School Name: Return by e-mail to: [email protected] Subject: ND SmartLab Information Request SmartLab ™ Information Request The person you appoint as the contact must be available during the critical four-week period before lab installation. In addition, please appoint a backup contact person. Please provide us with the following information to facilitate payment, shipping, installation, and training. General Information Main Contact Project Manager: Title: Phone: Email: Back up Contact Name: Title: Phone: Email: Physical Address of Install Site School: Address: City, ST, Zip: Principal: Phone: Contact person for e-mailed software licenses. Name: City, ST, Zip: Email: Address: Phone: SmartLab Choice (please see page 3 for cost estimates) Number of learners per session – capacity of the lab (please circle one)? 6 12 18 24 Grade Level (please circle one)? Elementary (K-5) 1. 2. Middle and Secondary (6-12) Both (K-12) Payment Options Purchase a ND SmartLab by paying the full cost of the ND SmartLab at the time of purchase, or Finance the purchase of a SmartLab over 5 years. Customer Decision: Does your school wish to pay CLS directly the full cost of the lab upfront, or does your school wish to finance the cost of a SmartLab through Government Capital (please circle one)? 1. Payment upfront 2. Finance with Government Capital Note: If you are financing a SmartLab the following forms must then be completed and submitted to Government Capital. o SmartLab Resolution o Government Capital North Dakota Muni Lease Template o CLS Credit Application 012116 1 School Name: Return by e-mail to: [email protected] Subject: ND SmartLab Information Request Curriculum and Support Agreement (CSA) The five year CSA may be paid at the time of purchase, whether paid in full or financed, or the CSA may be paid in installments over five years after the first full year* (and billed annually). *There is no CSA cost the first year as it is included in the SmartLab purchase price. Then, as stated, the CSA payment is due annually for the next five years or can be paid/financed up front. Elementary Lab: $2,000 Middle and Secondary: $3,000 Both: $3,000 Does your school plan to pay the entire five-year CSA upfront or annually (please circle one)? Important Consideration: AT-PURCHASE or ANNUALLY Install and Training Dates Install dates require a minimum of 6 weeks preparation time after CLS receives payment from either the school or Government Capital. Install and Training Dates: Please select your preference for your install dates. Installation will require two, full, consecutive days. st 1 Choice: _________________ 2nd Choice: _________________ 3rd Choice: _________________ Please select your preference for facilitator training dates. Note that training will not take place until the SmartLab is fully installed. Facilitator training will occur in a blended format. The facilitator candidate will complete the online portion of the training before the face-to-face portion. The face-to-face session will occur over two, full, consecutive days. 1st Choice: _________________ 2nd Choice: _________________ 3rd Choice: _________________ All furniture for the SmartLab is to be furnished by your school, including tables, chairs, and storage. Is it understood that the furniture must be installed prior to SmartLab install date? _______Yes _______ No Does your school have a loading dock? ___Yes ___ No (for use in unloading the SmartLab shipping container) Is the facility accessible for evening/weekend installation & training? _____Yes Are there any special security concerns? _____Yes - If yes, please detail below. _____No Superintendent Signature: Primary: Email: Secondary: Email: _____No Date: Facilitator Information Phone: Phone: Number of any additional facilitators at face to face training. ___________ School IT Personnel that will be accessible during install dates Name: Phone: Email: 2 School Name: Return by e-mail to: [email protected] Subject: ND SmartLab Information Request Cost Estimates* *Costs below are estimates; actual costs are set at the time of purchase by CLS and could be subject to additional financing charges. 6 Learner SmartLab Grades Lab Purchase Price Total Lab Cost if CSA is Estimated yearly cost if paid all up front. financed over five years with CSA included. K-12 $69,969 $81,969 $18,155.31 K-5 $35,723 $43,723 $9,684.21 6-12 $54,384 $66,348 $14,695.42 12 Learner SmartLab Grades K-12 K-5 6-12 18 Learner SmartLab Grades K-12 K-5 6-12 24 Learner SmartLab Grades K-12 K-5 6-12 Lab Purchase Price Total Lab Cost if CSA is paid all up front. $77,871 $42,355 $62,250 $89,871 $50,355 $74,250 Lab Purchase Price Total Lab Cost if CSA is paid all up front. $85,971 $50,485 $70,350 $97,971 $58,485 $82,350 Lab Purchase Price Total Lab Cost if CSA is paid all up front. $94,072 $55,955 $78,451 $106,072 $63,955 $90,451 Estimated yearly cost if financed over five years with CSA included. $19,905.53 $11,153.13 $16,445.63 Estimated yearly cost if financed over five years with CSA included. $21,699.60 $12,953.84 $18,239.70 Estimated yearly cost if financed over five years with CSA included. $23,493.89 $14,165.39 $20,033.99 Notice: As stated earlier in this document, all SmartLab installations have a required 5-year annual Curriculum Service Agreement (CSA) that begins one year after installation. K-5 SmartLabs’ CSA is $2,000 annually. 6-12 and K12 SmartLabs’ CSA is $3,000 annually. CSA’s may be paid at the time of purchase, whether paid by your school or financed by Government Capital or the CSA may be billed separately each year. 3
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