Scioto County Counseling Center Consortium — Rural Health Care posted service request (HCF)

General Information HCP or Consortium: 134099 - Scioto County Counseling Center Consortium Application Number: RHC46100021989 FCC Registration Number: 0037600491 Address: 411 COURT ST , PORTSMOUTH, OH 45662-3932 Application Nickname: 2026 - HDW 2nd Funding Year: 2026 Funding Priority: Priority 7 Consortium Participating Sites HCP Number Name LOA Expiry 133946 TCCO - Crisis Center 133949 TCCO - Mental Health House 133951 TCCO - Stepping Stones 133953 TCCO - Jackson 133954 TCCO - Ironton Bridges 133956 TCCO - The Counseling Center 133957 TCCO - Stepping Stones Outpatient Program 133966 TCCO - Bridges 133967 TCCO - Health and Wellness 133968 TCCO - Adams 133969 TCCO - Day One Admissions 133970 TCCO - Scioto County Youth Services 133971 TCCO - Counseling Center 133972 TCCO - TCC Health 133973 TCCO - Scioto County Transitional 134246 TCCO - Admin Office 134247 TCCO - Admin Setters 134248 TCCO - Admin HR 134249 TCCO - Admin Billing 134251 TCCO - Admin Spencer 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 Construction Equipment Installation Network Management S ervices Page1 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 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?: 2 Day(s) Page2 Bid Evaluation Select the criteria that will be used to evaluate the bids collected. Criteria Description Evaluation Weight (%) Minimum Requirement Price 34 Leverage existing resources 33 Must be compatible with existing ne twork Other Prior experience, including past per formance 33 No Minimum Does the HCP have any disqualifying factors that will remove bids or bidders from consideration?: Yes Disqualifying factors: If a posted bid pricing matrix is returned stating "No Bid" for a particular listed service, at a specified HCP, the bid will be disqualified for that service at that location. Main Contact Name Organization Title Phone Email Address David Wagner Scioto County Counseli ng Center Consortium Managing Member (203) 802-6223 david@pemfilings .com 3109 Grand Ave , Miami, FL 3 3133 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 Scioto County Counseling Center Equipment RFP 2026 (2nd).pdf Summary of the HCP's requested services. : Please refer to attached document 'Bid Pricing Spreadsheet Instructions' for all further instructions. Email all questions regarding posting to info@pemfilings.com Page3 Additional Documentation Document Type Description for Other Document Uploaded On Network Plan Scioto County Counseling Center N etwork Plan.pdf 2/11/2026 2:08 PM EST Declaration of Assistance Name Organization Type Title Employer Nature of Relationship Email Telephone Taylor Heidkamp Consultant Administrati ve Assistant -Consultant PEM Filings , LLC Consultant taylor@pemfilings .com (203) 437-6546 David Wagner Consultant Managing Member PEM Filings , LLC Consultant david@pemfilings .com (203) 802-6223 Tom Hurt Consultant Vice Presid ent, Rural H ealth Care Program SpectraCor p Technolo gies Group , Inc. Consultant thurt@spectracor p.com (972) 671-1700 Lisa Medina Consultant Director of Operations - Assisted i n data colle ction SpectraCor p Technolo gies Group , Inc. Consultant lmedina@spectra corp.com (469) 329-1378 Kerri Heidkamp Consultant Director of Operations PEM Filings , LLC Consultant kerri@pemfilings. com (203) 802-6223 Luis Ocampo Consultant Project Coo rdinator PEM Filings , LLC Consultant luis@pemfilings.c om (203) 802-6223 Kameron Heidka mp Consultant Technical M anager PEM Filings , LLC Consultant kameron@pemfili ngs.com (203) 802-6223 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: Taylor Heidkamp Email: taylor@pemfilings.com Phone: (203) 437-6546 Employer: PEM Filings, LLC Title: Administrative Assistant-Consultant Employer’s FCC RN: 0017572314 Certifier’s Full Name: Taylor Heidkamp Digital Signature: Taylor Heidkamp Date and time: 2/11/2026 2:10 PM EST Page5