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VA HANDBOOK 6500.6 MARCH 12, 2010 APPENDIX C C-12 STATEMENT OF WORK Helmer Pharmacy Refrigerator WEST HAVEN VA MEDICAL CENTER General Information: Contractor shall provide delivery of (7) Helmer iPR10... VA HANDBOOK 6500.6 MARCH 12, 2010 APPENDIX C C-12 STATEMENT OF WORK Helmer Pharmacy Refrigerator WEST HAVEN VA MEDICAL CENTER General Information: Contractor shall provide delivery of (7) Helmer iPR105-GX undercounter Pharmacy Refrigerators. Equipment to be delivered to the White River Junction VA Medical Center. This is a brand name only requirement. Location: Equipment to be delivered to the Building 67 Warehouse located at 163 Veterans Dr. White River Junction VT, 05009. Type of Contract: Firm-Fixed Price Equipment to be procured: Part No. Model No. Description Quantity 5115105-1 iPR105-GX iPR105-GX i.Series® Pharmacy Refrigerator - Undercounter, 5.3 cu ft (150 Liters) 7 Each iPR105-GX i.Series® Pharmacy Refrigerator - Undercounter, 5.3 cu ft (150 Liters) is Configured As: 5115105-1 iPR105-GX i.Series® Pharmacy Refrigerator - Undercounter, 5.3 cu ft (150 Liters) 4010136-1 Power Option: 115V 60Hz (for i.Series® Undercounter Refrigerators, GX models, 5 cu ft) 4110006-1 Power Cord Option: 115V 60Hz NEMA 5-15 4020038-1 Exterior Option: Powder Coat, Helmer Blue (for Undercounter Refrigerators, GX models 5 cu ft) 4030036-1 Interior Option: Powder Coat, White (for Undercounter Refrigerators, GX models, 5 cu ft) 4040014-1 Light Option: None (for Undercounter Refrigerators, GX models 5 cu ft) 4050015-1 Chart Recorder Option: None (for Undercounter Blood Bank Refrigerators and Plasma Storage Freezers 5 cu ft) 4060055-1 Lock Option: Standard Key (for i.Series® Undercounter Refrigerators, GX models, 5 cu ft) 4080035-1 Handle Option: Pyxis Adapter Factory Installed (for Undercounter Refrigerators with Blue Exterior and Right Hinge Door, GX models, 5 cu ft) 4070133-1 Door Option: Right Hinge, Solid (for i.Series® Undercounter Refrigerators with Powder Coat Exterior, GX models, 5 cu ft) 4090067-1 Storage Option: Drawer, Ventilated, Factory Installed (for Undercounter Refrigerators, GX models, 5 cu ft) 4090067-1 Storage Option: Drawer, Ventilated, Factory Installed (for Undercounter Refrigerators, GX models, 5 cu ft) 4090065-1 Storage Option: None (for Refrigerators, GX models, 5 cu ft) 4120000-1 Monitoring Option: Ballast, Solid, Factory Installed (for Undercounter Refrigerators, GX models, 5 cu ft) 4900090-1 Special Option: Leveling Feet - Factory Installed (for Undercounter Refrigerators GX models, 5 cu ft) 4900077-1 Special Option: Certificate of Calibration (for Refrigerators, Freezers and Incubators)