NSB - Village Health Clinic - Atqasuk — Rural Health Care posted service request (HCF)

General Information HCP or Consortium: 11915 - NSB - Village Health Clinic - Atqasuk Application Number: RHC46100021979 FCC Registration Number: 0014046643 Address: 4002 Quqlak Street , Atqasuk, AK 99791 Application Nickname: NSB-Atqasuk-Internet Funding Year: 2026 Funding Priority: Priority 1 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 8 1000 8 1000 Mbps Yes Equipment Installation Other Virtual Private Network (VPN) or similar (manag ed Firewall) 1 1000 1 1000 Mbps Yes Installation Will the selected service(s) support an off-site data center?: No Will the selected service(s) support an off-site administrative office?: No Dates and Timing What is the HCP's desired service contract length?: Up 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, 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?: 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 40 Like Services Based on Percentage of Price Other Network Resilience 15 Network Design to Include Diverse Paths Technical support 15 Provider Help Desk, Fully Staffed 24 x7x365 NOC Leverage existing resources 30 Reduce Administrative Burden & So ft Costs Does the HCP have any disqualifying factors that will remove bids or bidders from consideration?: Yes Disqualifying factors: The determination of whether an offer is responsive, complete, and compliant with the requirements of this ITB shall be made solely at the discretion of the designated evaluators. Such determinations shall be final and not subject to appeal or further review. Offers may be deemed non-responsive and disqualified, in whole or in part, for any reason identified by the evaluators, including but not limited to unsolicited or SPAM-based submissions, failure to follow required submission procedures, failure to provide requested information, certifications, or documentation, failure to submit required signed documents, material inconsistencies with ITB requirements, or submission after the stated deadline. Main Contact Name Organization Title Phone Email Address Daniel Kettwich NSB - Village Health Cli nic - Atqasuk RHC Mana ger 2814658888 dkettwich@adsad si.com Post Office Box 117 , Saltillo, TX 75478 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?: No Summary of the HCP's requested services. : Page2 An Internet service that brings resilience (diverse path) to the overall network design and potential support for EMS, patient and/or guest networks consistent with the Bid Evaluation Criteria is preferred. Best effort services shall be considered and Static IPs are requested. Please include a description of the installation process, maintenance and operational support to include VPN style services (considered either Data or Network Management Services, as described on the Examples of Common Products and Services document published by USAC) in your response. Multiple awards may be made and all applicable federal and state laws shall be observed. Page3 Additional Documentation Document Type Description for Other Document Uploaded On Declaration of Assistance Name Organization Type Title Employer Nature of Relationship Email Telephone Serenity Byrd Consultant RHC Mana ger ADS Advan ced Data S ervices, Inc Consultant sbyrd@adsadsi.c om (281) 465-8888 Daniel Kettwich Consultant RHC Mana ger ADS Advan ced Data S ervices, Inc. Consultant dkettwich@adsad si.com (281) 465-8888 Wendy Minor Consultant RHC Mana ger ADS Advan ced Data S ervices, Inc. Consultant wminor@adsadsi .com (281) 465-8888 Page4 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: Serenity Byrd Email: sbyrd@adsadsi.com Phone: 2814658888 Employer: ADS Advanced Data Services, Inc Title: RHC Manager Employer’s FCC RN: 0015361231 Certifier’s Full Name: Serenity Byrd Digital Signature: Serenity Byrd Date and time: 2/11/2026 5:49 PM EST Page5