<p> SPO VL CONTRACT NO. 12-12 UNIFORM REQUEST FOR QUOTES FURNISH, DELIVER, INSTALL, AND MANAGE NETWORK AND TELECOMMUNCIATIONS SERVICES</p><p>SECTION 1 - AGENCY TO COMPLETE: DATE: VENDORS INVITED TO SUBMIT QUOTES: Hawaiian Telcom, Inc. Sprint Communications Co. L.P. Level 3 Communications, LLC</p><p>STATE CONTACT INFORMATION: Department: Division/Agency: Contact Person: Phone: Fax: Email: Address: </p><p>QUOTE DUE DATE: </p><p>SCOPE OF SERVICES: Additional Pages Attached </p><p>Submit Quote via: Email Fax US Postal</p><p>TERM OF SERVICES: 1 year 3 years 5 years Other: </p><p>SECTION 2 - VENDOR TO COMPLETE: VENDOR CONTACT INFORMATION: Company Name: Company Representative: Title: Phone: Fax: Email: Address: </p><p>QUOTE: $ +GET $ (4.5% for Oahu; 4.0% for Hawaii, Maui, Kauai, Lanai, Molokai) +FEES/SURCHARGES $ (fees/surcharges are estimated and may be subject to change) = TOTAL QUOTE $ </p><p>ADDITIONAL INFORMATION: Additional Pages Attached </p><p>Quote shall remains firm for days</p><p>All quotes shall be signed and dated by an authorized individual of the company. </p><p>Signature: Date: </p><p>Printed Name: Printed Title: SECTION 3 – STATE ACCEPTANCE, if any: By signing below, the Department/Division/Agency stated in Section 1 above has selected the vendor stated in Section 2 above to provide services under SPO VL Contract No. 12-12. </p><p>Signature: Date: </p><p>Printed Name Printed Title: Furnish, Deliver, Install, and Manage 7 SPO VL Contract No. 12-12 Network and Telecommunications Services 11/01/2012-10/31/2017 </p>