REPORT ID: WVFA70U1 PAGE 1 STATE OF WEST VIRGINIA FINANCIAL INFORMATION MANAGEMENT SYSTEM INVOICE COVER SHEET (AGENCY SHEET) 12/04/13 09:21:08 STATEWIDE AUDITOR ENTRY ID: WVFIMS DOCUMENT ID: I 0 14947274 I 14947274 STATE ORGANIZATION: STATE ORGANIZATION NAME: ORGANIZATION CONTACT: ORGANIZATION ADDRESS: 0210 INFORMATION SERVICES COMMUNICATIONS JUSTIN MCALLISTER 2101 WASHINGTON STREET, EAST DEPT ADMIN ACCOUNTING BLDG 15 CHARLESTON WV 25305?0000 ORGANIZATION: ORGANIZATION NAME: DATE PREPARED: DOCUMENT AMOUNT: VENDOR INVOICE NUMBER: AGENCY COMMITMENT: AGENCY DOCUMENT: SPECIAL AUTHORIZATION: OPEN END CONTRACT NUMBER: ORIGINAL DUE DATE: REVISED DUE DATE: SPECIAL HANDLING: VENDOR NUMBER: VENDOR NAME: VENDOR ADDRESS: CONTACT PERSON: CONTACT PHONE: CASH ADVANCE: 0210 INFORMATION SERVICES COMMUNICATIONS 12/04/13 27,797.22 9041220475MN MPLSO7 12/04/13 12/04/13 60348 FRONTIER WEST VIRGINIA INC 1500 MACCORKLE AVE RM 020 CHARLESTON WV 25396- CANDACE L. KIMBLE 004-558-6183 EXT: BEGIN TRAVEL: END TRAVEL: COMMENTS: MT NEBO ELEMENTARY 1220475 BB34A21 LINE FUND FY 2223 2223 2014 000001 2014 ORG ACT OBJ 0210 4401 TOTAL INVOICE AMOUNT GRANT PROJ AMOUNT 099 099 027 027 27,797.22 27,797.22 onher" . . . REMIT PAYMENT TO THIS ADDRESS BILL DATE: 7/12/2013 Cornmunicatsons Solutions PLEASE INCLUDE BILL BILL 9041220475MN Contracts and Agreements NUMBER ON YOUR CHECK AMOUNT: 27,797.22 1500 MacCorkle Ave DUE DATE: 8/12/2013 Room 020 Charleston, WV, 25396 BTOP-MPLSO7-BB (Please refer to MPLSO7, Appendix D, Alternative Access Offerings Pricing for Internet Dedicated Access) STATE OF WEST VIRGINIA . OFFICE OF TECHNOLOGY (G Justin McCaIIister a DESIGN OPERATIONS JUL 8 2013 PO BOX 50110 CHARLESTON, WV, 25305 RV or CHARGES . "1w? BiIIing Description: 25,848.48 Project Billing for BTOP Funding CAI: MT NEBO ELEMENTARY Project 1220475 BB34A21 Original LCR Cost Estimate Actual Project Cost Variance 1) Materials 1,652.43 2,950.32 1,297.89 2) Engineering 6,315.40 - (6,315.40) 3) Placing 5,860.17 6,888.63 1,028.46 4) Splicing 5 1,275.37 5 - 5 (1,275.37) 5) Contractor - 10,770.97 10,770.97 6) Loadings - 5 5,238.56 5,238.56 TOTAL 15,104.37 1/ 25,848.48 10,744.11 7) Additional cost due to customer premise facility build out work: 5 1,948.74 AMOUNT DUE: 27,797.22) Cost Overrun Due to the Following: 1) Additional materials were needed to complete the fiber build, causing the cost to overrun. V) 2) Engineering costs did not exceed estimated amount. 3) Labor costs for placing and splicing are not broken out separater in the Company's 0) accounting system and are combined in the actual costs under the actuals for placing. 4) Labor costs did not exceed estimate. 5) Contractor charges were higher because contractors engineered the project as H) harm-??3' Had well as providing road crossing and flagging services. mad 6) Loadings were not included as a separate item in the original estimate. Loadings in m' actual project cost are based on work done and materials used. Loadings are allocated indirect costs such as vehicles, accounting, administration, etc. 7) 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 fixed fee of $1,340.20 for invoice processing. 7 Iii'??'n "Al Cum: anther (6AM bca?m requnh ?.5le emu: Rt! m. a s: 'i?p?'r?ii'iid??q mm i?oin tn"; can: Impammuon tum (nm'vmcn cmaamecz- am! a: My NW: at ctmam?um ism. macaw! For ?ber mm Mun in a ?voting a! ma um: monies and lane: with in. mm; mm and Mm! Location Construction Request and Approval Form mu ngi's'?c must be mama-rm to amp .1 Eng-wow to: want. Upon "cw: ?niqunfvu??ntatcmpa?d to ?u EA rw Once 9n Spum?wm me?cm an cm?lmud. b: (Wand for mania)! the and Wt." {w skew iv! hm 63 2M 91min; Mm 5pm?; Win? [Win Mm VW-u'f warm You! {at Mr: (M Irv-"me. (Ik?1?ua3l I mu": ?Hf unnain {men 4m kw Mt: unit tit-w: rm I I anthem 0! mm 11w: aim-at saw Counts; mama! commas; (manic Won ?mt Mm in miniature m5 um at GMNW hip-No mama and . . 95!qu 4! Hams [0 El: st??Al MT Hobo ulna 3-41! l3!) I hereby certify the estimates cantalnog? on (his LCR approval form are true and accurate. 9Ma?20?l2 signature: 165i?? 0:23: i as Ni.? Lama5990 Gum!? I Human; is man: than so run on. aw; ma. apply a nw pom! as ran-11:96 I 85mm Wain ?33519? RA EOE Clearance Clea-lane: usrmaamm man-by comb! the informal: cmai?ea' on rm ?panama! ram is two and ?male, made an WM mum with an: grunL mun-mt: ai? Special Jimm mm? [546}, Winding by: nallm?mm. environmnfaunosmnt. of: . a ?.134 avg-3%. x; .. I new?; fund My. In imamswam? mr ?lm 0. Why. mom: Mum-rm ?nial} Dart Wm? ?mm ,5 a .. Hm 4m. 161mm Beams-.- WWII. Err-jar that: WORM-.0 Facility Build?Out Request (FER) this approval term is a and approval Must be obtained from the Glen! Implementation Team (GIT: TO ANY AND ALL HON. Failure to obtain Ihle slurred. approval for Facility Bulld?ut could result in a revolting of the grant monies and lines with the various state and tedetal ?genome. All Community Anchor Institution Facility Bulld Clot Requests {Falls} must. be submitted to lor approvall Special awards Conditions are con?rmed, it will he considered tor approve! by the GIT and WVOI. Once the tocatlo'n'?'a'me . MouniNehoElomentaw?chool Lo'catlontthone hddr?o'ss' - i: - room 1543 "Year was Constructed 1954 tact? 1 - - Ms.?l?oung :Cumact phaag'Nun-gber Jet-snout: 'lnto- - . Md: Patel frontier Co Into eaawsrs .. - meatloaf! . x12 Nicholas Number?? mt it 122 lots Nichois Constructionilc Number-3 333%? MthinS-F?usinessuays nate' ?ilJeyHorStatt?ete flir- Blirl?d {int-:5 Cantata his: Brief description oi the construction work, Acct Footage! Material Engineering Pitt:an Splicing Vendor: oeu?puon soda ?than? or Investment Dalian Boll?; Dollar; Contractor To!? '10 VAL - I I Additions! Commeon? (Includelocelion where eondult ls insulted and grandam 0? mm?! Investment some? coon? explanation or discrepencies between planned and actual} Brotobmd on Mount Plywood in the communications room and do any cosmetic workrequireri as touch up. This price Includes site visit as well. this work he done In accordance to the ante. Extra Capacity Material {or {hit Pro?ts? is $41. 26 I hereby certify the information contained on this approval form is true and acouraie, made in complete compliance with this grant. and meets all Specislnward Conditions (SAC). including: onuirbnmenlai assessment BMP [?eet ?anagement Reqtriremeni? (Will res Resulmmenl Mel? Platelets must be taken to meet mm YES SHPO Requirements only on buildings 50 years old and over. Then pictures insist be submitted to the .A eseittalive to 1mm home 0 the "estimates contained on this FER form are true and accurate. Aaron on (elm. .5: 7?ng 1-9-2013 Signature: Date F. 673/ Director Date PO Box 1179 Vonsant, VA 24656 (276) 597-7441 Fax (276) 597?2413 January 9, 2013 Nick Patel Administrator WV Office of Technology West Virginia Stimulus Work Order 122 4075 Location of Project: Mt. Nebo Elementary School Description of Work: Mount Plywood in Communications Room and do minor cosmetic work. Work to be done in accordance with the Best Management Practices. County: Nicholas County Pricing: Site Visit Labor: 567.28 I Material: 41.26 Total: 608.54 Thanks You, Junior Nichols President Nichols Construction LLC 5rmil 5011c) Gaol measure. NICHOLS CONSTRUCTION, LLC INVOICE: WV100 DATE: 2/7/2013 CUSTOMER WVStimulus 9.0. Box 932355 Atlanta, GA 31193?2356 Phone (276) 597?7441 Fax (275} 597-2413 SOLD TO Frontier 1500 MacCorkle Avenue Charleston, WV 25396 Mark McKenzie ATT: Nick 5. Patel PageCONTRACT TERMS Work Order m. WVST2011 Due in 30 Days Nichols .Iob fl W105 DESCRIPTION PRICE 608.54 Mt. Nebo Elementary School Nicholas County Pricing Based on Site Visit [33 63 ?19 All. fig: Total Amount Due 5 608.54 - 12: . ?imam! .. .. - MOP Frontier invoice Andi-t Checklist DATE: ll I Does the address on the lntroice match the address in Does the invoice match the LCR backup? is the LCR signed? i If the invoice is above LCR, - i No- does the invoice include original LCR cost estimate, actual project cost, and variance? if the invoice ls above LCR, does it contain the cost overrun description? if the invoice contains F80, do we have the F30 backup? is F30 signed? - if Loading, does the Leading match agreement between Gale and Frontier? a >83 - . .Approvai ?l . em Date I z. 3 invoice Number I 6 4- '17 10425 Project Location H?l He he Elemrnia/L - . . TILT: . 'l LCR Number ?5513 3 Li A Z: - Approved?