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Base Year
**PLEASE FILL IN TAN SECTIONS ONLY**
| Date: | | | | BASE YEAR | | | |
| Contractor/cage: | | | | | | | |
| Pricing Schedule | | | | | | | |
| 128th Air Refueling Wing, WI | | | | CLIN 0001 (FFP) | CLIN 0002 (FFP) | | CLIN 0003 (FFP) |
| Services & Function Items | | | | Non-Recurring Charges | Recurring Charges | | Cutover |
| SLIN | DESCRIPTION | Unit of Issue | Quantity | Annual Total NRC | Per Unit Monthly | Total Monthly | |
| A | | Installation and Cutover (PWS Para. 4.3) | | | |
| A | A | Installation (PWS Para 4.3.1) | EA | 1 | $ - 0 |
| A | B | Cutover (PWS Para 4.3.2) | EA | 1 | $ - 0 |
| | Customer Service Records | | | |
| A | C | Customer Services Record (CSR) | EA | 11 | $ - 0 |
| | Trunking Traffic Study/Analysis Report | | | |
| A | D | City Trunk Traffic Analysis Study with Report | EA | 5 | $ - 0 |
| A | E | Higher Bandwidth Transport Circuit Traffic Analysis Study, DS1 and Higher with Report | EA | 5 | $ - 0 |
| A | F | Taxes, Fees and Surcharges | EA | 1 | $ - 0 |
| A | G | - AZ Reserved | | | |
| | Invoice Reconciliation Report | | | | | |
| A | F | Invoice Reconciliation Report (IRR) | EA | 5 | $ - 0 | $ - 0 | $ - 0 |
| A | G | - AZ Reserved | | | | | |
| B | | Direct Inward Dial Directory Number (PWS Appendix 1, Para 5.2) | | | | | |
| B | A | DID Directory Number | HD | 9 | $ - 0 | $ - 0 | $ - 0 |
| B | B | Direct Inward Dial (DID) Directory Number Portability | HD | 9 | $ - 0 | $ - 0 | $ - 0 |
| B | D | Taxes, Fees and Surcharges | EA | 1 | $ - 0 | $ - 0 | $ - 0 |
| B | E | - BZ Reserved | | | | | |
| C | | Commercial Subscriber Lines (PWS Appendix 1, Para 5.3.1) | | | | | |
| C | A | Flat Rate, Basic Services, Analog | EA | 1 | $ - 0 | $ - 0 | $ - 0 |
| C | D | Taxes, Fees and Surcharges | EA | 1 | $ - 0 | $ - 0 | $ - 0 |
| C | E | - CZ Reserved | | | | | |
| D | | Local Exchange Digital ISDN (PRI) (PWS Appendix 1, Para 5.4.3) | | | | | |
| D | A | ISDN Primary Rate Interface | EA | 1 | $ - 0 | $ - 0 | $ - 0 |
| D | B | PRI Individual D-Channel | EA | 1 | $ - 0 | $ - 0 | $ - 0 |
| D | C | Flat Rate, Basic Services, PRI Individual B-Channel 2 Way (2W) | EA | 23 | $ - 0 | $ - 0 | $ - 0 |
| D | D | Local Number Portability Pool Fee | EA | 1 | $ - 0 | $ - 0 | $ - 0 |
| D | G | Taxes, Fees and Surcharges | EA | 1 | $ - 0 | $ - 0 | $ - 0 |
| D | H | - DZ Reserved | | | | | |
| | Hot or Direct Lines | | | | | |
| E | A | Direct Line Conneciton and equipment | EA | 1 | $ - 0 | $ - 0 | $ - 0 |
| E | B | Hot Line Mileage - Per Mile | MI | 3 | $ - 0 | $ - 0 | $ - 0 |
| E | C | EZ Reserved | | | | | |
| F | | Public Listings (PWS Appendix 1, Para 5.9) | | | | | |
| F | A | Public Listings | EA | 1 | $ - 0 | $ - 0 | $ - 0 |
| F | B | Taxes, Fees and Surcharges | EA | 1 | $ - 0 | $ - 0 | $ - 0 |
| F | C | - FZ Reserved | | | | | |
Total $ - 0 $ - 0 $ - 0 $ - 0
Data Items 3, 4, & 6 are N/A after 1st year; once it is ordered, it is good for life of contract.
Include all items in service at the conclusion of cutover These are one-time expenses to invoke additional services not present at the end of cutover. The qtys are not cumulative.
These are recurring expenses to maintain existing services. The 1st year qtys should equal the cutover qty plus first year N/R. Out-year qtys are cumulative and should equal the sum of CLINs 1 & 2. Unit prices are for 1 month, not 12.
Option Yr 1
**PLEASE FILL IN TAN SECTIONS ONLY**
| Date: | | | | OPTION YEAR 1 | | |
| Contractor/cage: | | | | | | |
| Pricing Schedule | | | | | | |
| 128th Air Refueling Wing, WI | | | | CLIN 1001 (FFP) | CLIN 1002 (FFP) | |
| Services & Function Items | | | | Non-Recurring Charges | Recurring Charges | |
| SLIN | DESCRIPTION | Unit of Issue | Quantity | Annual Total NRC | Per Unit Monthly | Total Monthly |
| A | | Installation and Cutover (PWS Para. 4.3) | | |
| A | A | Installation (PWS Para 4.3.1) | EA | 1 |
| A | B | Cutover (PWS Para 4.3.2) | EA | 1 |
| | Customer Service Records | | | |
| A | C | Customer Services Record (CSR) | EA | 11 | $ - 0 |
| | Trunking Traffic Study/Analysis Report | | | |
| A | D | City Trunk Traffic Analysis Study with Report | EA | 5 | $ - 0 |
| A | E | Higher Bandwidth Transport Circuit Traffic Analysis Study, DS1 and Higher with Report | EA | 5 | $ - 0 |
| A | F | Taxes, Fees and Surcharges | EA | 1 | $ - 0 |
| A | G | - AZ Reserved | | | |
| | Invoice Reconciliation Report | | | | | |
| A | F | Invoice Reconciliation Report (IRR) | EA | 5 | $ - 0 | $ - 0 | $ - 0 |
| A | G | - AZ Reserved | | | | | |
| B | | Direct Inward Dial Directory Number (PWS Appendix 1, Para 5.2) | | | | | |
| B | A | DID Directory Number | HD | 9 | $ - 0 | $ - 0 | $ - 0 |
| B | B | Direct Inward Dial (DID) Directory Number Portability | HD | 9 | $ - 0 | $ - 0 | $ - 0 |
| B | D | Taxes, Fees and Surcharges | EA | 1 | $ - 0 | $ - 0 | $ - 0 |
| B | E | - BZ Reserved | | | | | |
| C | | Commercial Subscriber Lines (PWS Appendix 1, Para 5.3.1) | | | | | |
| C | A | Flat Rate, Basic Services, Analog | EA | 1 | $ - 0 | $ - 0 | $ - 0 |
| C | D | Taxes, Fees and Surcharges | EA | 1 | $ - 0 | $ - 0 | $ - 0 |
| C | E | - CZ Reserved | | | | | |
| D | | Local Exchange Digital ISDN (PRI) (PWS Appendix 1, Para 5.4.3) | | | | | |
| D | A | ISDN Primary Rate Interface | EA | 1 | $ - 0 | $ - 0 | $ - 0 |
| D | B | PRI Individual D-Channel | EA | 1 | $ - 0 | $ - 0 | $ - 0 |
| D | C | Flat Rate, Basic Services, PRI Individual B-Channel 2 Way (2W) | EA | 23 | $ - 0 | $ - 0 | $ - 0 |
| D | D | Local Number Portability Pool Fee | EA | 1 | $ - 0 | $ - 0 | $ - 0 |
| D | G | Taxes, Fees and Surcharges | EA | 1 | $ - 0 | $ - 0 | $ - 0 |
| D | H | - DZ Reserved | | | | | |
| | Hot or Direct Lines | | | | | |
| E | A | Direct Line Conneciton and equipment | EA | 1 | $ - 0 | $ - 0 | $ - 0 |
| E | B | Hot Line Mileage - Per Mile | MI | 3 | $ - 0 | $ - 0 | $ - 0 |
| E | C | EZ Reserved | | | | | |
| F | | Public Listings (PWS Appendix 1, Para 5.9) | | | | | |
| F | A | Public Listings | EA | 1 | $ - 0 | $ - 0 | $ - 0 |
| F | B | Taxes, Fees and Surcharges | EA | 1 | $ - 0 | $ - 0 | $ - 0 |
| F | C | - FZ Reserved | | | | | |
Total $ - 0 $ - 0 $ - 0
Data Items 3, 4, & 6 are N/A after 1st year; once it is ordered, it is good for life of contract.
Include all items in service at the conclusion of cutover These are one-time expenses to invoke additional services not present at the end of cutover. The qtys are not cumulative.
These are recurring expenses to maintain existing services. The 1st year qtys should equal the cutover qty plus first year N/R. Out-year qtys are cumulative and should equal the sum of CLINs 1 & 2. Unit prices are for 1 month, not 12.
Option Yr 2
**PLEASE FILL IN TAN SECTIONS ONLY**
| Date: | | | | OPTION YEAR 2 | | |
| Contractor/cage: | | | | | | |
| Pricing Schedule | | | | | | |
| 128th Air Refueling Wing, WI | | | | CLIN 2001 (FFP) | CLIN 2002 (FFP) | |
| Services & Function Items | | | | Non-Recurring Charges | Recurring Charges | |
| SLIN | DESCRIPTION | Unit of Issue | Quantity | Annual Total NRC | Per Unit Monthly | Total Monthly |
| A | | Installation and Cutover (PWS Para. 4.3) | | |
| A | A | Installation (PWS Para 4.3.1) | EA | 1 |
| A | B | Cutover (PWS Para 4.3.2) | EA | 1 |
| | Customer Service Records | | | |
| A | C | Customer Services Record (CSR) | EA | 11 | $ - 0 |
| | Trunking Traffic Study/Analysis Report | | | |
| A | D | City Trunk Traffic Analysis Study with Report | EA | 5 | $ - 0 |
| A | E | Higher Bandwidth Transport Circuit Traffic Analysis Study, DS1 and Higher with Report | EA | 5 | $ - 0 |
| A | F | Taxes, Fees and Surcharges | EA | 1 | $ - 0 |
| A | G | - AZ Reserved | | | |
| | Invoice Reconciliation Report | | | | | |
| A | F | Invoice Reconciliation Report (IRR) | EA | 5 | $ - 0 | $ - 0 | $ - 0 |
| A | G | - AZ Reserved | | | | | |
| B | | Direct Inward Dial Directory Number (PWS Appendix 1, Para 5.2) | | | | | |
| B | A | DID Directory Number | HD | 9 | $ - 0 | $ - 0 | $ - 0 |
| B | B | Direct Inward Dial (DID) Directory Number Portability | HD | 9 | $ - 0 | $ - 0 | $ - 0 |
| B | D | Taxes, Fees and Surcharges | EA | 1 | $ - 0 | $ - 0 | $ - 0 |
| B | E | - BZ Reserved | | | | | |
| C | | Commercial Subscriber Lines (PWS Appendix 1, Para 5.3.1) | | | | | |
| C | A | Flat Rate, Basic Services, Analog | EA | 1 | $ - 0 | $ - 0 | $ - 0 |
| C | D | Taxes, Fees and Surcharges | EA | 1 | $ - 0 | $ - 0 | $ - 0 |
| C | E | - CZ Reserved | | | | | |
| D | | Local Exchange Digital ISDN (PRI) (PWS Appendix 1, Para 5.4.3) | | | | | |
| D | A | ISDN Primary Rate Interface | EA | 1 | $ - 0 | $ - 0 | $ - 0 |
| D | B | PRI Individual D-Channel | EA | 1 | $ - 0 | $ - 0 | $ - 0 |
| D | C | Flat Rate, Basic Services, PRI Individual B-Channel 2 Way (2W) | EA | 23 | $ - 0 | $ - 0 | $ - 0 |
| D | D | Local Number Portability Pool Fee | EA | 1 | $ - 0 | $ - 0 | $ - 0 |
| D | G | Taxes, Fees and Surcharges | EA | 1 | $ - 0 | $ - 0 | $ - 0 |
| D | H | - DZ Reserved | | | | | |
| | Hot or Direct Lines | | | | | |
| E | A | Direct Line Conneciton and equipment | EA | 1 | $ - 0 | $ - 0 | $ - 0 |
| E | B | Hot Line Mileage - Per Mile | MI | 3 | $ - 0 | $ - 0 | $ - 0 |
| E | C | EZ Reserved | | | | | |
| F | | Public Listings (PWS Appendix 1, Para 5.9) | | | | | |
| F | A | Public Listings | EA | 1 | $ - 0 | $ - 0 | $ - 0 |
| F | B | Taxes, Fees and Surcharges | EA | 1 | $ - 0 | $ - 0 | $ - 0 |
| F | C | - FZ Reserved | | | | | |
Total $ - 0 $ - 0 $ - 0
Data Items 3, 4, & 6 are N/A after 1st year; once it is ordered, it is good for life of contract.
Include all items in service at the conclusion of cutover These are one-time expenses to invoke additional services not present at the end of cutover. The qtys are not cumulative.
These are recurring expenses to maintain existing services. The 1st year qtys should equal the cutover qty plus first year N/R. Out-year qtys are cumulative and should equal the sum of CLINs 1 & 2. Unit prices are for 1 month, not 12.
Option Yr 3
**PLEASE FILL IN TAN SECTIONS ONLY**
| Date: | | | | OPTION YEAR 3 | | |
| Contractor/cage: | | | | | | |
| Pricing Schedule | | | | | | |
| 128th Air Refueling Wing, WI | | | | CLIN 3001 (FFP) | CLIN 3002 (FFP) | |
| Services & Function Items | | | | Non-Recurring Charges | Recurring Charges | |
| SLIN | DESCRIPTION | Unit of Issue | Quantity | Annual Total NRC | Per Unit Monthly | Total Monthly |
| A | | Installation and Cutover (PWS Para. 4.3) | | |
| A | A | Installation (PWS Para 4.3.1) | EA | 1 |
| A | B | Cutover (PWS Para 4.3.2) | EA | 1 |
| | Customer Service Records | | | |
| A | C | Customer Services Record (CSR) | EA | 11 | $ - 0 |
| | Trunking Traffic Study/Analysis Report | | | |
| A | D | City Trunk Traffic Analysis Study with Report | EA | 5 | $ - 0 |
| A | E | Higher Bandwidth Transport Circuit Traffic Analysis Study, DS1 and Higher with Report | EA | 5 | $ - 0 |
| A | F | Taxes, Fees and Surcharges | EA | 1 | $ - 0 |
| A | G | - AZ Reserved | | | |
| | Invoice Reconciliation Report | | | | | |
| A | F | Invoice Reconciliation Report (IRR) | EA | 5 | $ - 0 | $ - 0 | $ - 0 |
| A | G | - AZ Reserved | | | | | |
| B | | Direct Inward Dial Directory Number (PWS Appendix 1, Para 5.2) | | | | | |
| B | A | DID Directory Number | HD | 9 | $ - 0 | $ - 0 | $ - 0 |
| B | B | Direct Inward Dial (DID) Directory Number Portability | HD | 9 | $ - 0 | $ - 0 | $ - 0 |
| B | D | Taxes, Fees and Surcharges | EA | 1 | $ - 0 | $ - 0 | $ - 0 |
| B | E | - BZ Reserved | | | | | |
| C | | Commercial Subscriber Lines (PWS Appendix 1, Para 5.3.1) | | | | | |
| C | A | Flat Rate, Basic Services, Analog | EA | 1 | $ - 0 | $ - 0 | $ - 0 |
| C | D | Taxes, Fees and Surcharges | EA | 1 | $ - 0 | $ - 0 | $ - 0 |
| C | E | - CZ Reserved | | | | | |
| D | | Local Exchange Digital ISDN (PRI) (PWS Appendix 1, Para 5.4.3) | | | | | |
| D | A | ISDN Primary Rate Interface | EA | 1 | $ - 0 | $ - 0 | $ - 0 |
| D | B | PRI Individual D-Channel | EA | 1 | $ - 0 | $ - 0 | $ - 0 |
| D | C | Flat Rate, Basic Services, PRI Individual B-Channel 2 Way (2W) | EA | 23 | $ - 0 | $ - 0 | $ - 0 |
| D | D | Local Number Portability Pool Fee | EA | 1 | $ - 0 | $ - 0 | $ - 0 |
| D | G | Taxes, Fees and Surcharges | EA | 1 | $ - 0 | $ - 0 | $ - 0 |
| D | H | - DZ Reserved | | | | | |
| | Hot or Direct Lines | | | | | |
| E | A | Direct Line Conneciton and equipment | EA | 1 | $ - 0 | $ - 0 | $ - 0 |
| E | B | Hot Line Mileage - Per Mile | MI | 3 | $ - 0 | $ - 0 | $ - 0 |
| E | C | EZ Reserved | | | | | |
| F | | Public Listings (PWS Appendix 1, Para 5.9) | | | | | |
| F | A | Public Listings | EA | 1 | $ - 0 | $ - 0 | $ - 0 |
| F | B | Taxes, Fees and Surcharges | EA | 1 | $ - 0 | $ - 0 | $ - 0 |
| F | C | - FZ Reserved | | | | | |
Total $ - 0 $ - 0 $ - 0
Data Items 3, 4, & 6 are N/A after 1st year; once it is ordered, it is good for life of contract.
Include all items in service at the conclusion of cutover These are one-time expenses to invoke additional services not present at the end of cutover. The qtys are not cumulative.
These are recurring expenses to maintain existing services. The 1st year qtys should equal the cutover qty plus first year N/R. Out-year qtys are cumulative and should equal the sum of CLINs 1 & 2. Unit prices are for 1 month, not 12.
Option Yr 4
**PLEASE FILL IN TAN SECTIONS ONLY**
| Date: | | | | OPTION YEAR 4 | | |
| Contractor/cage: | | | | | | |
| Pricing Schedule | | | | | | |
| 128th Air Refueling Wing, WI | | | | CLIN 4001 (FFP) | CLIN 4002 (FFP) | |
| Services & Function Items | | | | Non-Recurring Charges | Recurring Charges | |
| SLIN | DESCRIPTION | Unit of Issue | Quantity | Annual Total NRC | Per Unit Monthly | Total Monthly |
| A | | Installation and Cutover (PWS Para. 4.3) | | |
| A | A | Installation (PWS Para 4.3.1) | EA | 1 |
| A | B | Cutover (PWS Para 4.3.2) | EA | 1 |
| | Customer Service Records | | | |
| A | C | Customer Services Record (CSR) | EA | 11 | $ - 0 |
| | Trunking Traffic Study/Analysis Report | | | |
| A | D | City Trunk Traffic Analysis Study with Report | EA | 5 | $ - 0 |
| A | E | Higher Bandwidth Transport Circuit Traffic Analysis Study, DS1 and Higher with Report | EA | 5 | $ - 0 |
| A | F | Taxes, Fees and Surcharges | EA | 1 | $ - 0 |
| A | G | - AZ Reserved | | | |
| | Invoice Reconciliation Report | | | | | |
| A | F | Invoice Reconciliation Report (IRR) | EA | 5 | $ - 0 | $ - 0 | $ - 0 |
| A | G | - AZ Reserved | | | | | |
| B | | Direct Inward Dial Directory Number (PWS Appendix 1, Para 5.2) | | | | | |
| B | A | DID Directory Number | HD | 9 | $ - 0 | $ - 0 | $ - 0 |
| B | B | Direct Inward Dial (DID) Directory Number Portability | HD | 9 | $ - 0 | $ - 0 | $ - 0 |
| B | D | Taxes, Fees and Surcharges | EA | 1 | $ - 0 | $ - 0 | $ - 0 |
| B | E | - BZ Reserved | | | | | |
| C | | Commercial Subscriber Lines (PWS Appendix 1, Para 5.3.1) | | | | | |
| C | A | Flat Rate, Basic Services, Analog | EA | 1 | $ - 0 | $ - 0 | $ - 0 |
| C | D | Taxes, Fees and Surcharges | EA | 1 | $ - 0 | $ - 0 | $ - 0 |
| C | E | - CZ Reserved | | | | | |
| D | | Local Exchange Digital ISDN (PRI) (PWS Appendix 1, Para 5.4.3) | | | | | |
| D | A | ISDN Primary Rate Interface | EA | 1 | $ - 0 | $ - 0 | $ - 0 |
| D | B | PRI Individual D-Channel | EA | 1 | $ - 0 | $ - 0 | $ - 0 |
| D | C | Flat Rate, Basic Services, PRI Individual B-Channel 2 Way (2W) | EA | 23 | $ - 0 | $ - 0 | $ - 0 |
| D | D | Local Number Portability Pool Fee | EA | 1 | $ - 0 | $ - 0 | $ - 0 |
| D | G | Taxes, Fees and Surcharges | EA | 1 | $ - 0 | $ - 0 | $ - 0 |
| D | H | - DZ Reserved | | | | | |
| | Hot or Direct Lines | | | | | |
| E | A | Direct Line Conneciton and equipment | EA | 1 | $ - 0 | $ - 0 | $ - 0 |
| E | B | Hot Line Mileage - Per Mile | MI | 3 | $ - 0 | $ - 0 | $ - 0 |
| E | C | EZ Reserved | | | | | |
| F | | Public Listings (PWS Appendix 1, Para 5.9) | | | | | |
| F | A | Public Listings | EA | 1 | $ - 0 | $ - 0 | $ - 0 |
| F | B | Taxes, Fees and Surcharges | EA | 1 | $ - 0 | $ - 0 | $ - 0 |
| F | C | - FZ Reserved | | | | | |
Total $ - 0 $ - 0 $ - 0
Data Items 3, 4, & 6 are N/A after 1st year; once it is ordered, it is good for life of contract.
Include all items in service at the conclusion of cutover These are one-time expenses to invoke additional services not present at the end of cutover. The qtys are not cumulative.
Pricing Schedule Summary
**PLEASE FILL IN TAN SECTIONS ONLY**
| PRICING SUMMARY FOR |
| LOCAL TELECOMMUNICATIONS SERVICE |
| 128th Air Refueling Wing, WI |
BASE YEAR OPTION YEAR ONE OPTION YEAR TWO OPTION YEAR THREE OPTION YEAR FOUR OPTIONAL 6-MO EXTENSION
| | PRICING SUMMARY | | PRICING SUMMARY | | PRICING SUMMARY | | PRICING SUMMARY | | PRICING SUMMARY | | PRICING SUMMARY | |
| CLIN | Services & Function Items | MONTHLY | ANNUALLY | MONTHLY | ANNUALLY | MONTHLY | ANNUALLY | MONTHLY | ANNUALLY | MONTHLY | ANNUALLY | MONTHLY | ANNUALLY |
| 0001 | NON-RECURRING CHARGES (NRC) | | $0.00 | | $0.00 | | $0.00 | | $0.00 | | $0.00 | | $0.00 |
| 0002 | MONTHLY RECURRING CHARGES (MRC) | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 |
| 0003 | CUTOVER | | $0.00 | | | | | | | | | | |
TOTAL: $0.00 $0.00 $0.00 $0.00 $0.00 $0.00
BASE YEAR + ALL OPTION YEARS TOTAL: $0.00