt ID Qty Description Manufacturer Funding Source Item Status CAD ID Item ID F/I Model Vendor Cost Center Custom 1 Unit Cost Item Tax Price Type AC Item Notes Budget Name Custom 2 Opt Subtotal Opt Tax Total Config AP249VP 1 Vehicle, Van Project Draft (New) VEH0000 O/O Unassigned Grouping 1 [Vehicles] 75,000.00 0.00 Estimate 3 STARCRAFT SALES - JOSEPH CRAIG 4WD ADA EI Dorado Versa Shuttle with Unassigned Unassigned 75,000.00 automatic locking hubs option Room Total: 75,000.00 Room Qty: 1 PLAN Powered by Attainia.com 08/22/2013 07:46 PM Page 6 of 26 Sorted by Dept Name, Room Name, Room No, Item Description Providence Health System PROVIDENCE KODIAK ISLAND LTC DUPLEX H e a E C Pr Room By Room Detail Report =j= GPO Contract LA = My Org Contract Department: COMMONS SECTION Building: Unassigned Room: SOILS Room#: Room Sign: Area/Phase: Unassigned Comments: Currency: Dollar (US) Atta ID Alt ID Qty Description Manufacturer Funding Source Item Status CAD ID Item ID F/I Model Vendor Cost Center Custom 1 Unit Cost Item Tax Price Type AC Item Notes Budget Name Custom 2 Opt Subtotal Opt Tax Total Config 5868-009 1 Dispenser, Soap, Wall Mounted STERIS Corporation (130705) Project Draft (New) DSP0026 O/C SDS Dispenser STERIS Corporation (130705) Unassigned Unassigned 0 0.00 0.00 Estimate 1 No charge item as of 12/2012 Unassigned Unassigned 0.00 Room Total: 0.00 Room Qty: 1 PLAN Powered by Attainia.com 08/22/2013 07:46 PM Page 7 of 26 Sorted by Dept Name, Room Name, Room No, Item Description Providence Health System PROVIDENCE KODIAK ISLAND LTC DUPLEX H e a E C Pr Room By Room Detail Report =j= GPO Contract LA = My Org Contract Department: COMMONS SECTION Building: Unassigned Room: SPA BATH Room#: Room Sign: Area/Phase: Unassigned Comments: Currency: Dollar (US) Atta ID Alt ID Qty Description Manufacturer Funding Source Item Status CAD ID Item ID F/I Model Vendor Cost Center Custom 1 Unit Cost Item Tax Price Type AC Item Notes Budget Name Custom 2 Opt Subtotal Opt Tax Total Config 6517-043 1 Bath, Hygiene ArjoHuntleigh (AL27010-KT) Project Draft (New) BTH0110 C/C Parker Bath w/Autofill ArjoHuntleigh (AL27010-KT) Unassigned Unassigned 16,233.00 0.00 Vendor 1 Unassigned Unassigned 16,233.00 5868-009 1 Dispenser, Soap, Wall Mounted STERIS Corporation (130705) Project Draft (New) DSP0026 O/C SDS Dispenser STERIS Corporation (130705) Unassigned Unassigned 0 0.00 0.00 Estimate 1 No charge item as of 12/2012 Unassigned Unassigned 0.00 AET009T 1 Scale, Clinical, Allowance ArjoHuntleigh () Project Draft (New) SCI -0000 O/O Maxi Sky Scale Unassigned Unassigned 0 1,200.00 0.00 Estimate 3 ARJO Ceiling lift scales Unassigned Unassigned 1,200.00 Room Total: 17,433.00 Room Qty: 1 PLAN Powered by Attainia.com 08/22/2013 07:46 PM Page 8 of 26 Sorted by Dept Name, Room Name, Room No, Item Description Providence Health System PROVIDENCE KODIAK ISLAND LTC DUPLEX H e a E C Pr Room By Room Detail Report =j= GPO Contract LA = My Org Contract Department: COMMONS SECTION Building: Unassigned Room: SPA BATH TOILET Room#: Room Sign: Area/Phase: Unassigned Comments: Currency: Dollar (US) Atta ID Alt ID Qty Description Manufacturer Funding Source Item Status CAD ID Item ID F/I Model Vendor Cost Center Custom 1 Unit Cost Item Tax Price Type AC Item Notes Budget Name Custom 2 Opt Subtotal Opt Tax Total Config 5868-009 2 Dispenser, Soap, Wall Mounted STERIS Corporation (130705) Project Draft (New) DSP0026 O/C SDS Dispenser STERIS Corporation (130705) Unassigned Unassigned 0.00 0.00 Estimate 1 No charge item as of 12/2012 Unassigned Unassigned 0.00 Room Total: 0.00 Room Qty: 1 Department Total : 106,521.00 PLAN Powered by Attainia.com 08/22/2013 07:46 PM Page 9 of 26 Sorted by Dept Name, Room Name, Room No, Item Description Providence Health System PROVIDENCE KODIAK ISLAND LTC DUPLEX H e a E C Pr Room By Room Detail Report =j= GPO Contract LA = My Org Contract Department: DUPLEX SIDE A Building: Unassigned Room: ARCTIC ENTRY Room#: Room Sign: Area/Phase: Unassigned Comments: Currency: Dollar (US) Atta ID Alt ID Qty Description Manufacturer Funding Source Item Status CAD ID Item ID F/I Model Vendor Cost Center Custom 1 Unit Cost Item Tax Price Type AC Item Notes Budget Name Custom 2 Opt Subtotal Opt Tax Total Config 8058-001 1 Mirror, Allowance TBD () Project Future MIR0004 0/0 TBD TBD - may be p -card purchase () Unassigned Grouping 8 [10yr 549.00 0.00 Quote 0 Unassigned MME] 549.00 Unassigned Room Total: 549.00 Room Qty: 1 PLAN Powered by Attainia.com 08/22/2013 07:46 PM Page 10 of 26 Sorted by Dept Name, Room Name, Room No, Item Description Providence Health System PROVIDENCE KODIAK ISLAND LTC DUPLEX H e a E C Pr Room By Room Detail Report =j= GPO Contract LA = My Org Contract Department: DUPLEX SIDE A Building: Unassigned Room: DEN/Sun Room Room#: Room Sign: Area/Phase: Unassigned Comments: Currency: Dollar (US) Atta ID Alt ID Qty Description Manufacturer Funding Source Item Status CAD ID Item ID F/I Model Vendor Cost Center Custom 1 Unit Cost Item Tax Price Type AC Item Notes Budget Name Custom 2 Opt Subtotal Opt Tax Total Config 6538-001 1 Allowance, Communications (Telephone, To Be Determined () Project Draft (New) ALL0091 O/V PBX, wireless) To Be Determined () Unassigned Unassigned 0 750.00 0.00 Estimate 2 TBD Unassigned Unassigned 750.00 TTY PHONE Room Total: 750.00 Room Qty: 1 PLAN Powered by Attainia.com 08/22/2013 07:46 PM Page 11 of 26 Sorted by Dept Name, Room Name, Room No, Item Description Providence Health System PROVIDENCE KODIAK ISLAND LTC DUPLEX H e a E C Pr Room By Room Detail Report =j= GPO Contract LA = My Org Contract Department: DUPLEX SIDE A Building: Unassigned Room: KITCHEN Room#: Room Sign: Area/Phase: Unassigned Comments: Currency: Dollar (US) Atta ID Alt ID Qty Description Manufacturer Funding Source Item Status CAD ID Item ID F/I Model Vendor Cost Center Custom 1 Unit Cost Item Tax Price Type AC Item Notes Budget Name Custom 2 Opt Subtotal Opt Tax Total Config 5868-009 4 Dispenser, Soap, Wall Mounted STERIS Corporation (130705) Project Draft (New) DSP0026 O/C SDS Dispenser STERIS Corporation (130705) Unassigned Unassigned 0 0.00 0.00 Estimate 1 No charge item as of 12/2012 Unassigned Unassigned 0.00 Room Total: 0.00 Room Qty: 1 PLAN Powered by Attainia.com 08/22/2013 07:46 PM Page 12 of 26 Sorted by Dept Name, Room Name, Room No, Item Description Providence Health System PROVIDENCE KODIAK ISLAND LTC DUPLEX H e a E C Pr Room By Room Detail Report =j= GPO Contract LA = My Org Contract Department: DUPLEX SIDE A Building: Unassigned Room: PT ROOM Room#: Room Sign: Area/Phase: Unassigned Comments: Currency: Dollar (US) Atta ID Alt ID Qty Description Manufacturer Funding Source Item Status CAD ID Item ID F/I Model Vendor Cost Center Custom 1 Unit Cost Item Tax Price Type AC Item Notes Budget Name Custom 2 Opt Subtotal Opt Tax Total Config 6615-009 1 Exerciser, Elliptical/Stepper, Recumbent NuStep (05001 -HB) Project Draft (New) EXE0246 O/O NuStep T5 NuStep (05001 -HB) Unassigned Grouping 8 [10yr 6,994.00 0.00 Estimate 3 Unassigned MME] 6,994.00 Unassigned Room Total: 6,994.00 Room Qty: 1 PLAN Powered by Attainia.com 08/22/2013 07:46 PM Page 13 of 26 Sorted by Dept Name, Room Name, Room No, Item Description Providence Health System PROVIDENCE KODIAK ISLAND LTC DUPLEX H e a E C Pr Room By Room Detail Report =j= GPO Contract LA = My Org Contract Department: DUPLEX SIDE A Building: Unassigned Room: PT ROOM BATHROOM Room#: Room Sign: Area/Phase: Unassigned Comments: Currency: Dollar (US) Atta ID Alt ID Qty Description Manufacturer Funding Source Item Status CAD ID Item ID F/I Model Vendor Cost Center Custom 1 Unit Cost Item Tax Price Type AC Item Notes Budget Name Custom 2 Opt Subtotal Opt Tax Total Config 5868-009 1 Dispenser, Soap, Wall Mounted STERIS Corporation (130705) Project Draft (New) DSP0026 O/C SDS Dispenser STERIS Corporation (130705) Unassigned Unassigned 0.00 0.00 Estimate 1 May go with Simple Human wall mounted soap dispenser -stainless. Need to find out Unassigned Unassigned 0.00 how these can be filled and with what. Room Total: 0.00 Room Qty: 1 PLAN Powered by Attainia.com 08/22/2013 07:46 PM Page 14 of 26 Sorted by Dept Name, Room Name, Room No, Item Description Providence Health System PROVIDENCE KODIAK ISLAND LTC DUPLEX H e a E C Pr Room By Room Detail Report =j= GPO Contract LA = My Org Contract Department: DUPLEX SIDE A Building: Unassigned Room: RESIDENT BATHROOM Room#: Room Sign: Area/Phase: Unassigned Comments: Currency: Dollar (US) Atta ID Alt ID Qty Description Manufacturer Funding Source Item Status CAD ID Item ID F/I Model Vendor Cost Center Custom 1 Unit Cost Item Tax Price Type AC Item Notes Budget Name Custom 2 Opt Subtotal Opt Tax Total Config 5868-009 1 Dispenser, Soap, Wall Mounted STERIS Corporation (130705) Project Future DSP0026 O/C SDS Dispenser STERIS Corporation (130705) Unassigned Unassigned 0.00 0.00 Estimate 1 Unassigned Unassigned 0.00 Room Total: 0.00 Room Qty: 11 Room Ext Total : 0.00 PLAN Powered by Attainia.com 08/22/2013 07:46 PM Page 15 of 26 Sorted by Dept Name, Room Name, Room No, Item Description Providence Health System PROVIDENCE KODIAK ISLAND LTC DUPLEX H e a E C Pr Room By Room Detail Report GPO Contract LA = My Org Contract Department: DUPLEX SIDE A Building: Unassigned Room: Special Items Room#: NA Room Sign: Area/Phase: Unassigned Comments: Items in this space will be distributed through house, no actual room will be used. Currency: Dollar (US) Atta ID Alt ID Qty Description Manufacturer Funding Source Item Status CAD ID Item ID F/I Model Vendor Cost Center Custom 1 Unit Cost Item Tax Price Type AC Item Notes Budget Name Custom 2 Opt Subtotal Opt Tax Total Config AW489GC 6 Scale, Clinical, Allowance SCI -0000 0/0 Maxi Sky Scale 3 ARJO Ceiling lift scales ArjoHuntleigh () Project Draft (New) Unassigned Unassigned 0 Unassigned Unassigned 1,200.00 0.00 Estimate 7,200.00 Room Total: 7,200.00 Room Qty: 1 PLAN Powered by Attainia.com 08/22/2013 07:46 PM Page 16 of 26 Sorted by Dept Name, Room Name, Room No, Item Description Providence Health System PROVIDENCE KODIAK ISLAND LTC DUPLEX H e a E C Pr Room By Room Detail Report =j= GPO Contract LA = My Org Contract Department: DUPLEX SIDE A Building: Unassigned Room: STAFF TOILET Room#: Room Sign: Area/Phase: Unassigned Comments: Currency: Dollar (US) Atta ID Alt ID Qty Description Manufacturer Funding Source Item Status CAD ID Item ID F/I Model Vendor Cost Center Custom 1 Unit Cost Item Tax Price Type AC Item Notes Budget Name Custom 2 Opt Subtotal Opt Tax Total Config 5868-009 1 Dispenser, Soap, Wall Mounted STERIS Corporation (130705) Project Future DSP0026 O/C SDS Dispenser STERIS Corporation (130705) Unassigned Unassigned 0.00 0.00 Estimate 1 No charge item as of 12/2012 Unassigned Unassigned 0.00 Room Total: 0.00 Room Qty: 1 Department Total : 15,493.00 PLAN Powered by Attainia.com 08/22/2013 07:46 PM Page 17 of 26 Sorted by Dept Name, Room Name, Room No, Item Description Providence Health System PROVIDENCE KODIAK ISLAND LTC DUPLEX H e a E C Pr Room By Room Detail Report =j= GPO Contract LA = My Org Contract Department: DUPLEX SIDE B Building: Unassigned Room: ARCTIC ENTRY Room#: Room Sign: Area/Phase: Unassigned Comments: Currency: Dollar (US) Atta ID Alt ID Qty Description Manufacturer Funding Source Item Status CAD ID Item ID F/I Model Vendor Cost Center Custom 1 Unit Cost Item Tax Price Type AC Item Notes Budget Name Custom 2 Opt Subtotal Opt Tax Total Config 8058-001 1 Mirror, Allowance TBD () Project Draft (New) MIR0004 O/O TBD TBD - may be p -card purchase () Unassigned Unassigned 0 549.00 0.00 Quote 0 Unassigned Unassigned 549.00 Room Total: 549.00 Room Qty: 1 PLAN Powered by Attainia.com 08/22/2013 07:46 PM Page 18 of 26 Sorted by Dept Name, Room Name, Room No, Item Description Providence Health System PROVIDENCE KODIAK ISLAND LTC DUPLEX H e a E C Pr Room By Room Detail Report =j= GPO Contract LA = My Org Contract Department: DUPLEX SIDE B Building: Unassigned Room: DEN/Sun Room Room#: Room Sign: Area/Phase: Unassigned Comments: Currency: Dollar (US) Atta ID Alt ID Qty Description Manufacturer Funding Source Item Status CAD ID Item ID F/I Model Vendor Cost Center Custom 1 Unit Cost Item Tax Price Type AC Item Notes Budget Name Custom 2 Opt Subtotal Opt Tax Total Config 6538-001 1 Allowance, Communications (Telephone, To Be Determined () Project Draft (New) ALL0091 O/V PBX, wireless) To Be Determined () Unassigned Unassigned 0 750.00 0.00 Estimate 2 TBD Unassigned Unassigned 750.00 TTY PHONE Room Total: 750.00 Room Qty: 1 PLAN Powered by Attainia.com 08/22/2013 07:46 PM Page 19 of 26 Sorted by Dept Name, Room Name, Room No, Item Description Providence Health System PROVIDENCE KODIAK ISLAND LTC DUPLEX H e a E C Pr Room By Room Detail Report =j= GPO Contract LA = My Org Contract Department: DUPLEX SIDE B Building: Unassigned Room: KITCHEN Room#: Room Sign: Area/Phase: Unassigned Comments: Currency: Dollar (US) Atta ID Alt ID Qty Description Manufacturer Funding Source Item Status CAD ID Item ID F/I Model Vendor Cost Center Custom 1 Unit Cost Item Tax Price Type AC Item Notes Budget Name Custom 2 Opt Subtotal Opt Tax Total Config 5868-009 4 Dispenser, Soap, Wall Mounted STERIS Corporation (130705) Project Draft (New) DSP0026 O/C SDS Dispenser STERIS Corporation (130705) Unassigned Unassigned 0 0.00 0.00 Estimate 1 No charge item as of 12/2012 Unassigned Unassigned 0.00 Room Total: 0.00 Room Qty: 1 PLAN Powered by Attainia.com 08/22/2013 07:46 PM Page 20 of 26 Sorted by Dept Name, Room Name, Room No, Item Description Providence Health System PROVIDENCE KODIAK ISLAND LTC DUPLEX H e a E C Pr Room By Room Detail Report =j= GPO Contract LA = My Org Contract Department: DUPLEX SIDE B Building: Unassigned Room: PT ROOM BATHROOM Room#: Room Sign: Area/Phase: Unassigned Comments: Currency: Dollar (US) Atta ID Alt ID Qty Description Manufacturer Funding Source Item Status CAD ID Item ID F/I Model Vendor Cost Center Custom 1 Unit Cost Item Tax Price Type AC Item Notes Budget Name Custom 2 Opt Subtotal Opt Tax Total Config 5868-009 1 Dispenser, Soap, Wall Mounted STERIS Corporation (130705) Project Draft (New) DSP0026 O/C SDS Dispenser STERIS Corporation (130705) Unassigned Unassigned 0.00 0.00 Estimate 1 Unassigned Unassigned 0.00 Room Total: 0.00 Room Qty: 1 PLAN Powered by Attainia.com 08/22/2013 07:46 PM Page 21 of 26 Sorted by Dept Name, Room Name, Room No, Item Description Providence Health System PROVIDENCE KODIAK ISLAND LTC DUPLEX H e a E C Pr Room By Room Detail Report =j= GPO Contract LA = My Org Contract Department: DUPLEX SIDE B Building: Unassigned Room: RESIDENT BATHROOM Room#: Room Sign: Area/Phase: Unassigned Comments: Currency: Dollar (US) Atta ID Alt ID Qty Description Manufacturer Funding Source Item Status CAD ID Item ID F/I Model Vendor Cost Center Custom 1 Unit Cost Item Tax Price Type AC Item Notes Budget Name Custom 2 Opt Subtotal Opt Tax Total Config 5868-009 1 Dispenser, Soap, Wall Mounted STERIS Corporation (130705) Project Draft (New) DSP0026 O/C SDS Dispenser STERIS Corporation (130705) Unassigned Unassigned 0.00 0.00 Estimate 1 Unassigned Unassigned 0.00 Room Total: 0.00 Room Qty: 11 Room Ext Total : 0.00 PLAN Powered by Attainia.com 08/22/2013 07:46 PM Page 22 of 26 Sorted by Dept Name, Room Name, Room No, Item Description Providence Health System PROVIDENCE KODIAK ISLAND LTC DUPLEX H e a E C Pr Room By Room Detail Report GPO Contract LA = My Org Contract Department: DUPLEX SIDE B Building: Unassigned Room: Special Items Room#: NA Room Sign: Area/Phase: Unassigned Comments: Items in this space will be distributed through house, no actual room will be used. Currency: Dollar (US) Atta ID Alt ID Qty Description Manufacturer Funding Source Item Status CAD ID Item ID F/I Model Vendor Cost Center Custom 1 Unit Cost Item Tax Price Type AC Item Notes Budget Name Custom 2 Opt Subtotal Opt Tax Total Config AET007T SCI -0000 6 Scale, Clinical, Allowance 0/0 Maxi Sky Scale 3 ARJO Ceiling lift scales ArjoHuntleigh () Project Draft (New) Unassigned Unassigned 0 Unassigned Unassigned 1,200.00 0.00 Estimate 7,200.00 Room Total: 7,200.00 Room Qty: 1 PLAN Powered by Attainia.com 08/22/2013 07:46 PM Page 23 of 26 Sorted by Dept Name, Room Name, Room No, Item Description Providence Health System PROVIDENCE KODIAK ISLAND LTC DUPLEX H e a E C Pr Room By Room Detail Report =j= GPO Contract LA = My Org Contract Department: DUPLEX SIDE B Building: Unassigned Room: STAFF TOILET Room#: Room Sign: Area/Phase: Unassigned Comments: Currency: Dollar (US) Atta ID Alt ID Qty Description Manufacturer Funding Source Item Status CAD ID Item ID F/I Model Vendor Cost Center Custom 1 Unit Cost Item Tax Price Type AC Item Notes Budget Name Custom 2 Opt Subtotal Opt Tax Total Config 5868-009 1 Dispenser, Soap, Wall Mounted STERIS Corporation (130705) Project Draft (New) DSP0026 O/C SDS Dispenser STERIS Corporation (130705) Unassigned Unassigned 0.00 0.00 Estimate 1 No charge item as of 12/2012 Unassigned Unassigned 0.00 Room Total: 0.00 Room Qty: 1 Department Total : 8,499.00 PLAN Powered by Attainia.com 08/22/2013 07:46 PM Page 24 of 26 Sorted by Dept Name, Room Name, Room No, Item Description Providence Health System 1 PROVIDENCE KODIAK ISLAND LTC DUPLEX Project Room By Room Detail Report Department: SPECIAL SYSTEMS Building: Unassigned O/O Room: SPECIAL SYSTEMS - RESIDENCES/COMMONS Room#: Room Sign: Area/Phase: Unassigned Comments: 52,500.00 Atta ID Alt ID Qty Description Manufacturer Funding Source Item Status CAD ID Item ID F/I Model Vendor Cost Center Custom 1 AC Item Notes Budget Name Custom 2 E C =j= GPO Contract LA = My Org Contract Currency. Dollar (US) Unit Cost Item Tax Price Type Opt Subtotal Opt Tax Total Config ABV463F 1 Allowance, Architectural Architects Alaska () Project Draft (New) O/O ProvCad record drawings Unassigned Grouping 8 [10yr 52,500.00 0.00 Estimate 3 Unassigned MME] 52,500.00 Unassigned AAL022Z 1 Allowance, I.T. computers/monitors Hewlett-Packard () Project Future O/V Computers/Monitors/Peripherals Hewlett-Packard () Unassigned Grouping 7 [IT/Other] 75,000.00 0.00 Estimate 6 Computers, Monitors, peripherals COORDINATE WITH MIS Unassigned Unassigned 75,000.00 AAL013Z 1 Allowance, I.T. Extended Care Gateway - TBD () Project Future O/V Avaya Cerium () Unassigned Grouping 8 [10yr 75,000.00 0.00 Estimate 6 Phone gateway system Unassigned MME] 75,000.00 COORDINATE WITH MIS Unassigned AAL012Z 1 Allowance, I.T. INX Servers INX () Project Future O/V Phone Switch/Servers World Wide Technologies () Unassigned Grouping 8 [10yr 156,250.00 0.00 Quote 6 COORDINATE WITH MIS Unassigned MME] 156,250.00 Unassigned AAL019Z 1 Allowance, I.T. Spectralink avaya Q Project Future O/V Wireless phones Cerium Networks () Unassigned Grouping 7 [IT/Other] 18,750.00 0.00 Estimate 6 COORDINATE WITH MIS Unassigned Unassigned 18,750.00 6903-001 1 Artwork, Allowance American Art Resources () Project Future ART0004 O/V TBD Unassigned Grouping 8 [10yr 20,000.00 0.00 Estimate 8 Unassigned MME] 20,000.00 Unassigned AAL005Z 1 Lift, Patient, Allowance ArjoHuntleigh () Project Future V/V TBD Arjo () Unassigned Grouping 8 [10yr 0.00 0.00 Quote 2 MAXI -SKY 600 NEED TO BE SURE ARMS FOR SLINGS ARE ABLE TO FIT THE DAVIS PURCHASESMME] 0.00 SAME TYPE OF SLINGS USED FOR RECENTLY PURCHASED ARJO MOBILE Unassigned LIFTS. 7/18/13 - DAVIS HAS ALREADY ISSUED PO FOR THIS VFVI ITEM COST IS 269,112.46 AW027UG 1 Services, Allowance TBD (TBD) Project Draft (New) SER0000 O/O TBD (PROVIDENCE REAL ESTATE) Unassigned Unassigned 0 50,000.00 0.00 Estimate 0 NOT TO EXCEED 50K FOR ENTIRE PROJECT PROVIDENCE REAL ESTATE Unassigned Unassigned 50,000.00 PROJECT MANAGEMENT INCLUDES TRAVEL/LABOR/INCIDENTALS FOR PROJECT PLAN Powered by Attainia.com 08/22/2013 07:46 PM Page 25 of 26 Sorted by Dept Name, Room Name, Room No, Item Description Providence Health System PROVIDENCE KODIAK ISLAND LTC DUPLEX H e a E C Pr Room By Room Detail Report =j= GPO Contract LA = My Org Contract Department: SPECIAL SYSTEMS Building: Unassigned Room: SPECIAL SYSTEMS - RESIDENCES/COMMONS Room#: Room Sign: Area/Phase: Unassigned Comments: Currency: Dollar (US) Atta ID Alt ID Qty Description Manufacturer Funding Source Item Status CAD ID Item ID F/I Model Vendor Cost Center Custom 1 Unit Cost Item Tax Price Type AC Item Notes Budget Name Custom 2 Opt Subtotal Opt Tax Total Config 5303-004 1 Services, Equipment Planning TBD (TBD) Project Draft (New) SER0049 O/V TBD TBD (PROVIDENCE SCM -CAP Unassigned Unassigned 0 35,000.00 0.00 Estimate 0 SOURCING) Unassigned Unassigned 35,000.00 NOT TO EXCEED 35K FOR ENTIRE PROJECT INCLUDES TRAVEL/LABOR/INCIDENTALS FOR PROJECT Room Total: 482,500.00 Room Qty: 1 Department Total : 482,500.00 Grand Total : 613,013.00 Additional FF&E items not noted above: Arch ceiling lifts .................................... $269,112 Washers/dryers....................................... $5,248 Davis Constructors cost to contract, purchase, and install items noted above and $613,013 worth of FF&E items ................................................... $102,235 Total cast of KIB/pro)ject FF&E............ $989,608 PLAN Powered by Attainia.com 08/22/2013 07:46 PM Page 26 of 26 Sorted by Dept Name, Room Name, Room No, Item Description Providence Health System Operating Expense FF&E items PROVIDENCE KODIAK ISLAND LTC DUPLEX PKIMC/PHS funded 11 E, &et C_ Room By Room Detail Report E= GPO Contract E= My Org Contract Department: COMMONS SECTION Building: Unassigned Room: Break Room Room#: 216 Room Sign: Area/Phase: Unassigned Comments: Currency. Dollar (US) Atta ID Alt ID Qty Description Manufacturer Funding Source Item Status CAD ID Item ID F/I Model Vendor Cost Center Custom 1 Unit Cost Item Tax Price Type AC Item Notes Budget Name Custom 2 Opt Subtotal Opt Tax Total Config AX335DC 1 Board, Bulletin Herman Miller Healthcare (Tackboard Operating Draft (New) BRD0000 O/C 48x48) Unassigned Unassigned 0 150.00 0.00 Estimate 1 Business Interiors NW Alaska (Tackboard Unassigned Unassigned 150.00701 48x48) 5879-021 4 Chair, Interiors, Stacking w/Arms Herman Miller Healthcare (WC410PBK ) Operating Draft (New) CHR0286 O/O Caper WC410P Business Interiors NW Alaska (WC410P) Unassigned Unassigned 242.00 0.00 List 5 Poly/Poly - Sparrow Unassigned Unassigned 968.001 7180-003 1 Clock, Employee Time KRONOS Incorporated () Operating Draft (New) CLK0117 O/O 4500 Badge Terminal KRONOS Incorporated () Unassigned Unassigned 0 2,307.00 0.00 Estimate 2 To be placed on wall beside door Unassigned Unassigned 2,307.00 4988-020 1 Computer, Desktop Hewlett-Packard (VS678UT) Operating Draft (New) CMP0643 O/O HP Compaq Elite 8100 Small Form Factor Hewlett-Packard (VS678UT) Unassigned Unassigned 0 785.00 0.00 Estimate 6 needs to be the Ultra Slim Form Factor Unassigned Unassigned 785.00 7201-003 1 Desk, Allowance Herman Miller Healthcare () Operating Draft (New) DSK0089 O/O TBD Herman Miller Healthcare () Unassigned Unassigned 0 600.00 0.00 Estimate 5 Rounded work surface in corner of room across from counter w/sink. Has flipper door, Unassigned Unassigned 600.00] CPU holder 7169-019 1 Monitor, Computer, LCD, 20 - 24 inch Hewlett-Packard (VU893A8#ABA) Operating Draft (New) MNT0340 O/O HP Compaq LA22f WLED Backlit LCD Hewlett-Packard (VU893A8#ABA) Unassigned Unassigned 0 168.00 0.00 Estimate 6 (22") Unassigned Unassigned 168.00 5871-001 1 Table, Interiors, Dining To Be Determined () Operating Draft (New) TBI0070 O/O TBD To Be Determined () Unassigned Unassigned 750.00 0.00 List 5 Table to 48x48 square Unassigned Unassigned 750.00 6529-000 1 Telephone, Wall To Be Determined () Operating Draft (New) TEL0000 O/V To Be Determined () Unassigned Unassigned 0 65.00 0.00 Estimate 6 Allowance for wall mounted analog phone Unassigned Unassigned 65.00 5407-002 1 Waste Can, 20-31 Gallon Rubbermaid Commercial Products Operating Draft (New) WST0109 O/O 3540 Slim Jim Beige (23 gal) (FG354000BEIG) Unassigned Unassigned 0 67.00 0.00 List 3 Grainger (5W406) Unassigned Unassigned 42.00 0.00 109.00 PLAN Powered by Attainia.com 08/22/2013 07:46 PM Page 1 of 52 Sorted by Dept Name, Room Name, Room No, Item Description Providence Health System PROVIDENCE KODIAK ISLAND LTC DUPLEX H e a E C Pr Room By Room Detail Report GPO Contract LA = My Org Contract Department: COMMONS SECTION Building: Unassigned Room: Break Room Room#: 216 Room Sign: Area/Phase: Unassigned Comments: Currency: Dollar (US) Atta ID Alt ID Qty Description Manufacturer Funding Source Item Status CAD ID Item ID F/I Model Vendor Cost Center Custom 1 Unit Cost Item Tax Price Type AC Item Notes Budget Name Custom 2 Opt Subtotal Opt Tax Total Config AES083E 1 Option, Option OPT0000 O/O SWING TOP Gray 0 Rubbermaid Commercial Products (2673- Operating 60) Unassigned Grainger (3u640) Unassigned Draft (New) Unassigned 0 42.00 0.00 Estimate Unassigned 42.00 Room Total: 5,902.00 Room Qty: 1 PLAN Powered by Attainia.com 08/22/2013 07:46 PM Page 2 of 52 Sorted by Dept Name, Room Name, Room No, Item Description Providence Health System PROVIDENCE KODIAK ISLAND LTC DUPLEX H e a E C Pr Room By Room Detail Report = = GPO Contract LA = My Org Contract Department: COMMONS SECTION Building: Unassigned Room: CLEAN Room#: 219 Room Sign: Area/Phase: Unassigned Comments: Currency: Dollar (US) Atta ID Alt ID Qty Description Manufacturer Funding Source Item Status CAD ID Item ID F/I Model Vendor Cost Center Custom 1 Unit Cost Item Tax Price Type AC Item Notes Budget Name Custom 2 Opt Subtotal Opt Tax Total Config 6014-055 4 Cart, Supply, Chrome, 36 inch InterMetro Industries Corporation (N336EC)Operating Draft (New) SPC0886 O/O Super Erecta 36xl8x69 [N336EC] InterMetro Industries Corporation (N336EC)Unassigned Unassigned 0 559.00 0.00 Vendor 3 2 will be used for supply carts - will need to have shelf liners 2 will be used for clean Unassigned Unassigned 2,236.008 linen carts - will need to have shelf liners 8332-000 2 Cover, Allowance Operating Draft (New) COV0000 O/O Unassigned Unassigned 0 200.00 0.00 Estimate 0 Linen cart cover - Automated Laundry. cost is estimated only 1 per side Unassigned Unassigned 400.00 5869-032 1 Dispenser, Hand Sanitizer, Wall Mount 3M Health Care (70-2007-5480-5) Operating Draft (New) DSP0711 O/C Avagard D Wall Bracket 9226 3M Health Care (70-2007-5480-5) Unassigned Unassigned 0 5.00 0.00 List 1 NEED TO REQUEST THE WHITE ONE INSTEAD OF BARNEY PURPLE Unassigned Unassigned 5.00 5407-002 1 Waste Can, 20-31 Gallon Rubbermaid Commercial Products Operating Future WST0109 O/O 3540 Slim Jim Beige (23 gal) (FG354000BEIG) Unassigned Unassigned 67.00 0.00 List 3 Grainger (5W406) Unassigned Unassigned 42.00 0.00 109.00 L841Z 1 Option, Option Rubbermaid Commercial Products (2673- Operating Future OPT0000 O/O SWING TOP Gray 60) Unassigned Grouping 10 [Kitch 42.00 0.00 Estimate 0 Grainger (30640) Unassigned EQ] 42.00 Unassigned Room Total: 2,750.00 Room Qty: 1 PLAN Powered by Attainia.com 08/22/2013 07:46 PM Page 3 of 52 Sorted by Dept Name, Room Name, Room No, Item Description Providence Health System PROVIDENCE KODIAK ISLAND LTC DUPLEX H e a E C Pr Room By Room Detail Report = = GPO Contract LA = My Org Contract Department: COMMONS SECTION Building: Unassigned Room: Commercial Kitchen Room#: 211 Room Sign: Area/Phase: Unassigned Comments: Currency: Dollar (US) Atta ID Alt ID Qty Description Manufacturer Funding Source Item Status CAD ID Item ID F/I Model Vendor Cost Center Custom 1 Unit Cost Item Tax Price Type AC Item Notes Budget Name Custom 2 Opt Subtotal Opt Tax Total Config 4906-000 1 Allowance, Accessories To Be Determined () Operating Draft (New) ALL0000 O/O US FOOD () Unassigned Unassigned 7,000.00 0.00 Estimate 3 ALLOWANCE COVERS - CHINA/DISHES, SMALLWARES, SILVERWARE, MISC Unassigned Unassigned 7,000.00 APPLIANCES SUCH AS THE R2 DICER BY ROBOT COUPE, AND POTS /PANS 5835-018 CAR0261 4 Cart, Utility, Stainless Lakeside Manufacturing, Inc. (411) Operating Draft (New) UTC0017 O/O 411 (3 Shelf, Medium Duty) Lakeside Manufacturing, Inc. (411) Unassigned Unassigned 0 434.00 0.00 Vendor 3 PURCHASE FROM CARDINAL OR GRAINGER Unassigned Unassigned 1,736.00 5409-001 8 Mat, Floor, Anti -Fatigue Grainger (5FX62) Operating Draft (New) MAT0001 O/O Notrax 3 x 5 (5FX62) Unassigned Unassigned 0 162.00 0.00 List 3 Unassigned Unassigned 1,296.00 4690-008 3 Waste Can, 32-36 Gallon Rubbermaid Commercial Products Operating Draft (New) WST0063 O/O 2632 BRUTE Gray w/2640 Dolly (FG263200GRAY/FG264000BLA) Unassigned Unassigned 0 124.00 0.00 Vendor 3 Rubbermaid Commercial Products Unassigned Unassigned 372.00 (2632/2640) Room Total: 10,404.00 Room Qty: 1 PLAN Powered by Attainia.com 08/22/2013 07:46 PM Page 4 of 52 Sorted by Dept Name, Room Name, Room No, Item Description Providence Health System PROVIDENCE KODIAK ISLAND LTC DUPLEX H e a E C Pr Room By Room Detail Report = = GPO Contract LA = My Org Contract Department: COMMONS SECTION Building: Unassigned Room: General Storage Room#: 210 Room Sign: Area/Phase: Unassigned Comments: Currency. Dollar (US) Atta ID Alt ID Qty Description Manufacturer Funding Source Item Status CAD ID Item ID F/I Model Vendor Cost Center Custom 1 Unit Cost Item Tax Price Type AC Item Notes Budget Name Custom 2 Opt Subtotal Opt Tax Total Config 8276-000 1 Bin, Allowance Operating Draft (New) BIN0000 O/O Unassigned Unassigned 0 1,200.00 0.00 Estimate 0 ALLOWANCE FOR BINS FOR 15 CARTS AND CART SHELF LINERS Unassigned Unassigned 1,200.00 6016-023 C4 15 Cart, Supply, Chrome, 60 inch InterMetro Industries Corporation (A566EC) Operating Future SPC0398 O/O Super Erecta A566EC (60x24x69) InterMetro Industries Corporation (A566EC) Unassigned Unassigned 783.00 0.00 Vendor 3 Unassigned Unassigned 11,745.00 5835-018 CAR0261 4 Cart, Utility, Stainless Lakeside Manufacturing, Inc. (411) Operating Future UTC0017 O/O 411 (3 Shelf, Medium Duty) Unassigned Unassigned 378.00 0.00 List 3 2 for each side Unassigned Unassigned 1,512.008 5382-014 1 Chair, Interiors, Stacking w/o Arms Herman Miller Healthcare (WC410NBK_) Operating Draft (New) CHR0239 O/O Caper WC41ON Herman Miller Healthcare (WC410NBK_) Unassigned Unassigned 0 220.00 0.00 Vendor 5 Poly/Poly Sparrow Unassigned Unassigned 220.00 4988-020 1 Computer, Desktop Hewlett-Packard (VS678UT) Operating Draft (New) CMP0643 O/O HP Compaq Elite 8100 Small Form Factor Hewlett-Packard (VS678UT) Unassigned Unassigned 0 785.00 0.00 Estimate 6 Unassigned Unassigned 785.00 6880-015 1 Furniture, Allowance Herman Miller Healthcare () Operating Draft (New) FUR0015 O/O TBD Business Interiors NW Alaska () Unassigned Unassigned 0 2,000.00 0.00 Estimate 5 Allowance includes mobile table 24x60 with cpu holder and b/b/f mobile pedastal Unassigned Unassigned 2,000.00 7169-019 1 Monitor, Computer, LCD, 20 - 24 inch Hewlett-Packard (VU893A8#ABA) Operating Draft (New) MNT0340 O/O HP Compaq LA22f WLED Backlit LCD Hewlett-Packard (VU893A8#ABA) Unassigned Unassigned 0 168.00 0.00 Estimate 6 (22") Unassigned Unassigned 168.00 AEP532W 1 Software, Allowance TBD (TBD) Operating Draft (New) SFT0000 O/O TBD (TBD) Unassigned Unassigned 0 330.00 0.00 Estimate 6 Microsoft Office - $330.00 in service catalog Unassigned Unassigned 330.00 C-029231 1 Trash Can 28Qt Rubbermaid Commercial Products (2543) Operating Draft (New) C-029231 O/O Rubbermaid Rubbermaid Commercial Products (2543) Unassigned Unassigned 0 30.00 0.00 List 2 Unassigned Unassigned 30.00 5407-002 1 Waste Can, 20-31 Gallon Rubbermaid Commercial Products Operating Draft (New) WST0109 O/O 3540 Slim Jim Beige (23 gal) (FG354000BEIG) Unassigned Unassigned 0 67.00 0.00 List 3 Grainger (5W406) Unassigned Unassigned 42.00 0.00 109.00 PLAN Powered by Attainia.com 08/22/2013 07:46 PM Page 5 of 52 Sorted by Dept Name, Room Name, Room No, Item Description Providence Health System PROVIDENCE KODIAK ISLAND LTC DUPLEX H e a E C Pr Room By Room Detail Report GPO Contract LA = My Org Contract Department: COMMONS SECTION Building: Unassigned Room: General Storage Room#: 210 Room Sign: Area/Phase: Unassigned Comments: Currency: Dollar (US) Atta ID Alt ID Qty Description Manufacturer Funding Source Item Status CAD ID Item ID F/I Model Vendor Cost Center Custom 1 Unit Cost Item Tax Price Type AC Item Notes Budget Name Custom 2 Opt Subtotal Opt Tax Total Config AEP929W 1 Option, Option OPT0000 O/O SWING TOP Gray 0 Rubbermaid Commercial Products (2673- Operating 60) Unassigned Grainger (30640) Unassigned Draft (New) Unassigned 0 42.00 6.66 Estimate Unassigned 42.00 Room Total: 18,099.00 Room Qty: 1 PLAN Powered by Attainia.com 08/22/2013 07:46 PM Page 6 of 52 Sorted by Dept Name, Room Name, Room No, Item Description Providence Health System PROVIDENCE KODIAK ISLAND LTC DUPLEX Room By Room Detail Report Department: COMMONS SECTION Building: Unassigned Room: Janitorial Room#: Room Sign: Area/Phase: Unassigned Comments: Atta ID Alt ID Qty Description Manufacturer Funding Source Item Status CAD ID Item ID F/I Model Vendor Cost Center Custom 1 AC Item Notes Budget Name Custom 2 E C =] GPO Contract LA = My Org Contract Currency: Dollar (US) Unit Cost Item Tax Price Type Opt Subtotal Opt Tax Total Config 4906-001 1 Allowance, Accessories To Be Determined () Operating Draft (New) ALL0014 O/O TBD Grainger ( ) Unassigned Unassigned 0 250.00 0.00 Estimate 3 JANITORIAL SUPPLIES TO INCLUDE MOP HEAD, MOP HANDLE, PUSH BROOM. Unassigned Unassigned 250.00 INCL DUSTER AND DUSTER HEAD ITEMS 3VA91 and 4HC19 3450-010 1 Bucket, Mopping Rubbermaid Commercial Products Operating Future BUK0011 O/O 7580-88 WaveBrake Side Press Combo (FG758088YEL) Unassigned Unassigned 117.00 0.00 List 3 Unassigned Unassigned 117.00 6014-002 2 Cart, Supply, Chrome, 36 inch InterMetro Industries Corporation (N536EC)Operating Future SPC0314 O/O Super Erecta 36x24x69 [N536EC] Unassigned Unassigned 602.00 0.00 List 3 Unassigned Unassigned 1 ,204.008 4198-004 1 Rack, Mops / Brooms Rubbermaid Commercial Products Operating Draft (New) RCK0113 O/C 1992 Closet Organizer/Tool Holder (FG199200GRAY) Unassigned Unassigned 0 35.00 0.00 Vendor 1 Rubbermaid Commercial Products Unassigned Unassigned 35.00 (FG 199200G RAY) 5407-002 1 Waste Can, 20-31 Gallon WST0109 O/O 3540 Slim Jim Beige (23 gal) 3 1 Option, Option O/O SWING TOP Gray 0 Rubbermaid Commercial Products Operating Future (FG354000BEIG) Unassigned Unassigned Grainger (5W406) Unassigned Unassigned Rubbermaid Commercial Products (2673- Operating Future 60) Unassigned Grouping 10 [Kitch Grainger (30640) Unassigned EQ] Unassigned 67.00 0.00 List 42.00 0.00 109.00 42.00 0.00 Estimate 42.00 Room Total: 1,715.00 Room Qty: 1 PLAN Powered by Attainia.com 08/22/2013 07:46 PM Page 7 of 52 Sorted by Dept Name, Room Name, Room No, Item Description Providence Health System PROVIDENCE KODIAK ISLAND LTC DUPLEX H e a E C Pr Room By Room Detail Report GPO Contract LA = My Org Contract Department: COMMONS SECTION Building: Unassigned Room: Laundry - Dry Room#: 203B Room Sign: Area/Phase: Unassigned Comments: Currency: Dollar (US) Atta ID Alt ID Qty Description Manufacturer Funding Source Item Status CAD ID Item ID F/I Model Vendor Cost Center Custom 1 Unit Cost Item Tax Price Type AC Item Notes Budget Name Custom 2 Opt Subtotal Opt Tax Total Config AAL699Y 2 CART, LAUNDRY WIRE ECONOMY R&B WIRE PRODUCTS (96B) Operating Future 0/0 2.5BUSHEL Direct Supply (72965) Unassigned Unassigned 175.00 0.00 Estimate 2 ECONOMY LAUNDRY CART Unassigned Unassigned 350.00 needs to have the hanger bar on top - WITH DOUBLE POLE RACK 8426-001 1 Labeler, Allowance TBD (TBD) LBL0005 0/0 TBD TBD (TBD) 0 SAME ITEM AS WHAT WAS PURCHASED FOR PEC Operating Draft (New) Unassigned Unassigned 0 Unassigned Unassigned 2,000.00 0.00 Estimate 2,000.00 Room Total: 2,350.00 Room Qty: 1 PLAN Powered by Attainia.com 08/22/2013 07:46 PM Page 8 of 52 Sorted by Dept Name, Room Name, Room No, Item Description Providence Health System PROVIDENCE KODIAK ISLAND LTC DUPLEX H e a E C Pr Room By Room Detail Report = = GPO Contract LA = My Org Contract Department: COMMONS SECTION Building: Unassigned Room: Laundry - Wash Room#: 203A Room Sign: Area/Phase: Unassigned Comments: Currency: Dollar (US) Atta ID Alt ID Qty Description Manufacturer Funding Source Item Status CAD ID Item ID F/I Model Vendor Cost Center Custom 1 Unit Cost Item Tax Price Type AC Item Notes Budget Name Custom 2 Opt Subtotal Opt Tax Total Config C-104726 2 CART, LAUNDRY FRONT LOAD 2.25 R&B WIRE PRODUCTS (17439) Operating Draft (New) C-104726 0/0 BUSHEL Direct Supply (17439) Unassigned Unassigned 0 250.00 0.00 Estimate 2 100T Unassigned Unassigned 500.00 Room Total: 500.00 Room Qty: 1 PLAN Powered by Attainia.com 08/22/2013 07:46 PM Page 9 of 52 Sorted by Dept Name, Room Name, Room No, Item Description Providence Health System PROVIDENCE KODIAK ISLAND LTC DUPLEX H e a E C Pr Room By Room Detail Report = = GPO Contract LA = My Org Contract Department: COMMONS SECTION Building: Unassigned Room: Office - Robert's Room#: Room Sign: Area/Phase: Unassigned Comments: Currency: Dollar (US) Atta ID Alt ID Qty Description Manufacturer Funding Source Item Status CAD ID Item ID F/I Model Vendor Cost Center Custom 1 Unit Cost Item Tax Price Type AC Item Notes Budget Name Custom 2 Opt Subtotal Opt Tax Total Config 4988-020 1 Computer, Desktop Hewlett-Packard (VS678UT) Operating Draft (New) CMP0643 O/O HP Compaq Elite 8100 Small Form Factor Hewlett-Packard (VS678UT) Unassigned Unassigned 0 785.00 0.00 Estimate 6 Unassigned Unassigned 785.00 6880-015 1 Furniture, Allowance Herman Miller Healthcare () Operating Draft (New) FUR0015 O/O TBD Business Interior NW Alaska () Unassigned Grouping 2 [Furn] 5,000.00 0.00 Estimate 5 EACH ALLOWANCE COVERS 1 PERSON TYPE OFFICE INCLUDING Unassigned Unassigned 5,000.00 CHAIR/OVERHEADS/FILE CABINET/MOBILE PED 7169-019 2 Monitor, Computer, LCD, 20 - 24 inch Hewlett-Packard (VU893A8#ABA) Operating Draft (New) MNT0340 O/O HP Compaq LA22f WLED Backlit LCD Hewlett-Packard (VU893A8#ABA) Unassigned Unassigned 0 168.00 0.00 Estimate 6 (22°) Unassigned Unassigned 336.00 6374-038 1 Printer, Laser, Color Hewlett-Packard (CE956A#BGJ) Operating Draft (New) PRN0373 O/O LaserJet Pro 400 Color M451 nw Hewlett-Packard (CE956A#BGJ) Unassigned Unassigned 0 500.00 0.00 Vendor 2 NEED TO VERIFY THIS IS ACCEPTABLE FOR PHS IT Unassigned Unassigned 500.00 AEP932W 1 Software, Allowance TBD (TBD) Operating Draft (New) SF70000 O/O TBD (TBD) Unassigned Unassigned 0 330.00 0.00 Estimate 6 Microsoft Office - $330.00 in service catalog Unassigned Unassigned 330.00 6097-000 1 Telephone, Desktop To Be Determined () Operating Draft (New) TEL0000 O/V To Be Determined () Unassigned Unassigned 0 135.00 0.00 Estimate 6 service catalog pricing for 8 button premium phone Unassigned Unassigned 135.00 4688-041 1 Waste Can, Open Top Grainger (4PGL6) Operating Draft (New) WST0324 O/O Tough Guy 4PGL6 (Beige) Grainger (4PGL6) Unassigned Unassigned 30.00 0.00 Estimate 3 Unassigned Unassigned 30.00 Room Total: 7,116.00 Room Qty: 1 PLAN Powered by Attainia.com 08/22/2013 07:46 PM Page 10 of 52 Sorted by Dept Name, Room Name, Room No, Item Description Providence Health System PROVIDENCE KODIAK ISLAND LTC DUPLEX H e a E C Pr Room By Room Detail Report = = GPO Contract LA = My Org Contract Department: COMMONS SECTION Building: Unassigned Room: OPEN OFFICE Room#: Room Sign: Area/Phase: Unassigned Comments: 5 Person office for: MDS Nurse, Social Worker, Dietary, Activities, and Ward Clerk Currency: Dollar (US) Atta ID Alt ID Qty Description Manufacturer Funding Source Item Status CAD ID Item ID F/I Model Vendor Cost Center Custom 1 Unit Cost Item Tax Price Type AC Item Notes Budget Name Custom 2 Opt Subtotal Opt Tax Total Config 7190-003 1 Cabinet, File, Allowance Herman Miller Healthcare (TBD) Operating Draft (New) CFL0053 O/O TBD Business Interiors NW Alaska (TBD) Unassigned Unassigned 0 2,500.00 0.00 Estimate 5 ONE 5 DRAWER FOR SUPPLIES AND TWO 3 DRAWER LOCKING Unassigned Unassigned 2,500.008 4988-020 5 Computer, Desktop Hewlett-Packard (VS678UT) Operating Draft (New) CMP0643 O/O HP Compaq Elite 8100 Small Form Factor Hewlett-Packard (VS678UT) Unassigned Unassigned 0 785.00 0.00 Estimate 6 Unassigned Unassigned 3,925.00 6880-015 5 Furniture, Allowance Herman Miller Healthcare () Operating Draft (New) FUR0015 O/O TBD Business Interior NW Alaska () Unassigned Grouping 2 [Furn] 4,000.00 0.00 Estimate 5 EACH ALLOWANCE COVERS 1 PERSON TYPE OFFICE INCLUDING Unassigned Unassigned 20,000.008 CHAIR/OVERHEADS/FILE CABINET/MOBILE PED 7169-019 6 Monitor, Computer, LCD, 20 - 24 inch Hewlett-Packard (VU893A8#ABA) Operating Draft (New) MNT0340 O/O HP Compaq LA22f WILED Backlit LCD Hewlett-Packard (VU893A8#ABA) Unassigned Unassigned 0 168.00 0.00 Estimate 6 (22°) Unassigned Unassigned 1,008.00 MDS Nurse requires dual monitors. Other 4 require single monitor AEP942W 5 Software, Allowance TBD (TBD) Operating Draft (New) SF70000 O/O TBD (TBD) Unassigned Unassigned 0 330.00 0.00 Estimate 6 Microsoft Office - $330.00 in service catalog Unassigned Unassigned 1,650.00 6097-000 5 Telephone, Desktop To Be Determined () Operating Draft (New) TEL0000 O/V To Be Determined () Unassigned Unassigned 0 135.00 0.00 Estimate 6 service catalog pricing for 8 button premium phone Unassigned Unassigned 675.00 4688-041 5 Waste Can, Open Top Grainger (4PGL6) Operating Draft (New) WST0324 O/O Tough Guy 4PGL6 (Beige) Grainger (4PGL6) Unassigned Unassigned 30.00 0.00 Estimate 3 Unassigned Unassigned 150.00 6802-027 1 Waste Can, Recycle Bin Rubbermaid Commercial Products Operating Draft (New) WST0267 O/O 3540-07 Slim Jim w/Venting (Blue) (FG354007BLUE) Unassigned Unassigned 0 68.00 0.00 Vendor 3 Rubbermaid Commercial Products Unassigned Unassigned 68.00 (FG354007BLUE) This will be used as a recycle bin for office Room Total: 29,976.00 Room Qty: 1 PLAN Powered by Attainia.com 08/22/2013 07:46 PM Page 11 of 52 Sorted by Dept Name, Room Name, Room No, Item Description Providence Health System PROVIDENCE KODIAK ISLAND LTC DUPLEX H e a E C Pr Room By Room Detail Report = = GPO Contract LA = My Org Contract Department: COMMONS SECTION Building: Unassigned Room: RECV/GARAGE Room#: 213 Room Sign: Area/Phase: Unassigned Comments: Currency. Dollar (US) Atta ID Alt ID Qty Description Manufacturer Funding Source Item Status CAD ID Item ID F/I Model Vendor Cost Center Custom 1 Unit Cost Item Tax Price Type AC Item Notes Budget Name Custom 2 Opt Subtotal Opt Tax Total Config AAL888Y 1 Allowance, Accessories NOTRAX (118s0048CH) Operating Future ALL0000 O/O Mat, Entrance, Charcoal 4'x8' Grainger (31-1397) Unassigned Unassigned 351.00 0.00 Estimate 3 Unassigned Unassigned 351.00 4906-000 1 Allowance, Accessories Operating Draft (New) ALL0000 O/O Unassigned Unassigned 0 2,500.00 0.00 Estimate 3 TOOLS. TO INCLUDE VISE FOR WORK BENCH, COMPLETE CRAFTSMAN TOOL Unassigned Unassigned 2,500.00 SET 3429-004 1 Bench, Work, Wood Edsal Manufacturing Co (M5333) Operating Draft (New) BCH0028 O/O M5333 (7206) GRAINGER (7D198) Unassigned Unassigned 0 601.00 0.00 List 3 Bench - WWG 7D198, drawers WWG 5W671, Shelf WWG 5W680, Bench riser WWG Unassigned Unassigned 467.00 0.00 1,068.00 5W675 AES090E 4 Option, Option Edsal Manufacturing Cc (SD2014) Operating Draft (New) OPT0000 O/O STACKABLE WORKBENCH DRAWER Grainger (5W671) Unassigned Unassigned 0 80.00 0.00 Estimate 0 Unassigned Unassigned 320.00 AES091 E 1 Option, Option Edsal Manufacturing Cc (5603) Operating Draft (New) OPT0000 O/O WORKBENCH LOWER SHELF Grainger (5W680) Unassigned Unassigned 0 55.00 0.00 Estimate 0 Unassigned Unassigned 55.00 AES092E 1 Option, Option Edsal Manufacturing Cc (E702) Operating Draft (New) OPT0000 O/O WORKBENCH ELECTRONIC RISER W Grainger (5W675) Unassigned Unassigned 0 92.00 0.00 Estimate 0 721N Unassigned Unassigned 92.00 8276-000 1 Bin, Allowance Operating Draft (New) BIN0000 O/O Unassigned Unassigned 0 500.00 0.00 Estimate 0 ALLOWANCE FOR BINS FOR 3 CARTS AND CART SHELF LINERS Unassigned Unassigned 500.00 8157-009 2 Bracket, Allowance Grainger (TBD) Operating Draft (New) BCH0131 O/C TBD Grainger (TBD) Unassigned Unassigned 0 225.00 0.00 Estimate 1 HOSE REEL W/WHEELS - 2LRL2 IS EXAMPLE - COST APPROX 225.00 Unassigned Unassigned 450.00 PLAN Powered by Attainia.com 08/22/2013 07:46 PM Page 12 of 52 Sorted by Dept Name, Room Name, Room No, Item Description Providence Health System PROVIDENCE KODIAK ISLAND LTC DUPLEX H e a E C Pr Room By Room Detail Report = = GPO Contract LA = My Org Contract Department: COMMONS SECTION Building: Unassigned Room: RECV/GARAGE Room#: 213 Room Sign: Area/Phase: Unassigned Comments: Currency: Dollar (US) Atta ID Alt ID Qty Description Manufacturer Funding Source Item Status CAD ID Item ID F/I Model Vendor Cost Center Custom 1 Unit Cost Item Tax Price Type AC Item Notes Budget Name Custom 2 Opt Subtotal Opt Tax Total Config 3584-004 1 Cart/ Truck, Hand Grainger (5YP03) Operating Draft (New) CTKO049 O/O Magliner 3-Position Convertible 5YP03 Grainger (5YP03) Unassigned Unassigned 0 676.00 0.00 Vendor 3 Unassigned Unassigned 676.00 6016-023 C4 3 Cart, Supply, Chrome, 60 inch InterMetro Industries Corporation (A566EC) operating Draft (New) SPC0398 O/O Super Erecta A566EC (60x24x69) InterMetro Industries Corporation (A566EC) Unassigned Unassigned 0 783.00 0.00 List 3 Unassigned Unassigned 2,349.00 6088-005 15 Locker, Double Tier Lyon Metal Products, Inc. (5202) Operating Draft (New) LCK0010 O/C 5202 (2 Tier, 12" x 12") Lyon Metal Products, Inc. (5202) Unassigned Unassigned 0 263.00 0.00 Vendor 1 LOCKERS WILL BE BOLTED TO THE WALL NEED TO HAVE LOCKER FRON Unassigned Unassigned 3,945.00 BASE AS WELL 5875-008 1 Wash Station, Eye, Wall Mounted Honeywell Safety Products (32-000462- Operating Draft (New) EWS0010 O/C Saline Wall Station 0000) Unassigned Unassigned 0 75.00 0.00 Estimate 1 Honeywell Safety Products (32-000462- Unassigned Unassigned 75.00 0000) Room Total: 11,914.00 Room Qty: 1 PLAN Powered by Attainia.com 08/22/2013 07:46 PM Page 13 of 52 Sorted by Dept Name, Room Name, Room No, Item Description Providence Health System PROVIDENCE KODIAK ISLAND LTC DUPLEX H e a E C Pr Room By Room Detail Report = = GPO Contract LA = My Org Contract Department: COMMONS SECTION Building: Unassigned Room: RN OFFICE Room#: Room Sign: Area/Phase: Comments: Currency. Dollar (US) Atta ID Alt ID Qty Description Manufacturer Funding Source Item Status CAD ID Item ID F/I Model Vendor Cost Center Custom 1 Unit Cost Item Tax Price Type AC Item Notes Budget Name Custom 2 Opt Subtotal Opt Tax Total Config 4906-001 1 Allowance, Accessories To Be Determined () Operating Draft (New) ALL0014 O/O TBD To Be Determined () Unassigned 1,250.00 0.00 Estimate 3 TRI-ANIM EMERG LIFESAVER KIT 35.48 TRI-ANIM NASOPHARYNGEAL AIRWAY Unassigned Unassigned 1,250.00 KIT 34.17 BLOOD PRESSURE CUFF/STETHOSCOPE - EST COST 250.00 OTHER MISC ITEMS AS NEEDED 6029-036 C035883 1 Cart, Chart, 21-30 chart FIRST Healthcare Products (635030P) Operating Draft (New) CHCO099 O/O Level 1 635 Total Privacy (30 Chart) FIRST Healthcare Products (635030P) Unassigned 0 1,025.00 0.00 Vendor 3 Unassigned Unassigned 1,025.00 5863-253 1 Cart, Procedure, General Armstrong Medical Industries, Inc. (AMC- Operating Draft (New) PRC0776 O/O AMC -1 Mini Cart (Push -Button) 1COLOR-PB) Unassigned Unassigned 1,130.00 0.00 Vendor 3 Armstrong Medical Industries, Inc. (AMC- Unassigned Unassigned 200.00 0.00 1,330.00 1 COLOR -PB) PUSHBUTTON MINI CART - TERRA COTTA WITH AOB-1 OX TANK BRACKET AW342HF 1 Option, Option Armstrong Medical Industries, Inc. (AOB-1) Operating Draft (New) OPT0000 O/O OXYGEN BRACKET Armstrong Medical Industries, Inc. (AOB-1) Unassigned 0 200.00 0.00 Estimate 0 Unassigned Unassigned 200.00 4988-020 2 Computer, Desktop Hewlett-Packard (VS678UT) Operating Draft (New) CMP0643 O/O HP Compaq Elite 8100 Small Form Factor Hewlett-Packard (VS678UT) Unassigned 0 785.00 0.00 Estimate 6 Unassigned Unassigned 1,570.00 5089-004 1 Defibrillator, Transport, Advisory Zoll Medical Corporation (2 0100 0001 Operating Draft (New) DFB0079 O/O AED Plus w/AED Cover 0201 1010) Unassigned 1,995.00 0.00 List 2 Unassigned Unassigned 135.00 0.00 2,130.008 PLAN Powered by Attainia.com 08/22/2013 07:46 PM Page 14 of 52 Sorted by Dept Name, Room Name, Room No, Item Description Providence Health System 1 Dispenser, Hand Sanitizer, Wall Mount 3M Health Care (70-2007-5480-5) Operating Draft (New) PROVIDENCE KODIAK ISLAND LTC DUPLEX H e a E C Pr Room By Room Detail Report = = GPO Contract LA = My Org Contract Department: COMMONS SECTION Unassigned 0 Building: Unassigned 0.00 List Room: RN OFFICE Room#: Room Sign: Area/Phase: 1 NEED TO REQUEST THE WHITE ONE Comments: Unassigned Currency. Dollar (US) Atta ID Alt ID Qty Description Manufacturer Funding Source Item Status 5.00 CAD ID Item ID F/I Model Vendor Cost Center Custom 1 Unit Cost Item Tax Price Type AC Item Notes Budget Name Custom 2 Opt Subtotal Opt Tax Total Config M656E 1 Option, Accessory Zoll Medical Corporation (8900-0800-01) Operating Draft (New) OPT0000 0/0 CPR-D-PADZ Unassigned 135.00 0.00 Estimate 0 Unassigned Unassigned 135.00 5869-032 1 Dispenser, Hand Sanitizer, Wall Mount 3M Health Care (70-2007-5480-5) Operating Draft (New) DSP0711 O/C Avagard D Wall Bracket 9226 3M Health Care (70-2007-5480-5) Unassigned 0 5.00 0.00 List 1 NEED TO REQUEST THE WHITE ONE INSTEAD OF BARNEY PURPLE Unassigned Unassigned 5.00 3708-107 1 Dispenser, Medication, Host (Main) CareFusion - Pyxis () Lease Draft (New) MED0174 O/V DuoStation Double Column CareFusion - Pyxis (M2C2FLR) Unassigned 0 0.00 0.00 Estimate 2 CURRENT ONE WILL BE MOVED TO NEW FACILITY Unassigned Unassigned 0.00 3723-003 1 Disposal, Sharps, Wall Mount Covidien - Kendall Products (31353553) Operating Draft (New) DIS0010 O/C Devon Gatorguard Jr. (5 qt) Covidien - Kendall Products (31353553) Unassigned 0 31.00 0.00 List 1 Unassigned Unassigned 31.00 6880-015 2 Furniture, Allowance Herman Miller Healthcare () Operating Draft (New) FUR0015 0/0 TBD Business Interior NW Alaska () Grouping 2 [Furn] 5,000.00 0.00 Estimate 5 EACH ALLOWANCE COVERS 1 PERSON TYPE OFFICE INCLUDING Unassigned Unassigned 10,000.008 CHAIR/OVERHEADS/FILE CABINET/MOBILE PED 5460-017 1 Light, Exam/Procedure, Single, Mobile, Welch Allyn, Inc. (48810/48950) Operating Draft (New) LIG0267 0/0 Gooseneck Arm Welch Allyn, Inc. (48810/48950) Grouping 6 [MEQ 1,379.00 0.00 Vendor 2 Green Series Exam Light IV Unassigned oth] 1,379.00 Unassigned 7169-019 2 Monitor, Computer, LCD, 20 - 24 inch Hewlett-Packard (VU893A8#ABA) Operating Draft (New) MNT0340 0/0 HP Compaq LA22f WLED Backlit LCD Hewlett-Packard (VU893A8#ABA) Unassigned 0 168.00 0.00 Estimate 6 (22") Unassigned Unassigned 336.00 4090-018 1 Oto/Ophthalmoscope Set, Desktop Welch Allyn, Inc. (71641 -MS) Operating Draft (New) OPH0016 0/0 71641 -MS Welch Allyn, Inc. (71641 -MS) Unassigned 1,317.00 0.00 Vendor 4 Unassigned Unassigned 1,317.00 PLAN Powered by Attainia.com 08/22/2013 07:46 PM Page 15 of 52 Sorted by Dept Name, Room Name, Room No, Item Description Providence Health System PROVIDENCE KODIAK ISLAND LTC DUPLEX H e a E C Pr Room By Room Detail Report = = GPO Contract LA = My Org Contract Department: COMMONS SECTION Building: Unassigned Room: RN OFFICE Room#: Room Sign: Area/Phase: Comments: Currency: Dollar (US) Atta ID Alt ID Qty Description Manufacturer Funding Source Item Status CAD ID Item ID F/I Model Vendor Cost Center Custom 1 Unit Cost Item Tax Price Type AC Item Notes Budget Name Custom 2 Opt Subtotal Opt Tax Total Config 4234-018 1 Refrigerator, Domestic, Compact Summit Appliance (761101002286) Operating Draft (New) REF0125 O/O FF28L Unassigned 371.00 0.00 List 2 Unassigned Unassigned 371.00 AEP938W 2 Software, Allowance TBD (TBD) Operating Draft (New) SF70000 O/O TBD (TBD) Unassigned 0 330.00 0.00 Estimate 6 Microsoft Office - $330.00 in service catalog Unassigned Unassigned 660.00 4414-048 1 Stool, Exam, Cushion -Seat Midmark Corp - Medical (274-001) Operating Draft (New) STL0064 O/O Ritter 274 Classic Series Midmark Corp - Medical (274-001) Unassigned 0 280.00 0.00 Vendor 3 Unassigned Unassigned 280.008 6097-000 2 Telephone, Desktop To Be Determined () Operating Draft (New) TEL0000 O/V To Be Determined () Unassigned 0 135.00 0.00 Estimate 6 service catalog pricing for 8 button premium phone Unassigned Unassigned 270.00 4688-041 2 Waste Can, Open Top Grainger (4PGL6) Operating Draft (New) WST0324 O/O Tough Guy 4PGL6 (Beige) Grainger (4PGL6) Unassigned 30.00 0.00 Estimate 3 Unassigned Unassigned 60.00 Room Total: 22,014.00 Room Qty: 1 PLAN Powered by Attainia.com 08/22/2013 07:46 PM Page 16 of 52 Sorted by Dept Name, Room Name, Room No, Item Description Providence Health System PROVIDENCE KODIAK ISLAND LTC DUPLEX H e a E C Pr Room By Room Detail Report = = GPO Contract LA = My Org Contract Department: COMMONS SECTION Building: Unassigned Room: SOILS Room#: Room Sign: Area/Phase: Unassigned Comments: Currency. Dollar (US) Atta ID Alt ID Qty Description Manufacturer Funding Source Item Status CAD ID Item ID F/I Model Vendor Cost Center Custom 1 Unit Cost Item Tax Price Type AC Item Notes Budget Name Custom 2 Opt Subtotal Opt Tax Total Config 6338-059 2 Cart/ Truck, Soiled Utility R & B Wire Products (4610) Operating Future CTK0673 0/0 4610 - 10 Bushel Poly Truck Unassigned Unassigned 273.00 0.00 List 3 Unassigned Unassigned 90.00 0.00 636.00 L858Z 2 Option, Accessory Direct Supply (67447-1) Operating Future OPT0000 0/0 COVER CAP 10 BU POLY TRK GREY Direct Supply (67447-1) Unassigned Grouping 10 [Kitch 45.00 0.00 Estimate 0 Unassigned EQ] 90.00 Unassigned C-104726 2 CART, LAUNDRY FRONT LOAD 2.25 R&B WIRE PRODUCTS (17439) Operating Future C-104726 0/0 BUSHEL Direct Supply (17439) Unassigned Unassigned 250.00 0.00 Estimate 2 100T Unassigned Unassigned 500.00 6014-055 2 Cart, Supply, Chrome, 36 inch InterMetro Industries Corporation (N336EC)Operating Draft (New) SPC0886 0/0 Super Erecta 36xl8x69 [N336EC] InterMetro Industries Corporation (N336EC)Unassigned Unassigned 0 559.00 0.00 List 3 Unassigned Unassigned 1,118.00 5869-032 1 Dispenser, Hand Sanitizer, Wall Mount 3M Health Care (70-2007-5480-5) Operating Draft (New) DSP0711 O/C Avagard D Wall Bracket 9226 3M Health Care (70-2007-5480-5) Unassigned Unassigned 0 5.00 0.00 List 1 NEED TO TRY TO GET THE WIRE FRAME STYLE FOR ALL HAND SANITIZER Unassigned Unassigned 5.00 WALL MOUNTS 5409-001 4 Mat, Floor, Anti-Fatigue Grainger (5FX62) Operating Future MAT0001 0/0 Notrax 3 x 5 (5FX62) Unassigned Unassigned 162.00 0.00 List 3 Unassigned Unassigned 648.00 5407-002 1 Waste Can, 20-31 Gallon Rubbermaid Commercial Products Operating Future WST0109 0/0 3540 Slim Jim Beige (23 gal) (FG354000BEIG) Unassigned Unassigned 67.00 0.00 List 3 Grainger (5W406) Unassigned Unassigned 42.00 0.00 109.00 PLAN Powered by Attainia.com 08/22/2013 07:46 PM Page 17 of 52 Sorted by Dept Name, Room Name, Room No, Item Description Providence Health System PROVIDENCE KODIAK ISLAND LTC DUPLEX Room By Room Detail Report Department: COMMONS SECTION Building: Unassigned GPO Contract LA = My Org Contract Room: SOILS Room#: Room Sign: Area/Phase: Unassigned Comments: Currency: Dollar (US) Atta ID Alt ID Qty Description Manufacturer Funding Source Item Status CAD ID Item ID F/I Model Vendor Cost Center Custom 1 Unit Cost Item Tax Price Type AC Item Notes Budget Name Custom 2 Opt Subtotal Opt Tax Total Config 1 Option, Option O/O SWING TOP Gray 0 Rubbermaid Commercial Products (2673- Operating 60) Unassigned Grainger (30640) Unassigned Future Grouping 10 [Kitch 42.00 0.00 Estimate EQ] 42.00 Unassigned Room Total: 3,016.00 Room Qty: 1 PLAN Powered by Attainia.com 08/22/2013 07:46 PM Page 18 of 52 Sorted by Dept Name, Room Name, Room No, Item Description Providence Health System PROVIDENCE KODIAK ISLAND LTC DUPLEX Room By Room Detail Report Department: COMMONS SECTION Building: Unassigned =j= GPO Contract LA = My Org Contract Room: SPA BATH Room#: Room Sign: Area/Phase: Unassigned Stadiometer, Wall Mount Operating Draft (New) SDM0000 Comments: Unassigned Unassigned 0 250.00 0.00 Estimate 1 Currency. Dollar (US) Atta ID Alt ID Qty Description Manufacturer Funding Source Item Status CAD ID Item ID F/I Model Vendor Cost Center Custom 1 Unit Cost Item Tax Price Type Saline Wall Station 0000) AC Item Notes Budget Name Custom 2 Opt Subtotal Opt Tax Total Config 6725-000 1 Chair, Interiors, Salon, Shampoo Operating Draft (New) CHR0000 O/O Unassigned Unassigned 1,500.00 0.00 Estimate 5 Unassigned Unassigned 1,500.00 AW380CS 1 Dryer, Hair Portable Salon Collins Manufacturing (J340i 0-54381) Operating Draft (New) O/O Portable Ionic Dryer w/Digital Controls Direct Supply (54381) Unassigned Unassigned 0 650.00 0.00 Estimate 5 The futuristic J340i reduces drying time up to 50% and can leave hair in better Unassigned Unassigned 650.00 condition than conventional hair dryers. Built-in Ion Generator with on/off control, Tourmaline, 115 volts, 1875 watts of heating power.Features include 2 speeds, 4 heat options. Oversized hood, adjustable height from 25" to 43" to bottom of the hood, adjustable hood angle, two locking casters, 9' electrical cord. Dryer is ETL Certified, conforming to Underwriter's Laboratories Standard 859 and CSA Standard c22.2 No.36. 3836-034 2 Hamper, Linen Blickman Inc. (096211800P) Operating Draft (New) HAM0031 O/O 2118 Tilt -Top Blickman Inc. (096211800P) Unassigned Unassigned 0 210.00 0.00 vendor 3 1 hamper is for linens and 1 hamper is for resident clothing Unassigned Unassigned 420.00 4352-000 1 Stadiometer, Wall Mount Operating Draft (New) SDM0000 O/O Unassigned Unassigned 0 250.00 0.00 Estimate 1 DETECTO WALL MOUNTED HEIGHT ROD - NEED TO CHECK WITH CARDINAL Unassigned Unassigned 250.00 item 62485-51 cost 6/27/13 133.42 plus frt 5875-008 1 Wash Station, Eye, Wall Mounted Honeywell Safety Products (32-000462- Operating Draft (New) EWS0010 O/C Saline Wall Station 0000) Unassigned Unassigned 0 75.00 0.00 Estimate 1 Honeywell Safety Products (32-000462- Unassigned Unassigned 75.00 0000) 5407-002 1 Waste Can, 20-31 Gallon Rubbermaid Commercial Products Operating Draft (New) WST0109 O/O 3540 Slim Jim Beige (23 gal) (FG354000BEIG) Unassigned Unassigned 67.00 0.00 List 3 Grainger (5W406) Unassigned Unassigned 42.00 0.00 109.00 PLAN Powered by Attainia.com 08/22/2013 07:46 PM Page 19 of 52 Sorted by Dept Name, Room Name, Room No, Item Description Providence Health System PROVIDENCE KODIAK ISLAND LTC DUPLEX Room By Room Detail Report Department: COMMONS SECTION Building: Unassigned GPO Contract LA = My Org Contract Room: SPA BATH Room#: Room Sign: Area/Phase: Unassigned Comments: Currency: Dollar (US) Atta ID Alt ID Qty Description Manufacturer Funding Source Item Status CAD ID Item ID F/I Model Vendor Cost Center Custom 1 Unit Cost Item Tax Price Type AC Item Notes Budget Name Custom 2 Opt Subtotal Opt Tax Total Config t 1 Option, Option O/O SWING TOP Gray 0 Rubbermaid Commercial Products (2673- Operating 60) Unassigned Grainger (30640) Unassigned Draft (New) Grouping 10 [Kitch 42.00 0.00 Estimate EQ] 42.00 Unassigned Room Total: 3,004.00 Room Qty: 1 Department Total : 118,760.00 PLAN Powered by Attainia.com 08/22/2013 07:46 PM Page 20 of 52 Sorted by Dept Name, Room Name, Room No, Item Description Providence Health System PROVIDENCE KODIAK ISLAND LTC DUPLEX H e a E C Pr Room By Room Detail Report = = GPO Contract LA = My Org Contract Department: DUPLEX SIDE A Building: Unassigned Room: ARCTIC ENTRY Room#: Room Sign: Area/Phase: Unassigned Comments: Currency: Dollar (US) Atta ID Alt ID Qty Description Manufacturer Funding Source Item Status CAD ID Item ID F/I Model Vendor Cost Center Custom 1 Unit Cost Item Tax Price Type AC Item Notes Budget Name Custom 2 Opt Subtotal Opt Tax Total Config AAL744Y 1 Allowance, Accessories To Be Determined (130S0035CH - Operating Future ALL0000 O/O Entrance Mat 3ft x 5ft NOTRAX) Unassigned Unassigned 100.30 0.00 Estimate 3 Grainger (5Z173) Unassigned Unassigned 100.30 8269-001 1 Bench, Allowance TBD (TBD) Operating Future BCH0038 O/O TBD Business Interiors NW Alaska (Versant 2 Unassigned Unassigned 1,284.40 0.00 Estimate 0 seat bench) Unassigned Unassigned 1,284.40 Versant 2 -Seat Bench - Hon Wild cherry wood and upholstery: CF Stinson On the Money Paprika 62091 AAL741Y 1 Entry Accent Table - 50W x 15D x 29H Nemschoff (TBD) Operating Future O/V Hadleigh Console Table - Custom Businsess Interiors NW Alaska (TBD) Unassigned Unassigned 700.00 0.00 Estimate 5 Hadleigh console table - custom- Nemschoff Unassigned Unassigned 700.00 Room Total: 2,084.70 Room Qty: 1 PLAN Powered by Attainia.com 08/22/2013 07:46 PM Page 21 of 52 Sorted by Dept Name, Room Name, Room No, Item Description Providence Health System PROVIDENCE KODIAK ISLAND LTC DUPLEX H e a E C Pr Room By Room Detail Report GPO Contract LA = My Org Contract Department: DUPLEX SIDE A Building: Unassigned Room: COURTYARD Room#: Room Sign: Area/Phase: Unassigned Comments: Currency: Dollar (US) Atta ID Alt ID Qty Description Manufacturer Funding Source Item Status CAD ID Item ID F/I Model Vendor Cost Center Custom 1 Unit Cost Item Tax Price Type AC Item Notes Budget Name Custom 2 Opt Subtotal Opt Tax Total Config AAL750Y 1 Allowance, Food Service Equipment TBD () Existing (Reuse) Future ALL0000 O/V GAS GRILL TBD () Unassigned Grouping 8 [10yr 0.00 0.00 Estimate 1 EXISTING GAS GRILL TO BE MOVED Unassigned MME] 0.00 Unassigned Room Total: 0.00 Room Qty: 1 PLAN Powered by Attainia.com 08/22/2013 07:46 PM Page 22 of 52 Sorted by Dept Name, Room Name, Room No, Item Description Providence Health System 1 Loveseat, Lounge Nemschoff Inc (141/56) Operating Future LVS0002 O/O Brandrud Pavia 141/56 Business Interiors NW Alaska (141/56) Unassigned PROVIDENCE KODIAK ISLAND LTC DUPLEX 3,365.00 0.00 Estimate 5 H e a E C Pr Room By Room Detail Report Unassigned 3,365.00 = = GPO Contract LA = My Org Contract Department: DUPLEX SIDE A AAL736Y Building: Unassigned Table, Interiors, End Nemschoff Inc (280-T5) Operating Future Room: DEN/Sun Room Room#: Room Sign: Area/Phase: Unassigned O/O Hadleigh Side Table Business Interiors NW Alaska (280-T5 wild Unassigned Comments: 745.00 0.00 Estimate 5 Currency. Dollar (US) Atta ID Alt ID Qty Description Manufacturer Funding Source Item Status 1 CAD ID Item ID F/I Model Vendor Cost Center Custom 1 Unit Cost Item Tax Price Type AC Item Notes To Be Determined () Budget Name Custom 2 Opt Subtotal Opt Tax Total Config 5056-021 1 Chair, Interiors, Side Nemschoff Inc (140) Operating Future Unassigned CHR0113 O/O Brandrud Pavia 140 Business Interiors NW Alaska (140) Unassigned Unassigned 2,014.00 0.00 Vendor 5 Nemschoff Pavia chair item 141/31 x1 Wild Cherry legs/arm caps, upholstery: Robert Unassigned Unassigned 2,014.00 Allen Ultimate Shade Amber 4988-004 1 Computer, Desktop To Be Determined () Operating Future CMP0004 O/O TBD Unassigned Unassigned 1,200.00 0.00 Estimate 6 Unassigned Unassigned 1,200.00 7201-003 1 Desk, Allowance Herman Miller Healthcare () Operating Draft (New) DSK0089 O/O TBD Business Interiors NW Alaska (Custom Unassigned Unassigned 0 1,000.00 0.00 Estimate 5 Hadleigh Desk - Nemschoff) Unassigned Unassigned 1,000.00 Wild Cherry Custom Hadleigh Desk - Nemschoff Dimensions - 48w x 24d x 30h 5869-032 1 Dispenser, Hand Sanitizer, Wall Mount 3M Health Care (70-2007-5480-5) Operating Draft (New) DSP0711 O/C Avagard D Wall Bracket 9226 3M Health Care (70-2007-5480-5) Unassigned Unassigned 0 5.00 0.00 List 1 NEED TO REQUEST THE WHITE ONE INSTEAD OF BARNEY PURPLE Unassigned Unassigned 5.00 6959-001 1 Lamp, Interiors, Table TBD () Operating Draft (New) LMP0026 O/O TBD Business Interiors NW Alaska (Driscoll Unassigned Unassigned 0 300.00 0.00 Estimate 5 Lamp - Arteriors Contract) Unassigned Unassigned 300.00 Driscoll Lamp - Arteriors Contract 5072-006 1 Loveseat, Lounge Nemschoff Inc (141/56) Operating Future LVS0002 O/O Brandrud Pavia 141/56 Business Interiors NW Alaska (141/56) Unassigned Grouping 2 [Furn] 3,365.00 0.00 Estimate 5 Nemschoff Pavia Settee 141/56 x 1 Wild Cherry legs/arm caps, upholstery: CF Unassigned Unassigned 3,365.00 Stinson On the Money Paprika 62091 AAL736Y 1 Table, Interiors, End Nemschoff Inc (280-T5) Operating Future TBI0000 O/O Hadleigh Side Table Business Interiors NW Alaska (280-T5 wild Unassigned Grouping 2 [Furn] 745.00 0.00 Estimate 5 cherry ) Unassigned Unassigned 745.00 6097-000 1 Telephone, Desktop To Be Determined () Operating Draft (New) TEL0000 O/V To Be Determined () Unassigned Unassigned 0 135.00 0.00 Estimate 6 service catalog pricing for 8 button premium phone Unassigned Unassigned 135.00 5407-002 1 Waste Can, 20-31 Gallon Rubbermaid Commercial Products Operating Draft (New) WST0109 O/O 3540 Slim Jim Beige (23 gal) (FG354000BEIG) Unassigned Unassigned 0 67.00 0.00 List 3 Grainger (5W406) Unassigned Unassigned 42.00 0.00 109.00 PLAN Powered by Attainia.com 08/22/2013 07:46 PM Page 23 of 52 Sorted by Dept Name, Room Name, Room No, Item Description Providence Health System PROVIDENCE KODIAK ISLAND LTC DUPLEX H e a E C Pr Room By Room Detail Report GPO Contract LA = My Org Contract Department: DUPLEX SIDE A Building: Unassigned Room: DEN/Sun Room Room#: Room Sign: Area/Phase: Unassigned Comments: Currency: Dollar (US) Atta ID Alt ID Qty Description Manufacturer Funding Source Item Status CAD ID Item ID F/I Model Vendor Cost Center Custom 1 Unit Cost Item Tax Price Type AC Item Notes Budget Name Custom 2 Opt Subtotal Opt Tax Total Config AES153E 1 Option, Option OPT0000 O/O SWING TOP Gray 0 Rubbermaid Commercial Products (2673- Operating 60) Unassigned Grainger (30640) Unassigned Draft (New) Unassigned 0 42.00 0.00 Estimate Unassigned 42.00 Room Total: 8,873.00 Room Qty: 1 PLAN Powered by Attainia.com 08/22/2013 07:46 PM Page 24 of 52 Sorted by Dept Name, Room Name, Room No, Item Description Providence Health System PROVIDENCE KODIAK ISLAND LTC DUPLEX H e a E C Pr Room By Room Detail Report = = GPO Contract LA = My Org Contract Department: DUPLEX SIDE A Building: Unassigned Room: DINING Room#: Room Sign: Area/Phase: Unassigned Comments: 6/25/13 - TRY TO USE JOERNS FOR ALL THIS FURNITURE Currency: Dollar (US) Atta ID Alt ID Qty Description Manufacturer Funding Source Item Status CAD ID Item ID F/I Model Vendor Cost Center Custom 1 Unit Cost Item Tax Price Type AC Item Notes Budget Name Custom 2 Opt Subtotal Opt Tax Total Config ADS306X 10 Chair, Dining, with out arms Joerns Healthcare (1160-G8) Operating Draft (New) O/O Contemporary Dining Chair w/o Arms Joerns Healthcare (1160-G8) Unassigned Unassigned 0 400.00 0.00 Estimate 5 4 CHAIRS FOR BREAKFAST BAR AREA REMAINDER FOR TABLES IN CENTER Unassigned Unassigned 4,000.00 AREA Finish - Wild Cherry Upholstery - Coral Tea Party Bordeaux ADS308X 6 Chairs, dining with arms Joerns Healthcare (1161-G8) Operating Draft (New) O/C Contempory Dining Side Chair w/Arms Joerns Healthcare (1161-G8) Unassigned Unassigned 0 450.00 0.00 Estimate 5 Finish - Wild Cherry Upholstery - Coral Tea Party Bordeaux Unassigned Unassigned 2,700.00 AAL751Y 4 Table, Interiors, Dining Joerns Healthcare (TSB24242 brn Operating Future TBI0000 O/O Height Adjustable Table w/42 Sq table top edge/T9HMBL4Z) Unassigned Grouping 10 [Kitch 850.00 0.00 Quote 5 Joerns Healthcare (TSB24242 brn Unassigned EQ] 3,400.00 edge/T9HMBL4Z) Unassigned 42" Square bullnose edge table top - grade 1 Laminate Wild Cherry with Brown Edge. High -Low Table base with 4 caster easy roller. Adjustable 29" standard to 32" wheelchair height and black leg finish. Room Total: 10,100.00 Room Qty: 1 PLAN Powered by Attainia.com 08/22/2013 07:46 PM Page 25 of 52 Sorted by Dept Name, Room Name, Room No, Item Description Providence Health System PROVIDENCE KODIAK ISLAND LTC DUPLEX H e a E C Pr Room By Room Detail Report = = GPO Contract LA = My Org Contract Department: DUPLEX SIDE A Building: Unassigned Room: HEARTH Room#: Room Sign: Area/Phase: Unassigned Comments: Currency: Dollar (US) Atta ID Alt ID Qty Description Manufacturer Funding Source Item Status CAD ID Item ID F/I Model Vendor Cost Center Custom 1 Unit Cost Item Tax Price Type AC Item Notes Budget Name Custom 2 Opt Subtotal Opt Tax Total Config 6418-045 1 Bracket, Television, Wall, Flat Panel Lucasey Mfg Corp (FSUL3520) Operating Future BRK0186 O/C FSUL3520 (for 37-60" LCD) Lucasey Mfg Corp (FSUL3520) Unassigned Unassigned 59.00 0.00 Vendor 1 Unassigned Unassigned 59.00 AFF562Y 2 Chair, Interiors, Recliner Joerns Healthcare (3708-939-G5) Operating Draft (New) CHR0000 O/O Recliner Call 117 Joerns Healthcare (3708-939-G5) Unassigned Unassigned 0 1,300.00 0.00 Quote 5 Finish: Wild Cherry Upholstery Grade 5 Fabric: Robert Allen Ultimate Shade Amber Unassigned Unassigned 2,600.00 AAL732Y 2 Chair, Interiors, Recliner Joerns Healthcare (3708-939-G5) Operating Future CHR0000 O/O Recliner Call 117 Joerns Healthcare (3708-939-G5) Unassigned Grouping 2 [Furn] 1,300.00 0.00 Quote 5 Finish: Wild Cherry Upholstery Grade 5 Fabric: Robert Allen Ultimate Shade Nugget Unassigned Unassigned 2,600.00 6959-001 2 Lamp, Interiors, Table TBD () Operating Draft (New) LMP0026 O/O TBD Business Interiors NW Alaska (Driscoll Unassigned Unassigned 0 300.00 0.00 Estimate 5 Lamp - Arteriors Contract) Unassigned Unassigned 600.00 Driscoll Lamp - Arteriors Contract 5668-000 1 Player, DVD To Be Determined () Operating Future PLA0000 O/O To Be Determined () Unassigned Unassigned 300.00 0.00 Estimate 2 Blu-Ray Player Unassigned Unassigned 300.00 AAL725Y 1 Seating - Settee Joerns Healthcare (CSL9163-G8) Operating Future O/O Seattle Bun Foot Settee w/Removable Joerns Healthcare (CSL9163-G8) Unassigned Grouping 2 [Furn] 2,000.00 0.00 Quote 5 Seat Unassigned Unassigned 2,000.00 Finish - Wild Cherry Upholstery - Coral Trickle Foliage AFF566Y 2 Table, Interiors, End Nemschoff Inc (280-T5) Operating Draft (New) TBI0000 O/O Hadleigh Side Table Business Interiors NW Alaska (280-T5 wild Unassigned Unassigned 0 745.00 0.00 Estimate 5 cherry ) Unassigned Unassigned 1,490.00 6897-030 1 Television, 50-65 in, Flat Panel Samsung Electronics America Operating Future TVS0372 O/O UN60C6300SF (60" Class 6300 Series) (UN60C6300SF) Unassigned Unassigned 1,999.00 0.00 Vendor 2 TeleHealth Services (UN60C6300SF) Unassigned Unassigned 1,999.00 Room Total: 11,648.00 Room Qty: 1 PLAN Powered by Attainia.com 08/22/2013 07:46 PM Page 26 of 52 Sorted by Dept Name, Room Name, Room No, Item Description Providence Health System PROVIDENCE KODIAK ISLAND LTC DUPLEX H e a E C Pr Room By Room Detail Report = = GPO Contract LA = My Org Contract Department: DUPLEX SIDE A Building: Unassigned Room: Hearth Closet/Storage Room#: Room Sign: Area/Phase: Unassigned Comments: Currency: Dollar (US) Atta ID Alt ID Qty Description Manufacturer Funding Source Item Status CAD ID Item ID F/I Model Vendor Cost Center Custom 1 Unit Cost Item Tax Price Type AC Item Notes Budget Name Custom 2 Opt Subtotal Opt Tax Total Config 6016-079 2 Cart, Supply, Chrome, 60 inch InterMetro Industries Corporation (A366EC) operating Draft (New) SPC0942 0/0 Super Erecta A366EC (60xl8x69) InterMetro Industries Corporation (A366EC) Unassigned Unassigned 0 705.00 0.00 Vendor 3 NEED ROLLING CARTS WITH 2 SWIVEL AND 2 BRAKING CASTERS WILL NEED Unassigned Unassigned 1,410.008 SHELF LINERS Room Total: 1,410.00 Room Qty: 1 PLAN Powered by Attainia.com 08/22/2013 07:46 PM Page 27 of 52 Sorted by Dept Name, Room Name, Room No, Item Description Providence Health System PROVIDENCE KODIAK ISLAND LTC DUPLEX H e a E C Pr Room By Room Detail Report = = GPO Contract LA = My Org Contract Department: DUPLEX SIDE A Building: Unassigned Room: KITCHEN Room#: Room Sign: Area/Phase: Unassigned Comments: Currency: Dollar (US) Atta ID Alt ID Qty Description Manufacturer Funding Source Item Status CAD ID Item ID F/I Model Vendor Cost Center Custom 1 Unit Cost Item Tax Price Type AC Item Notes Budget Name Custom 2 Opt Subtotal Opt Tax Total Config 4906-001 1 Allowance, Accessories To Be Determined () Operating Future ALL0014 O/O TBD To Be Determined () Unassigned Unassigned 5,800.00 0.00 Estimate 3 MISC SILVERWARE, FOOD PROCESSOR AND MISC SMALL APPLIANCES SUCH Unassigned Unassigned 5,800.00 AS KITCHEN AID/BREAD MAKER, CHINA/DISHES, POTS AND PANS, INDUCTION COOKWARE AAL717Y 1 Coffee Maker, Allowance Mr Coffee (CBNL13) Operating Future COF0000 O/O Commercial Mr. Coffee Mr. Coffee - A Sunbeam Company () Unassigned Unassigned 100.00 0.00 Estimate 2 Unassigned Unassigned 100.00 4920-030 2 Waste Can, Step -On Rubbermaid Commercial Products Operating Future WST0108 O/O 6146-87 (Stainless Steel w/Black Lid, 23 (FG614687BLA) Unassigned Unassigned 480.00 0.00 List 3 gal) Unassigned Unassigned 960.00 Grainger item 2FTJ2 Room Total: 6,860.00 Room Qty: 1 PLAN Powered by Attainia.com 08/22/2013 07:46 PM Page 28 of 52 Sorted by Dept Name, Room Name, Room No, Item Description Providence Health System PROVIDENCE KODIAK ISLAND LTC DUPLEX Room By Room Detail Report Department: DUPLEX SIDE A Building: Unassigned =j= GPO Contract LA = My Org Contract Room: PT ROOM Room#: Room Sign: Area/Phase: Unassigned Comments: Currency. Dollar (US) Atta ID Alt ID Qty Description Manufacturer Funding Source Item Status CAD ID Item ID F/I Model Vendor Cost Center Custom 1 Unit Cost Item Tax Price Type AC Item Notes Budget Name Custom 2 Opt Subtotal Opt Tax Total Config 6462-002 1 Bars, Parallel, Folding Patterson Medical / Sammons Preston Operating Draft (New) BRS0018 O/O Adult Folding 7' [920958] (920958) Unassigned Unassigned 2,035.00 0.00 List 3 Sammons Preston - Midland (920958) Unassigned Unassigned 2,035.008 5879-021 6 Chair, Interiors, Stacking w/Arms Herman Miller Healthcare (WC410PBK) Operating Draft (New) CHR0286 O/O Caper WC410P Business Interiors NW Alaska Unassigned Unassigned 0 306.00 0.00 Vendor 5 (WC410PBK) Unassigned Unassigned 1,836.00 Poly/Poly - Sparrow 8246-000 1 Charger, Allowance TBD () Operating Draft (New) CHG0000 O/O Unassigned Unassigned 0 550.00 0.00 Estimate 0 Arjo Maxil-ift Charger for Battery ITEM KPA0101-US - CHARGER FOR ENCORE Unassigned Unassigned 550.00 OPERA TEMPO MAXI MOVE 5869-032 1 Dispenser, Hand Sanitizer, Wall Mount 3M Health Care (70-2007-5480-5) Operating Draft (New) DSP0711 O/C Avagard D Wall Bracket 9226 3M Health Care (70-2007-5480-5) Unassigned Unassigned 0 5.00 0.00 List 1 NEED TO REQUEST THE WHITE ONE INSTEAD OF BARNEY PURPLE Unassigned Unassigned 5.00 3836-034 1 Hamper, Linen Blickman Inc. (096211800P) Operating Draft (New) HAM0031 O/O 2118 Tilt -Top Blickman Inc. (096211800P) Unassigned Unassigned 0 210.00 0.00 Vendor 3 Unassigned Unassigned 210.00 7281-007 1 Table, Interiors, Folding Herman Miller Healthcare Operating Draft (New) TBI0540 O/O Intersect Butterfly Foldaway (CP312) (CP312.54LCLMS) Unassigned Unassigned 0 1,927.00 0.00 Vendor 5 Business Interiors NW Alaska Unassigned Unassigned 1,927.00 (CP312.54LCLMS) Estimated cost for BINW offered item - needs to be simular function. AP069VJ 1 Table, Mat, Allowance Oakworks () Operating Draft (New) TMT0000 O/O tbd Unassigned Unassigned 2,000.00 0.00 Estimate 3 SAMMONS PRESTON -OAKWORKS STORABLE MAT PLATFORMS AVAIL RUBY, Unassigned Unassigned 2,000.00 COAL, SAPPHIRE The largest storable mat table on the market with a 550 -Ib. weight capacity. The design folds up for easy storage, making it perfect for space -constrained facilities or home care treatment. Your choice of 35"W x 78" L provides a solid working surface for multiple modalities. Adjustable aluminum telescoping legs: 17"-26" height range. Three upholstery colors available. 35"W x 78"L. ITEMS 568173/4/5 (LAST NUMBER IS THE COLOR OF UPH) PLAN Powered by Attainia.com 08/22/2013 07:46 PM Page 29 of 52 Sorted by Dept Name, Room Name, Room No, Item Description Providence Health System PROVIDENCE KODIAK ISLAND LTC DUPLEX H e a E C Pr Room By Room Detail Report GPO Contract LA = My Org Contract Department: DUPLEX SIDE A Building: Unassigned Room: PT ROOM Room#: Room Sign: Area/Phase: Unassigned Comments: Currency: Dollar (US) Atta ID Alt ID Qty Description Manufacturer Funding Source Item Status CAD ID Item ID F/I Model Vendor Cost Center Custom 1 Unit Cost Item Tax Price Type AC Item Notes Budget Name Custom 2 Opt Subtotal Opt Tax Total Config 4688-004 1 Waste Can, Open Top Rubbermaid Commercial Products Operating Draft (New) WST0035 O/O 2543 Fire Resistant Beige (28 qt.) (FG254300BEIG) Unassigned Unassigned 0 51.00 0.00 List 3 Unassigned Unassigned 51.00 Room Total: 8,614.00 Room Qty: 1 PLAN Powered by Attainia.com 08/22/2013 07:46 PM Page 30 of 52 Sorted by Dept Name, Room Name, Room No, Item Description Providence Health System PROVIDENCE KODIAK ISLAND LTC DUPLEX H e a E C Pr Room By Room Detail Report GPO Contract LA = My Org Contract Department: DUPLEX SIDE A Building: Unassigned Room: PT ROOM BATHROOM Room#: Room Sign: Area/Phase: Unassigned Comments: Currency: Dollar (US) Atta ID Alt ID Qty Description Manufacturer Funding Source Item Status CAD ID Item ID F/I Model Vendor Cost Center Custom 1 Unit Cost Item Tax Price Type AC Item Notes Budget Name Custom 2 Opt Subtotal Opt Tax Total Config 4688-041 1 Waste Can, Open Top Grainger (4PGL6) Operating Draft (New) WST0324 O/O Tough Guy 4PGL6 (Beige) Grainger (4PGL6) Unassigned Unassigned 30.00 0.00 Estimate 3 Grainger item is black Unassigned Unassigned 30.00 Room Total: 30.00 Room Qty: 1 PLAN Powered by Attainia.com 08/22/2013 07:46 PM Page 31 of 52 Sorted by Dept Name, Room Name, Room No, Item Description Providence Health System PROVIDENCE KODIAK ISLAND LTC DUPLEX H e a E C Pr Room By Room Detail Report = = GPO Contract LA = My Org Contract Department: DUPLEX SIDE A Building: Unassigned Room: RESIDENT BATHROOM Room#: Room Sign: Area/Phase: Unassigned Comments: Currency: Dollar (US) Atta ID Alt ID Qty Description Manufacturer Funding Source Item Status CAD ID Item ID F/I Model Vendor Cost Center Custom 1 Unit Cost Item Tax Price Type AC Item Notes Budget Name Custom 2 Opt Subtotal Opt Tax Total Config 3836-034 1 Hamper, Linen Blickman Inc. (096211800P) Operating Draft (New) HAM0031 O/O 2118 Tilt -Top Blickman Inc. (096211800P) Unassigned Unassigned 0 210.00 0.00 Vendor 3 Unassigned Unassigned 0.00 0.00 210.00 4688-041 1 Waste Can, Open Top Grainger (4PGL6) Operating Draft (New) WST0324 O/O Tough Guy 4PGL6 (Beige) Grainger (4PGL6) Unassigned Unassigned 0 30.00 0.00 Estimate 3 Grainger item is black Unassigned Unassigned 30.00 Room Total: 240.00 Room Qty: 11 Room Ext Total : 2,640.00 PLAN Powered by Attainia.com 08/22/2013 07:46 PM Page 32 of 52 Sorted by Dept Name, Room Name, Room No, Item Description Providence Health System PROVIDENCE KODIAK ISLAND LTC DUPLEX H e a E C Pr Room By Room Detail Report = = GPO Contract LA = My Org Contract Department: DUPLEX SIDE A Building: Unassigned Room: RESIDENT BEDROOM Room#: Room Sign: Area/Phase: Unassigned Comments: Currency. Dollar (US) Atta ID Alt ID Qty Description Manufacturer Funding Source Item Status CAD ID Item ID F/I Model Vendor Cost Center Custom 1 Unit Cost Item Tax Price Type AC Item Notes Budget Name Custom 2 Opt Subtotal Opt Tax Total Config 4906-001 1 Allowance, Accessories To Be Determined () Operating Draft (New) ALL0014 0/0 TBD Tlger Direct (YYAZ-CVR09691) Unassigned Unassigned 0 30.00 0.00 Estimate 3 Wood Wall File Pocket. Tiger Direct item YYAZ-CVR09691 Unassigned Unassigned 30.00 AAL667Y 1 Bed Panels Head and Foot w/Staff Joerns Healthcare (BEDPANEL) Operating Future O/O Controls Joerns Healthcare (BEDPANEL) Unassigned Unassigned 350.00 0.00 Estimate 2 Head/Foot Panel with Advanced Staff Unassigned Unassigned 350.00 Control Wood Veneer Style Towne Finish Wild Cherry 6309-026 1 Bed, Longterm Care Joerns Healthcare (UCXTBED) Operating Draft (New) BED0145 0/0 Ultracare U790AL Joerns Healthcare (UCXTBED) Unassigned Unassigned 2,000.00 0.00 Estimate 2 80" SoftTone. 7"-30" travel range, 4 DC Motor Bed. Ultralock and Head and foot end. Unassigned Unassigned 2,000.00 Double insulated. Advanced user controls Cost includes Assist Handle F026AL x1 per bed and Panel Pendant holder N106 7380-015 1 Board, White, Magnetic Carstens, Inc. (6420-01) Operating Draft (New) BRD0263 0/0 6420-01 (36"W x 24"H) Carstens, Inc. (6420-01) Unassigned Unassigned 0 150.00 0.00 Estimate 3 Unassigned Unassigned 150.00 6418-043 1 Bracket, Television, Wall, Flat Panel Lucasey Mfg Corp (LC200WA2) Operating Future BRK0184 O/C LC200WA2 Lucasey Mfg Corp (LC200WA2) Unassigned Unassigned 167.00 0.00 Vendor 1 Unassigned Unassigned 167.00 AAL666Y 1 Cabinet, Patient Room, Bedside Joerns Healthcare (TWA09WD) Operating Future CBP0000 0/0 Towne 1 Dr/1 Dwr Joerns Healthcare (TWA09WD) Unassigned Unassigned 250.00 0.00 Estimate 5 Towne Collection 1 door/1 drawer with fanfare pulls/knobs Unassigned Unassigned 250.00 AAL665Y 1 Cabinet, Patient Room, Dresser Joerns Healthcare (TWA11 WD) Operating Future CBP0000 0/0 Towne 4Dwr Chest Joerns Healthcare (TWA11 WD) Unassigned Unassigned 450.00 0.00 Estimate 5 Towne Collection 4 drawer chest with fanfare pulls Unassigned Unassigned 450.00 AFF575Y 1 Chairs, dining with arms Joerns Healthcare (1161-G8) Operating Draft (New) O/C Contempory Dining Side Chair w/Arms Joerns Healthcare (1161-G8) Unassigned Unassigned 0 450.00 0.00 Estimate 5 Finish - Wild Cherry Upholstery - Coral Tea Party Bordeaux Unassigned Unassigned 450.00 5869-032 1 Dispenser, Hand Sanitizer, Wall Mount 3M Health Care (70-2007-5480-5) Operating Draft (New) DSP0711 O/C Avagard D Wall Bracket 9226 3M Health Care (70-2007-5480-5) Unassigned Unassigned 0 5.00 0.00 List 1 NEED TO REQUEST THE WHITE ONE INSTEAD OF BARNEY PURPLE Unassigned Unassigned 5.00 PLAN Powered by Attainia.com 08/22/2013 07:46 PM Page 33 of 52 Sorted by Dept Name, Room Name, Room No, Item Description Providence Health System PROVIDENCE KODIAK ISLAND LTC DUPLEX H e a E C Pr Room By Room Detail Report = = GPO Contract LA = My Org Contract Department: DUPLEX SIDE A Building: Unassigned Room: RESIDENT BEDROOM Room#: Room Sign: Area/Phase: Unassigned Comments: Currency: Dollar (US) Atta ID Alt ID Qty Description Manufacturer Funding Source Item Status CAD ID Item ID F/I Model Vendor Cost Center Custom 1 Unit Cost Item Tax Price Type AC Item Notes Budget Name Custom 2 Opt Subtotal Opt Tax Total Config 3723-003 1 Disposal, Sharps, Wall Mount Covidien - Kendall Products (31353553) Operating Draft (New) DIS0010 O/C Devon Gatorguard Jr. (5 qt) Covidien - Kendall Products (31353553) Unassigned Unassigned 0 31.00 0.00 Vendor 1 Unassigned Unassigned 31.00 6959-001 1 Lamp, Interiors, Table TBD () Operating Draft (New) LMP0026 O/O TBD Business Interiors NW Alaska () Unassigned Unassigned 0 300.00 0.00 Estimate 5 Unassigned Unassigned 300.00 6228-036 1 Mattress, Pressure Reduction KCI - Kinetic Concepts, Inc. Operating Draft (New) MTS0038 O/O AtmosAir 9000 (KA9REVG3580) Unassigned Unassigned 0 1,000.00 0.00 Estimate 3 KCI - Kinetic Concepts, Inc. Unassigned Unassigned 1,000.00 (KA9REVG3580) KCI/ARJO Huntleigh AAL664Y 1 Table, Overbed, General Joerns Healthcare (OBT500) Operating Future TOB0000 O/O OBT500 Joems Healthcare (OBT500) Unassigned Unassigned 800.00 0.00 List 5 Needs to have the double mirror and vanity option for this OBT Unassigned Unassigned 800.00 8685-002 C118476 1 Telephone, One Piece Med-Pat Inc. (XI -301) Operating Draft (New) TEL0019 O/O XL301 Med-Pat Inc. (XI -301) Unassigned Unassigned 0 15.00 0.00 List 2 Unassigned Unassigned 15.00 6584-048 1 Television, 30-32 in, Flat Panel Samsung Electronics America Operating Future TVSO418 O/O UN32EH5000 (32" LED) (UN32EH5000F) Unassigned Unassigned 550.00 0.00 Vendor 2 Samsung Electronics America Unassigned Unassigned 550.00 (UN32EH5000F) 4688-041 1 Waste Can, Open Top Grainger (4PGL6) Operating Future WST0324 O/O Tough Guy 4PGL6 (Beige) Grainger (4PGL6) Unassigned Unassigned 30.00 0.00 Estimate 3 Unassigned Unassigned 0.00 0.00 30.00 Room Total: 6,578.00 Room Qty: 11 Room Ext Total : 72,358.00 PLAN Powered by Attainia.com 08/22/2013 07:46 PM Page 34 of 52 Sorted by Dept Name, Room Name, Room No, Item Description Providence Health System PROVIDENCE KODIAK ISLAND LTC DUPLEX H e a E C Pr Room By Room Detail Report = = GPO Contract LA = My Org Contract Department: DUPLEX SIDE A Building: Unassigned Room: Special Items Room#: NA Room Sign: Area/Phase: Unassigned Comments: Items in this space will be distributed through house, no actual room will be used. Currency: Dollar (US) Atta ID Alt ID Qty Description Manufacturer Funding Source Item Status CAD ID Item ID F/I Model Vendor Cost Center Custom 1 Unit Cost Item Tax Price Type AC Item Notes Budget Name Custom 2 Opt Subtotal Opt Tax Total Config AFD285D 1 Allowance, Accessories TBD (TBD) Operating Draft (New) ALL0000 O/O TBD (TBD) Unassigned Unassigned 0 5,000.00 0.00 Estimate 3 Allowance is for new linens for patient rooms including bedding and towels Unassigned Unassigned 5,000.00 AAL770Y 5 Chair, Clinical, Commode/Shower, Mobile Patterson Medical / Sammons Preston Operating Future CHA0000 O/O Shower/Commode chair with open front (557375) Unassigned Unassigned 300.00 0.00 Estimate 3 seat Patterson Medical / Sammons Preston Unassigned Unassigned1 M ,500.00 (557375) NEED TO FIND OUT IF CAN USE - 5 ESSENTIAL MEDICAL SUPPLY MOLDED PLASTIC SHOWER BENCH W/ARMS AND BACK ADT329S 1 Chair, Clinical, Commode/Shower, Mobile Patterson Medical / Sammons Preston Operating Draft (New) CHA0000 O/O Bariatric Shower/Commode Chair six (554909) Unassigned Unassigned 0 700.00 0.00 Estimate 3 casters Patterson Medical / Sammons Preston Unassigned Unassigned 700.00R ', (554909) ALLOWANCE FOR 3 COMMODE CHAIRS - NEED TO DETERMINE IF CAN USE MEDLINE 4-1 STEEL COMMODE AX723DC 1 Trapeze, Allowance Joerns Healthcare (N529AL/N579TRTAL) Operating Draft (New) TPZ0000 O/O Trapeze/Trapeze adapter UCXTBED Joerns Healthcare (N529AL/N579TRTAL) Unassigned Unassigned 0 600.00 0.00 Estimate 0 Unassigned Unassigned 600.00 Room Total: 7,800.00 Room Qty: 1 Department Total : 132,417.70 PLAN Powered by Attainia.com 08/22/2013 07:46 PM Page 35 of 52 Sorted by Dept Name, Room Name, Room No, Item Description Providence Health System PROVIDENCE KODIAK ISLAND LTC DUPLEX H e a E C Pr Room By Room Detail Report = = GPO Contract LA = My Org Contract Department: DUPLEX SIDE B Building: Unassigned Room: ARCTIC ENTRY Room#: Room Sign: Area/Phase: Unassigned Comments: Currency: Dollar (US) Atta ID Alt ID Qty Description Manufacturer Funding Source Item Status CAD ID Item ID F/I Model Vendor Cost Center Custom 1 Unit Cost Item Tax Price Type AC Item Notes Budget Name Custom 2 Opt Subtotal Opt Tax Total Config AAM590H 1 Allowance, Accessories To Be Determined (130S0035CH - Operating Draft (New) ALL0000 O/O Entrance Mat 3ft x 5ft NOTRAX) Unassigned Unassigned 100.30 0.00 Estimate 3 Grainger (5Z173) Unassigned Unassigned 100.30 8269-001 1 Bench, Allowance TBD (TBD) Operating Draft (New) BCH0038 O/O TBD Business Interiors NW Alaska (Versant 2 Unassigned Unassigned 0 1,284.40 0.00 Estimate 0 seat bench) Unassigned Unassigned 1,284.40 Versant 2 -Seat Bench - Hon Wild cherry wood and upholstery: CF Stinson On the Money Paprika 62091 AFF231Y 1 Entry Accent Table - 50W x 15D x 29H Nemschoff (TBD) Operating Draft (New) O/V Hadleigh Console Table - Custom Businsess Interiors NW Alaska (TBD) Unassigned Unassigned 0 700.00 0.00 Estimate 5 Hadleigh console table - custom- Nemschoff Unassigned Unassigned 700.00 Room Total: 2,084.70 Room Qty: 1 PLAN Powered by Attainia.com 08/22/2013 07:46 PM Page 36 of 52 Sorted by Dept Name, Room Name, Room No, Item Description Providence Health System PROVIDENCE KODIAK ISLAND LTC DUPLEX H e a E C Pr Room By Room Detail Report GPO Contract LA = My Org Contract Department: DUPLEX SIDE B Building: Unassigned Room: COURTYARD Room#: Room Sign: Area/Phase: Unassigned Comments: Currency: Dollar (US) Atta ID Alt ID Qty Description Manufacturer Funding Source Item Status CAD ID Item ID F/I Model Vendor Cost Center Custom 1 Unit Cost Item Tax Price Type AC Item Notes Budget Name Custom 2 Opt Subtotal Opt Tax Total Config 6537-000 1 Allowance, Food Service Equipment ALL0000 O/V 1 ALLOWANCE FOR BBQ/GRILL Operating Draft (New) Unassigned Unassigned 0 Unassigned Unassigned 700.00 0.00 Estimate 700.00 Room Total: 700.00 Room Qty: 1 PLAN Powered by Attainia.com 08/22/2013 07:46 PM Page 37 of 52 Sorted by Dept Name, Room Name, Room No, Item Description Providence Health System 1 Loveseat, Lounge Nemschoff Inc (141/56) Operating Draft (New) LVS0002 O/O Brandrud Pavia 141/56 Business Interiors NW Alaska (141/56) Unassigned PROVIDENCE KODIAK ISLAND LTC DUPLEX 3,365.00 0.00 Estimate 5 H e a E C Pr Room By Room Detail Report Unassigned 3,365.00 = = GPO Contract LA = My Org Contract Department: DUPLEX SIDE B AFF454Y Building: Unassigned Table, Interiors, End Nemschoff Inc (280-T5) Operating Draft (New) Room: DEN/Sun Room Room#: Room Sign: Area/Phase: Unassigned O/O Hadleigh Side Table Business Interiors NW Alaska (280-T5 wild Unassigned Comments: 745.00 0.00 Estimate 5 Currency. Dollar (US) Atta ID Alt ID Qty Description Manufacturer Funding Source Item Status 1 CAD ID Item ID F/I Model Vendor Cost Center Custom 1 Unit Cost Item Tax Price Type AC Item Notes To Be Determined () Budget Name Custom 2 Opt Subtotal Opt Tax Total Config 5056-021 1 Chair, Interiors, Side Nemschoff Inc (140) Operating Draft (New) Unassigned CHR0113 O/O Brandrud Pavia 140 Business Interiors NW Alaska (140) Unassigned Unassigned 0 2,014.00 0.00 Vendor 5 Nemschoff Pavia chair item 141/31 x1 Wild Cherry legs/arm caps, upholstery: Robert Unassigned Unassigned 2,014.00 Allen Ultimate Shade Amber 4988-004 1 Computer, Desktop To Be Determined () Operating Draft (New) CMP0004 O/O TBD Unassigned Unassigned 1,200.00 0.00 Estimate 6 Unassigned Unassigned 1,200.00 7201-003 1 Desk, Allowance Herman Miller Healthcare () Operating Draft (New) DSK0089 O/O TBD Business Interiors NW Alaska (Custom Unassigned Unassigned 0 1,000.00 0.00 Estimate 5 Hadleigh Desk - Nemschoff) Unassigned Unassigned 1,000.00 Wild Cherry Custom Hadleigh Desk - Nemschoff Dimensions - 48w x 24d x 30h 5869-032 1 Dispenser, Hand Sanitizer, Wall Mount 3M Health Care (70-2007-5480-5) Operating Draft (New) DSP0711 O/C Avagard D Wall Bracket 9226 3M Health Care (70-2007-5480-5) Unassigned Unassigned 0 5.00 0.00 List 1 NEED TO REQUEST THE WHITE ONE INSTEAD OF BARNEY PURPLE Unassigned Unassigned 5.00 6959-001 1 Lamp, Interiors, Table TBD () Operating Draft (New) LMP0026 O/O TBD Business Interiors NW Alaska (Driscoll Unassigned Unassigned 0 300.00 0.00 Estimate 5 Lamp - Arteriors Contract) Unassigned Unassigned 300.00 Driscoll Lamp - Arteriors Contract 5072-006 1 Loveseat, Lounge Nemschoff Inc (141/56) Operating Draft (New) LVS0002 O/O Brandrud Pavia 141/56 Business Interiors NW Alaska (141/56) Unassigned Unassigned 0 3,365.00 0.00 Estimate 5 Nemschoff Pavia Settee 141/56 x 1 Wild Cherry legs/arm caps, upholstery: CF Unassigned Unassigned 3,365.00 Stinson On the Money Paprika 62091 AFF454Y 1 Table, Interiors, End Nemschoff Inc (280-T5) Operating Draft (New) TBI0000 O/O Hadleigh Side Table Business Interiors NW Alaska (280-T5 wild Unassigned Unassigned 0 745.00 0.00 Estimate 5 cherry ) Unassigned Unassigned 745.00 6097-000 1 Telephone, Desktop To Be Determined () Operating Draft (New) TEL0000 O/V To Be Determined () Unassigned Unassigned 0 135.00 0.00 Estimate 6 service catalog pricing for 8 button premium phone Unassigned Unassigned 135.00 5407-002 1 Waste Can, 20-31 Gallon Rubbermaid Commercial Products Operating Draft (New) WST0109 O/O 3540 Slim Jim Beige (23 gal) (FG354000BEIG) Unassigned Unassigned 0 67.00 0.00 List 3 Grainger (5W406) Unassigned Unassigned 42.00 0.00 109.00 PLAN Powered by Attainia.com 08/22/2013 07:46 PM Page 38 of 52 Sorted by Dept Name, Room Name, Room No, Item Description Providence Health System PROVIDENCE KODIAK ISLAND LTC DUPLEX H e a E C Pr Room By Room Detail Report GPO Contract LA = My Org Contract Department: DUPLEX SIDE B Building: Unassigned Room: DEN/Sun Room Room#: Room Sign: Area/Phase: Unassigned Comments: Currency: Dollar (US) Atta ID Alt ID Qty Description Manufacturer Funding Source Item Status CAD ID Item ID F/I Model Vendor Cost Center Custom 1 Unit Cost Item Tax Price Type AC Item Notes Budget Name Custom 2 Opt Subtotal Opt Tax Total Config AES154E 1 Option, Option OPT0000 O/O SWING TOP Gray 0 Rubbermaid Commercial Products (2673- Operating 60) Unassigned Grainger (30640) Unassigned Draft (New) Unassigned 0 42.00 0.00 Estimate Unassigned 42.00 Room Total: 8,873.00 Room Qty: 1 PLAN Powered by Attainia.com 08/22/2013 07:46 PM Page 39 of 52 Sorted by Dept Name, Room Name, Room No, Item Description Providence Health System PROVIDENCE KODIAK ISLAND LTC DUPLEX Room By Room Detail Report Department: DUPLEX SIDE B Building: Unassigned =j= GPO Contract LA = My Org Contract Room: DINING Room#: Room Sign: Area/Phase: Unassigned Comments: Currency: Dollar (US) Atta ID Alt ID Qty Description Manufacturer Funding Source Item Status CAD ID Item ID F/I Model Vendor Cost Center Custom 1 Unit Cost Item Tax Price Type AC Item Notes Budget Name Custom 2 Opt Subtotal Opt Tax Total Config AFF559Y 10 Chair, Dining, with out arms Joerns Healthcare (1160-G8) Operating Draft (New) O/O Contemporary Dining Chair w/o Arms Joerns Healthcare (1160-G8) Unassigned Unassigned 0 400.00 0.00 Estimate 5 4 CHAIRS FOR BREAKFAST BAR AREA REMAINDER FOR TABLES IN CENTER Unassigned Unassigned 4,000.00 AREA Finish - Wild Cherry Upholstery - Coral Tea Party Bordeaux AFF560Y 6 Chairs, dining with arms Joerns Healthcare (1161-G8) Operating Draft (New) O/C Contempory Dining Side Chair w/Arms Joerns Healthcare (1161-G8) Unassigned Unassigned 0 450.00 0.00 Estimate 5 Finish - Wild Cherry Upholstery - Coral Tea Party Bordeaux Unassigned Unassigned 2,700.00 AFF561Y 4 Table, Interiors, Dining Joerns Healthcare (TSB24242 brn Operating Draft (New) TBI0000 O/O Height Adjustable Table w/42 Sq table top edge/T9HMBL4Z) Unassigned Unassigned 0 850.00 0.00 Quote 5 Joerns Healthcare (TSB24242 brn Unassigned Unassigned 3,400.00 edge/T9HMBL4Z) 42" Square bullnose edge table top - grade 1 Laminate Wild Cherry with Brown Edge. High -Low Table base with 4 caster easy roller. Adjustable 29" standard to 32" wheelchair height and black leg finish. Room Total: 10,100.00 Room Qty: 1 PLAN Powered by Attainia.com 08/22/2013 07:46 PM Page 40 of 52 Sorted by Dept Name, Room Name, Room No, Item Description Providence Health System PROVIDENCE KODIAK ISLAND LTC DUPLEX H e a E C Pr Room By Room Detail Report = = GPO Contract LA = My Org Contract Department: DUPLEX SIDE B Building: Unassigned Room: HEARTH Room#: Room Sign: Area/Phase: Unassigned Comments: Currency: Dollar (US) Atta ID Alt ID Qty Description Manufacturer Funding Source Item Status CAD ID Item ID F/I Model Vendor Cost Center Custom 1 Unit Cost Item Tax Price Type AC Item Notes Budget Name Custom 2 Opt Subtotal Opt Tax Total Config 6418-045 1 Bracket, Television, Wall, Flat Panel Lucasey Mfg Corp (FSUL3520) Operating Draft (New) BRK0186 O/C FSUL3520 (for 37-60" LCD) Lucasey Mfg Corp (FSUL3520) Unassigned Unassigned 59.00 0.00 Vendor 1 Unassigned Unassigned 59.00 AFF563Y 2 Chair, Interiors, Recliner Joerns Healthcare (3708-939-G5) Operating Draft (New) CHR0000 O/O Recliner Call 117 Joerns Healthcare (3708-939-G5) Unassigned Unassigned 0 1,300.00 0.00 Quote 5 Finish: Wild Cherry Upholstery Grade 5 Fabric: Robert Allen Ultimate Shade Nugget Unassigned Unassigned 2,600.00 AFF564Y 2 Chair, Interiors, Recliner Joerns Healthcare (3708-939-G5) Operating Draft (New) CHR0000 O/O Recliner Call 117 Joerns Healthcare (3708-939-G5) Unassigned Unassigned 0 1,300.00 0.00 Quote 5 Finish: Wild Cherry Upholstery Grade 5 Fabric: Robert Allen Ultimate Shade Amber Unassigned Unassigned 2,600.00 6959-001 2 Lamp, Interiors, Table TBD () Operating Draft (New) LMP0026 O/O TBD Business Interiors NW Alaska (Driscoll Unassigned Unassigned 0 300.00 0.00 Estimate 5 Lamp - Arteriors Contract) Unassigned Unassigned 600.00 Driscoll Lamp - Arteriors Contract 5668-000 1 Player, DVD To Be Determined () Operating Draft (New) PLA0000 O/O To Be Determined () Unassigned Unassigned 0 300.00 0.00 Estimate 2 Blu-Ray Player Unassigned Unassigned 300.00 AFF569Y 1 Seating - Settee Joerns Healthcare (CSL9163-G8) Operating Draft (New) O/O Seattle Bun Foot Settee w/Removable Joerns Healthcare (CSL9163-G8) Unassigned Unassigned 0 2,000.00 0.00 Quote 5 Seat Unassigned Unassigned 2,000.00 Finish - Wild Cherry Upholstery - Coral Trickle Foliage AFF568Y 2 Table, Interiors, End Nemschoff Inc (280-T5) Operating Draft (New) TBI0000 O/O Hadleigh Side Table Business Interiors NW Alaska (280-T5 wild Unassigned Unassigned 0 745.00 0.00 Estimate 5 cherry ) Unassigned Unassigned 1,490.00 6897-030 1 Television, 50-65 in, Flat Panel Samsung Electronics America Operating Draft (New) TVS0372 O/O UN60C6300SF (60" Class 6300 Series) (UN60C6300SF) Unassigned Unassigned 0 1,999.00 0.00 Vendor 2 TeleHealth Services (UN60C6300SF) Unassigned Unassigned 1,999.00 Room Total: 11,648.00 Room Qty: 1 PLAN Powered by Attainia.com 08/22/2013 07:46 PM Page 41 of 52 Sorted by Dept Name, Room Name, Room No, Item Description Providence Health System PROVIDENCE KODIAK ISLAND LTC DUPLEX H e a E C Pr Room By Room Detail Report = = GPO Contract LA = My Org Contract Department: DUPLEX SIDE B Building: Unassigned Room: Hearth Closet/Storage Room#: Room Sign: Area/Phase: Unassigned Comments: Currency: Dollar (US) Atta ID Alt ID Qty Description Manufacturer Funding Source Item Status CAD ID Item ID F/I Model Vendor Cost Center Custom 1 Unit Cost Item Tax Price Type AC Item Notes Budget Name Custom 2 Opt Subtotal Opt Tax Total Config 6016-079 2 Cart, Supply, Chrome, 60 inch InterMetro Industries Corporation (A366EC) operating Draft (New) SPC0942 0/0 Super Erecta A366EC (60xl8x69) InterMetro Industries Corporation (A366EC) Unassigned Unassigned 0 705.00 0.00 Vendor 3 NEED ROLLING CARTS WITH 2 SWIVEL AND 2 BRAKING CASTERS WILL NEED Unassigned Unassigned 1,410.008 SHELF LINERS Room Total: 1,410.00 Room Qty: 1 PLAN Powered by Attainia.com 08/22/2013 07:46 PM Page 42 of 52 Sorted by Dept Name, Room Name, Room No, Item Description Providence Health System PROVIDENCE KODIAK ISLAND LTC DUPLEX H e a E C Pr Room By Room Detail Report = = GPO Contract LA = My Org Contract Department: DUPLEX SIDE B Building: Unassigned Room: KITCHEN Room#: Room Sign: Area/Phase: Unassigned Comments: Currency: Dollar (US) Atta ID Alt ID Qty Description Manufacturer Funding Source Item Status CAD ID Item ID F/I Model Vendor Cost Center Custom 1 Unit Cost Item Tax Price Type AC Item Notes Budget Name Custom 2 Opt Subtotal Opt Tax Total Config 4906-001 1 Allowance, Accessories To Be Determined () Operating Draft (New) ALL0014 O/O TBD To Be Determined () Unassigned Unassigned 5,800.00 0.00 Estimate 3 MISC SILVERWARE, FOOD PROCESSOR AND MISC SMALL APPLIANCES SUCH Unassigned Unassigned 5,800.00 AS KITCHEN AID/BREAD MAKER, CHINA/DISHES, POTS AND PANS, INDUCTION COOKWARE ADU424D 1 Coffee Maker, Allowance Mr Coffee (CBNL13) Operating Draft (New) COF0000 O/O Commercial Mr. Coffee Mr. Coffee - A Sunbeam Company () Unassigned Unassigned 0 100.00 0.00 Estimate 2 Unassigned Unassigned 100.00 4920-030 2 Waste Can, Step -On Rubbermaid Commercial Products Operating Draft (New) WST0108 O/O 6146-87 (Stainless Steel w/Black Lid, 23 (FG614687BLA) Unassigned Unassigned 480.00 0.00 List 3 gal) Unassigned Unassigned 960.00 Grainger item 2FTJ2 Room Total: 6,860.00 Room Qty: 1 PLAN Powered by Attainia.com 08/22/2013 07:46 PM Page 43 of 52 Sorted by Dept Name, Room Name, Room No, Item Description Providence Health System PROVIDENCE KODIAK ISLAND LTC DUPLEX H e a E C Pr Room By Room Detail Report = = GPO Contract LA = My Org Contract Department: DUPLEX SIDE B Building: Unassigned Room: PT ROOM Room#: Room Sign: Area/Phase: Unassigned Comments: Currency. Dollar (US) Atta ID Alt ID Qty Description Manufacturer Funding Source Item Status CAD ID Item ID F/I Model Vendor Cost Center Custom 1 Unit Cost Item Tax Price Type AC Item Notes Budget Name Custom 2 Opt Subtotal Opt Tax Total Config 6462-002 1 Bars, Parallel, Folding Patterson Medical / Sammons Preston Operating Draft (New) BRS0018 O/O Adult Folding 7' [920958] (920958) Unassigned Unassigned 2,035.00 0.00 List 3 Sammons Preston - Midland (920958) Unassigned Unassigned 2,035.008 5879-021 6 Chair, Interiors, Stacking w/Arms Herman Miller Healthcare (WC410PBK) Operating Draft (New) CHR0286 O/O Caper WC410P Business Interiors NW Alaska Unassigned Unassigned 0 306.00 0.00 Vendor 5 (WC410PBK) Unassigned Unassigned 1,836.00 Poly/Poly - Sparrow 8246-000 1 Charger, Allowance TBD () Operating Draft (New) CHG0000 O/O Unassigned Unassigned 0 550.00 0.00 Estimate 0 Arjo Maxil-ift Charger for Battery ITEM KPA0101-US - CHARGER FOR ENCORE Unassigned Unassigned 550.00 OPERA TEMPO MAXI MOVE 5869-032 1 Dispenser, Hand Sanitizer, Wall Mount 3M Health Care (70-2007-5480-5) Operating Draft (New) DSP0711 O/C Avagard D Wall Bracket 9226 3M Health Care (70-2007-5480-5) Unassigned Unassigned 0 5.00 0.00 List 1 NEED TO REQUEST THE WHITE ONE INSTEAD OF BARNEY PURPLE Unassigned Unassigned 5.00 6615-009 1 Exerciser, Elliptical/Stepper, Recumbent NuStep (05001 -HB) Existing (Reuse) Draft (New) EXE0246 O/O NuStep T5 NuStep (05001 -HB) Unassigned Unassigned 0.00 0.00 List 3 Unassigned Unassigned 0.00 3836-034 1 Hamper, Linen Blickman Inc. (096211800P) Operating Draft (New) HAM0031 O/O 2118 Tilt -Top Blickman Inc. (096211800P) Unassigned Unassigned 0 210.00 0.00 Vendor 3 Unassigned Unassigned 210.00 7281-007 1 Table, Interiors, Folding Herman Miller Healthcare Operating Draft (New) TBI0540 O/O Intersect Butterfly Foldaway (CP312) (CP312.54LCLMS) Unassigned Unassigned 0 1,927.00 0.00 Vendor 5 Business Interiors NW Alaska Unassigned Unassigned 1,927.008 (CP312.54LCLMS) Estimated cost for BINW offered item - needs to be simular function. AAM607H 1 Table, Mat, Allowance Oakworks () Operating Draft (New) TMT0000 O/O tbd Unassigned Unassigned 2,000.00 0.00 Estimate 3 SAMMONS PRESTON -OAKWORKS STORABLE MAT PLATFORMS AVAIL RUBY, Unassigned Unassigned 2,000.00 COAL, SAPPHIRE The largest storable mat table on the market with a 550 -Ib. weight capacity. The design folds up for easy storage, making it perfect for space -constrained facilities or home care treatment. Your choice of 35"W x 78" L provides a solid working surface for multiple modalities. Adjustable aluminum telescoping legs: 17"-26" height range. Three upholstery colors available. 35"W x 78"L. ITEMS 568173/4/5 (LAST NUMBER IS THE COLOR OF UPH) PLAN Powered by Attainia.com 08/22/2013 07:46 PM Page 44 of 52 Sorted by Dept Name, Room Name, Room No, Item Description Providence Health System PROVIDENCE KODIAK ISLAND LTC DUPLEX Room By Room Detail Report Department: DUPLEX SIDE B Building: Unassigned GPO Contract LA = My Org Contract Room: PT ROOM Comments: Room#: Room Sign: Area/Phase: Unassigned Currency: Dollar (US) Atta ID Alt ID Qty Description Manufacturer Funding Source Item Status CAD ID Item ID F/I Model Vendor Cost Center Custom 1 Unit Cost Item Tax Price Type AC Item Notes Budget Name Custom 2 Opt Subtotal Opt Tax Total Config 4688-004 1 Waste Can, Open Top Rubbermaid Commercial Products Operating Draft (New) WST0035 O/O 2543 Fire Resistant Beige (28 qt.) (FG254300BEIG) Unassigned Unassigned 0 51.00 0.00 List 3 Unassigned Unassigned 51.00 Room Total: 8,614.00 Room Qty: 1 PLAN Powered by Attainia.com 08/22/2013 07:46 PM Page 45 of 52 Sorted by Dept Name, Room Name, Room No, Item Description Providence Health System PROVIDENCE KODIAK ISLAND LTC DUPLEX H e a E C Pr Room By Room Detail Report GPO Contract LA = My Org Contract Department: DUPLEX SIDE B Building: Unassigned Room: PT ROOM BATHROOM Room#: Room Sign: Area/Phase: Unassigned Comments: Currency: Dollar (US) Atta ID Alt ID Qty Description Manufacturer Funding Source Item Status CAD ID Item ID F/I Model Vendor Cost Center Custom 1 Unit Cost Item Tax Price Type AC Item Notes Budget Name Custom 2 Opt Subtotal Opt Tax Total Config 4688-041 1 Waste Can, Open Top Grainger (4PGL6) Operating Draft (New) WST0324 O/O Tough Guy 4PGL6 (Beige) Grainger (4PGL6) Unassigned Unassigned 0 30.00 0.00 Estimate 3 Grainger item is black Unassigned Unassigned 30.00 Room Total: 30.00 Room Qty: 1 PLAN Powered by Attainia.com 08/22/2013 07:46 PM Page 46 of 52 Sorted by Dept Name, Room Name, Room No, Item Description Providence Health System PROVIDENCE KODIAK ISLAND LTC DUPLEX H e a E C Pr Room By Room Detail Report = = GPO Contract LA = My Org Contract Department: DUPLEX SIDE B Building: Unassigned Room: RESIDENT BATHROOM Room#: Room Sign: Area/Phase: Unassigned Comments: Currency: Dollar (US) Atta ID Alt ID Qty Description Manufacturer Funding Source Item Status CAD ID Item ID F/I Model Vendor Cost Center Custom 1 Unit Cost Item Tax Price Type AC Item Notes Budget Name Custom 2 Opt Subtotal Opt Tax Total Config 3836-034 1 Hamper, Linen Blickman Inc. (096211800P) Operating Draft (New) HAM0031 O/O 2118 Tilt -Top Blickman Inc. (096211800P) Unassigned Unassigned 0 210.00 0.00 Vendor 3 Unassigned Unassigned 210.00 4688-041 1 Waste Can, Open Top Grainger (4PGL6) Operating Draft (New) WST0324 O/O Tough Guy 4PGL6 (Beige) Grainger (4PGL6) Unassigned Unassigned 0 30.00 0.00 Estimate 3 Grainger item is black Unassigned Unassigned 30.00 Room Total: 240.00 Room Qty: 11 Room Ext Total : 2,640.00 PLAN Powered by Attainia.com 08/22/2013 07:46 PM Page 47 of 52 Sorted by Dept Name, Room Name, Room No, Item Description Providence Health System PROVIDENCE KODIAK ISLAND LTC DUPLEX H e a E C Pr Room By Room Detail Report = = GPO Contract LA = My Org Contract Department: DUPLEX SIDE B Building: Unassigned Room: RESIDENT BEDROOM Room#: Room Sign: Area/Phase: Unassigned Comments: Joerns - all selections to be Towne Collection - Wild Cherry and any handles to be fanfare style Currency. Dollar (US) Atta ID Alt ID Qty Description Manufacturer Funding Source Item Status CAD ID Item ID F/I Model Vendor Cost Center Custom 1 Unit Cost Item Tax Price Type AC Item Notes Budget Name Custom 2 Opt Subtotal Opt Tax Total Config 4906-001 1 Allowance, Accessories To Be Determined () Operating Draft (New) ALL0014 0/0 TBD To Be Determined () Unassigned Unassigned 0 30.00 0.00 Estimate 3 Wood Wall File Pocket. Tiger Direct item YYAZ-CVR09691 Unassigned Unassigned 30.00 AFF577Y 1 Bed Panels Head and Foot w/Staff Joerns Healthcare (BEDPANEL) Operating Draft (New) 0/0 Controls Joerns Healthcare (BEDPANEL) Unassigned Unassigned 0 350.00 0.00 Estimate 2 Head/Foot Panel with Advanced Staff Unassigned Unassigned 350.00 Control Wood Veneer Style Towne Finish Wild Cherry 6309-026 1 Bed, Longterm Care Joerns Healthcare (UCXTBED) Operating Draft (New) BED0145 0/0 Ultracare U790AL Joerns Healthcare (UCXTBED) Unassigned Unassigned 0 2,000.00 0.00 Estimate 2 80" SoftTone. 7"-30" travel range, 4 DC Motor Bed. Ultralock and Head and foot end. Unassigned Unassigned 2,000.00 Double insulated. Advanced user controls Cost includes Assist Handle F026AL x1 per bed and Panel Pendant holder N106 7380-015 1 Board, White, Magnetic Carstens, Inc. (6420-01) Operating Draft (New) BRD0263 0/0 6420-01 (36"W x 24"H) Carstens, Inc. (6420-01) Unassigned Unassigned 0 150.00 0.00 Estimate 3 Unassigned Unassigned 150.00 6418-043 1 Bracket, Television, Wall, Flat Panel Lucasey Mfg Corp (LC200WA2) Operating Draft (New) BRK0184 O/C LC200WA2 Lucasey Mfg Corp (LC200WA2) Unassigned Unassigned 0 167.00 0.00 Vendor 1 Unassigned Unassigned 167.00 AFF584Y 1 Cabinet, Patient Room, Bedside Joerns Healthcare (TWA09WD) Operating Draft (New) CBP0000 0/0 Towne 1 DO Dwr Joerns Healthcare (TWA09WD) Unassigned Unassigned 0 250.00 0.00 Estimate 5 Towne Collection 1 door/1 drawer with fanfare pulls/knobs Unassigned Unassigned 250.00 AFF585Y 1 Cabinet, Patient Room, Dresser Joerns Healthcare (TWA11 WD) Operating Draft (New) CBP0000 0/0 Towne 4Dwr Chest Joerns Healthcare (TWA11 WD) Unassigned Unassigned 0 450.00 0.00 Estimate 5 Towne Collection 4 drawer chest with fanfare pulls Unassigned Unassigned 450.00 AFF581Y 1 Chairs, dining with arms Joerns Healthcare (1161-G8) Operating Draft (New) O/C Contempory Dining Side Chair w/Arms Joerns Healthcare (1161-G8) Unassigned Unassigned 0 450.00 0.00 Estimate 5 Finish - Wild Cherry Upholstery - Coral Tea Party Bordeaux Unassigned Unassigned 450.00 5869-032 1 Dispenser, Hand Sanitizer, Wall Mount 3M Health Care (70-2007-5480-5) Operating Draft (New) DSP0711 O/C Avagard D Wall Bracket 9226 3M Health Care (70-2007-5480-5) Unassigned Unassigned 0 5.00 0.00 List 1 need to get the white wire wrapped style Unassigned Unassigned 5.00 PLAN Powered by Attainia.com 08/22/2013 07:46 PM Page 48 of 52 Sorted by Dept Name, Room Name, Room No, Item Description Providence Health System PROVIDENCE KODIAK ISLAND LTC DUPLEX H e a E C Pr Room By Room Detail Report = = GPO Contract LA = My Org Contract Department: DUPLEX SIDE B Building: Unassigned Room: RESIDENT BEDROOM Room#: Room Sign: Area/Phase: Unassigned Comments: Joerns - all selections to be Towne Collection - Wild Cherry and any handles to be fanfare style Currency: Dollar (US) Atta ID Alt ID Qty Description Manufacturer Funding Source Item Status CAD ID Item ID F/I Model Vendor Cost Center Custom 1 Unit Cost Item Tax Price Type AC Item Notes Budget Name Custom 2 Opt Subtotal Opt Tax Total Config 3723-003 1 Disposal, Sharps, Wall Mount Covidien - Kendall Products (31353553) Operating Draft (New) DIS0010 O/C Devon Gatorguard Jr. (5 qt) Covidien - Kendall Products (31353553) Unassigned Unassigned 0 31.00 0.00 Vendor 1 Unassigned Unassigned 31.00 6959-001 1 Lamp, Interiors, Table TBD () Operating Draft (New) LMP0026 O/O TBD Business Interiors NW Alaska () Unassigned Unassigned 0 300.00 0.00 Estimate 5 Unassigned Unassigned 300.00 6228-036 1 Mattress, Pressure Reduction KCI - Kinetic Concepts, Inc. Operating Draft (New) MTS0038 O/O AtmosAir 9000 (KA9REVG3580) Unassigned Unassigned 0 1,000.00 0.00 Estimate 3 KCI - Kinetic Concepts, Inc. Unassigned Unassigned 1,000.00 (KA9REVG3580) KCI/ARJO Huntleigh AET437G 1 Table, Overbed, General Joerns Healthcare (OBT500) Operating Draft (New) TOB0000 O/O OBT500 Joems Healthcare (OBT500) Unassigned Unassigned 0 800.00 0.00 List 5 Needs to have the double mirror and vanity option for this OBT Unassigned Unassigned 800.00 8685-002 C118476 1 Telephone, One Piece Med-Pat Inc. (XI -301) Operating Draft (New) TEL0019 O/O XL301 Med-Pat Inc. (XI -301) Unassigned Unassigned 0 15.00 0.00 List 2 Unassigned Unassigned 15.00 6584-048 1 Television, 30-32 in, Flat Panel Samsung Electronics America Operating Draft (New) TVSO418 O/O UN32EH5000 (32" LED) (UN32EH5000F) Unassigned Unassigned 550.00 0.00 List 2 Samsung Electronics America Unassigned Unassigned 550.00 (UN32EH5000F) 4688-041 1 Waste Can, Open Top Grainger (4PGL6) Operating Draft (New) WST0324 O/O Tough Guy 4PGL6 (Beige) Grainger (4PGL6) Unassigned Unassigned 0 30.00 0.00 Estimate 3 Unassigned Unassigned 30.00 Room Total: 6,578.00 Room Qty: 11 Room Ext Total : 72,358.00 PLAN Powered by Attainia.com 08/22/2013 07:46 PM Page 49 of 52 Sorted by Dept Name, Room Name, Room No, Item Description Providence Health System PROVIDENCE KODIAK ISLAND LTC DUPLEX H e a E C Pr Room By Room Detail Report = = GPO Contract LA = My Org Contract Department: DUPLEX SIDE B Building: Unassigned Room: Special Items Room#: NA Room Sign: Area/Phase: Unassigned Comments: Items in this space will be distributed through house, no actual room will be used. Currency: Dollar (US) Atta ID Alt ID Qty Description Manufacturer Funding Source Item Status CAD ID Item ID F/I Model Vendor Cost Center Custom 1 Unit Cost Item Tax Price Type AC Item Notes Budget Name Custom 2 Opt Subtotal Opt Tax Total Config ADT652T 1 Allowance, Accessories TBD (TBD) Operating Draft (New) ALL0000 O/O TBD (TBD) Unassigned Unassigned 0 5,000.00 0.00 Estimate 3 Allowance is for new linens for patient rooms including bedding and towels Unassigned Unassigned 5,000.00 AAM605H 1 Chair, Clinical, Commode/Shower, Mobile Patterson Medical / Sammons Preston Operating Draft (New) CHA0000 O/O Bariatric Shower/Commode Chair six (554909) Unassigned Unassigned 700.00 0.00 Estimate 3 casters Patterson Medical / Sammons Preston Unassigned Unassigned700.00 M (554909) ALLOWANCE FOR 3 COMMODE CHAIRS - NEED TO DETERMINE IF CAN USE MEDLINE 4-1 STEEL COMMODE ADT325S 5 Chair, Clinical, Commode/Shower, Mobile Patterson Medical / Sammons Preston Operating Draft (New) CHA0000 O/O Shower/Commode chair with open front (557375) Unassigned Unassigned 0 300.00 0.00 Estimate 3 seat Patterson Medical / Sammons Preston Unassigned Unassigned 1,500.00R ', (557375) NEED TO FIND OUT IF CAN USE - 5 ESSENTIAL MEDICAL SUPPLY MOLDED PLASTIC SHOWER BENCH W/ARMS AND BACK AFF586Y 1 Trapeze, Allowance Joerns Healthcare (N529AL/N579TRTAL) Operating Draft (New) TPZ0000 O/O Trapeze/Trapeze adapter UCXTBED Joerns Healthcare (N529AL/N579TRTAL) Unassigned Unassigned 0 600.00 0.00 Estimate 0 Unassigned Unassigned 600.00 Room Total: 7,800.00 Room Qty: 1 Department Total : 133,117.70 PLAN Powered by Attainia.com 08/22/2013 07:46 PM Page 50 of 52 Sorted by Dept Name, Room Name, Room No, Item Description Providence Health System PROVIDENCE KODIAK ISLAND LTC DUPLEX H e a E C Pr Room By Room Detail Report = = GPO Contract LA = My Org Contract Department: SPECIAL SYSTEMS Building: Unassigned Room: OUTSIDE ITEMS COMMONS/RESIDENCES Room#: Room Sign: Area/Phase: Unassigned Comments: THIS COVERS ALL OF THE PROJECT CODING IS MOST LIKELY ADMIN OR FACILITIES Currency: Dollar (US) Atta ID Alt ID Qty Description Manufacturer Funding Source Item Status CAD ID Item ID F/I Model Vendor Cost Center Custom 1 Unit Cost Item Tax Price Type AC Item Notes Budget Name Custom 2 Opt Subtotal Opt Tax Total Config AAL025Z 2 Allowance, Furniture, Outdoor Landscape Brands (12fc-C1337) Operating Future O/V Custom Ultra Bench Upbeat.com ( ) Unassigned Unassigned 750.00 0.00 Estimate 5 COLOR SAGE CUSTOM WORD COMPASSION 5" LETTERS IN PALATINO FONT Unassigned Unassigned 1,500.00 AAL027Z 1 Allowance, Furniture, Outdoor LANDSCAPE BRANDS (LBR5PSURF) Operating Future O/V 5 bike metro bike rack UPBEAT.COM () Unassigned Unassigned 225.00 0.00 Estimate 5 COLOR - NAVY Unassigned Unassigned 225.00 AAL023Z 1 Furniture, Allowance TBD (TBD) Operating Future FUR0000 O/O TBD (TBD) Unassigned Unassigned 750.00 0.00 Estimate 5 PICNIC TABLE FOR STAFF TRY TO GET AT LOCAL HARDWARE STORE Unassigned Unassigned 750.00 Room Total: 2,475.00 Room Qty: 1 PLAN Powered by Attainia.com 08/22/2013 07:46 PM Page 51 of 52 Sorted by Dept Name, Room Name, Room No, Item Description Providence Health System 1 O/O 3 Allowance Freight - Residence Furniture To Be Determined () Freight - Residence Furniture Operating Unassigned Unassigned Future Grouping 2 [Furn] Unassigned 23,500.00 0.00 Estimate 23,500.00 AAL020Z 1 PROVIDENCE KODIAK ISLAND LTC DUPLEX Operating Future H e a E C Pr Room By Room Detail Report O/O = = GPO Contract LA = My Org Contract Department: SPECIAL SYSTEMS 22,000.00 0.00 Estimate 3 Building: Unassigned Unassigned Unassigned 22,000.00 Room: SPECIAL SYSTEMS - RESIDENCES/COMMONS Room#: Room Sign: Area/Phase: Unassigned Lift, Patient, Allowance ArjoHuntleigh () Operating Comments: LFT0000 Currency: Dollar (US) Atta ID Alt ID Qty Description Manufacturer Funding Source Item Status Unassigned 0 6,600.00 0.00 Estimate CAD ID Item ID F/I Model Vendor Cost Center Custom 1 Unit Cost Item Tax Price Type AC Item Notes Budget Name Custom 2 Opt Subtotal Opt Tax Total Config AAL021Z 1 O/O 3 Allowance Freight - Residence Furniture To Be Determined () Freight - Residence Furniture Operating Unassigned Unassigned Future Grouping 2 [Furn] Unassigned 23,500.00 0.00 Estimate 23,500.00 AAL020Z 1 Allowance Logistics Support - Residence To Be Determined () Operating Future O/O Furniture Unassigned Grouping 2 [Furn] 22,000.00 0.00 Estimate 3 Install Residence Furniture in homes Unassigned Unassigned 22,000.00 AU128SW 1 Lift, Patient, Allowance ArjoHuntleigh () Operating Draft (New) LFT0000 O/O Slings various sizes ArjoHuntleigh () Unassigned Unassigned 0 6,600.00 0.00 Estimate 3 This will include multiple sizes of slings to fit the arjo ceiling lifts and existing mobile Unassigned Unassigned 6,600.00 lifts Room Total: 52,100.00 Room Qty: 1 Department Total : 54,575.00 Grand Total : 438,870.40 PLAN Powered by Attainia.com 08/22/2013 07:46 PM Page 52 of 52 Sorted by Dept Name, Room Name, Room No, Item Description STATE OF ALASKA DEPARTMENT OF HEALTH AND SOCIAL SERVICES Bill Walker, GOVERNOR CERTIFICATE OF NEED For construction by Kodiak Island Borough n Kodiak, In accordance 1 and 7 AAC 07.001-900 Kodiak Island Borough is authorized to construct a replacement skilled nursing/ long term care facility in Kodiak. Kodiakr Borough is authorized to construct! • - foot totalreplacement skilled nursing /long term care center in Kodiak Alaska with a of * • •; The total cost of the project is $16,086,800 for construction, equipment, and' furnishings. I The anticipated operation date is January 31, 2014 with a final completion date • ! 6 • r • • - --vff1?-v-C7UrJ1,Fp,5TfMenL- 017 Commissioner Date: r L// -11-111,111-1-1.111--",,--,- -u ,, „. -o . . � uwk w . ..... pM. ail 1 i Ili I 1, . MSMIM 0 Bay r f 1'.. Kodiak, Alaska99616 WA-11L,XER Department of Health and Social Anchorage 3601 C Street,- .0 907.269.7800 Fax: 907.269.0060 Juneau 1' Main- 404 Main:907.465.3030 • '1 1. CertificateThe of # O Program 1 Kodiak . # Borough's 1 i request for extension on January 5, 2015. KIB received a CON for replacement of its existing Long Term Care Facility on February 25, 2013. The final completion date on the CON was January 3 1, 2015. Constructionof the facility was substantiallyf R ./ in January 2014, and residents took 1 1.February 2014. revisionsWhile the project is essentially finished, KIB is requesting additional time to complete minor f 1 landscaping project 1rk for which an extensionbeing requested does imodify the scope of approved oject or exceed the costapproved original CON. Based f 1 conversationbetween CON staff and the facility, it appears 1'. ! R 1nal work will 1 completed within the next year. Given that KIB is making continuing progress toward completion of its project, and since the request for extension will have no effect on the project's approved scope or budget, the Department hereby issues a modified CON with a new completion date of January 31, 2016. Sincere Valerie Da idson SS Commissioner