[Attachment F] SMC Order Form
Tennessee Educational Broadband Consortium
Multiple Award Schedule
State Master Contract Order Form
This agreement ("Agreement") is entered into between Hickman County School District ("Customer")
and Central Technologies ("Service Provider"), for E-Rate Category 2 purchases. For good and valuable
consideration, including the mutual promises contained herein, Customer orders from the Service
Provider the services identified below and/or in Attachment A to this Agreement ("Service"). Customer
and Service Provider agree that the Service shall be provided pursuant to the rates, charges, terms and
conditions set forth in 33104-00420 Central Technologies.
Service Ordered by Customer:
IDENTIFY REQUESTED SERVICE(S) HEREIN AND/OR IN ATTACHMENT A
The selected Service period is MIBS (July 1, 2026 - June 30, 2031). Unless otherwise agreed upon in
writing, the Service period shall commence upon service installation.
Requested Service Commencement Date(s): July 1, 2026
If this Agreement is cancelled or terminated prior to Service Installation, cancellation charges will apply
as set forth in the Master Contract (if applicable).
Customer may seek Universal Service Fund funding pursuant to the rules and regulations associated
with the E-Rate program.
Customer further warrants and represents that Customer is authorized to enter into this Agreement and
to order Service pursuant to the Master Contract. There are no other terms and conditions allowed
pursuant to this agreement other than those present in the underlying State Master Contract. Customer
further warrants and represents that this Agreement complies with all applicable procurement laws
and/or requirements.
This Agreement is effective when executed by Customer. Submission of a quote at the request of the
Customer constitutes the Service Provider's intent to proceed upon acceptance of the Customer. This
Agreement is subject to and controlled by the provisions of the State Master Contract, including any
amendments as may be made from time to time.
Customer Name:
Accepted by [VENDOR NAME]:
Print Name: Belinda Anderson
Print Name:
By: Belinda Anderson
By:
Title: Intern Diretor of Schools
Title:
Date:
MAR 24 2026
Date:
Updated: 12/15/2025
This is not a contract. The SMC Order Form is to memorialize that & minibid was conducted to ssiect a service provider from the
multiple award State Master Contracts Tennessee Education Broadband Consortium (TEBC) for specific products/services. No
additional terms and conditions CBA be added to this document, per the TEBC Master Contracts.
[Attachment F] SMC Order Form
ATTACHMENT A
Quantity
Name of Product or Service
Name of Applicant
N
E-Rate Funding Year 2026
[Attachment A] TEBC Mini-Bld Service/Equipment List
Company Name
Center Crize
Company SPIN 1498 ID):
BRODER INFORMATION: no be
1 " -
Contact Name
Ndar WILL
Contact E-mail:
Contact Phone
To Be
To Be Comple led by
To Be Complete by Applicant
Completed
Vendor
Invender
Description (leased
Estimated
E-Rate eligible
School/Bullding Name (optional)
TEBC Product C stegory
Manufacturer Name
equipment or Applicant
Model Number (SKU)
Quantity
% SKU
owned)
MIBS
ARUBA
:
0011
1
Anita savy HOM VIA with
D
100%
ARUBA
PMITCH
Artie 2930/6200
55
100%
ARUMA
SWITCH
V
100%
ARUMA
All
AP NN 555
340
100%
ARUDA
AP
AR3333
10
102%
Monthly Recurring Cost
$
2,500
You Arnual
$
24,000
"To Be
Completed by
Years 2-5 Anns
$9,000
Compatibitity/Interoparability Requirements
Vendor
If vendors are biothing an "equivatent" product time the: Is different than what IS listed in Column C, the product rest be
equivatent in quality and functionality, and must be fully and compatible with the applicant existing
equipment/systeme which are BN follows
BA
MAR 2 4 2026
Updated: 12/15/2025
'This is not 8 contract The SMC Order / orm is to memorialize that 8 mini-bid was conducted to select a service provider from the
multiple award State Master Contracts - Tennessee Education Broadband Consortium (TEBC) for specific products/services. No
additional terms and conditions can be added to this document, per the TEBC Master Contracts.

## Table 1

|  | Customer Name: | Accepted by [VENDOR NAME]: |
| --- | --- | --- |
| Print | Name: Belinda Anderson | Print Name: |
| By: | Belinda Anderson | By: |
| Title: | Intern Diretor of Schools | Title: |
| Date: | MAR 24 2026 | Date: |

## Table 2

|  | Company Name | Center Crize |
| --- | --- | --- |
|  | Company SPIN 1498 ID): |  |
| BRODER INFORMATION: no be 1 " - | Contact Name | Ndar WILL |
|  | Contact E-mail: |  |
|  | Contact Phone |  |

## Table 3

|  |  | To Be Complete by | Applicant |  |  | To Be Completed Invender | To Be Comple led by Vendor |
| --- | --- | --- | --- | --- | --- | --- | --- |
| School/Bullding Name (optional) | TEBC Product C stegory | Manufacturer Name | Description (leased equipment or Applicant owned) | Model Number (SKU) | Estimated Quantity | E-Rate eligible % SKU |  |
|  | MIBS | ARUBA | : 0011 1 | Anita savy HOM VIA with | D | 100% |  |
|  |  | ARUBA | PMITCH | Artie 2930/6200 | 55 | 100% |  |
|  |  | ARUMA | SWITCH |  | V | 100% |  |
|  |  | ARUMA | All | AP NN 555 | 340 | 100% |  |
|  |  | ARUDA | AP | AR3333 | 10 | 102% |  |
|  |  |  |  | Monthly Recurring Cost | $ 2,500 | You Arnual | $ 24,000 |