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2017-11-13 btf Contract Information Contract Number Project Name Contractor Budget Line Item See Exhibit C - Budget Coding Procurement Method: Type: Contract Start Date Contract End Date Contract Type Retainage If this is a new contractor, please request they complete and submit to Finance a New Vendor Request Form. Contact Information: Department County Representative Jeff Krueger County Representative Phone (970) 429-6114 Provide a brief description of the contract: Contract Value Summary: $ 331,078.13 $ - $ - $ 331,078.13 230.19 Pitkin County Procurement Cover Sheet Please complete the Contract Cover Sheet when the contract/task order is complete and fully executed. Return all Contract Cover Sheets and Contracts/Change Orders/Amendments/Task Orders to Procurement No Phase I - 5 Hops v7 Nokia of America Coporation $- Additional Budget Line Item(s) (Please fully allocate New Contract Total) $- $- $- $- Sole Source Goods, Equipment, Supplies 7/25/2019 12/31/2019 New Contract NOTE: Clerks Office will keep original documents in compliance with Colorado State Archives retainage Translator/Radio Purchase of required translator equipment for the Jackrabbit, Sunlight, Williams, Thomasville, and Reudi microwave sites. Original Contract Amount Previous Change Order/Amendment Amount This Change order/Amendment amount New Contract Total Rev 2018-10-10 btf Note: Every effort should be made to obtain a written contract when otherwise required under County procedures. When a contract is obtained, complete the Clerk’s check list and send the original signed contract with coversheet to clerk’s office for archiving. 1 PITKIN COUNTY SOLE SOURCE PROCUREMENT JUSTIFICATION REQUEST TO: Jon Peacock, County Manager DATE: July 12, 2019 FROM: Jeff Krueger Proposed Contractor: Nokia of America Product/Service: Phase I - 5 Hops v7 Estimate expenditure for the above Product/Service: $ 331,078.13 This form is required, and is to aid you, in documenting your Sole Source request. Complete all portions of this form. This purchase is clearly and legitimately limited to a Single or Sole Source. (Examples: original manufacturer, no regional distributor, standardization etc): Explain: Nokia is a communications company that specialized in high capacity microwave backhaul equipment and services. The Pitkin County microwave network must support public safety and TV/FM translator bandwidth requirements and must be scalable to support future broadband initiatives. The Nokia Microwave Packet Radio (MPR) meets the current needs of the county and is expandable to accommodate future broadband requirements. Pitkin County utilizes Nokia microwave products throughout the county and we have staff that are trained on installation, maintenance, and troubleshooting. Nokia is on the HGAC public safety contract and equipment pricing is part of a competitive procurement process that is compliant with State statutes. Rev 2018-10-10 btf Note: Every effort should be made to obtain a written contract when otherwise required under County procedures. When a contract is obtained, complete the Clerk’s check list and send the original signed contract with coversheet to clerk’s office for archiving. 2 The undersigned requests that Pitkin County waive other procurement requirements and recognize this transaction as a sole source exception to the Pitkin County Procurement Code. Department Head Section Head !#COUNTY REPRESENTATIVE#! Date !#SECTION LEADER#! Date County Manager Reason for Denial: ______________________________________________ !#COUNTY MANAGER SOLE#! Date Communications Manager Aug-15-2019 Jeff Krueger Assistant County Manager Aug-15-2019 Phylis Mattice County Manager Aug-20-2019 Jon Peacock PITKIN COUNTY, COLORADO COUNTY ATTORNEY, APPROVAL FOR USE ___________________________________________ Richard Neiley Date Assistant County Attorney COUNTY MANAGER APPROVAL ___________________________________________ Jon Peacock Date County Manager Aug-20-2019 Aug-23-2019 July 10, 2019 Nokia of America Corporation Pitkin County, CO Phase I (5 Hops v7) Proposal # 18.US.847322.14 Prepared by:Armando Acosta Email:Armando.Acosta@nokia.com Customer Solutions Manager: Email: Account Executive:Randy Duncan Email:Randy.Duncan@nokia.com Sales Engineer:Armando Acosta Email:Armando.Acosta@nokia.com E-Mail PO to nokia.order_now_12587@nokia.com and reference the Proposal # on cover sheet. This Proposal is submitted pursuant to the terms and conditions of the existing general purchase agreement between Nokia of America Corporation and Pitkin County, CO. Should no general purchase agreement exist, this Proposal is submitted pursuant to Nokia of America Corporation standard terms and conditions for such items and/or services as proposed herein. Detailed Pricing Summary Pitkin County, CO Nokia of America Corporation Phase I (5 Hops v7) Proposal # 18.US.847322.14 July 10, 2019 Item Category Item Description Extended Price 1.00 1.01 9500MPR Radio Microwave Packet Radio $225,940.75 1.02 9500 MPR NSP LICENSE $1,191.40 1.03 7705 SAR 8 Router $60,540.00 1.04 7705 SAR8 NSP LICENSE $4,998.40 1.05 ION Config Services $10,153.00 1.06 Antenna Materials Antenna Materials $25,887.70 $328,711.25 3.00 3.01 HLD for Radio Configuration $2,366.88 $2,366.88 $331,078.13 Pricing Notes: 3. Prices are valid for 60 days. 6. Taxes, transportation, ancillary material, travel and living expenses are excluded. E-Mail PO to nokia.order_now_12587@nokia.com and reference the Proposal # on cover sheet. HARDWARE/SOFTWARE HARDWARE/SOFTWARE SubTotal: INSTALLATION SERVICES SubTotal: Project Total: INSTALLATION SERVICES 1. The budgetary planning pricing included above provided by Nokia of America Corporation is indicative only, solely to inform Pitkin County, CO of Nokia of America Corporation's current estimate of prices for the relevant item(s) to enable Pitkin County, CO to evaluate its potential interest. 2. The terms and conditions, including planning pricing, of the items provided under this Proposal or subsequent agreements are subject to future negotiations and future agreement on the terms and conditions which would any sale. There are no penalties, liquidated damages or other remedies associated with changes to the pricing. 4. This pricing is valid only for the equipment, equipment features, and services explicitly described within this proposal. Any equipment item, equipment feature, installation item, or service not explicitly described in this bid is not included in this pricing, and any addition of such will require a revised proposal with modified pricing. Additional information obtained by, but not limited to, Path and Site Surveys could require changes to the scope and content of this proposal. Please review all sections of this bid carefully for details as to what this proposal includes, and what assumptions have been made. 5. Pricing is based on attached Scope Of Work, Assumptions, Detailed Equipment List and/or Design Configurations. 7. Typical equipment lead time is approximately 8 weeks or sooner After Receipt of Purchase Order with valid frequencies based on equipment availability. Lead time can be confirmed After Receipt of Purchase Order and order scheduling. Nokia Proprietary/Confidential Information 1 of 1 Nokia Confidential Nokia of America Corporation Customer:Pitkin County, CO Frequency Pairs: 11 Project:Phase I (5 Hops v7) FCC License Type: Government 601 Data Drive Proposal #:18.US.847322.14 Plano, TX 75075 Date:July 10, 2019 Prepared by:Armando Acosta Email:Armando.Acosta@nokia.com Part Number Description Unit Sell Price System Quantity Extended System Line Item Extended Aj a x Ba s a l t Cr o w n Ja c k R a b b i t PC R E D C Ru e d i Su n l i g h t TO S V Un d i s t r i b u t e d Radio Information WVCE11‐U‐4096A80S‐717‐ 27.4‐NS TX 11000V / RX 11000V T/F Jack Rabbit ‐ CH 1 WVCE18‐U‐4096A80S‐717‐ 25.6‐NS TX 18000V / RX 18000V T/F Crown ‐ CH 1 WVCE80‐U‐512A500S‐ 3450‐25.6‐NS TX 80000V / RX 80000V T/F Basalt ‐ CH 1 WVCE11‐U‐4096A80S‐717‐ 27.4‐NS TX 11000V / RX 11000V T/F Ajax ‐ CH 1 WVCE18‐U‐4096A80S‐708‐ 25.6‐NS TX 18000V / RX 18000V T/F Jack Rabbit ‐ CH 1 WVCE11‐L‐4096A40H‐331‐ 35‐NS TX 11000H / RX 11000H T/F Sunlight ‐ CH 1 WVCE11‐L‐4096A40H‐331‐ 35‐NS TX 11000H / RX 11000H T/F Ruedi ‐ CH 1 WVCE18‐U‐4096A30S‐279‐ 25.6‐HS TX 18000V / RX 18000V T/F Jack Rabbit ‐ CH 1 WVCE11‐U‐4096A80S‐717‐ 27.4‐NS TX 11000H / RX 11000H T/F Jack Rabbit ‐ CH 2 WVCE80‐U‐512A500S‐ 3450‐25.6‐NS TX 80000V / RX 80000V T/F Crown ‐ CH 1 WVCE18‐U‐4096A80S‐717‐ 25.6‐NS TX 18000V / RX 18000V T/F Basalt ‐ CH 1 WVCE11‐U‐4096A80S‐717‐ 27.4‐NS TX 11000H / RX 11000H T/F Ajax ‐ CH 2 WVCE18‐U‐4096A80S‐708‐ 25.6‐NS TX 18000V / RX 18000V T/F Jack Rabbit ‐ CH 2 WVCE11‐L‐4096A40H‐331‐ 35‐NS TX 11000H / RX 11000H T/F Sunlight ‐ CH 1 WVCE11‐L‐4096A40H‐331‐ 35‐NS TX 11000H / RX 11000H T/F Ruedi ‐ CH 1 WVCE18‐U‐4096A80S‐717‐ 25.6‐NS TX 18000H / RX 18000H T/F Crown ‐ CH 2 WVCE18‐U‐4096A80S‐717‐ 25.6‐NS TX 18000H / RX 18000H T/F Basalt ‐ CH 2 WVCE18‐U‐4096A80S‐708‐ 25.6‐NS TX 18000V / RX 18000V T/F PCREDC ‐ CH 1 WVCE11‐L‐4096A40H‐331‐ 35‐NS TX 11000V / RX 11000V T/F Sunlight ‐ CH 1 WVCE11‐L‐4096A40H‐331‐ 35‐NS TX 11000V / RX 11000V T/F Ruedi ‐ CH 1 WVCE18‐U‐4096A80S‐708‐ 25.6‐NS TX 18000H / RX 18000H T/F PCREDC ‐ CH 2 WVCE18‐U‐4096A30S‐279‐ 25.6‐HS TX 18000V / RX 18000V T/F TOSV ‐ CH 1 9500 MPR Microwave Switching Shelf (MSS) 3EM22715AH 9500 MPR Shelf Kit w/Alarm FAN Evo‐HSv3 $752.50 6 $4,515.00 111111 3EM24105AA MSS Shelf Ext Fan Alm Cable Assy 25 foot $61.25 5 $306.25 11 111 3DB18788BA CorEvo‐10G $1,053.50 11 $11,588.50 22 2221 3DB18206AC Ethernet Access Module w 8 GbE port $715.75 4 $2,863.00 22 3DB19343AA Ethernet Access Card 10G (EAC‐10G) $630.00 11 $6,930.00 2 2 2 2 111 3DB17020BAAA Wavence 18 uSD Card for CorEvo‐10G $35.00 10 $350.00 22 222 3DB17010HAAB Wavence 18 SW Electronic Delivery Kit $350.00 1 $350.00 1 3DB19275AFAA Wavence 18 Customer Documentation Electronic Library $31.50 1 $31.50 1 9500 MPR Microwave Packet Transceiver (MPT) 3EM24238AA MPT‐HL Shelf Kit Single T‐R $605.50 6 $3,633.00 33 3DB76050GA MPT‐HLC Plus XCVR 11GHz $7,700.00 6 $46,200.00 33 3DB76047EA MPT‐HLC Plus HG XCVR U6 $7,350.00 1 $7,350.00 1 3DB29118AA UBT‐S 18 GHz $2,100.00 1 $2,100.00 01 3DB29170AA UBT‐m 80 GHz Low $3,675.00 3 $11,025.00 1 1 1 3DB29210AA UBT‐T 10‐11 GHz $4,025.00 3 $12,075.00 1 1 1 3DB29218AA UBT‐T 18 GHz $3,412.50 7 $23,887.50 1 1 2 111 3DB28066AA AIM‐S 18GHz 1560MHz SB1 (Integrated antenna only) $420.00 4 $1,680.00 2 2 3DB28212AA AIM‐T‐O 11GHz 490‐500‐520‐530MHz SB1 $875.00 2 $1,750.00 1 1 3DB28072AA AIM‐T‐O 18GHz 1560MHz SB1 $700.00 4 $2,800.00 1 1 1 1 9500 MPR RTUs ‐ per ODU/RF Transceiver/ Upgrade 3EM23073AAAA 9500 MPR Adaptive Modulation RTU $525.00 6 $3,150.00 33 3EM23068AGAA RTU 450Mbps TRX Capacity $2,275.00 6 $13,650.00 33 3MU00180AEAA RTU 300Mbps UBT‐S Capacity $1,575.00 4 $6,300.00 2 2 3MU00180AQAA RTU 1.5Gbps UBT‐T Capacity $2,450.00 6 $14,700.00 1 1 1 2 1 3MU00180AZAA RTU 10Gbps UBT‐m Capacity $3,500.00 2 $7,000.00 1 1 3MU00180BAAA RTU UBT‐T 2nd TxRx activation $1,225.00 6 $7,350.00 1 1 1 2 1 3MU00180BDAA RTU UBT‐S Adp Mod $525.00 4 $2,100.00 2 2 3MU00180BEAA RTU UBT‐T Adp Mod $525.00 6 $3,150.00 1 1 1 2 1 3MU00180BFAA RTU UBT‐m Adp Mod Ad Bd Rate $525.00 2 $1,050.00 1 1 3MU00180BGAA RTU UBT‐S HQAM 2k/4k $350.00 4 $1,400.00 2 2 3MU00180BHAA RTU UBT‐T HQAM 2k/4k $525.00 6 $3,150.00 1 1 1 2 1 9500 MPR Microwave Packet Transceiver Accessories 3CC58341AA Coupler 10 dB 18‐26 GHz UBT $310.10 2 $620.20 1 1 1AB235300005 OCTIS connector housing for fibers $14.35 12 $172.20 1 2 2 4 12 1AB235300007 OCTIS connector housing for powering $22.40 12 $268.80 1 2 2 4 12 3CC52211AA L1 LAG Cable UBT to UBT ( LC‐LC 1 meter) $50.40 4 $201.60 1 1 1 1 3CC52210BD Fiber cord MM LC‐LC for UBT 50m $121.80 3 $365.40 1 2 3CC52159BA DC pigtail N to 2 wires outdoor $16.10 12 $193.20 1 2 2 4 12 3CC52210BF Fiber cord MM LC‐LC for UBT 100m $199.50 1 $199.50 1 3CC52210BC Fiber cord MM LC‐LC for UBT 25m $77.70 8 $621.60 2 2 2 2 3EM24166EA Stacking Filter W/G Kit 1st MPT Shelf 11 GHz HSB $913.15 2 $1,826.30 11 3EM24166EB Stacking Filter W/G Kit 1st & 2nd MPT Shelf 11 GHz HSB $1,202.60 2 $2,405.20 11 3EM24166EC Stacking Filter W/G Kit 3rd MPT Shelf 11 GHz HSB $911.75 2 $1,823.50 11 3EM24166JC RF Stacking Filter Kit, Rcv 10.7 ‐ 11.2, 30 MHz BW $542.50 6 $3,255.00 33 3EM24166JB RF Stacking Filter Kit, Xmt 11.2 ‐ 11.7, 30 MHz BW $542.50 6 $3,255.00 33 3EM23523AM Stacking Cable Assy 1+0 Non‐Standby Circulators Right‐Rear $70.00 4 $280.00 22 3EM23523AN Stacking Cable Assy 1+0 Non‐Standby Circulators Left‐Rear $82.25 2 $164.50 11 3EM24189AC Isolator Assy 11 GHz 1+0 (Non‐Standby)$89.60 6 $537.60 33 3MU00179CE Flange Adapter CPR‐90 Kit, 1 Port, 11Ghz $87.50 6 $525.00 33 3EM23311AB N Jack Bulkhead to QMA Plug (108 inch) $154.70 12 $1,856.40 1 2 2 4 12 Nokia Confidential Nokia Confidential 3CC50030AA Lightning Arrestor when batt on coaxial cable $40.60 12 $487.20 1 2 2 4 12 3CC50149AA Wall Support 4 Lightning Arrestors $20.65 12 $247.80 1 2 2 4 12 Manuals and Documentation 3EM24226AA Microwave Factory Test Certificate $525.00 8 $4,200.00 1 1 1 1 1111 Antenna Materials 10046219 Ant UBT Int 3ft 10/11 GHz DP (10‐11.7) (SC3‐W100BUBTC) $2,571.00 2 $5,142.00 1 1 409085388 Load Termination / CPR‐90 (39099‐90) $70.00 2 $140.00 11 10046890 Ant UBT Int 2ft 18 GHz DP (17.7‐19.7) (SC2‐190CUBTC) $961.00 4 $3,844.00 2 11 10045203 SBX4‐W100DC2 ‐ 4 ft Hi Perf, CPR90G, Dual Pol Ant., Includes Ra $2,089.00 2 $4,178.00 11 10046878 Ant UBT Int 2ft 18 GHz SP (17.7‐19.7) (SC2‐190CUBTR) $961.00 2 $1,922.00 1 1 915255 Angle Member Adapter Kit, 3/8in Stainless Steel (ANGLE‐CLPI) (1 $56.00 17 $952.00 710 920206‐W Gas Distribution Manifold, 6 Port, 0‐15PSIG (920206) $381.70 1 $381.70 1 10042194 Automatic Dehydrator (APD20‐D‐35XH0R00S1), 120v, 3‐5psi, Lo $1,590.00 1 $1,590.00 1 1AB095530045 PPC Connector (compression) ‐ straight male (3 per LMR run) (TM $34.00 36 $1,224.00 3 6 6 12 36 1AB095530046 PPC Connector (compression) ‐ straight female (1 per LMR run) ($34.00 12 $408.00 1 2 2 4 12 815487‐001 Standard Elliptical Waveguide, E105 (10.0 ‐ 11.7 GHz) $9.00 500 $4,500.00 200 300 399503‐101 Connector, Tunable / CPR90G (bottom) (C90‐105TG) $219.00 2 $438.00 11 399503‐103 Connector, Non‐Tunable / CPR90G (top) (C90‐105FG) $219.00 2 $438.00 11 921234‐108 Grounding Kit, 60in wire, E105 (GKIT‐60‐105) $16.00 6 $96.00 33 400130 Pressure Window (WPW‐090EP) ‐ mates to CPR90G $26.00 2 $52.00 11 400124 2ft Twistflex ‐ CPR90G/CPR90G (TF090‐CC1‐024I) $291.00 2 $582.00 11 NSP LICENSE POINT 3HE11801CA NSP 17: NFM‐P STANDARD LP $32.20 37 $1,191.40 37 SVC‐QHIE‐INST HLD for Radio Configuration $295.86 8 $2,366.88 1 1 1 1 1111 HARDWARE TOTAL $255,386.73 $15,184.96 $23,585.51 $20,594.76 $39,558.31 $11,853.66 $52,721.36 $51,817.66 $15,880.61 $24,189.90 Nokia Confidential Part Number Description Lo o k o u t CO G S Ja c k R a b b i t Ba s a l t Th o m a s v i l l e TO S V SP A R E To t a l Q t y . Sell Price Extended Price (Discounted) 7705 SAR-8 (Dual -48/+24 VDC Support) Cards/Modules 3HE02774AB CONTROL SWITCH MODULE V2 (CSMV2)22221 9 $1,050.00 $9,450.00 3HE06792EA Fan Module (SAR-8 Shelf V2) Ext Temp 11111 5 $330.00 $1,650.00 Interface and Application Cards 3HE06151AC 8 PORT GE SFP CARD V3 (-48/+24 VDC)2222614 $2,325.00 $32,550.00 3HE02775AB 16 PORT T1/E1 ASAP CARD V2 (-48/+24 VDC)2222 8 $1,260.00 $10,080.00 Shelves and Switching Fabric 3HE06791AA SAR-8 SHELF V2 11111 5 $750.00 $3,750.00 3HE03397AA T1/E1 CABLE FOR DISTRIBUTION PANEL 1M 1111 4 $60.00 $240.00 3HE03394AA 32 PORT T1/E1 RJ45 PANEL 1111 4 $450.00 $1,800.00 Software 3HE02784JA SAR RELEASE 7.0 BASIC OS LICENSE 1111 4 $255.00 $1,020.00 7705 SAR-8 Total $60,540.00 NSP LICENSE POINT 3HE11801CA NSP 17: NFM-P STANDARD LP 142 142 $35.20 $4,998.40 NSP LICENSE POINT Total $4,998.40 END CUSTOMER:PITKIN COUNTY DATE:7/10/2019 QUOTE ID:18.US.847322.14 Services Price Summary Customer: Pitkin County Offer #: 18.US.847322.14 Offer Name: ION for 8 Hops Date: 7/10/2019 301091625 Project Management Services $993 Multiple Integration $9,160 TOTAL INSTALLATION AND INTEGRATION SERVICES:$10,153 GRAND TOTAL ALL SERVICES:$10,153 Category OI Code Item Description Unit Price Unit Price Unit Price Qty Qty Qty Ext Price Ext Price Ext Price Total Price 2019 2020 2021 2019 2020 2021 2019 2020 2021 PROJECT MANAGEMENT Project Management 301091625 Project Management $993 1 $993 $0 $0 $993 $993 $0 $0 $993 INTEGRATION Design 3HE02941AA Network Design (uploading HLD and configuration files) $9,160 1 $9,160 $0 $0 $9,160 $9,160 $0 $0 $9,160 Pricing Notes: T MANAGEMENT Annual SubTotal: INTEGRATION Annual SubTotal: 1. The budgetary planning pricing included above provided by Nokia is indicative only, solely to inform Customer of Nokia's current estimate of prices for the relevant items(s) to enable Customer to evaluate its potential interest. The terms and conditions, including planning pricing, of the items provided under this Proposal or subsequent agreements are subject to future negotiations and future agreement on the terms and conditions which would govern any sale. There are no penalties, liquidated damages or other remedies associated with changes to the pricing. 2. Prices are valid for 60 days unless otherwise stated in this proposal. 3. This pricing is valid only for the equipment, equipment features, and services explicitly described within this proposal. Any equipment item, equipment feature, installation item, or service not explicitly described in this bid is not included in this pricing, and any addition of such will require a revised proposal with modified pricing. Please review all sections of this bid carefully for details as to what this proposal includes, and what assumptions have been made. Taxes, transportation, ancillary material, travel and living expenses are excluded. 4.Pricing is based on associated Statement Of Work, Assumptions, Detailed Equipment List and Design Configurations. 5.Services pricing is based non site specific standard assumptions as outlined herein. Pricing is contingent on a signed Statement of Work. If purchase agreement is reached, please come back to the quote originator and request the appropriate Statement of Work document for signatures of both parties and finalized quotation for the purchase. Nokia Pitkin County, Colorado 7705 Network Growth Microwave and IP / MPLS Deployment and Professional Services S t a t e m e n t o f W o r k July 23, 2019 © Nokia 2019. All rights reserved. About Nokia Nokia is a global leader in the technologies that connect people and things. Powered by the innovation of Bell Labs and Nokia Technologies, the company is at the forefront of creating and licensing the technologies that are increasingly at the heart of our connected lives. With state-of-the-art software, hardware and services for any type of network, Nokia is uniquely positioned to help communication service providers, governments, and large enterprises deliver on the promise of 5G, the Cloud and the Internet of Things. http://www.nokia.com // http://networks.nokia.com T a b l e o f C o n t e n t s 1 Introduction ................................................................................... 4 2 Project Description ........................................................................ 4 2.1 Description ...................................................................................................... 4 2.2 Equipment Configuration ................................................................................ 4 2.3 Network Diagram ............................................................................................ 5 3 Network Design – IP Service Routers ........................................... 5 3.1 Responsibilities ............................................................................................... 6 3.2 Deliverables .................................................................................................... 6 4 Project Management… .................................................................. 7 5 Schedule / Timeline ....................................................................... 7 6 General Assumptions .................................................................... 8 7 Exclusions ..................................................................................... 8 8 Additional Terms ........................................................................... 9 8.1 Conditions ....................................................................................................... 9 8.2 Change Management ..................................................................................... 9 8.3 Acceptance ..................................................................................................... 9 9 Pricing Summary ......................................................................... 10 9.1 Pricing Notes ................................................................................................ 10 9.2 Pricing Table ................................................................................................. 10 10 Entire Agreement ........................................................................ 10 Statement of Work 3 / 11 Pitkin County Microwave and IP / MPLS Deployment and Professional Services © Nokia 2019. All rights reserved. Confidential Statement of Work 4 / 11 1 Introduction This Statement of Work (“SOW”) describes the deliverables, parties’ respective responsibilities and other conditions applicable for the provision of Microwave and IP / MPLS Deployment Services (“Service(s)”) by Nokia of America Corporation. (“Nokia”) for Pitkin County, Colorado (“Pitkin County”). Performance of the Services described in this SOW shall be governed by the terms Houston-Galveston Area Council End User Agreement, Contract No. 10975-C-2017RA05-18, between Pitkin County and Nokia (“Agreement”). No obligation to provide any of the Services described herein arises unless an order for such Service, incorporating the terms of this SOW, has been placed by Pitkin County and accepted by Nokia. In the event of a conflict between the terms of the Agreement and this SOW, the terms of this SOW shall prevail with respect to the subject matter contained herein. Nokia’s performance of the Services described below is subject to the assumptions, exclusions and other conditions identified in this SOW. 2 Project Description 2.1 Description Pitkin County is expanding their backhaul network to a greater area, and as part of this expansion is deploying Nokia 7705 SAR-8 and 7705 SAR-A routers. This SOW provides Nokia Professional Services to support Pitkin County with Network Design Services in deploying of these network elements. 2.2 Equipment Configuration The Services described in this SOW are exclusively for the following products: IP / MPLS Professional Services Four (4) new 7705 SAR-8s: JackRabbit, TOSV, Basalt MMC, Thomasville Ten (10) existing 7705 SAR-8s: Sunlight PC and Sunlight SOC, Crown, Williams, PCREDC, Ajax, Loge, Hunter Creek, Jail and Ruedi One (1) existing 7705 SAR-A: Basalt Southside Pitkin County Microwave and IP / MPLS Deployment and Professional Services © Nokia 2019. All rights reserved. Confidential Statement of Work 5 / 11 2.3 Network Diagram Figure 1. Proposed Network Deployment 3 Network Design – IP Service Routers Nokia will work with Pitkin County to update the current Network High Level Design (HLD) document based on the objectives and requirements for the network solution proposed in this SOW. The design work is done at a Nokia R&D center where design options can be verified in a lab and discussed among the Nokia team of architects. Pitkin County Microwave and IP / MPLS Deployment and Professional Services © Nokia 2019. All rights reserved. Confidential Statement of Work 6 / 11 3.1 Responsibilities Tasks Nokia Pitkin County Network Design – IP Service Routers: Provide the Nokia network architecture and design team with all relevant service and technical requirements prior to the commencement of the network design. This includes: List of all standard network services to be supported by the new network elements. X Lead a services and technical requirements gathering meeting with Pitkin County to obtain the required information to start the network design process. X Provide knowledgeable personnel to attend the technical requirements gathering meeting, and review and approve the revised HLD in accordance with a schedule to be developed between Nokia and Pitkin County. X X Develop a network detailed design documenting the recommendations and design for the next-generation IP/MPLS project based on the service and network requirements provided by Pitkin County. The network detailed design will cover the following components: Define port/interfaces (ethernet), bandwidth rates, paths. Allocate IP addressing blocks based on the IP addressing scheme defined in the HLD Develop IGP, MPLS, QoS, Network Management, System security for the new network elements per the HLD guidelines and recommendations. Extend current L2 / L3 Network Services as defined in the HLD for the new network elements, as applicable for the solution proposed. Perform traffic engineering and load balancing on network paths to optimize flow X Develop Configuration files: Four (4) new 7705 SAR-8s: JackRabbit, TOSV, Basalt MMC, Thomasville Ten (10) existing 7705 SAR-8s: Sunlight PC and Sunlight SOC, Crown, Williams, PCREDC, Ajax, Loge, Hunter Creek, Jail and Ruedi One (1) existing 7705 SAR-A: Basalt Southside X Respond to Nokia technical questions and inquiries for information in a timely manner. Nokia requires turnaround on technical requests within 24 hours. X Review the updated HLD with Pitkin County and obtain sign off X X 3.2 Deliverables Nokia shall provide the following deliverables as part of this service. Deliverables Nokia Network Design – IP Service Routers: Updated High Level Network Design (HLD) document X Four (4) configuration files for the new network elements included in this Service X Eleven (11) delta configuration files for the existing network elements included in this Service X Pitkin County Microwave and IP / MPLS Deployment and Professional Services © Nokia 2019. All rights reserved. Confidential Statement of Work 7 / 11 4 Project Management For the duration of the project, Nokia will designate a Project Manager who will function as a single point of contact (SPOC) for Pitkin County for this Project and will coordinate project activities through acceptance of the contracted deliverables. The Project Manager(s) that are assigned to the project will be guided by the principles of Project Management established by the Project Management Institute (PMI®) in order to plan, schedule, and implement project activities, meeting industry recognized standards of quality and project control. Nokia’s Project Manager shall perform each of the following tasks for the project: Collaborate with Pitkin County to establish a baseline project schedule, with key milestones and the project’s critical path identified based on signed SOW and verified Purchase Order. Utilize a Project Management Plan to jointly manage and control the project with respect to: 1) Timely completion of deliverables 2) Quality of deliverables 3) Effective communication of project plans, status, and issues 4) Control of project changes Identify and manage Nokia resources throughout the duration of the project. Manage activities related to verification and Pitkin County acceptance of project deliverables Provide appropriate records and documents associated with the completion of the project. 4.1 [Pitkin County] Responsibilities In support of Nokia’s Project Manager, Pitkin County shall: Provide the name of the Pitkin County Project Manager who will function as the Single Point of Contact for all Pitkin County-related discussions, information exchange, and issue resolution Provide Nokia with Pitkin County information reasonably requested by Nokia for effective management and control of the Project Perform all agreed-upon Pitkin County-owned activities, including review of documents submitted for Pitkin County approval, in a timely manner and with quality sufficient to avoid hindering Nokia’s ability to perform its activities under this contract For each 3rd party under contract with Pitkin County to provide products or systems, or to perform activities, in support of the Project as/if required: 1) Provide the name of an authorized Project Management contact 2) Secure the cooperation of the 3rd party as required for timely completion of the project 3) Where required, execute a letter of agency or similar document to authorize Nokia to manage and direct such third parties on Pitkin County’s behalf 4) Obtain from the 3rd Party any license rights necessary for the completion of the Project. 5 Schedule / Timeline Nokia will schedule work within 4 weeks from receipt of Purchase Order (PO) and complete all work within 12 weeks from receipt of Purchase Order (PO). Pitkin County Microwave and IP / MPLS Deployment and Professional Services © Nokia 2019. All rights reserved. Confidential Statement of Work 8 / 11 6 General Assumptions Network Design – IP Service Routers: All network elements are designed in a single batch. Any requirements and/or design changes requested after the HLD sign-off will be subject to Change Control All work will be performed remotely. If delays to service schedule, once established, are caused by Pitkin County, additional charges may apply. 7 Exclusions Network Design – IP Service Routers does not include: Design pertaining to transport planning/availability (e.g., analysis of available fiber/transport options, design of optical transport network, DWDM/CWDM design/wavelength assignments, specifications of XFPs/SFPs to be used for various inter-nodal transport links) Optional designs – these can be custom quoted, as needed: IPSec or firewall services Network Group Encryption (NGE) MEF design for standardized MEF L2 services (e.g., E-LINE, E-LAN, E-TREE, E-ACCESS) OAM (Y.1731, TWAMP, 802.3ah, 802.1ag) Packet Microwave Card (PMC) AA, BNG, IPv6, CG-NAT, BGP Peering (ISP), PBB services Service offerings which Pitkin County may want to provide in the future. Additional service designs or configurations beyond what is outlined in “description / scope” sections above. Any service type configuration, variants to those service or hierarchical service topologies that have not been described fully by Pitkin County prior to commencement of the network design. Configuration file examples (these can be provided as part of a Low Level Network Design (“LLD”) Service). Onsite design workshop. Any design changes requested after the sign off of the design document. These will be subject to Change Control. Method of Procedures (MOPs) High Level Network Migration Strategy/Planning document. Pitkin County Microwave and IP / MPLS Deployment and Professional Services © Nokia 2019. All rights reserved. Confidential Statement of Work 9 / 11 8 Additional Terms Unless otherwise stated in previous sections of this SOW, the following terms apply to all Services. Additional terms and conditions are per the Agreement. 8.1 Conditions Nokia reserves the right to determine which personnel to assign to perform Services. Nokia personnel shall at all times be subject to the employment conditions of Nokia and not those of Pitkin County. If Nokia personnel are present on Pitkin County’s premises, those Nokia personnel shall respect Pitkin County’s on-site conditions. Nokia may use proprietary tools and software for providing this Service. The stated price does not include the sale, licensing or transfer of such tools or software to Pitkin County. All work will be performed during normal business hours – 7 AM to 6 PM, local time, Monday through Friday (excluding holidays) - unless different working hours/schedule have been specified elsewhere in the SOW. 8.2 Change Management The pricing in this SOW is based upon performance of the tasks and provision of deliverables specifically defined in this SOW. Requests for additional work activities that are not described in this SOW, including Pitkin County-required overtime or night work, or the application of any different or additional criteria or testing in connection with any Services or deliverables, are subject to acceptance by Nokia and will entail additional charges to Pitkin County. Certain matters may require a new quotation under a separate Statement of Work. If Nokia agrees to perform additional work activities under a SOW, Pitkin County shall execute a Change Order in accordance with Nokia’s Change Management Process to confirm the schedule impact and Nokia’s authorization to perform and bill for such work activities. Additional charges may apply if performance or completion of the Service is delayed for any reason attributable to Pitkin County. In such cases, Pitkin County agrees to authorize: (a) Nokia’s billing for such work activities on a time and material basis at Nokia’s then current standard rates and subject to any applicable per incident and/or minimum hourly billing requirements then in effect and/or (b) the schedule extension attributable to the delay. 8.3 Acceptance Maintenance, management and other recurring services are deemed accepted as services are performed. For all other services, Nokia shall notify Pitkin County upon completion of Services either by providing a notice of completion or by providing Pitkin County the deliverable(s) specified in this SOW. Thereafter Pitkin County shall have ten (10) days from the notice to notify Nokia that the Services do not conform to the requirements described in this SOW. Such Services shall be deemed accepted on the earliest of: (1) the passage of ten days from date of notice of completion with no notice of non-conformance from Pitkin County; (2) Pitkin County's actual acceptance; or (3) Pitkin Pitkin County Microwave and IP / MPLS Deployment and Professional Services © Nokia 2019. All rights reserved. Confidential Statement of Work 10 / 11 County's use of the Services, the result of the Services or any deliverable, whether or not the use is revenue-generating. 9 Pricing Summary 9.1 Pricing Notes The quoted prices are valid for POs received within 60 days from the date of this SOW. All prices are in $US, unless stated otherwise. Prices do not include taxes. If this SOW is accepted as is, please reference the quote number on your PO 19US864780.01. Anything not specifically described above is not included in this SOW. Changes involving additional scope or an extension of the project timeframe will require a change order in accordance with the Nokia Change Management process. Unless otherwise explicitly stated within the framework of this SOW, Nokia shall perform all services remotely. For any Pitkin County request or requirement for travel by Nokia, all services support, travel and living expenses including lodging, airfare, meals, transportation, and any associated expenses and taxes shall be paid by Pitkin County. 9.2 Pricing Table Refer to pricing file. 10 Entire Agreement This SOW and the non-conflicting terms and conditions of the Agreement constitute the entire agreement, and supersede all prior oral and written understandings, between the parties regarding the subject matter hereof. Any modification or addition to this SOW shall be in writing and signed by authorized representatives of both parties. This SOW shall be governed by the laws of New York. Each party intends that a facsimile of its signature printed by a receiving fax machine, and/or a signature scanned in a PDF document, be regarded as an original signature and agrees that this SOW may be executed in counterparts, which together shall constitute a single instrument. Pitkin County Microwave and IP / MPLS Deployment and Professional Services © Nokia 2019. All rights reserved. Confidential Statement of Work 11 / 11 IN WITNESS WHEREOF, the parties have caused this SOW to be executed by their duly authorized representatives on the date(s) indicated. Nokia of America Corporation Pitkin County, Colorado Signature: Signature: Name (Print): Desiree Obleton Name (Print): Title: Commercial Contracts Manager Title: Date: Date: Nokia of America Corporation Signature: Name (Print): Title: Date: Jeff Krueger Aug-15-2019 Communications Manager Aug-23-2019 Shawna Culver Contrant manager Aug-23-2019 Code Title Org Object Description 003.77.92751.86642 Jackrabbit Microwave 12541150 572000 Translator Capital ‐ Infrastructure $30,000.00 003.77.92753.86642 Sunlight Microwave 12541150 572000 Translator Capital ‐ Infrastructure $80,000.00 003.77.92755.86642 Williams Microwave 12541150 572000 Translator Capital ‐ Infrastructure $60,000.00 003.77.92756.86642 Thomasville Microwave 12541150 572000 Translator Capital ‐ Infrastructure $40,000.00 003.77.92759.86642 Ruedi Microwave 12541150 572000 Translator Capital ‐ Infrastructure $40,000.00 003.77.92759.86010 Ruedi Site Rebuild 12541150 572000 Translator Capital ‐ Infrastructure $40,000.00 505.94.92394.86631 Ajax Radio Repeaters 41056150 574000 Radio Capital ‐ Machinery & Equipment $41,078.13 Total $331,078.13 Old New Nokia Microwave Purchase Amount Certificate Of Completion Envelope Id: 3ED9A957376C41B5B1D2554508A514E8 Status: Completed Subject: Nokia | Pitkin County Contract 230.19 for Review and Signature Source Envelope: Document Pages: 30 Signatures: 8 Envelope Originator: Certificate Pages: 6 Initials: 0 Pitkin County Procurement AutoNav: Enabled EnvelopeId Stamping: Disabled Time Zone: (UTC-07:00) Mountain Time (US & Canada) 530 East Main Street Suite 203 Aspen, CO 81611 Procurement@PitkinCounty.com IP Address: 65.38.144.66 Record Tracking Status: Original 8/15/2019 5:05:59 PM Holder: Pitkin County Procurement Procurement@PitkinCounty.com Location: DocuSign Signer Events Signature Timestamp Jeff Krueger jeff.krueger@pitkincounty.com Communications Manager Security Level: Email, Account Authentication (None)Signature Adoption: Pre-selected Style Using IP Address: 65.38.144.66 Sent: 8/15/2019 5:27:07 PM Viewed: 8/15/2019 5:27:25 PM Signed: 8/15/2019 5:33:55 PM Electronic Record and Signature Disclosure: Accepted: 8/15/2019 5:27:25 PM ID: e2e3e7cb-30b8-4e10-bcf9-c488a96907ec Company Name: Pitkin County, Colorado Phylis Mattice Phylis.Mattice@PitkinCounty.com Assistant County Manager Security Level: Email, Account Authentication (None)Signature Adoption: Pre-selected Style Using IP Address: 24.9.202.118 Signed using mobile Sent: 8/15/2019 5:34:03 PM Viewed: 8/15/2019 7:55:08 PM Signed: 8/15/2019 7:55:38 PM Electronic Record and Signature Disclosure: Accepted: 8/15/2019 7:55:08 PM ID: a9531784-6b9c-4a78-bc75-88053642fc7d Company Name: Pitkin County, Colorado Jon Peacock Jon.Peacock@PitkinCounty.com County Manager Pitkin County Security Level: Email, Account Authentication (None) Signature Adoption: Drawn on Device Using IP Address: 65.38.144.66 Signed using mobile Sent: 8/15/2019 7:55:41 PM Viewed: 8/20/2019 3:30:08 PM Signed: 8/20/2019 3:31:47 PM Electronic Record and Signature Disclosure: Accepted: 6/12/2019 9:29:00 AM ID: 917e30ed-8186-40bf-b2f9-0336f129484c Company Name: Pitkin County, Colorado Signer Events Signature Timestamp Shawna Culver Shawna.Culver@nokia.com Contrant manager Security Level: Email, Account Authentication (None)Signature Adoption: Pre-selected Style Using IP Address: 173.197.19.35 Sent: 8/20/2019 3:31:50 PM Viewed: 8/23/2019 11:33:51 AM Signed: 8/23/2019 12:12:50 PM Electronic Record and Signature Disclosure: Accepted: 8/23/2019 11:33:51 AM ID: 7185c088-aa0d-4261-b316-5fd406583637 Company Name: Pitkin County, Colorado Desiree Obleton desiree.obleton@nokia.com Commercial Contracts Manager Commercial Contracts Manager Security Level: Email, Account Authentication (None) Signature Adoption: Pre-selected Style Using IP Address: 131.228.48.70 Sent: 8/23/2019 12:12:55 PM Viewed: 8/23/2019 12:19:27 PM Signed: 8/23/2019 12:20:21 PM Electronic Record and Signature Disclosure: Not Offered via DocuSign Richard Neiley richard.neiley@pitkincounty.com Asst. County Attorney Security Level: Email, Account Authentication (None)Signature Adoption: Drawn on Device Using IP Address: 174.209.25.99 Signed using mobile Sent: 8/23/2019 12:20:25 PM Viewed: 8/23/2019 1:06:02 PM Signed: 8/23/2019 1:06:46 PM Electronic Record and Signature Disclosure: Accepted: 8/23/2019 1:06:02 PM ID: 059b47ae-1f1c-473f-8773-9da800d6c4d7 Company Name: Pitkin County, Colorado In Person Signer Events Signature Timestamp Editor Delivery Events Status Timestamp Agent Delivery Events Status Timestamp Intermediary Delivery Events Status Timestamp Certified Delivery Events Status Timestamp Carbon Copy Events Status Timestamp Pitkin County Procurement procurement@pitkincounty.com Procurement Pitkin County Security Level: Email, Account Authentication (None) Sent: 8/23/2019 1:06:49 PM Resent: 8/23/2019 1:07:06 PM Viewed: 8/26/2019 12:31:58 PM Electronic Record and Signature Disclosure: Accepted: 6/21/2019 11:35:47 AM ID: f4b0c7d5-e378-4bad-8806-08d16f6ff44c Company Name: Pitkin County, Colorado Carbon Copy Events Status Timestamp Accounts Payable AP@pitkincounty.com Accounts Payable Pitkin County Security Level: Email, Account Authentication (None) Sent: 8/23/2019 1:06:57 PM Electronic Record and Signature Disclosure: Not Offered via DocuSign Michele McClinton michele.mcclinton@pitkincounty.com Security Level: Email, Account Authentication (None) Sent: 8/23/2019 1:06:58 PM Viewed: 8/23/2019 1:36:14 PM Electronic Record and Signature Disclosure: Not Offered via DocuSign Witness Events Signature Timestamp Notary Events Signature Timestamp Envelope Summary Events Status Timestamps Envelope Sent Hashed/Encrypted 8/23/2019 1:06:59 PM Certified Delivered Security Checked 8/23/2019 1:06:59 PM Signing Complete Security Checked 8/23/2019 1:06:59 PM Completed Security Checked 8/23/2019 1:06:59 PM Payment Events Status Timestamps Electronic Record and Signature Disclosure ELECTRONIC RECORD AND SIGNATURE DISCLOSURE From time to time, Pitkin County (we, us or Pitkin County) may be required by law to provide to you certain written notices or disclosures. Described below are the terms and conditions for providing to you such notices and disclosures electronically when we send you documents for electronic signature. Acknowledging your Access, Intent, and Consent to Receive and Sign Materials Electronically To confirm that you can access this information electronically, which will be similar to other electronic notices and disclosures that we will provide to you, please verify that you were able to read this electronic disclosure and that you also were able to print on paper or electronically save this page for your future reference and access or that you were able to e-mail this disclosure and consent to an address where you will be able to print on paper or save it for your future reference and access. Further, if you consent to receive notices and disclosures exclusively in electronic format on the terms and conditions described above, please let us know by clicking the 'I agree' button below. By checking the 'I Agree' box, I confirm that: I am establishing my intent to be bound to the transaction, and indicating that I am fully aware of the purpose for which the signature is being provided. I can access and read this Electronic CONSENT TO ELECTRONIC RECEIPT OF ELECTRONIC RECORD AND SIGNATURE DISCLOSURES document; and I can print on paper the disclosure or save or send the disclosure to a place where I can print it, for for future reference and access; and Until or unless I notify Pitkin County as described above, I consent to receive from exclusively through electronic means all notices, disclosures, authorizations, acknowledgements, and other documents that are required to be provided or made available to me by Pitkin County during the course of my relationship with you. Signing Documents without a Pitkin County DocuSign Account: Pitkin County may not require all document signers to be authorized users of the Pitkin County DocuSign Account. Please read the information below carefully and thoroughly, and if you can access this information electronically to your satisfaction and agree to these terms and conditions, please confirm your agreement by clicking the 'I agree' button at the bottom of this document. When you don't have a DocuSign Account, you will be provided the opportunity to agree to the Legal Disclosure each time you open an "envelope" for signing, at this time, you can download and retain this disclosure. Pitkin County will forward completed documents that you've reviewed, processed or signed via email. Should you require copies of these signed documents (e.g., if they get deleted from your email account) you should request those documents from Pitkin County under the Colorado Open Records Act by contacting the Pitkin County custodian who sent you the document for signature. Signing Documents with a Pitkin County DocuSign Account: Electronic Record and Signature Disclosure created on: 6/11/2019 12:14:06 PM Parties agreed to: Jeff Krueger, Phylis Mattice, Jon Peacock, Shawna Culver, Richard Neiley, Pitkin County Procurement Please read the information below carefully and thoroughly, and if you can access this information electronically to your satisfaction and agree to these terms and conditions, please confirm your agreement by clicking the 'I agree' button at the bottom of this document. Getting paper or electronic copies At any time, you may request from us a paper or electronic copy of any record provided or made available electronically to you by us. For such copies, as long as you are an authorized user of the DocuSign system you will have the ability to download and print any documents we send to you through your DocuSign user account for a limited period of time (usually 30 days) after such documents are first sent to you. After such time, if you wish for us to send you paper or electronic copies of any such documents from our office to you, you may be charged a per-page fee. You may request delivery of such paper or electronic copies from us by following the procedure described below. Withdrawing your consent If you are an authorized DocuSign Account holder, you can decide to receive notices and disclosures from us electronically, you may at any time change your mind and tell us that thereafter you want to receive required notices and disclosures only in paper format. Described below is the process for informing us of your decision to receive future notices and disclosure in paper format and also how to withdraw your consent to receive notices and disclosures electronically. Consequences of changing your mind If you elect to receive required notices and disclosures only in paper format, it will slow the speed at which we can complete certain steps in transactions with you and delivering services to you because we will need first to send the required notices or disclosures to you in paper format, and then wait until we receive back from you your acknowledgment of your receipt of such paper notices or disclosures. To indicate to us that you are changing your mind, you must withdraw your consent using the DocuSign 'Withdraw Consent' form on the signing page of your DocuSign account. This will indicate to us that you have withdrawn your consent to receive required notices and disclosures electronically from us and you will no longer be able to use your DocuSign user account to receive required notices and consents electronically from us or to sign electronically documents from us. All notices and disclosures will be sent to you electronically Unless you tell us otherwise in accordance with the procedures described herein, we will provide electronically to you through your DocuSign user account all required notices, disclosures, authorizations, acknowledgments, and other documents that are required to be provided or made available to you during the course of our relationship with you. To reduce the chance of you inadvertently not receiving any notice or disclosure, we prefer to provide all of the required notices and disclosures to you by the same method and to the same address that you have given us. Thus, you can receive all the disclosures and notices electronically or in paper format through the paper mail delivery system. If you do not agree with this process, please let us know as described below. Please also see the paragraph immediately above that describes the consequences of your electing not to receive delivery of the notices and disclosures electronically from us. How to contact Pitkin County: You may contact us to let us know of your changes as to how we may contact you electronically, to request paper copies of certain information from us, and to withdraw your prior consent to receive notices and disclosures electronically as follows: To contact us by email send messages to: susan.sullivan@pitkincounty.com To advise Pitkin County of your new e-mail address To let us know of a change in your e-mail address where we should send notices and disclosures electronically to you, you must send an email message to us at susan.sullivan@pitkincounty.com and in the body of such request you must state: your previous e-mail address, your new e-mail address . In addition, you must notify DocuSign, Inc to arrange for your new email address to be reflected in your DocuSign account by following the process for changing e-mail in DocuSign. To request paper or electronic copies from Pitkin County To request delivery from us of paper or electronic copies of the notices and disclosures previously provided by us to you electronically, you should request those documents from Pitkin County under the Colorado Open Records Act by contacting the Pitkin County custodian who sent you the document for signature. . To withdraw your consent with Pitkin County To inform us that you no longer want to receive future notices and disclosures in electronic format you may: i. decline to sign a document from within your DocuSign account, and on the subsequent page, select the check-box indicating you wish to withdraw your consent, or you may; ii. send us an e-mail to susan.sullivan@pitkincounty.com and in the body of such request you must state your e-mail, full name, Postal Address, telephone number, and account number.