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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 CENIC471FY2019 K12Node Y21-R1 Sout Application Number 191013514 h - 180000110 Funding Year 2019 Category of Service Category 1 Billed Entity Contact Information CENIC-CORPORATION FOR EDUCATION NETW Cathy Benham ORK INITIATIVES IN CALIFORNIA 909-944-7798 16700 VALLEY VIEW AVENUE, SUITE 400 LA MI [email protected] RADA CA 90638 714-220-3453 [email protected] Billed Entity Number 225495 FCC Registration Number 0011656477 Applicant Type Consortium Cassandra Patrizio - [email protected]; Debbie Bickenbach - Holiday/Summer Contact [email protected]; Hai Do - [email protected]; Karen Hall - Information [email protected] Consulting Firms Name Consultant City State Zip Phone Email Registration Code Number Number CSM Consulting Inc. 16043564 Ontario CA 91764 909-652-9104 [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 16072931 WOODWARD Urban Survey Charter School; None LEADERSHIP ACADEMY Public School School Entity - Discount Rate Calculation Details Page 1 BEN Name Urban/ Number of Students CEP Rural Students Count Based Percentage on Estimate 16072931 WOODWARD LEADERSHIP ACADEMY Urban 89 N/A Related School District Entity - Details BEN Name Urban/ State State NCES School District Endowment Rural LEA ID School Code Attributes ID 143582 CUCAMONGA SCHOOL DISTRICT Urban 36636676940000000 Public School District None 7694 143584 CENTRAL SCHOOL DISTRICT Urban Public School District None 143589 ETIWANDA ELEMENTARY SCH Urban 366 0000000 Public School District None DIST 7702 143596 MOUNT BALDY JOINT SCHOOL Rural 366 0000000 Public School District None DIST 7793 143598 MOUNTAIN VIEW SCHOOL Urban 366 0000000 Public School District None DISTRICT 7785 143599 CHAFFEY UNION HIGH SCH DIST Urban Public School District None 143600 ONTARIO-MONTCLAIR SCHOOL Urban Public School District None DISTRICT 143609 UPLAND UNIF SCHOOL DISTRICT Urban Public School District None 143676 DESERT SANDS UNIF SCH Urban Public School District None DISTRICT 143678 BANNING UNIFIED SCHOOL Urban Public School District None DISTRICT 143691 DESERT CENTER UNIF SCHOOL Rural Public School District None DIST 143705 PALM SPRINGS UNIF SCH Urban Public School District None DISTRICT 143708 MORONGO UNIF SCHOOL Rural Public School District None DISTRICT 143712 APPLE VALLEY UNIF SCHOOL Urban 36750770000000 Public School District None DIST 143713 BAKER VALLEY UNIF SCHOOL Rural 367 0000000 Public School District None DIST 3858 143714 BARSTOW UNIFIED SCHOOL DIST Urban Public School District None 143715 BEAR VALLEY UNIF SCHOOL DIST Rural Public School District None 143716 COLTON JOINT UNIF SCH Urban Public School District None DISTRICT 143719 FONTANA UNIF SCHOOL Urban Public School District None DISTRICT 143720 HELENDALE SCHOOL DISTRICT Rural 366 0000000 Public School District None 7736 143721 HESPERIA UNIF SCHOOL Urban Public School District None DISTRICT 143722 RIM OF THE WORLD UNIF SCH Rural 366 Public School District None DIST 7868 143723 LUCERNE VALLEY UNIF SCH DIST Rural 367 0000000 Public School District None 5051 143724 NEEDLES UNIFIED SCHOOL Rural 366 0000000 Public School District None DISTRICT 7801 143725 ORO GRANDE ELEM SCHOOL Urban CDS Charter School District; None DIST Code: 36 Public School District 67827 0000000 Page 2 BEN Name Urban/ State State NCES School District Endowment Rural LEA ID School Code Attributes ID 143726 REDLANDS UNIFIED SCHOOL Urban Public School District None DIST 143728 R O P - COLTON-REDLANDS- Urban Public School District None YUCAIPA 143729 RIALTO UNIFIED SCHOOL Urban Public School District None DISTRICT 143731 VICTOR ELEM SCHOOL DISTRICT Urban Public School District None 143732 VICTOR VALLEY UN H S DISTRICT Urban Public School District None 143733 SILVER VALLEY UNIF SCHOOL Rural Public School District None DIST 143734 YUCAIPA-CALIMESA JT UNIF S D Urban Public School District None 143738 SAN BERNARDINO COUNTY Urban Public School District None SUPERINTENDENT OF SCHOOLS 143740 SAN BERNARDINO CITY UNIF S D Urban Public School District None 143744 RIVERSIDE CO OFFICE OF EDUC Urban Charter School District; None Public School District 143747 JURUPA UNIFIED SCHOOL Urban Public School District None DISTRICT 143752 MORENO VALLEY UNIF SCHOOL Urban Public School District None DIST 143753 MURRIETA VALLEY UNIFIED Urban Public School District None SCHOOL DISTRICT 143754 NUVIEW UNION ELEMENTARY Urban 33671570000000 Charter School District; None SCHOOL DISTRICT Public School District 143755 PERRIS UN HIGH SCHOOL Urban Public School District None DISTRICT 143756 PERRIS ELEM SCHOOL DISTRICT Urban 336719 Charter School District; None Public School District 143757 VAL VERDE UNIFIED SCHOOL Urban Public School District None DIST 143758 SAN JACINTO UNIFIED SCHOOL Urban Public School District None DISTRICT 143759 MENIFEE UNION ELEMENTARY Urban Public School District None SCHOOL DISTRICT 143760 Romoland School District Urban 3367 Public School District None 23100 00000 143761 TEMECULA VALLEY UNIF SCH Urban Charter School District; None DIST Public School District 144016 TRONA JT UNIF SCHOOL Rural 366 Public School District None DISTRICT 7892 145916 SNOWLINE JOINT UNIFIED Rural Public School District None SCHOOL DISTRICT 17001338 Provisional Accelerated Learning Urban Public School District None Academy 194375 ALTA LOMA SCHOOL DISTRICT Urban 366 Public School District None 7595 194382 CHINO VALLEY UNIFIED SCHOOL Urban 67678 0000000 Public School District None DISTRICT 231052 DEATH VALLEY UNIFIED SCHOOL Rural Public School District None DISTRICT Related Entity Information Consortium Related Entities Page 3 Related Child School Entity - Details BEN Name Urban/ State State NCES Code Alternative School Attributes Endowment Rural LEA ID School ID Discount 103110 CUCAMONGA Urban 36 67694 None Pre-K; Public School None ELEMENTARY SCHOOL 6035752 103111 LOS AMIGOS Urban 36 67694 None Pre-K; Public School None ELEMENTARY SCHOOL 6035760 103112 THE ONTARIO CENTER Urban 36 67694 None Public School None 6109185 103113 RANCHO CUCAMONGA Urban 36 67694 None Public School None MIDDLE SCHOOL 6097646 103105 DONA MERCED Urban 36 67645 None Public School None ELEMENTARY SCHOOL 6099204 103106 VALLE VISTA Urban 36 67645 None Public School None ELEMENTARY SCHOOL 6035505 103107 CUCAMONGA MIDDLE Urban 36 67645 None Public School None SCHOOL 6035497 103108 CENTRAL ELEMENTARY Urban 36 67645 None Public School None SCHOOL 6035489 103109 BEAR GULCH Urban 36 67645 None Public School None ELEMENTARY SCHOOL 6104525 103114 MUSSER MIDDLE Urban 36 67645 None Public School None SCHOOL 6110704 103115 COYOTE CANYON ELEM Urban 36 67645 None Public School None SCHOOL 6106603 103169 CARLETON P Urban 366 6112114 None Public School None LIGHTFOOT ELEM SCH 7702 103170 CARYN ELEMENTARY Urban 366 6107569 None Public School None SCHOOL 7702 103171 EAST HERITAGE ELEM Urban 366 6112130 None Public School None SCHOOL 7702 103172 ETIWANDA Urban 366 6035778 None Public School None INTERMEDIATE SCHOOL 7702 103173 SUMMIT INTERMEDIATE Urban 366 6035786 None Public School None SCHOOL 7702 103174 TERRA VISTA ELEM Urban 366 6112122 None Public School None SCHOOL 7702 103175 WEST HERITAGE Urban 366 6108005 None Public School None ELEMENTARY SCH 7702 103176 WINDROWS Urban 366 6106595 None Public School None ELEMENTARY SCHOOL 7702 209246 DAVID W. LONG Urban 366 6116263 None Public School None ELEMENTARY SCHOOL 7702 211774 CECILIA L SOLORIO Urban 366 6117519 None Public School None ELEMENTARY 7702 221981 JOHN L. GOLDEN Urban 366 6118467 None Public School None SCHOOL 7702 227943 HERITAGE Urban 366 6119630 None Public School None INTERMEDIATE SCHOOL 7702 227944 GRAPELAND Urban 366 6119630 None Public School None ELEMENTARY 7702 16020905 DAY CREEK Urban 366 0102947 None Public School None INTERMEDIATE SCHOOL 7702 16020908 ETIWANDA COLONY Urban 366 0102939 None Public School None ELEMENTARY 7702 16039185 PERDEW ELEMENTARY Urban 366 0113688 None Public School None SCHOOL 7702 16070091 ETIWANDA COMMUNITY Urban 366702 0117382 None Public School None DAY Page 4 BEN Name Urban/ State State NCES Code Alternative School Attributes Endowment Rural LEA ID School ID Discount 17010208 FALCON RIDGE Urban None New Construction None ELEMENTARY SCHOOL School; Public School 103305 MOUNT BALDY JOINT Rural 6036065 None Public School None ELEM SCHOOL 103316 CREEK VIEW Urban 6105449 None Public School None ELEMENTARY SCHOOL 103325 MOUNTAIN VIEW Urban 6036057 None Public School None ELEMENTARY SCHOOL 103326 GRACE YOKLEY MIDDLE Urban 6102909 None Public School None SCHOOL 103327 RANCH VIEW Urban 6110050 None Public School None ELEMENTARY SCHOOL 102924 ALTA LOMA HIGH Urban None Public School None SCHOOL 102926 RANCHO CUCAMONGA Urban None Public School None HIGH SCHOOL 103177 ETIWANDA HIGH Urban None Public School None SCHOOL 103335 CHAFFEY HIGH SCHOOL Urban None Public School None 103343 ONTARIO HIGH SCHOOL Urban None Public School None 103351 MONTCLAIR HIGH Urban None Public School None SCHOOL 103364 VALLEY VIEW HIGH Urban None Public School None SCHOOL 201293 COMMUNITY DAY Urban None Public School None SCHOOL 229365 COLONY HIGH SCHOOL Rural None Public School None 229366 LOS OSOS HIGH Urban None Public School None SCHOOL 16077797 Chaffey District Online Urban None Public School None High 17006740 Chaffey Adult School Urban None Public
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