Washington, D.C.



1.0General InformationPlease provide background information about your organization and requested services needed from OCTO DC-Net. Complete one intake form per location.1.1Organization Name1.2Service Address Location(Include street address, suite, city, state, and zip.)1.3Is the service address in a condition for survey? If no, explain why and when it will be ready.1.4Are you moving from an existing location?(If yes, provide street address, suite, city, state and zip.)1.5Organization Point of Contact(First and last name, title, email, and mobile phone number)1.6When does your organization need service(s) activated?(For example: 60 days from payment, specific date, 30 days before specific event, etc.)1.7Description and scope of services requested.?1.8Why is the service request needed?(For example, new site, relocation, building renovations, new staff added, in-building expansion to new floor or suite, etc.)2.0Funding Source DetailsPlease note: If funding is required, include the source and funding vehicle.If your agency is acquiring materials and/or services, include source, quantities, and model numbers.Include materials and professional services that may be required to complete your service request. For example, capital funds, RTS, existing stock, MOU, tenant improvement funding, etc.2.1What fiscal year and quarter will funding be available?2.2How will network equipment (router, switch, etc.) be funded or acquired?2.3How will wireless equipment (access points, controller, etc.) be funded or acquired?2.4How will phone sets be funded or acquired?(Typically, this is via RTS.)2.5How will electrical work (power placement) be funded? If self-funded, what is name of vendor?2.6How will outside plant work (outside fiber installation) be funded?2.7How will inside plant core infrastructure work (fiber riser, racks, etc.) be funded?If self-funded, what is the name of the vendor?2.8How will inside plant low voltage cabling work (LAN switch to wireless access point or phone set, etc.) be funded? If self-funded, what is the name of the vendor?2.9How will DC-Net professional services be funded?3.0Data and Wireless ServicesIf services are not required, mark answers as N/A.3.1What data/bandwidth speed is needed?(None, 10 Mbps, 20 Mbps, 50 Mbps, 100 Mbps, 1 Gbps, other)3.2Will the general public need access to your network at this location? If yes, explain.(Example: DPR sites have public and staff-only circuits.)3.3What remote network resources do you require?(Example: Route requests, access to a 3rd party vendor, etc.)3.4Does your network require encryption? If yes, explain.(Note: Encryption requires additional hardware.)3.5Are DGS Protective Services Division (PSD) access security circuits required? If yes, explain.3.6Is indoor Wi-Fi service required?3.7Is outdoor Wi-Fi service required? If yes, please provide a coverage map of the area.3.8Number of data users/drops per floor/suite.Floor/SuiteUsers/Drops4.0Voice Products and ServicesProvide voice information for requested location only.If services are not required, mark answers as N/A.4.1Are voice services required? If yes, explain.(Note: Number of users, number of floors, etc.)4.2Voice DetailsExisting QuantityNew Quantity4.2.aDesktop phone sets4.2.bVideo desktop phone sets4.onference phone sets4.2.dVoicemail accounts4.2.eTelephone numbers4.2.fAnalog lines4.2.gVerizon Lines (Note: New lines must be for life safety and alarms only.)4.3Is call tree/routing required? If yes, provide script and telephone numbers.5.0Call Center ServicesIf services are not required, mark answers as N/A.5.1Is a call center required? If yes, explain. ?5.2Number of agents?5.3Call recording?5.4Active call monitoring?5.5Dashboard?6.0Miscellaneous Services If services are not required, mark answers as N/A.6.1Do you require eFax accounts? If yes, how many?6.2Do you require Webex accounts? If yes, how many?6.3Are video teleconferencing systems required? If yes, explain.(For example: Desktop video, conference room video systems, etc.)6.4Are third-party Internet of Things (IoT) circuits required? If yes, explain.(Example: Building Automation Systems, HVAC units, air quality sensors, etc. that need static IPs and direct internet connection.)?7.0Equipment EnvironmentPlease provide available details about equipment location, space, power, and cooling needs.7.1Where is the main telecom room that can accommodate new network equipment? What are the dimensions of the room?(Note: DC-Net requires at least 8’ x 10,’ but may require more space depending on the network requirements.)?7.2Can the telecom room accommodate one or more racks with at least 39” of open space on three sides?7.3Does the proposed telecom room have a ground/bus bar?7.4Is there an emergency generator on the premise that can accommodate DC-Net equipment? If yes, does it have spare 30A or 50A breakers?7.5Is our standard battery uptime of 2 hours sufficient? If no, explain.?7.6Does the telecom room proposed have existing HVAC?(Note: customer is responsible to provide sufficient HVAC for DC-Net network equipment.)7.7Is there an existing or predetermined cable pathway between the main telecom room and the customer space (suite, floor, etc.)?8.0Cabling ResponsibilitiesPlease provide details about who is responsible for various cabling requirements.If services are not required, mark answers as N/A.8.1Is cable vendor responsible for the fiber runs (riser) connecting each telecom closet to the main telecom room??8.2Is cable vendor responsible for all horizontal copper/ethernet runs??8.3Who is responsible for supplying and patching ethernet cables in telecom closets??8.4Is cable vendor responsible for 25-pair (cat-3) riser from each telecom closet to the main telecom room and terminating to a RJ-45 Panels on each end (analog voice services)??8.5Is cable vendor responsible for Wireless Access Point cable runs??8.6Is cable vendor responsible for Wireless Access Point installations??9.0Additional NotesDo you have additional information you want to share about your service request? ................
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