CHA Broadband Services — Rural Health Care posted service request (HCF)

General Information HCP or Consortium: 17212 - CHA Broadband Services Application Number: RHC46100021946 FCC Registration Number: 0017424656 Address: 1700 N LINCOLN ST STE 3030 , DENVER, CO 80203-4530 Application Nickname: RFP 56_Dahl memorial Hospital_FY26 Funding Year: 2026 Funding Priority: Priority 7 Consortium Participating Sites HCP Number Name LOA Expiry 64935 DAHL Memorial Healthcare 06/30/2028 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 20 500 20 500 Mbps Yes Equipment Network Management S ervices Installation Dates and Timing What is the HCP's desired service contract length?: Up to 5 Year(s) Will the HCP consider bids with contract extension language?: Yes, This is preferred Will the HCP consider bids for month-to-month contracts?: Yes, This is preferred 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?: 28 Day(s) Page1 Bid Evaluation Select the criteria that will be used to evaluate the bids collected. Criteria Description Evaluation Weight (%) Minimum Requirement Price 25 12.5 Other Implementation Timeframe 20 10 Other Suitability to Health Care Provider’s Goals 20 10 Other Service Level Agreements (SLA) 20 10 Other Compliance with the terms of this R FP 15 7.5 Does the HCP have any disqualifying factors that will remove bids or bidders from consideration?: Yes Disqualifying factors: Proposals will be evaluated based on the rubric below. If CHABS determines that a bid received meets minimum requirements but does not represent the most cost-effective solution, that bid can be disqualified regardless of being the lowest cost. Further, any bids that fail to address one or more of the criteria listed below, will be disqualified. Finally, any bid received that does not comply with the contracting provisions listed in section 9 of this RFP, in whole or in part, will be disqualified. Main Contact Name Organization Title Phone Email Address Rob Jenkins CHA Broadband Servic es Sr Director - Broadband Services 7203306021 rob.jenkins@cha. com 1700 Lincoln Street, Suite 303 0 , Denver, CO 80203 RFP and Summary Is the HCP likely to request more than $100 000 in program support from this request for services?: Yes 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 HCF-FY2026_RFP 56_Dahl Memorial hospital_FY26.pdf Summary of the HCP's requested services. : Support various health care related activities; access to mission critical systems (EMR); transmission, retrieval and exchange of data and/or radiology images. Page2 Additional Documentation Document Type Description for Other Document Uploaded On Network Plan 02_CHABS Network Plan 2026.pdf 2/9/2026 7:09 PM EST Other Contracting Diagram 03_Contracting Diagram.pdf 2/9/2026 7:09 PM EST Other Evaluation Staff 01_CHA Broadband Services Staff 2026.pdf 2/9/2026 7:09 PM EST Declaration of Assistance Name Organization Type Title Employer Nature of Relationship Email Telephone 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: Jack Miller Email: jack.miller@cha.com Phone: 7203306008 Employer: CHA Title: Program Coordinator Employer’s FCC RN: Certifier’s Full Name: Jack Miller Digital Signature: Jack Miller Date and time: 2/9/2026 7:10 PM EST Page4