Ray County Healthcare Consortium — Rural Health Care posted service request (HCF)

General Information HCP or Consortium: 132194 - Ray County Healthcare Consortium Application Number: RHC46100021499 FCC Registration Number: 0017861030 Address: 904 WOLLARD BLVD , RICHMOND, MO 64085-2229 Application Nickname: FY26 DATA AND EQUIPMENT Funding Year: 2026 Funding Priority: Priority 5 Consortium Participating Sites HCP Number Name LOA Expiry 17554 Ray County Memorial Hospital 132193 Ray County Healthcare Primary Care 132187 Ray County Data Center Requested Services Type of Services Description for Other Min Download Speed Max Download Speed Min Upload Speed Max Upload Speed Speed Unit Allow Bids for Similar Services Data 1000 1000 1000 1000 Mbps Yes Equipment Network Management S ervices Dates and Timing What is the HCP's desired service contract length?: Equal to 3 Year(s) Will the HCP consider bids with contract extension language?: Yes Will the HCP consider bids for month-to-month contracts?: Yes What is the HCP's desired time to publicly post this request for services?: 28 Day(s) What is the HCP's expected bid evaluation period after the public posting?: 1 Day(s) Page1 Bid Evaluation Select the criteria that will be used to evaluate the bids collected. Criteria Description Evaluation Weight (%) Minimum Requirement Price 50 Reliability of service 20 SLA requirements Other Prior Experience 20 Past experience or 2 references Other Service Provider Responsibility for I ncumbent Contract Exit / Buyout Co sts 10 Ability to absorb buyout costs Does the HCP have any disqualifying factors that will remove bids or bidders from consideration?: No Main Contact Name Organization Title Phone Email Address Jennifer Hibbs Ray County Healthcare Consortium Consultant 8165078970 jenhibbs@icevolu tionllc.com 6100 NW 78th Street , Kansa s City, MO 64151 RFP and Summary Is the HCP likely to request more than $100 000 in program support from this request for services?: No Do state, Tribal, or local procurement rules require the HCP to include an RFP with this request for services application?: No Will the HCP be including an RFP with this application?: Yes FY26 RFP for HCP 132187 132193 RCMH.pdf Summary of the HCP's requested services. : HCPs are requesting data and leased equipment services and managed services Page2 Additional Documentation Document Type Description for Other Document Uploaded On Network Plan FY26 Network Plan for RCMH.pdf 1/21/2026 10:18 PM EST Other Conditional Eligibility Letter Ray County Conditional Eligibility Le tter 01.21.2026.pdf 1/21/2026 10:19 PM EST Declaration of Assistance Name Organization Type Title Employer Nature of Relationship Email Telephone Jennifer Hibbs Consultant Consultant Integrity Co nsulting Ev olution, LLC Consultant jenhibbs@icevolu tionllc.com (816) 507-8970 Page3 Certifications ✓ I certify under penalty of perjury that I am authorized to submit this request on behalf of the healthcare provider or c onsortium. ✓ I certify under penalty of perjury that I have examined this request and all attachments, and to the best of my knowle dge, information, and belief, all statements contained herein and in any attachments are true. ✓ I certify under penalty of perjury that the applicant seeking supported services has complied with any applicable stat e, Tribal, or local procurement rules. ✓ I certify under penalty of perjury that all requested RHC Program support will be used solely for purposes reasonabl y related to the provision of health care service or instruction that the health care provider is legally authorized to pr ovide under the law of the state in which the services are provided. ✓ I certify under penalty of perjury that the applicant seeking supported services satisfies all of the requirements under section 254 of the Communications Act, 47 U.S.C. § 254, and applicable Commission rules. ✓ I certify under penalty of perjury that the applicant seeking support has reviewed and is compliant with all applicable RHC Program requirements. ✓ I understand that all documentation associated with this request, including a copy of the signed Request for Service s (FCC Form 461), any bids/contracts resulting from the FCC Form 461 posting, scoring sheet, and other informatio n that was used in the decision making process, must be retained for a period of at least five years pursuant to 47 C FR § 54.631, or as otherwise prescribed by the Commission's rules. ✓ I certify under penalty of perjury that the applicant seeking supported services is a nonprofit or public entity that falls within one of the seven categories set forth in the definition of health care provider listed in 47 CFR §54.600 of the Commission's rules. ✓ I certify under penalty of perjury that the applicant seeking supported services is physically located in a rural area a s defined in section 47 CFR § 54.600 of the Commission's rules, or is a member of a consortium which satisfies the majority-rural composition requirements set forth in 47 CFR § 54.607 of the Commission's rules. ✓ I certify under penalty of perjury that the services will not be sold, resold, or transferred in consideration for money o r any other thing of value. Signature Name: Jennifer Hibbs Email: jenhibbs@icevolutionllc.com Phone: 8165078970 Employer: Integrity Consulting Evolution, LLC Title: Consultant Employer’s FCC RN: 0027267160 Certifier’s Full Name: Jennifer Hibbs Digital Signature: Jennifer Hibbs Date and time: 1/21/2026 10:19 PM EST Page4