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Description of Services Ordered and Certification Form 471 FCC Form

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Description of Services Ordered and Certification Form 471 FCC Form OMB 3060-0806 Approval by OMB FCC Form 471 November 2015 Description of Services Ordered and Certification Form 471 FCC Form 471 Application Information Nickname 2019-20.Backbone Application Number 191032304 Funding Year 2019 Category of Service Category 1 Billed Entity Contact Information STATE OF NEB DEPT OF ADMIN SERVICES, OFF Tom Rolfes ICE OF THE CIO 402-471-7969 501 SOUTH 14TH ST PO BOX 95045 LINCOLN NE [email protected] 68509 - 5045 402-471-3560 [email protected] Billed Entity Number 225870 FCC Registration Number 0018343491 Applicant Type Consortium Consulting Firms Name Consultant City State Zip Phone Email Registration Code Number Number EDUCATIONAL SERVICE UNIT 10 16062372 KEARNEY NE 68848 308-237-5927 [email protected] EDUCATIONAL SERVICE UNIT NO 11 16062031 HOLDREGE NE 68949 308-995-6585 [email protected] ESU 5 Erate Services 17000014 Beatrice NE 68310 402-223-5277 [email protected] Educational Service Unit 2 17001273 Fremont NE 68026 402-721-7710 [email protected] Mary Gurney 17001967 Omaha NE 68154 402-760-2791 [email protected] ESU 9 Erate Consulting 17010836 Hastings NE 68901 402-463-5611 ESU8 17017906 Neligh NE 68756 402-887-5041 [email protected] Entity Information Consortium Entities School Entity - Details BEN Name Urban/ State State NCES Code Alternative School Attributes Endowment Rural LEA ID School ID Discount 78307 ST JOHN THE BAPTIST Rural None Pre-K; Private School None SCHOOL 78332 ST WENCESLAUS Rural None Private School $98,486.32 SCHOOL 78333 BISHOP NEUMANN HIGH Rural 780702001 None Private School $3,871 SCHOOL ,572.82 78341 ST JOHN ELEMENTARY Rural None Pre-K; Private School $170,000.00 SCHOOL Page 1 BEN Name Urban/ State State NCES Code Alternative School Attributes Endowment Rural LEA ID School ID Discount 78584 ST JOSEPH'S Rural None Private School None ELEMENTARY SCHOOL 78608 ST JAMES ELEMENTARY Rural None Pre-K; Private School $240,879.15 SCHOOL 78637 SACRED HEART Rural None Private School $3,215 SCHOOL ,969.00 78675 LOURDES CENTRAL Rural None Private School $2,400 SCHOOL ,000.00 78713 ST ANDREW Rural 490702001 None Private School $17,274.00 ELEMENTARY SCHOOL 78739 ST JOSEPH'S Rural None Private School $448,520.19 ELEMENTARY SCHOOL 78746 BLESSED SACRAMENT Urban 550701001 None Private School $513,385.28 SCHOOL 78752 SACRED HEART Urban None Private School $345,988.08 ELEMENTARY SCHOOL 78764 ST JOHN'S CATHOLIC Urban None Private School $966,301.27 SCHOOL 78766 ST JOSEPH Urban None Private School $2,967 ELEMENTARY SCHOOL ,829.82 78778 CATHEDRAL OF RISEN Urban None Private School $464,358.10 CHRIST SCH 78779 ST PATRICK Urban None Private School None ELEMENTARY SCHOOL 78792 ST MARY ELEMENTARY Urban None Pre-K; Private School $546,828.75 SCHOOL 78797 ST TERESA Urban None Private School $2,566 ELEMENTARY SCHOOL ,200.01 78805 LINCOLN PIUS X HIGH Urban None Private School $15,000 SCHOOL ,000.00 78811 ST PETER'S SCHOOL Urban None Pre-K; Private School $35,175.00 78825 NO AMERICAN Urban None Private School $335,959.99 MARTYRS SCHOOL 78884 AQUINAS HIGH SCHOOL Rural 120701001 None Private School $4,670 ,000.00 78885 ST MARY'S Rural None Private School $4,670 ELEMENTARY SCHOOL ,000.00 78894 POPE JOHN XXIII JR/SR Rural 02-07 02-0702-001 None Private School None HIGH SCHOOL 01-000 78915 HOLY FAMILY Rural 71-07 71-0706-002 N/A Private School None ELEMENTARY SCHOOL 06-000 78916 HOLY FAMILY HIGH Rural 71-07 71-0706-001 1951182 None Private School None SCHOOL 06-000 79175 CENTRAL CATHOLIC Urban 40-07 40-0701-001 None Private School None HIGH SCHOOL 01-000 79327 ST MICHAEL Rural None Private School $6,128 ELEMENTARY SCHOOL ,166.00 79329 ST CECILIA HIGH Rural None Private School $6,128 SCHOOL ,166.00 79404 ST PATRICK Rural None Private School $1,033 ELEMENTARY SCHOOL ,312.83 138331 EDUCATIONAL SERVICE Rural None ESA School District None UNIT NO 05 with no Schools; Public School 138400 EDUCATIONAL SERVICE Rural None ESA School District None UNIT NO 06 with no Schools; Public School Page 2 BEN Name Urban/ State State NCES Code Alternative School Attributes Endowment Rural LEA ID School ID Discount 138474 EDUCATIONAL SERVICE Rural 07000 000007000 None ESA School District None UNIT 07 with no Schools; Public School 138632 EDUCATIONAL SERVICE Rural 00-0 None ESA School District None UNIT NO.8 008 with no Schools; Public School 138702 EDUCATIONAL SERVICE Rural 00000100-00001-001 None ESA School; ESA None UNIT NO 01 School District with no Schools; Public School 138783 EDUCATIONAL SERVICE Urban None ESA School District None UNIT NO 10 with no Schools; Public School 138852 EDUCATIONAL SERVICE Rural None ESA School District None UNIT NO 09 with no Schools; Public School 138890 EDUCATIONAL SERVICE Rural 00-0011 None ESA School District None UNIT NO 11 with no Schools; Public School 139028 EDUCATIONAL SERVICE Rural None ESA School District None UNIT NO 16 with no Schools; Public School 139081 EDUCATIONAL SERVICE Rural 31 - 80170- None ESA School District None UNIT NO 17 17000 with no Schools; Public School 139199 EDUCATIONAL SERVICE Urban None ESA School; None UNIT NO 13 Public School 153029 ST CECILIA MIDDLE Rural N/A None SCHOOL 193279 AQUINAS MIDDLE Rural 120701003 N/A None SCHOOL 230058 SAINT VINCENT DE PAUL Rural None Private School $480,787.96 CATHOLIC SCHOOL 230059 ALL SAINTS SCHOOL Rural 690705001 None Private School $21,714.63 16062735 ST MICHAEL CATHOLIC Rural A1301846 None Pre-K; Private School $138,838.09 SCHOOL 138317 EDUCATIONAL SERVICE Urban None ESA School District None UNIT NO 03 with no Schools; Public School 16084376 EDUCATIONAL SERVICE Rural None ESA School District None UNIT 15 DISTRICT with no Schools; Public School 17000601 BROWNELL-TALBOT Urban Survey Private School None SCHOOL School Entity - Discount Rate Calculation Details BEN Name Urban/ Number of Students CEP Rural Students Count Based Percentage on Estimate 78307 ST JOHN THE BAPTIST SCHOOL Rural 166 N/A 78332 ST WENCESLAUS SCHOOL Rural 266 N/A 78333 BISHOP NEUMANN HIGH SCHOOL Rural 266 N/A 78341 ST JOHN ELEMENTARY SCHOOL Rural 67 N/A 78584 ST JOSEPH'S ELEMENTARY SCHOOL Rural 59 N/A 78608 ST JAMES ELEMENTARY SCHOOL Rural 80 N/A 78637 SACRED HEART SCHOOL Rural 198 N/A Page 3 BEN Name Urban/ Number of Students CEP Rural Students Count Based Percentage on Estimate 78675 LOURDES CENTRAL SCHOOL Rural 320 N/A 78713 ST ANDREW ELEMENTARY SCHOOL Rural 13 N/A 78739 ST JOSEPH'S ELEMENTARY SCHOOL Rural 91 N/A 78746 BLESSED SACRAMENT SCHOOL Urban 148 N/A 78752 SACRED HEART ELEMENTARY SCHOOL Urban 138 N/A 78764 ST JOHN'S CATHOLIC SCHOOL Urban 348 N/A 78766 ST JOSEPH ELEMENTARY SCHOOL Urban 453 N/A 78778 CATHEDRAL OF RISEN CHRIST SCH Urban 328 N/A 78779 ST PATRICK ELEMENTARY SCHOOL Urban 138 N/A 78792 ST MARY ELEMENTARY SCHOOL Urban 126 N/A 78797 ST TERESA ELEMENTARY SCHOOL Urban 229 N/A 78805 LINCOLN PIUS X HIGH SCHOOL Urban 1209 N/A 78811 ST PETER'S SCHOOL Urban 370 N/A 78825 NO AMERICAN MARTYRS SCHOOL Urban 496 N/A 78884 AQUINAS HIGH SCHOOL Rural 268 N/A 78885 ST MARY'S ELEMENTARY SCHOOL Rural 187 N/A 78894 POPE JOHN XXIII JR/SR HIGH SCHOOL Rural 133 N/A 78915 HOLY FAMILY ELEMENTARY SCHOOL Rural 0 N/A 78916 HOLY FAMILY HIGH SCHOOL Rural 101 N/A 79175 CENTRAL CATHOLIC HIGH SCHOOL Urban 275 N/A 79327 ST MICHAEL ELEMENTARY SCHOOL Rural 202 N/A 79329 ST CECILIA HIGH SCHOOL Rural 241 N/A 79404 ST PATRICK ELEMENTARY SCHOOL Rural 129 N/A 138331 EDUCATIONAL SERVICE UNIT NO 05 Rural 5117 N/A 138400 EDUCATIONAL SERVICE UNIT NO 06 Rural 13110 N/A 138474 EDUCATIONAL SERVICE UNIT 07 Rural 11747 N/A 138632 EDUCATIONAL SERVICE UNIT NO.8 Rural 9944 N/A 138702 EDUCATIONAL SERVICE UNIT NO 01 Rural 10631 N/A 138783 EDUCATIONAL SERVICE UNIT NO 10 Urban 28889 N/A 138852 EDUCATIONAL SERVICE UNIT NO 09 Rural 8867 N/A 138890 EDUCATIONAL SERVICE UNIT NO 11 Rural 4687 N/A 139028 EDUCATIONAL SERVICE UNIT NO 16 Rural 7905 N/A 139081 EDUCATIONAL SERVICE UNIT NO 17 Rural 1423 N/A 139199 EDUCATIONAL SERVICE UNIT NO 13 Urban 13391 N/A 153029 ST CECILIA MIDDLE SCHOOL Rural 0 N/A 193279 AQUINAS MIDDLE SCHOOL Rural 0 N/A 230058 SAINT VINCENT DE PAUL CATHOLIC SCHOOL Rural 54 N/A 230059 ALL SAINTS SCHOOL Rural 30 N/A 16062735 ST MICHAEL CATHOLIC SCHOOL Rural 285 N/A 138317 EDUCATIONAL SERVICE UNIT NO 03 Urban 81676 N/A 16084376 EDUCATIONAL SERVICE UNIT 15 DISTRICT Rural 3528 N/A 17000601 BROWNELL-TALBOT SCHOOL Urban 430 N/A School Entity - Annexes Page 4 School BEN School Name Annex Name 78675 LOURDES CENTRAL SCHOOL Lourdes Central Primary (at St. Benedict's) 79329 ST CECILIA HIGH SCHOOL HCS Development Office Related School District Entity - Details BEN Name Urban/ State State NCES School District Endowment Rural LEA ID School Code Attributes ID 78612 BRUNING - DAVENPORT UNIFIED Rural Public School District None SCHOOL DISTRICT 79111 KEYA PAHA COUNTY SCHOOLS Rural 52 0100-000 Public School District None 138215 ARLINGTON PUBLIC SCHOOLS Rural Public School District None 138217 ASHLAND-GREENWOOD SCH Rural Public School District None DISTRICT 138221 BANCROFT-ROSALIE COMM Rural Public School District None SCHOOLS 138223 BELLEVUE PUBLIC SCHOOL DIST Urban Public School District None 138225 BENNINGTON PUBLIC SCHOOLS Urban Public School District None 138226 BLAIR COMMUNITY SCHOOLS Rural Public School District None 138229 CEDAR BLUFFS PUBLIC Rural Public School District None SCHOOLS 138235 ELKHORN PUBLIC SCHOOL Urban Public School District None DISTRICT 138237 FORT CALHOUN COMMUNITY Rural Public School District None SCHOOLS 138238 FREMONT PUBLIC SCHOOL Urban Public School District None DISTRICT 138244 EDUCATIONAL SERVICE UNIT NO Urban 00-0 00-0002-000 ESA School District; None 02 002
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