West Calcasieu Cameron Hospital Consortium — Rural Health Care posted service request (HCF)

General Information HCP or Consortium: 71193 - West Calcasieu Cameron Hospital Consortium Application Number: RHC46100022151 FCC Registration Number: 0029238631 Address: 701 CYPRESS ST , SULPHUR, LA 70663 Application Nickname: West Cal Cam - 461 Funding Year: 2026 Funding Priority: Priority 8 Consortium Participating Sites HCP Number Name LOA Expiry 15735 West Calcasieu Cameron Hospital 16458 Vinton Medical Clinic 16457 Hackberry Rural Health Clinic 71187 Johnson Bayou Rural Health Clinic 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 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, 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?: 7 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 Price of Service Personnel qualifications, inclu ding technical excellence 30 3 References for Same or Similar S ervices Leverage existing resources 20 To Extent Possible Technical support 10 Single Point of Contact Does the HCP have any disqualifying factors that will remove bids or bidders from consideration?: Yes Disqualifying factors: No 498ID Main Contact Name Organization Title Phone Email Address Chrystal Matthew s West Calcasieu Camero n Hospital Consortium CEO (337) 302-3764 chrystal@elitepro gramspecialists.c om 711 E. Ascension St. Suite 56 9 , Gonzales, LA 70737 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?: Yes Will the HCP be including an RFP with this application?: Yes WCCH Consortium_RFP_FY26.docx Summary of the HCP's requested services. : WCCH is seeking proposals for primary and secondary public Internet and long term leased or owned network services including the design, engineering, implementation and continued management and monitoring of a secure broadband network. Proposed solutions should include all elements required to make the services function properly and the associated costs for each. WCCH is not seeking a single provider solution. Bidders may propose a solution related to the particular services and/or equipment for which they have the capacity to provide. Requested Contract Term: Month to month and up to 3 years Page2 Additional Documentation Document Type Description for Other Document Uploaded On Network Plan WCCHConsortium_NetworkPlan_F Y26.docx 2/20/2026 2:41 PM EST Declaration of Assistance Name Organization Type Title Employer Nature of Relationship Email Telephone Chrystal Matthew s Consultant CEO Elite Progr am Special ists Consultant chrystal@elitepro gramspecialists.c om (337) 302-3764 Caitlyn Bass Consultant Executive A ssistant Elite Progr am Special ists Paid Servic e caitlyn@epsfirm. com (225) 494-3635 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: Chrystal Matthews Email: chrystal@eliteprogramspecialists.com Phone: (337) 302-3764 Employer: Elite Program Specialists Title: CEO Employer’s FCC RN: 0027714672 Certifier’s Full Name: Chrystal Matthews Digital Signature: Chrystal Matthews Date and time: 2/20/2026 2:42 PM EST Page4