PHS - Colfax Gen Hospital — Rural Health Care posted service request (HCF)

General Information HCP or Consortium: 10920 - PHS - Colfax Gen Hospital Application Number: RHC46100022009 FCC Registration Number: 0024328262 Address: 615 PROSPECT AVE , SPRINGER, NM 87747 Application Nickname: 2026 IA_LTC 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 1 1000 1 1000 Mbps Yes 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 5 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?: 29 Day(s) Page1 Bid Evaluation Select the criteria that will be used to evaluate the bids collected. Criteria Description Evaluation Weight (%) Minimum Requirement Price 45 Other Prior Experience, Including past per formance 45 No negative experiences with biddin g carriers Leverage existing resources 10 Must be compatible with existing ne twork Does the HCP have any disqualifying factors that will remove bids or bidders from consideration?: Yes Disqualifying factors: If you are a reseller or a primary carrier reselling another carrier’s product you must disclose who the underlying carrier(s) is, so the HCP knows who they are really choosing and uses it as a decision point concerning redundancy and knowledge of the carrier. Must have current services installed or within the past three fund years with good service performance. Three healthcare references in the HCP state for the same/similar service (if no current service with HCP). Direct all bids and bid inquiries only to: techadmin@colfaxhealth.org Bids directed to other email addresses may not be identified and processed. Will only accept bids from vendors with USAC 498 ID (fka SPIN) - For bid to be considered valid, it must include 498 ID/ SPIN,HCP Number, Form Posting (461), and Fund Year on the 1st page Main Contact Name Organization Title Phone Email Address Amadeo Soto PHS - Colfax Gen Hosp ital IT Speciali st (575) 483-3307 techadmin@colfa xhealth.org 615 Prospect Avenue , Spring er, NM 87747 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 Broadband service(s) to be used for internet connectivity and/or voice/data transmission (Leased/Tariffed Facilities or Services, Network Equipment and Installation) for medical purposes. Page3 Additional Documentation Document Type Description for Other Document Uploaded On Declaration of Assistance Name Organization Type Title Employer Nature of Relationship Email Telephone 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: Amadeo Soto Email: techadmin@colfaxhealth.org Phone: (575) 483-3307 Employer: South Central Colfax County Special Hospital District Title: IT Specialist Employer’s FCC RN: 0024328262 Certifier’s Full Name: Amadeo Soto Digital Signature: Amadeo Soto Date and time: 2/13/2026 9:47 AM EST Page5