West Virginia State Auditor's Of?ce Request for Special Processing Request for: *Manual Warrant (check received same day) *Walk through (check received next business day) Marked for Special-Handling in WVFIMS WVFIMS ID: f0/C/7eng?8?b Ion/7304103 [oquzom/ Ema?l7 29 s" 7 Reason for request: Per Justin McAIIister *i understand a fee of $5 per transaction will be charged to the State agency making the request and wish to have the transactions identi?ed on this request processed in the manner indicated above. 0210 State Agency Name State Org ID )c/xoo {awake/103 OM i3 3 Signature of Agency Representative Date REPORT ID: WVFA70U0 STATE OF WEST VIRGINIA 09/09/13 PAGE 1 - FINANCIAL INFORMATION MANAGEMENT SYSTEM 09:26:56 OFFICE OF THE STATE AUDITOR STATEWIDE INVOICE COVER SHEET AUDITOR ENTRY ID: I 6 14730545 WVFIMS DOCUMENT ID: I 14730545 STATE ORGANIZATION: 0210 STATE ORGANIZATION NAME: INFORMATION SERVICES COMMUNICATIONS ORGANIZATION CONTACT: JUSTIN MCALLISTER ORGANIZATION ADDRESS: 2101 WASHINGTON STREET, EAST DEPT ADMIN ACCOUNTING BLDG 15 CHARLESTON WV 25305-0000 ORGANIZATION: 0210 ORGANIZATION NAME: INFORMATION SERVICES COMMUNICATIONS DATE PREPARED: 08/06/13 DOCUMENT AMOUNT: 11,599.13 VENDOR INVOICE NUMBER: 9041210554MN AGENCY COMMITMENT: AGENCY DOCUMENT: SPECIAL AUTHORIZATION: OPEN END CONTRACT NUMBER: MPLSO7 DUE DATE: 08/06/13 SPECIAL HANDLING: VENDOR NUMBER: 60348 VENDOR NAME: FRONTIER WEST VIRGINIA INC VENDOR ADDRESS: 1500 MACCORKLE AVE RM 020 CHARLESTON WV 25396- CONTACT CANDACE L. KIMBLE 004-558-6183 EXT: CASH ADVANCE: BEGIN TRAVEL: END TRAVEL: COMMENTS: DIXIE ELEMENTARY 1210554 ELECTRONICALLY AUTHORIZED BY: KELLY WILLIAMS ASAI APPROVED BY AUDITOR: DATE: FUND FY ORG ACT OBJ GRANT AMOUNT 2223 2014 0210 099 027 11,599.13 TOTAL INVOICE AMOUNT 11,599.13 Communications Soiutions Contracts and Agreements 1500 MacCorkle Ave. Room 020 Charleston, WV, 25396 REMIT PAYMENT TO THIS ADDRESS PLEASE BTOP-MPLSO7-BB BILL DATE: BILL AMOUNT: DUE DATE: (Please refer to MPLSOY, Appendix D, AIternative Access Offerings Pricing for Internet Dedicated Access) 7/17/2013 9041210554MN $11,599.13 8/19/2013 STATE OF WEST VIRGINIA OFFICE OF TECHNOLOGY ATTN: Justin McCallister INFRASTRUCTURE DESIGN OPERATIONS PO BOX 50110 CHARLESTON, WV, 25305 AMOUNT Billing Description: $8,026.04 Project Billing for BTOP Funding CAI: DIXIE ELEMENTARY ADDITIONAL COST DUE TO CUSTOMER PREMISE FACILITY BUILD OUT WORK: $3,573.09 Facility build out work (FBO) was not included in original estimate because need for FBO was not discovered until project was under way. Charge for FBO does not include loadings, but does Include a ?xed fee of $1,340.20 for invoice processing. Project it: 1210554 LCR BB34AO4 TOTAL AMOUNT DUE: $11,599.1il hereby certify that the Items listed 1/ hereon have been received and approved for ayment." 7/3321} Date Hill Location Construction Request (LCR) and Approval Form This approval term I: a REQUIREMENT and ap proval must be obtained from the Gram implementation Team (Gl?ri TO COMMENCEME NT OF ANY AND ALL CONSTRUCTION. Failure to obtain this signed approval for fiber could reault in a reuniting of the grant monies and lines with the various state and lederal agencies. Community Anchor institutions (Gills; location construcb?oh redness must be cube-ri?ed ta for approval. Upon receipt. the request will first be compared to the EA compliance . Once the Special Awards Conditions are continued, it wili be considered for approval by the (SH and wvor. BTOP Specific Intormazion: code Dollars -- Building Address: mu mqu Him, [:1er .Po no . Gran-eownl 33.25359 -s1.1931-1 i' . gamer-?Wyn . co: BRIDGE 38 25434 [Right etWey Com 2 a ons. mg, wumwurmow $23214PLACE FE 0 er ELEMENTARY. Pathways Acct Foetauel (axiallnn or ?mm Enwm Placlnu Splican em; Do, ?19119.1 Dollars 11,799.? . *s?it if" a? 31,340 --Braa heaven of Material Investment FIBER ?Bl. E- - 2 anchors Wilding. an" canal-mI 48 Estimated Build 4390' Actual Build 778'. Difference between eatimalalaclual can ha attributed to when the was provided. l'lber facilities were golng he be brought from Pele 24:45. On the detailed It was that than were ?ber at Pele M51. Customer to New mall4' abova roof and 1 11?2" conduit path lnalda hereby certify the estimates contained on this LCR approval form are true and accurate. M/rae?ug/I: 11i'2:'2011 Signature: Premier Representative Doze 00 Net were saw was Met'?'s?'oniw cial Award Conditions: ro rammatic Jt SHPO Clearance Building ls more than so years old and may mad I new portal. BMPs DO apply. It. WVDEP Storm Water Clearance NA COE Clearance Clearance )1 USFWS Clearance i hereby certify the ihiormation contained on this approval form is true and accurate, made in complete compliance with this grant, and meets ail Special Award Conditions - (SAC), including but not limited to: environmental assessment, etc. f? we - Ll? 3l'1lii?20t2 Signature: Tame Schu?cr, Environmental Project Menagar Date A19: $4465-14: Aoprovad 415ml 2 Sigmturar John D. Dunlap, Director infrasmcturr Design and Operations Data maxim Approved J: ?2201 2 Signature: Michael Todmridr, Project hwstigatar?pmjec?t Director Date BTO PL RAF. V2 .Facility'Build-Out Request ?rm. approval low:- is a and approval must he obtained iron: the Grant Implementation Team PREOR 1.0 0? ALL BUILD-OUT CONSTRUCTSON. Failure to obmln aligned approval for Facility BulldOu! could result lo a ravolung of the grant monlaa landlines the various state and ledaral agonclu. Jill Community Anchor lna?lullon Build Out R?qnosn must be lo BroadBand.Pro}octhv.gov tor approval. One. Ina Speclal Awards Conditions In Con?rmed. It will be command {or approval by Inn on and WVQT. Lh?E?tlE?TName - mule Elementary School 304-572-3511 wanemadrm PG 30: 233 1950 47: Glenn Tyree A 7% 304.532.1323 3-. Nick Patel Fi?'?tl?'?clij?t??t'l?fa vg Mark McKenzie . ..: I .M. Ii?i?i'?l?e HR 0554 Nichols Consnuctlon uc 883mm Within Business Days natag?a ca?gtmc?Nicholas - s. Brief of the faculty construc?on work. 3ch Footage! mm: Placing Splicing Vendor! Reintommcnun Desonpllon cud. Gummy (?Ming 0" [?guraym ugh" gong? can.? To"! auublmy Broldlund on Ma?tml to! "m is $139.45 Cora Building placing Illaal and Weathemuo. Flare lunar Due! in tho Communloa'llona Room. Artwork will he con-upland In accordance to the EMP. Em Capacity lhemby certify the lnfonnalr?on contained on {his approval form is {me andoccuml?e. made in complete compliance mt): this grant, and meals all Speclamwam including: environmental assessment 3MP (Beat Managomam Practice} RNUINMEMHWNI . YES Hot? Holmes must be taken to meet "ml SHPO Requirements only on buildings 50 years old and over. Then pictures must be submmed to the EA. to submit - 12l3l201 the estimates contained on'tms FBR val form are true and accurate. YES Aaron 12-3-2012 Dam WW I John Din-(to: Dana PO Box 1179 Vanson?r, VA 24656 (276) 597-7441 Fax (276) 597-2413 Detember 3, 2012 Nick PaTel WV Office of Technology WeS?l' Virginia Stimulus Work: Order 121 0554 Laco?on of Project: Dixie Elementary/?School Descrip?fion of Work: Core Drill Floor, Place Mas?r and Weather-head and place Inner Duc?l'To The Communications Room. County: Nicholas Pricing Based on Prin?rs& Silo VisiT Labor: 2043.44 Maferial: 189.45 Total: 2232.89 Thank You, Junior Nichols Presidenf Nichols Gonslruction'LLC' mmamrmw?mg?wgzam NICHOLS CONSTRUCTION, LLC 9.0.301: 932356 Atlanta, GA 31193-2356 Phone-{276) 59327441 Fa'x'{276) 597~2a13 SOLD TO Frontier 1500 MacCorkIe Avenue Charleston, WV 25395 MT: Mark McKenzie INVOICE: DATE: WV083 '12/21X2o12 CUSTOMER \ANSlimuiiJs ATT: Nick 5. Pate! Page: 1 of CONTRACT TERMS Work Order-? 12105 54 Due in 30 Days Nichols Job 9 w95 PRICE 2,232.89 Dixie Eiementaw School NiCholas County Pricing BaSed on Site Visit 3834mm: . TotalAmo'u'nt Due 5 2,232.89 {Nai?i?ig??i OV?'?ti . . 38.25359 -81 .1 9314 38.25434 -81 . 1 91 9 2 B?fi?dESEEti?i?iESt?WSto??$351 a rN'W-g, sectionffiStOp?fliOCationE- sebti6H3:Stamamaonta: . Poie Location Poie Location - Pole Location XXIXX Pole - Location . XXIXX Pole Location XXIXX Poie Location XXIXX Poie Location Pole Location Pole Location XXIXX Pole Location XXIXX Pole Location XXIXX. . Pole Location XXIXX Pole Location XXIXX Poie Location XXIXX Pole Location Poie Location 3711 38.25361 -81.19278 Pole Location 3713 38.25410 -81.19173 Pole Location XXIXX Poie Location XXIXX Pole Location XXIXX Pole Location XXIXX Pole Location XXIXX Poie Location XXIXX Pole Location XXIXX Pole Location XXIXX Poie Location XXIXX Pole Location Pole Location XXIXX Pole Location Poie Location XXIXX ACME Mapper 2.0 2.4 km ochlva vw 6?10; 3 . . 03k. limen?hw Page 1 of2 ii 11/1120] 1 Frontier InvoiceAudit Checklist-1; I "1 cl No Comments Does the address on the invoice match the address in Does the invoice match the LCR backup? 3533 Is the LCR signed? If the invoice is above LCR, does the invoice include original LCR cost estimate, actual project cost, and variance? If the invoice is above LCR, does it contain the cost overrun description? If the invoice contains FBO, do we have the F80 backup? Is FBO signed? 3 if Loading, does the Loading match agreement between Gale and Frontier? Approval . Bill Date 1 l5. invoiceNumber . Project Location Project Number UM - LCR Number Egaqugq- ApprovedyWW West Virginia BTOP Funds Flow Form NT103IX5570031 . ?RIegIIuest I .. II Agengl'As assigned'bytheAgency?. - John Dunlao?ust?in?thllister I - (Section I 'q Address: PO Box 50110 I I E-Mail: Justin.T.McAHister@Wv.gov Charleston, wv 25305 I Phone: {304-380-9460 . Reimbursement: . I Egg; 304?558-1531 - I (Section C) oyo?i?'? (Advance Approval - CLASSIFICATION required) CLASSIFICATION requi i - i I val??qi'a' 90412057I65MN is; 9 17,287.10 FIMS ACCT Re Hired 2223-2011-4490-999-861 I TOTAL 5 447,703.26 .Signature: Date: (3/!le . Date sent to (350; I - Closed: Reviewed by: 1) 1? Amount Reimbursed: - - Date: Reviewed by: 2) CONTACT: Michael Todorovich- PIIPD BTOP Grant 1703 Coonskin Drive, Charleston, WV 25311 Office: 304-561-6675 Fax: 304-561-6400 Form?: I REVISED Version 4/28/2011 anerizgarlbueness APPENDIX ALTERNATIVE ACCESS OFFERINGS PRICING (THIS APPENDIX, TOGETHER WITH APPENDICES AND E, SHOULD BE SEPARATED FROM THE TECHNICAL PORTION OF VENDOR RESPONSES AND BE INCLUDED IN SEALED, COST PORTION OF THEIR RESPONSE TO THIS RFP.) PAGE 1: ANDIOR RFP Description of Offering SECTION NRC Unit Cost Access Frame Relay Indirect Access method 3.1.12 3.1.17 $150.00 08?1 838000 ?rnb $2,000.00 033 6min 82.40000 DS-S 22mb $2,850.00 08-3 45mb $3,840.00 Additionai PVC $4.00 ATM Indirect Access 3.1.12 3.1.17 $525.00 08?3 with 10 mb CBR $3250.00 08?3 45 mb $3,640.00 00?3 $7,000.00 3.1.12 Private Line Pt to Pt Direct Access method 3.1.17.5 $150.00 Access to P1P only $285.00 $895.00 [33-1 (max of 12 Meg support or 8 T?l?s) $285 ea EDS-3 (Direct Access to PIP 8 Verizon Territory only) $2,850.00 interns: Dedicated Access is referenced in the technical section as an access method for VolP. Pricing for would have to be provided on an ICB bases due to the public nature of this access instead of the Private 1P access offered by PIP. IDA can not be but could be utilized on an ICB by a buying entitiy not needing the connection to PIP. However in most all cases PIP offers the moss economicai connection with the highest SLA. Ethernet SES (Standard VLAN) 3.1.12.1 10 Meg $885.00 100 Meg $1,800.00 1 Gig $2,850.00 interor'?ce Transport per mile {only applies when SE8 platform is not in local of?ce of service) $100.00 EVC's (with Standard Access not to PIP) 10 Meg $200.00 $50.00 100 Meg $200.00 $100.00 1 Gig $200.00 $200.00 State of West Virginia March ?14, 200?