Contract Inventory. Provider Name: Org. Code/EO:80-xx-xx-xx-xxx/xx. Contract #: Condition E, G, F, P*
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1 Contract #: Provider Name: Contract Inventory Org. Code/EO:80-xx-xx-xx-xxx/xx DJJ Property # Description Qty Manufacturer Model # Serial Number Unit Cost Acquisition Date Location Code Total Cost 1 Vandal resistant camera 94 several Various F 2 Two Way Radio 7 Icom several Various F 3 PBJCF Main Building 1 West Palm beach F 4 PBJCF All Dorm 1 West Palm beach F 5 Flag Pole 1 West Palm beach F 6 PBJCF Maintenance 1 Maintenance Shed (outside) F 7 Sofa with chase 20 All dorms E 8 ottoman 11 All dorms E 9 Washer 1 Unimac Intake F 10 Dryer 1 Unimac intake F 11 chair 1 FA Office F 12 Desk with Credenza 1 FA Office F 13 Phone 24 several Various F 14 2 drawer file storage 1 FA Office F 15 4 shelf bookcase 1 FA Office F 16 VCR 1 FA Office F 17 Monitor 2 FA Office F 18 Computer 2 FA Office F 19 Manager Chair 1 FA Office F 20 All in One Printer 1 FA Office F 21 Round Table 1 FA Office F 22 Refrigerator 1 FA Office F 23 chairs 2 Bus Mgr Office F 24 2 shelf bookcase 1 Bus Mgr Office F 25 5 shelf bookcase 1 Bus Mgr Office F 26 CPU monitor 1 Bus Mgr Office F 27 CPU 1 Bus Mgr Office F 28 Safe 1 Bus Mgr Office F 29 HP printer 1 Bus Mgr Office F 30 Mini Fridge 1 AFA Office F 31 chairs 1 AFA Office F 32 Desk 1 AFA Office F 33 4 shelf bookcase 1 AFA Office F 37 Manager Chair 1 AFA Office F 38 CPU monitor 1 AFA Office F 39 cpu 1 AFA Office F 40 HP printer 1 AFA Office F 41 chair 1 HR Office F 42 desk 1 HR Office F 43 Manager Chair 1 HR Office F 44 Filing Cabnets 3 HR Office F 45 Cabinet 1 HR Office F 46 2 drawer wood filing cabinet 1 HR Office F 47 4 shelf bookcase 1 HR Office F 48 printer 1 HR Office F 49 shredder 1 HR Office F 50 CPU monitor 1 HR Office F 51 CPU 1 HR Office F Condition E, G, F, P*
2 52 CPU monitor 1 Training Office F 53 CPU 1 Training Office F 54 4 shelf bookcase 1 Training Office F 55 Filing Cabnets 1 Training Office F 56 Mgr chairs 7 Conf Room F 57 Conf Table 1 Conf Room F 58 chair 2 Case Mgr Sup Office F 59 4 shelf bookcase 1 Case Mgr Sup Office F 60 Filing Cabnets 1 Case Mgr Sup Office F 61 desk 1 Case Mgr Sup Office F 62 printer 1 Case Mgr Sup Office F 63 CPU monitor 1 Case Mgr Sup Office F 64 CPU 1 Case Mgr Sup Office F 65 4 shelf bookcase 1 Clinical Director office F 66 chair 1 Clinical Director office F 67 desk 1 Clinical Director office F 68 cpu desk 1 Clinical Director office F 69 printer 1 Clinical Director office F 70 CPU monitor 1 Clinical Director office F 71 cpu 1 Clinical Director office F 72 Mgr chairs 1 Clinical Director office F 73 Fax Machine 1 Case Mgr Sup Office F 74 Copier leased 1 Admin Commons F set of 5 metal lockers 5 lobby area F 76 Refrigerator 1 Admin Commons F 77 coffee maker 1 Admin Commons F 78 microwave 1 Admin Commons F 79 lock boxes 4 Lobby Area F 80 Metal Detector 1 lobby area F 81 chairs 3 lobby area F 82 end tables 2 lobby area F 83 CCTV Monitor 1 Sub Control F 84 CPU 1 Sub Control F 85 CPU monitor 1 Sub Control F 86 chair 1 Sub Control F 87 Exam Table 1 Medical F 88 4 shelf metal rack 2 Medical F 89 Filing Cabnets 4 Medical F 90 chair 3 Medical F 91 medical scale 1 Medical F 92 desk 3 Medical F 93 Large Refrig 1 Medical F 94 Small Refrig 1 Medical F 95 Shredder 1 Medical F 96 Stool 1 Medical F 97 Printer 2 Medical F 98 2 draw file cabinet 1 Medical F 99 CPU monitor 2 Medical F 100 CPU 2 Medical F 101 WheelChair 1 Medical F 102 Tool Cart with drawers 1 Maint Room F 103 Desk 1 Maint Room F 104 Mgr chairs 1 Maint Room F
3 105 Tool Bench 1 Maint Room F 106 CPU monitor 1 Maint Room F 107 CPU 1 Maint Room F 108 desk 1 Asst Clinical Dir F 109 chair 1 Asst Clinical Dir F 110 CPU monitor 1 Asst Clinical Dir F 111 CPU 1 Asst Clinical Dir F 112 printer 1 Asst Clinical Dir F shelf bookcase 1 Asst Clinical Dir F 114 CPU 2 MHOS office phase II F 115 CPU monitor 2 MHOS office phase II F 116 printer 2 MHOS office phase II F 117 Filing Cabnets 1 MHOS office phase II F 118 desk 2 MHOS office phase II F 119 Mgr chairs 2 MHOS office phase II F 120 Folding chair 1 Case mgr office phase II F 121 chair 1 Case mgr office phase II F 122 CPU monitor 2 MHOS office phase I F 123 CPU 2 MHOS office phase I F 124 desk 2 MHOS office phase I F 125 Mgr chairs 2 MHOS office phase I F 126 chair 1 MHOS office phase I F 127 Filing Cabnets 1 MHOS office phase I F 128 TV 1 Alpha Dorm F 129 washer 1 Alpha Dorm F 130 dryer 1 Alpha Dorm F 131 table 1 Alpha Dorm F 132 tv 1 Bravo Dorm F 133 table 1 Bravo Dorm F 134 tv 1 charlie Dorm F 135 table 1 charlie Dorm F 136 cpu monitor 2 alpha case mgr/mhos office F 137 cpu 2 alpha case mgr/mhos office F 138 Mgr chairs 2 alpha case mgr/mhos office F 139 Filing Cabnets 1 alpha case mgr/mhos office F 140 desk 2 alpha case mgr/mhos office F 141 chair 1 alpha case mgr/mhos office F shelf bookcase 1 alpha case mgr/mhos office F shelf bookcase 1 bravo case mgr/mhos office F 144 CPU monitor 2 bravo case mgr/mhos office F 145 cpu 2 bravo case mgr/mhos office F 146 desk 2 bravo case mgr/mhos office F 147 Filing Cabnets 1 bravo case mgr/mhos office F 148 chair 1 bravo case mgr/mhos office F 149 printer 2 bravo case mgr/mhos office F 150 CPU monitor 1 master control phase I F 151 cpu 1 master control phase I F 152 printer 1 master control phase I F 153 CCTV Monitor 4 master control phase I F 154 Mgr chairs 1 master control phase I F 155 chair 2 master control phase I F 156 CCTV Monitor 4 master control phase II F
4 157 Mgr chairs 1 master control phase II F 158 chair 2 master control phase II F 159 TV 1 Delta Dorm F 160 Table 1 Delta Dorm F 161 Tv 1 echo dorm F 162 table 1 Echo dorm F 163 tv 1 Fox Dorm F 164 table 1 Fox Dorm F 165 CPU monitor 2 Echo case mgr/mhos office F 166 cpu 2 Echo case mgr/mhos office F 167 printer 2 Echo case mgr/mhos office F 168 Filing Cabnets 1 Echo case mgr/mhos office F 169 CPU monitor 2 fox case mgr/mhos office F 170 cpu 2 fox case mgr/mhos office F 171 printer 2 fox case mgr/mhos office F 172 Filing Cabnets 1 fox case mgr/mhos office F 173 desk 2 Echo case mgr/mhos office F 174 desk 2 fox case mgr/mhos office F 175 Mgr chairs 2 Echo case mgr/mhos office F 176 Mgr chairs 2 fox case mgr/mhos office F 177 chair 1 Echo case mgr/mhos office F 178 chair 1 fox case mgr/mhos office F 179 lrg tables 2 intake F 180 dishwasher 1 Kitchen F 181 toaster 1 kitchen F 182 steam Table 1 Kitchen F 183 slicers 2 kitchen F 184 oven/stove 1 kitchen F 185 commerical oven 1 kitchen F 186 ice machine 1 kitchen F 187 warming drawer 1 Kitchen F 188 mixer 1 kitchen F 189 food cart 1 kitchen F 190 walkin Cooler 1 kitchen F 191 walkin freezer 1 kitchen F 192 desk 2 Kitchen F 193 chair 2 kitchen F Total Provider s Name: Contract Manager s Name: Provider s Signature: Contract Manager s Signature: Date: *E = Excellent, G = Good, F = Fair, P = Poor
5
ITN Exhibit 1
1 Vandal resistant camera 94 several Various F 2 Two Way Radio 7 Icom several Various F 3 PBJCF Main Building 1 West Palm beach F 4 PBJCF All Dorm 1 West Palm beach F 5 Flag Pole 1 West Palm beach F 6
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