North Country Telemedicine Project (NCTP) HCP RFP 01

North Country Telemedicine Project (NCTP) HCP RFP 01 North Country Telemedicine Project HCP RFP 01 TABLE OF CONTENTS 1. Project Overview 2. Project Administration 3. Technical Requirements 4. Project Management Requirements 5. Offeror Qualifications and References 6. Budget and Pricing Figures/Charts/Tables 1-1 NCTP Site Locations Table 1-2 NCTP Organizational Chart 1-3 NCTP Service Level Agreements Table Attachment NCTP Scoring Matrix Page 1 of 21

1. Project Overview North Country Telemedicine Project HCP RFP 01 The North Country Telemedicine Project (NCTP) is seeking proposals for a long term leased service using fiber that provides all expenses necessary to manage, maintain and control a fiber network, or equivalent, for a dedicated, managed switch/firewall service over a secure broadband (private intranet) network. The service will provide 5Mbps, 10Mbps, 100 Mbps or 1 Gbps broadband connections to the participating entities of NCTP. Public Internet service is also being sought as part of this managed broadband service. The public Internet service shall be accessed over the same secure broadband connection as the private intranet service. NCTP will use the received proposals to determine the most cost effective service provider to provide the service. NCTP intends to seek funding from the FCC s Healthcare Connect Fund (HCF). HCF funds will be used by NCTP users to help defray the non-recurring costs (NRC), including any upfront expenses, associated with provisioning the leased service and help defray the costs for three (3) years of monthly recurring costs (MRC) for all of the NCTP locations. An option to extend the service for an additional two, 2-year voluntary extensions will also be included in the contract. The North Country Telemedicine Project (NCTP) network is a regional initiative to create a fiber optic, or equivalent, telemedicine network that will connect participating NCTP entities located at sites operating in Jefferson, Lewis, Oneida, Onondaga and St. Lawrence Counties in New York. NCTP is not requesting any excess capacity and Offerors are not authorized to add additional capacity on segments connecting NCTP locations that will be funded through the Healthcare Connect Fund. NCTP will only pay for a leased service that supports the amount of bandwidth requested in this RFP. Page 2 of 21

Proposal Submission Process North Country Telemedicine Project HCP RFP 01 Proposals shall be submitted to: NAME: TITLE: ORGANIZATION: ADDRESS: 120 Washington Street, Suite 230 Watertown, NY 13601 TELEPHONE NO.: 315-755-2020 ext. 10 FAX NO.: 315-755-2022 EMAIL ADDRESS: dyoung@fdrhpo.org Denise K. Young Director Fort Drum Regional Health Planning Organization (FDRHPO) Closing date for submitting the proposal is 5:00 PM Eastern on the 28 th calendar day from the date of posting of the RFP by USAC. If the 28 th day falls on a Saturday, Sunday or federal holiday, then proposals will be due by 5:00 PM of the next business day. Proposals received after the closing date and time will not be accepted. Number of printed copies required = 7 Format for the Proposal: o Bids are to be submitted in printed and electronic form. The electronic copy must be searchable. Electronic bids shall be in either Microsoft Word or Adobe PDF file format. o Offeror proposals will include the following sections: Cover Letter Executive Summary Description of Proposed Managed Firewall/Switch Leased private intranet Service Description of Proposed Public Internet Service Description of Proposed Hardware and Software Status/Usage Reports Project Management Description/Schedule/Timeline Qualifications and References of Offeror and All Subcontractors Contact Information Pricing Section Questions about the RFP should be submitted to: NAME: Robert Hunt TITLE: Telehealth Program Manager ORGANIZATION: Fort Drum Regional Health Planning Organization (FDRHPO) ADDRESS: 120 Washington Street Watertown, NY 13601 TELEPHONE NO.: 315-755-2020 ext. 18 FAX NO.: 315-755-2022 EMAIL ADDRESS: rhunt@fdrhpo.org o Questions regarding the RFP can be submitted for the first 7 calendar days from the posting of the RFP by USAC. Page 3 of 21

o NCTP will post answers to all questions received within 5 calendar days, following the initial 7 calendar day period, to the following location (click on link): NCTP HCF RFP Questions Page o Offerors will be notified within 10 calendar days after the end of the RFP posting period (28 days) as to which Offeror has been selected for a contract award. o All materials submitted in response to the RFP become the property of the Fort Drum Regional Health Planning Organization. o Proposals and supporting materials will not be returned to Offerors. o Offerors are advised that: Pricing will be considered as part of the proposal evaluation process. The award of the contract will not necessarily go to the proposal with the lowest bid. Offerors are advised to provide complete answers to all of the queries in Sections 3 through 6. Incomplete RFP responses will be reviewed accordingly and will be given an appropriate score based on the information provided. The Fort Drum Regional Health Planning Organization reserves the right to reject all proposals. Participating Sites The participating NCTP members include primary care clinics, rural hospitals, urban hospitals, dialysis and rehabilitation clinics and an imaging center. Page 4 of 21

# Participants HCP # Address City County State Zip Bandwidth Min Bandwidth Max 1 Canton-Potsdam Hospital 11247 50 Leroy St. Potsdam St. Lawrence NY 13676 100M 1G 2 Carthage Area Hospital (CAH) 15829 1001 West Street Carthage Jefferson NY 13619 100M 1G 3 CAH/Adams Community Health Center 34208 10881 US Route 11 Adams Jefferson NY 13605 10M 10M 4 CAH/Medical Building 34209 117 N. Mechanic Street Carthage Jefferson NY 13619 10M 10M 5 CAH/Evans Mills Family Health Center 23807 26121 US Rte. 11 Evans Mills Jefferson NY 13637 10M 10M 6 CAH/Philadelphia Physical Therapy Clinic 23810 32787 US Rt.11 Philadelphia Jefferson NY 13673 10M 10M 7 CAH/Medical Center 23804 3 Bridge St. Carthage Jefferson NY 13619 10M 100M 8 Claxton-Hepburn Medical Center 11841 214 King Street Ogdensburg St. Lawrence NY 13669 100M 1G 9 CHMC/Claxton-Hepburn Health Center 34238 100 Horwood Place Ogdensburg St. Lawrence NY 13669 10M 100M 10 CMCH/Hammond Health Center 34239 225 St. Lawrence Avenue Hammond St. Lawrence NY 13646 10M 10M 11 CHMC/Heuvelton Health Center 34240 103 Rensselaer Street Heuvelton St. Lawrence NY 13654 10M 10M 12 CHMC/Madrid Health Center 34241 16 Church Street Madrid St. Lawrence NY 13660 10M 10M 13 CHMC/Waddington Health Center 34242 4 Montgomery Heights Waddington St. Lawrence NY 13694 10M 10M 14 Claxton-Hepburn Canton Health Center 28107 39 West Main St. Canton St. Lawrence NY 13617 10M 100M 15 Clifton-Fine Hospital 13773 1014 Oswegatchie Trail Star Lake St. Lawrence NY 13690 100M 1G 16 Crouse Hospital 23811 736 Irving Ave. Syracuse Onondaga NY 13210 100M 1G 17 E. J. Noble (EJN) Hospital 23808 77 West Barney St. Gouverneur St. Lawrence NY 13642 100M 1G 18 E.J. Noble (EJN) Health Center (Antwerp) 23802 6 Lexington Ave. Antwerp Jefferson NY 13608 10M 10M 19 E.J. Noble (EJN) Health Center (Dekalb) 23806 2924 County Route 17 De Kalb Junction St. Lawrence NY 13630 10M 10M 20 Jefferson County Public Health Service 23815 531 Meade St. Watertown Jefferson NY 13601 10M 10M 21 Lewis County General Hospital 31265 7785 N State St. Lowville Lewis NY 13367 100M 1G 22 Beaver River Family Health Center 31420 9559 Main Street Beaver Falls Lewis NY 13305 10M 10M 23 LCGH/South Lewis Family Health Center 31419 3926 Route 12 Lyons Falls Lewis NY 13368 10M 10M 24 St. Elizabeth Medical Center 23814 2209 Genesee Street Utica Oneida NY 13501 100M 1G 25 North Country Family Health Center 23816 238 Arsenal Street Watertown Jefferson NY 13601 10M 100M 26 River Hospital 13769 4 Fuller St. Alexandria Bay Jefferson NY 13607 100M 1G 27 Samaritan Medical Center (SMC) 10525 830 Washington St. Watertown Jefferson NY 13601 100M 1G 28 SMC Mental Health Clinic 23817 1575 Washington St. Watertown Jefferson NY 13601 10M 100M 29 SMC Clinic/LeRay Family Health Center 23818 26908 Independence Way Evans Mills Jefferson NY 13637 10M 100M 30 SMC Clinic/Family Health Center 23805 909 Strawberry Lane Clayton Jefferson NY 13607 10M 100M 31 SMC Urology Clinic 23820 Washington Summitt - Building II, Watertown Jefferson NY 13601 10M 100M Suite A, 22567 Summit Drive 32 SMC/Cape Vincent Family Health Center 16507 782 East Broadway Cape Vincent Jefferson NY 13618 10M 100M 33 SMC/Lacona Family Health Center 34228 3 DeMott St. Lacona Oswego NY 13803 10M 100M 34 Sackets Harbor Community Health Center 16509 105 Barracks Drive Sackets Harbor Jefferson NY 13685 10M 100M 35 SMC/Finance Building 34269 104 Paddock St. Watertown Jefferson NY 13601 1G 1G 36 SMC/Patient Service Center 34267 1571 Washington St., Suite 102 Watertown Jefferson NY 13601 10M 100M 37 St. Joseph's Hospital 23812 301 Prospect Avenue Syracuse Onondaga NY 13203 100M 1G 38 St. Lawrence County Public Health Department 15271 80 State Highway 310 Canton St. Lawrence NY 13617 10M 10M 39 SUNY Upstate Medical University Hospital 23813 750 East Adams St. Syracuse Onondaga NY 13210 100M 1G 40 Behavioral Health and Wellness Center 28490 7550 S State St. Lowville Lewis NY 13367 10M 10M 41 Community Health Center of the North Country 34244 4 Commerce Lane Canton St. Lawrence NY 13617 10M 100M 42 Community Health Center of the North Country (Malone) 34245 380 County Route 51 Malone Franklin NY 12953 5M 10M 43 Community Health Center of the North Country (Watertown) 34246 Mercy Building, St. 200, Watertown Jefferson NY 13601 5M 10M 167 Polk Street 44 Community Health Center of the North Country (Gouverneur) 34247 77 West Barney St. Gouverneur St. Lawrence NY 13642 5M 10M 45 Community Clinic of Jefferson County 34249 167 Polk Street, Third Floor Watertown Jefferson NY 13601 5M 10M 46 Fort Drum Regional Health Planning Organization 34250 120 Washington Street, Suite 230 Watertown Jefferson NY 13601 10M 10M 1-1 NCTP Site Locations North Country Telemedicine Project (NCTP) Page 5 of 21

2. Project Administration North Country Telemedicine Project HCP RFP 01 A. Background The Fort Drum Regional Health Planning Organization (FDRHPO), Inc. will be the legal entity to administer the contract awarded to the Offeror. The FDRHPO is a not-for-profit corporation formed in accordance with New York Not-for-Profit Corporation Law. The creation of the Fort Drum Regional Health Planning Organization was announced by Congressman John McHugh (R-NY) and the two primary local partners, Samaritan Medical Center and Carthage Area Hospital on October 12, 2005. As one of very few military installations without its own hospital, Fort Drum relies on the local healthcare system for the medical needs of its soldiers and their families. The FDRHPO Board of Directors meets regularly to ensure that the needs of the current and expanding North Country/Fort Drum community are met. FDRHPO formalizes this relationship, brings in other key players in the healthcare system, and ensures collaboration among all parties. B. Vision and Mission The mission of the FDRHPO was developed to fulfill the tasks set before it and to reach the vision for North Country healthcare held by the leadership of the organization. Vision Statement Transform our current healthcare delivery system into a healthcare delivery model that partners Medical Treatment Facilities with Community providers to augment the Medical Treatment Facilities primary care capability with specialty care and inpatient services. Mission Statement Through collaborative efforts, plan and evaluate to ensure quality healthcare services are provided to meet the needs of the Military Mission by enhancing our response to the military community while building a strong North Country health care system. To accomplish this we will utilize available, and develop necessary, resources working jointly and cooperatively. Goals o Identify the healthcare needs of the community surrounding and including Fort Drum, NY o Develop a plan to address and support the healthcare needs of the community o Foster the collection and exchange of information to promote healthcare through coordinated, areawide services programs o Further such purposes in coordination with federal, state and county governments, the military and local healthcare providers, agencies and consumers and in accordance with the mission of the U.S. military. o Solicit funds to further the stated objectives. C. FDRHPO Organization The Fort Drum Regional Health Planning Organization, Inc. is a not-for-profit corporation formed in accordance with New York Not-for-Profit Corporation Law. In accordance with Section 601(a) of the New York Not-for-Profit Law, the Corporation has no members. The property and business affairs of the Page 6 of 21

Corporation are managed by a Board of Directors. This organizational structure is vital to the FDRHPO s ability to fulfill its mission and maintain broad representation for collaboration through the Board of Directors. FDRHPO s North Country Telemedicine Project Organization Chart is shown below: 1-2 NCTP Organizational Chart Page 7 of 21

3. Technical Requirements North Country Telemedicine Project HCP RFP 01 Offerors must provide a detailed description of the proposed leased broadband fiber, or equivalent, private intranet and public Internet service, which addresses the items below. Offerors are encouraged to bid on both the broadband fiber, or equivalent, private intranet and the public Internet services. NCTP members (listed in Table 1-1) must be able to access the public Internet connection via the broadband private intranet backbone. Offerors who do not typically offer both services (private backbone intranet and public Internet) may team with other providers in order to submit a complete solution. Offerors who team with other providers will be viewed by FDRHPO as having entered into a Prime contractor/sub-contractor relationship. Only the Prime Contractor can submit a fully completed bid in response to this RFP. The Prime Contractor will be responsible for providing FDRHPO and NCTP members with a single bill for both services (broadband private intranet and public Internet) as they apply to non-recurring charges (NRC) and monthly recurring charges (MRC). Please note: failure to provide answers to the requirements in this section will result in the Offeror s RFP being scored accordingly. The Prime Contractor will also be the initial point of contact for all issues relating to the operation and maintenance of the leased network and the leased network services. Please keep in mind that FDRHPO is seeking proposals that will use funds from the FCC Healthcare Connect Fund (HCF) to help pay for the non-recurring costs (NRC) and any upfront costs associated with provisioning the leased service and to help pay for three (3) years of monthly recurring costs (MRC) for all of the NCTP locations. The HCF fund pays 65% of expenses for the length of the contract, which will be three (3) years with an option to extend the services for four (4) additional years (consisting of two, two year voluntary extensions). The remaining 35% and 100% of any ineligible expenses will be paid by the individual NCTP members. All Offerors are hereby given notice that during the course of the contracted service, other eligible healthcare providers that were not part of this RFP may be added to the NCTP network. Any healthcare providers added during the course of the contract must be offered the same leased services at the pricing offered to the current NCTP members for the duration of the contracted service. It is not known, at this time, how many additional HCPs may desire to join the NCTP network after contract award but we don t expect it to be more than 15 additional locations. a. Describe any Carrier Infrastructure Upgrades necessary to provide the bandwidth speeds requested. Provide line item level detail for any construction, installation, implementation, and delivery of fullduplex 5 Mbps, 10 Mbps, 100 Mbps and 1 Gbps managed switch/firewall broadband fiber, or equivalent, private intranet leased service to the facility telecommunications demarcation point at the NCTP sites as stipulated in Table 1-1. This managed service must also bundle public Internet services which will be available to all NCTP sites as stipulated in Table 1-1. The broadband infrastructure (private intranet) connection rate for each NCTP site is listed in Table 1-1, Bandwidth Options Min and Max*. Public Internet rates are further described in paragraphs 3h and 3i below. *Note: The Min and Max pricing will allow FDRHPO to do an apples-to-apples comparison of each Offeror s pricing response. NCTP members will pick the speed for their location based on various factors of which price is but one. The exact broadband private intranet fiber connection rate for each NCTP member location will be determined after the RFP award and finalized before the contract is signed between FDRHPO and the winning bidder of this RFP. The final NCTP bandwidth configuration could be just the Min configuration shown in Table 1-1, or the Max configuration shown in that same chart. It could also end up Page 8 of 21

being some combination of both the Min and Max configurations. For example, most of the NCTP members may decide to go with the Max pricing while a handful of the NCTP members may decide to pick the Min pricing. In that case the final cost of the contract would be a combination of mostly maximum pricing with a few locations going with the minimum pricing and the total contract award would be somewhat less than if all of the sites had picked the maximum pricing but significantly more than if they had all picked minimum pricing. b. Describe the broadband infrastructure (private intranet) and architecture, including network diagrams for how the private broadband network will connect to regional and national systems and how users will access the local service to support technologies for broadband communication of data, voice and video. Include a network diagram that shows physical and virtual connections from each NCTP site to the provider s network (private broadband/intranet connections, public Internet connections and any virtual local area network (VLAN) connections). c. Every site connected to the network will have the capability of having secure virtual circuit connections to every other site on the network. This shall include support for layer 2 virtual local area networks (VLANs), which shall be the default service connection between NCTP locations, on the managed switch/firewall. Virtual private networks (VPNs), SSL and IPSec, shall also be supported by the managed switch/firewall. VLAN support shall be the default service. The service shall provide a layer 2 switch port for the private broadband connection and a different layer 2 switch port for the public Internet connection. d. Describe the maximum number of VLANs that may be configured on each type of managed switch/firewall that is bid. Describe the number of physical ports that shall be provided on the managed switch/firewall that is bid. Describe how many physical switch ports are provided on the managed switch/firewall that is bid. The number of VLANs provided to each NCTP site, at no additional charge, will be as follows: 5 Mbps sites get 1 default VLAN and 2 additional VLANs 10 Mbps sites get 1 default VLAN and 2 additional VLANs 100 Mbps sites get 1 default VLAN and 10 additional VLANs 1 Gbps sites get 1 default VLAN and 20 additional VLANs e. Every NCTP member site connected to the network will have the capability of accessing the public Internet. Offeror s shall provide a minimum of 500 Mb of full-duplex public Internet access which shall be shared by all of the NCTP member locations. Offeror s shall provide pricing for 500 Mb, 750 Mb and 1 Gb of total public Internet access (full-duplex) that will be shared by all of the NCTP member locations. The public Internet connection into the NCTP network shall be geographically redundant, connecting into the NCTP network at two graphically separate nodes, at least 50 miles apart. The public Internet connections shall have two geographically separate paths back to a Tier 1 Internet backbone. These paths shall not traverse, geographically. Internet routing protocol BGP shall be implemented at all public Internet connection points within the NCTP network to ensure all NCTP public IP addresses are re-routed, in the event that a single public Internet connection point has failed. All equipment must be redundant. f. It is preferred that the public IP network directly connected to the NCTP network maintains a peering arrangement with other public Internet networks that are directly connected to regional telemedicine networks. Page 9 of 21

g. It is preferred that the public IP network directly connected to the NCTP network maintains a peering arrangement with content delivery networks (CDNs). h. Offeror s shall devise a plan to allow all of the NCTP member s access to the public Internet bandwidth. All NCTP member hospital locations must have a minimum committed information rate (CIR) of 50 Mbps of full-duplex bandwidth to the public Internet with the ability to burst above the CIR to take advantage of unused public Internet bandwidth*. All other locations must have a minimum CIR of 5 Mbps of full-duplex bandwidth to the public Internet with the ability to burst above the CIR to take advantage of unused public Internet bandwidth. There will be no additional fees for bursting above the CIR. (The Offeror may wish to consider adding a layer 3 device at the egress/ingress to the public Internet connection(s) and provide separate VLANs back to each NCTP member location as a means of sharing, monitoring and provisioning the public Internet bandwidth among the NCTP member locations.) The proposed public Internet connection may be oversubscribed but in the event 100% of the available public Internet bandwidth is in use, the offer must be able to prioritize the traffic and drop packets based on NCTPs recommendations of which locations require higher precedence over other locations (the prioritization order will be determined after contract award). All equipment used in the public Internet service must be redundant. *Note: Lewis County General Hospital will use 50Mbps of public Internet connectivity at their hospital but does not want any Internet connectivity at either of its two clinic locations. See the next paragraph for more details. i. Several NCTP users are comprised of multiple sites (i.e., Carthage Area Hospital, Claxton-Hepburn Medical Center, E.J. Noble Hospital, Lewis County General Hospital, Samaritan Medical Center and the Community Health Center of the North Country). In some instances the NCTP hospital location may wish to configure their Public Internet traffic in a hub-and-spoke configuration whereby the hospital (or primary site) will have all of the public Internet bandwidth and the smaller affiliated sites/clinics would have to route through the hospital location (or primary site) in order to access the public Internet. For example, Lewis County General Hospital would need 50Mbps of public Internet bandwidth and zero (0) Mbps of public Internet bandwidth would be required at the Beaver River Health Center or the South Lewis Health Center. Public Internet traffic to and from those two clinic locations would need to go through the connection at Lewis County General Hospital. j. Every site connected to the network will be provided with a managed firewall service. The firewall must be able to analyze traffic up to layer 3 of the OSI model and must forward packets at the line rate of the private intranet connection as listed in Table 1-1 for Bandwidth Options 1 and 2. The managed firewall may be part of the managed layer 2 fiber, or equivalent, switch or it can be a stand-alone device. k. The managed firewall must support 3DES and AES encryption. Encrypted traffic is also required to be forwarded at the line rate of the private intranet connection as listed in Table 1-1 for Bandwidth Options 1 and 2. l. NCTP members must be able to originate and terminate virtual private network (VPN) connections on their own equipment located behind or parallel to the Offerors managed firewall. NCTP members must be able to configure these types of VPN connections (i.e.: those that originate and terminate behind or parallel to the Offerors managed firewall) at will and without the assistance or permission of the Offeror. The Offeror s managed firewall must support routed mode and transparent mode. Page 10 of 21

m. NCTP would be interested in seeing solutions that include an intrusion detection system (at a minimum) and/or an intrusion prevention system (preferred). Offerors who provide either or both of these systems should list them as an enhanced service offering (managed switch/firewall/ids/ips) in the pricing presented to NCTP. This is further explained in Section 6. n. NCTP is interested in seeing solutions and pricing that provide leased, redundant last-mile fiber to all hospital locations listed in Table 1-1. Leased last-mile fiber solutions shall have two geographically diverse paths from the NCTP hospital location to two different points of presence (PoP) on the Offerors backbone network. All equipment used at each end of the last-mile fiber path shall be redundant. Offerors who provide quotes for these systems should list them as an enhanced service offering (Managed IDS/IPS or Redundant Last-mile Fiber) in the pricing presented to NCTP. Offeror s that seek to propose a solution other than fiber are welcome to do so. Please note the infrastructure requested would be owned, maintained and controlled by the service provider, not the HCP or Consortium. This is further explained in Section 6. o. NCTP would like the proposed public Internet service to include a public block of static IP addresses, at no additional charge, as part of an enhanced Internet service offering for each NCTP location. This is not mandatory but those Offerors who include this in their public Internet service offering will receive the highest possible points for this criterion during the RFP review. p. Any public IP address block given to NCTP will have at least one (1) IP address assigned to the managed switch/firewall appliance used to terminate the leased fiber, or equivalent, private broadband service. NCTP member locations may want additional IP addresses for their internal mail server, file servers or web servers. Describe how the addressing will support IPv6. q. Offerors who include public IP addresses/block will get the addresses/block from the American Registry for Internet Numbers (ARIN) and will confirm that none of the addresses have been blacklisted. r. List the industry technical standards that the Offeror will use for this project. Describe how the equipment proposed by the Offeror will support IPv6 when that becomes a defacto standard. s. Describe how the broadband service (private intranet, fiber, or equivalent) will connect to the specific customers identified in the RFP. The Offeror will provide a diagram that shows the terminating equipment (i.e., layer 2 switch, firewall) and show the physical provider POP location where the NCTP members last mile leased fiber service, or equivalent, is terminated; show what type of equipment at the provider POP is being used to terminate the NCTP members leased last mile fiber, or equivalent, connection. Clearly describe the steps NCTP members will need to take in order to connect their LAN equipment to the Offeror s leased managed switch/firewall equipment. t. NCTP members may have VPN connections in their current network environment (SSL and IPSec). Describe how the Offeror will help the NCTP members at each NCTP site to migrate their current VPN assignments from their current network to the Offerors proposed network. Provide a management plan that describes this process and include a timeline (i.e.: how long will it take to migrate 1-25 VPNs, 26-50 VPNs, 51-100 VPNs, more than 101 VPNs). Page 11 of 21

u. All private broadband (fiber or equivalent) intranet traffic between NCTP member sites must stay on the private intranet without connecting through the public Internet. Describe (include diagrams for each example below) how traffic will traverse through the network for: Traffic originating at 1 NCTP member location and terminating at a different NCTP member location. Traffic originating at 1 NCTP location and terminating at a non-nctp member location via the public Internet. Provide a diagram for each of the descriptions above. v. Include the terms under which a third party service provider would interconnect to the Offeror s facilities to offer their own broadband services. w. Describe the scalability of the proposed broadband service: How the service can be extended to new customers who may wish to sign up for the service at a later date. How level of service can be upgraded to provide a higher level of service to the customers who have already signed up for the service. This should be accomplished without purchasing new equipment (i.e., no fork-lift upgrades). NCTPs preference would be the ability to increase bandwidth via a change to the software configuration without having to install any new hardware modules. This is not a requirement but more points will be awarded for this type of configuration. x. Describe the redundancy (if any) of the proposed vendor hardware. Additionally, the proposed Offeror CPE equipment shall include an option for redundant AC or DC power (as applicable). (Note: The Offeror should make recommendations for UPS and battery back-up requirements to support the proposed equipment.) Offeror s must bid (cost) any recommended UPS and battery back-up requirements as a separate line item per HCP, as needed, as this expense is not eligible for funding through the Healthcare Connect Fund. y. Describe the redundancy (if any) of the proposed vendor connection to the NCTP member location. z. Describe how all data, voice, and video traffic transmitted within the network and between the network, the Internet, and other external networks can be encrypted using 3DES and AES. The Offeror will be providing a managed firewall service as part of the leased offering. The Offeror shall describe what contractual safeguards will be provided to NCTP members to protect them from problems that arise due to accidental or intentional issues that may occur and could harm an NCTP members local area network (i.e.: improperly configured firewall rules that allow unauthorized access to the NCTP members network). aa. The network must have the capability of interfacing with Internet2, and other public, statewide, regional, and national healthcare networks. bb. This request for proposals is for network construction and three years of network services delivery (based on funding availability), allowing participating entities the option to continue services at the same pricing, or less, for an additional four years in two-year increments. Page 12 of 21

cc. Include a timeline and description of how the Offeror will conduct network testing and certification of all fiber transmission media in accordance with industry-standard practices. The Offeror will be required to produce a report that documents the results of network testing and certification. Page 13 of 21

dd. Provide a detailed description of how the Offeror will provide Network Management Services for Monitoring and Alerting network status. Additionally, the Offeror shall provide online reports that can be accessed via the public Internet. On-line reports should include the following information for each NCTP location: Daily/5 minute average Weekly/30 minute average Monthly/2 hour average Yearly/1 day average Differentiate between private intranet bandwidth usage and public Internet bandwidth usage Service-Level Agreement Failure to demonstrate the ability to meet the following requirements will result in the Offerors proposal being scored for this evaluation criterion accordingly: Service Level Agreement (SLA) Elements Service Response Times Listed in the SLA Table The leased service shall include a Service Level Agreement (SLA) specifying basic service levels, troublemanagement response times, circuit availability and latency. The Offeror must submit a representative SLA with the proposal response. The submitted SLA shall reference the following minimal elements and corresponding requirements: SLA Element NCTP Requirements Reliability/Availability 99.999% Network Monitoring & Alerts 24 x 7 Mean Time to Respond 30 Minutes Mean Time to Respond Updates 2 Hours Mean Time to Repair 4 Hours Mean Time to Repair Updates 2 Hours Maximum Latency within the NCTP Network <10 Milliseconds Port-to-Port Maximum Jitter within the NCTP Network <50 Milliseconds Maximum Packet Loss with the NCTP Network <1% (Average) 1-3 NCTP Service Level Agreements Table The Offeror shall include the terms of the SLA in any contract agreement with NCTP. Page 14 of 21

4. Project Management Requirements North Country Telemedicine Project HCP RFP 01 Offerors shall include a Detailed Project Management Plan for implementing the private broadband intranet and the public Internet Services project. The Detailed Project Management Plan shall include narrative information and detailed project milestones and schedule information presented in Microsoft Project file format. The Offeror shall include an estimated start time and completion date for the project. Offerors shall outline their implementation plan for the project described in the RFP. The plan should include timetables that address the following issues: Project Management: Provide a description of the Offeror s management team for this project. List all key personnel and their qualifications. Project Schedule: Provide an implementation schedule for the proposed service, including delivery dates, implementation milestones, task relationships and dependencies, and a timeline. All NCTP member locations, except those listed below, MUST be operational on 1 April 2014. For the remaining locations the Offeror must provide detailed scheduling to show how these locations will be connected to the NCTP network, and be operational, within 6 months of the initial construction date weather permitting. CAH/Adams Community Health Center (HCP 34208) SMC/Lacona Family Health Center (HCP 34228) SMC/Sackets Harbor Family Health Center (HCP 16509) SMC/Finance Building (HCP 34269) SMC/Patient Service Center (HCP 34267) Community Health Center of the North Country (HCP 24224) Community Health Center of the North Country (Malone) (HCP 34245) Community Health Center of the North Country (Watertown) (HCP 34246) Community Health Center of the North Country (Gouverneur) (HCP 34247) Childrens Home of Jefferson County (HCP 24249) Fort Drum Regional Health Planning Organization (HCP 34250) Broadband System (private intranet) and public Internet Services System Architecture and Development: Provide descriptions of how the service(s) will be designed, including details of customer testing and final implementation, the extent to which broadband (private intranet) and public Internet connectivity to participating NCTP entities will be guaranteed; how the private intranet and pubic Internet service will deliver differentiated levels of service depending on the different bandwidth needs; quality of service (QoS) requirements of the NCTP users. Ongoing Service Maintenance and Assistance: Offerors shall provide details of all maintenance activities and how assistance will be provided to NCTP users. This data shall include, but not be limited to: How 24/7 maintenance support will be provided. All Offeror solutions should include a Network Operating Center (NOC) that is staffed 24/7 as part of their proposed leased service. If the NOC is Page 15 of 21

not staffed 24/7 then the Offeror will describe how they intend to provide 24/7 coverage for the members of the NCTP network. Define major and minor problems. Provide the response times for major and minor problems. Describe how the service will be monitored on a continuous basis for any problems and what proactive steps will be taken to ensure the quality of the service. Describe how reports will be made available to NCTP management on-line via the public Internet or through the newly created private intranet. Describe how these reports will also be made available to each NCTP user so they can see the status of their connection to the Offerors network (private broadband) and the public Internet. (Note: Individual NCTP user reports will only provide details for that NCTP member connection and it will NOT show information about other NCTP member connections.) Describe how NCTP hospitals can generate a single on-line view of their connection (the NCTP hospital) and all of their affiliate locations in order to collect/view the current and historical status of the various connections used by the hospital and its affiliate locations. Description of what software will be used to generate reports containing the following minimum information: o Circuit Bandwidth Utilization (private intranet and public Internet) o Peak Bandwidth Analysis (private intranet and public Internet) o Circuit Up-time (private intranet and public Internet) o Circuit Down-time (private intranet and public Internet) Page 16 of 21

5. Offeror Qualifications and References North Country Telemedicine Project HCP RFP 01 Offerors shall demonstrate their ability and competency to complete the project by providing the information below. A brief description of the Offeror Company and services offered, including: Full legal company name Year business was established Number of people currently employed Most recent annual report, if a public company A description of the qualifications, experience, capability and/or capacity of the Offeror and it s designated team members to successfully provide the broadband service and complete the project in a timely manner. Information on current broadband clients including: o Total number of current clients o A list of broadband services provided to similar communities o Evidence of successful completion of a project of a similar size and complexity o References: Contact information for three references from projects similar in size, application and scope and a brief description of their broadband installations. Page 17 of 21

6. Budget and Pricing Costing Offerors shall provide a Detailed Breakdown and Summary of Costs to provide broadband/private intranet and public Internet as described in this RFP. Costs should be provided in an unlocked MS Excel spreadsheet. Offerors shall provide a cost breakdown of the proposed Service(s) as follows: a. Using Table 1-1, provide NRC and MRC pricing for the Min and Max connection rates. The first quote should be the NRC/MRC pricing for the Min and Max connection rates plus public Internet service of 500Mbps. The second quote should be the NRC/MRC pricing for the Min and Max connection rates plus public Internet service of 750Mbps. The third quote should be the NRC/MRC pricing for the Min and Max connection rates plus public Internet service of 1Gbps. The fourth, and final, quote should be the NRC/MRC pricing for the Min and Max connection rates plus public Internet service of 500Mbps. For the fourth quote some of the smaller affiliated NCTP sites will have zero (0) public Internet bandwidth. See Section 6e(4) for more details. b. Offerors shall provide detailed pricing for each circuit being proposed. Installation/Non-Recurring Charges (NRC) should be broken down into separate columns and displayed in the final cost spreadsheet as follows: o Infrastructure outside Plant Construction charge o Equipment and Installation charge o Regional facilities, engineering and design charge o Network engineering, construction, management/maintenance and testing charge o Each NRC cost for private broadband (fiber or equivalent) intranet costs and public Internet costs should be listed separately. c. Monthly Recurring Charges (MRC) for Service Delivery/Sustaining Maintenance Support. The private broadband (fiber or equivalent) connection (private intranet) MRC and the public Internet MRC should be displayed in separate columns. d. All pricing must be broken down into non-recurring charges (NRC) and monthly recurring charges (MRC). All NCR and MRC pricing must differentiate between private intranet costs and public Internet costs. The pricing shall also include the total cost of the solution (NRC and MRC) over three (3) years. This pricing shall be good for a period of four (4) additional years*. *Note: The extension of 4 additional years would be applied as two (2) separate 2-year extensions. e. Provide NCTP with pricing options as follows: 1) Provide NRC/MRC pricing for all locations listed in Table 1-1 at the connection rate specified in the chart for Mix and Max bandwidth. Page 18 of 21

2) Each of the pricing options listed in Table 1-1 (Min and Max bandwidth) shall include pricing for all three (3) public Internet bandwidth options. 3) The total amount of public Internet bandwidth available to all of the NCTP members shall be priced in three (3) increments: i. 500 Mb ii. 750 Mb iii. 1000 Mb 4) Some NCTP locations (see Sections 3h and 3i) may elect to use a hub-and-spoke configuration for public Internet at some of their smaller affiliated locations. Provide a fourth quote for all NCTP sites where the public Internet bandwidth is 500Mbps; each NCTP hospital or medical center will have 50Mbps of public Internet bandwidth; all other locations will have zero (0) public Internet bandwidth. In this quote the Community Health Center of the North Country, (HCP 34244) will have 50Mbps of public Internet bandwidth and the other affiliated locations (HCPs 34245, 34246 and 34247) will have zero (0) public Internet bandwidth. Stand-alone locations that are not affiliated with anyone, (HCPs: 23815, 23816, 15271, 28490, 34249 and 34250) will have 5Mbps of public Internet bandwidth. f. Those Offerors who include IDS/IPS solutions or Redundant Last-mile Fiber or equivalent solutions [as described in Sections 3(m) and 3(n)] shall also provide an additional Managed IDS/IPS, or Redundant Last-mile Fiber or equivalent pricing column(s) that includes additional cost required to support IDS/IPS or Redundant Last-mile leased Fiber equipment and services. Offerors who are providing these leased services should include the same column breakdown of pricing information as described in Section 6a through 6e above. IDS/IPS solutions and Redundant Last-mile leased Fiber or equivalent solutions shall only be offered to NCTP locations listed in Table 1-1 that are hospitals or Medical Centers. g. NCTP will accept only complete solutions for the following Service from a Prime Offeror: a leased managed switch/firewall broadband/private intranet and public Internet service. For those Offerors using sub-prime(s) contractors, the prime Offeror shall assume responsibility for all work and will be the primary contact for all services provided by the primer Offeror and any sub-prime Offerors. Once source selection is made, a contract will be negotiated with the contractor, or prime contractor, including payment schedule for work. Pricing shall be good for a minimum of three (3) years from the date of contract with NCTP. The Offeror shall provide an option to extend the contract for an additional four (4) years at the same pricing, or lower, if all the concerned parties agree to the new terms. At the end of the initial contract sites have the right to reduce or increase bandwidth as needed in a new contract on a site-by-site basis. Any contract extensions beyond the first three (3) years of the contract will be done in two (2) year increments. Page 19 of 21

Attachment 1 NCTP HCF RFP 01 Scoring Matrix NCTP HCF RFP 01 Bid Selection Process for Private Broadband and Public Internet Services Basis of Award Proposals will be reviewed and scored on the basis of the evaluation criteria described below. An NCTP evaluation committee will choose the selected Offeror. Committee participants will review and score each proposal received. The NCTP committee will meet as a group to score the RFP responses. The selection process will be broken down as follows: Evaluation Criteria The Offeror s RFP response will undergo intensive review. The following Evaluation Criteria (not in priority order) will be utilized to select a finalist: a. Bandwidth (30 points total): Provisioning, implementation and delivery, as described in Section 3 of the NCTP RFP, of the following services to NCTP: Managed switch/firewall broadband private intranet Service (10); support for IDS and/or IPS (1); free block(s) of static public IP addresses (5); redundant hardware (2); Public Internet Service (10); redundant public Internet routes and/or private broadband intranet routes at NCTP hospital locations (2). b. Reliability of Service (6 points total): meets SLA requirements (6). c. Prior Experience, including past performance (12 points total): Qualifications, experience, capability and/or capacity of the Offeror demonstrating prior experience successfully implementing and managing the switch/firewall broadband private intranet and public Internet service (12). d. Project Management Plan (12 points total): Detailed Project management Plan for implementing the managed switch/firewall broadband private intranet and public Internet services (7); current NCTP members operational by 1 April 2014 (5). e. Management Capability, including solicitation compliance (10 points total): Evidence of Offerors financial bonding status and a copy of the Offeror s most recent annual report, if a Page 20 of 21

public company (5). Provide a proposal that is complete and complies with the instructions and requirements as stated in the RFP (5). f. Cost (30 points total): NCTP will review each Offeror s Detailed Breakdown and Summary of Costs. An award will be based primarily, but not solely* on the most cost-effective bid (30). There are a maximum of 100 Evaluation Criteria points (based on maximum of 100%, where 1% equals 1 point) that may be awarded for each proposal. The Offeror with the highest number of Evaluation Criteria points, as scored by the NCTP RFP Review Committee, will be declared the winning bidder. NCTP HCF RFP 01 - Source Selection Matrix No. Evaluation Criteria Point System (Maximum) Percentage of Evaluation Bidder A Points Bidder B Points Bidder C Points 1 Bandwidth 30 30% 10 20 12 2 Reliability of Service 6 6% 10 15 10 3 Prior Experience 12 12% 10 10 5 4 Project Management Plan 12 12% 5 5 1 5 Management Capability 10 10% 5 5 5 6 Cost 30 30% 15 5 29 $430,000.00 $490,000.00 $290,000.00 Evaluation Criteria Points (100 Max): 55 60 62 Winning Offeror: Bidder C Offeror A: = 55 Offeror B: = 60 Offeror C: = 62 In this example Offeror C is the winner. * 54.642 Competitive bidding requirement and exemptions. c) Cost-effective. For purposes of the Healthcare Connect Fund, cost-effective is defined as the method that costs the least after consideration of the features, quality of transmission, reliability, and other factors that the health care provider deems relevant to choosing a method of providing the required health care services. Page 21 of 21