OMB 3060-0806 Approval by OMB FCC Form 471 December 2018 Description of Services Ordered and Certification Form 471

FCC Form 471 Application Information Nickname COVID 2nd Window Internet Application Number 201046142 Funding Year 2020 Category of Service Category 1

Billed Entity Contact Information Intermediate Unit 15 Steve Stoner 55 MILLER STREET Enola PA 17025 - 1640 717-732-8402 717-732-8400 [email protected] [email protected]

Billed Entity Number 17001628 FCC Registration Number 0011884806 Applicant Type Consortium

Entity Information Consortium Entities

School Entity - Details BEN Name Urban/ State State NCES Code Alternative School Attributes Endowment Rural LEA ID School ID Discount 125699 CUMBERLAND-PERRY Urban None Public School None AVTS DISTRICT

School Entity - Discount Rate Calculation Details BEN Name Urban/ Number of Students CEP Rural Students Count Based Percentage on Estimate 125699 CUMBERLAND-PERRY AVTS DISTRICT Urban 983 N/A

Related School District Entity - Details BEN Name Urban/ State State NCES School District Endowment Rural LEA ID School Code Attributes ID 125673 CAMP HILL SCHOOL DISTRICT Urban Public School District None 125677 NORTHERN YORK CO SCHOOL Rural Public School District None DIST 125683 EAST PENNSBORO AREA SCH Urban Public School District None DIST 125685 HALIFAX AREA SCHOOL Rural Public School District None DISTRICT Page 1 BEN Name Urban/ State State NCES School District Endowment Rural LEA ID School Code Attributes ID 125686 DERRY TOWNSHIP SCHOOL Urban Public School District None DISTRICT 125688 LOWER DAUPHIN SCHOOL Urban 1152 Public School District None DISTRICT 24003 125698 CUMBERLAND VALLEY SCHOOL Urban Public School District None DIST 125700 MECHANICSBURG AREA SCH Urban Public School District None DIST 125707 MILLERSBURG AREA SCHOOL Rural Public School District None DIST 125709 GREENWOOD SCHOOL DISTRICT Rural 421 Public School District None 1190 125718 NEWPORT SCHOOL DISTRICT Rural Public School District None 125723 INTERMEDIATE UNIT 15 Urban Public School District None 125727 HARRISBURG CITY SCHOOL DIST Urban Public School District None 125729 CENTRAL DAUPHIN SCHOOL Urban Public School District None DIST 125730 DAUPHIN COUNTY AVTS Urban Public School District None DISTRICT 125748 BIG SPRING SCHOOL DISTRICT Rural Public School District None 125671 SOUTH MIDDLETON SCHOOL Urban 18214 Public School District None DIST 125679 SUSQUENITA SCHOOL DISTRICT Urban Public School District None 125682 WEST PERRY SCHOOL DISTRICT Rural Public School District None 125695 UPPER DAUPHIN AREA SCHOOL Rural Public School District None DISTRICT 125716 WEST SHORE SCHOOL DISTRICT Urban Public School District None 125728 SUSQUEHANNA TWP SCHOOL Urban Public School District None DIST 125734 STEELTON-HIGHSPIRE SCHOOL Urban 115228003 Public School District None DIST 125750 SHIPPENSBURG AREA SCH Rural Public School District None DISTRICT

Library Entity - Details BEN Name FSCS Code Locale Urban/ Total School District Name School Library Code Rural Square District Attributes Footage BEN 125675 BOSLER MEMORIAL Urban 53093 CARLISLE AREA 125674 Main Branch; LIBRARY SCHOOL DISTRICT Public Library

Related Entity Information Consortium Related Entities

Related Child School Entity - Details BEN Name Urban/ State State NCES Code Alternative School Attributes Endowment Rural LEA ID School ID Discount 18030 EISENHOWER Urban None Public School None ELEMENTARY SCHOOL 18034 CAMP HILL JR-SR HIGH Urban None Public School None SCHOOL

Page 2 BEN Name Urban/ State State NCES Code Alternative School Attributes Endowment Rural LEA ID School ID Discount 18035 HOOVER ELEMENTARY Urban None Public School None SCHOOL 18067 DILLSBURG Urban None Public School None ELEMENTARY SCHOOL 18068 NORTHERN MIDDLE Rural None Public School None SCHOOL 18069 NORTHERN Rural None Public School None ELEMENTARY SCHOOL 18070 NORTHERN HIGH Rural None Public School None SCHOOL 18507 WELLSVILLE Rural None Public School None ELEMENTARY SCHOOL 211861 SOUTH MOUNTAIN Urban None Public School None ELEMENTARY SCHOOL 18027 WEST CREEK HILLS Urban None Public School None ELEM SCHOOL 18089 EAST PENNSBORO Urban None Public School None ELEMENTARY CTR 18090 EAST PENNSBORO Urban None Public School None MIDDLE SCHOOL 18091 EAST PENNSBORO Urban None Public School None SENIOR HIGH SCH 18098 ENDERS FISHERVILLE Rural None Public School None SCHOOL 18099 HALIFAX AREA Rural None Public School None ELEMENTARY SCHOOL 18100 HALIFAX HIGH SCHOOL Rural None Public School None 18101 HALIFAX MIDDLE Rural None Public School None SCHOOL 18104 HERSHEY HIGH SCHOOL Urban Combination Public School None (not CEP) 18106 HERSHEY MIDDLE Urban None Public School None SCHOOL 18107 HERSHEY PRIMARY Urban None Public School None SCHOOL 233293 HERSHEY EARLY Urban None Public School None CHILDHOOD CENTER 18079 CONEWAGO Rural 000001747 None Public School None ELEMENTARY SCHOOL 18096 EAST HANOVER Urban 000001752 None Public School None ELEMENTARY SCHOOL 18109 SOUTH HANOVER ELEM Urban 000001797 None Public School None SCHOOL 18112 NYE ELEMENTARY Urban 000001774 None Public School None SCHOOL 18113 LOWER DAUPHIN Urban 000007414 None Public School None MIDDLE SCHOOL 18114 LOWER DAUPHIN HIGH Urban 000001776 None Public School None SCHOOL 18198 LONDONDERRY Rural 000001775 None Public School None ELEMENTARY SCHOOL 16023290 PRICE BUILDING Urban 000007844 None Public School None 18023 MONROE ELEMENTARY Rural 000001698 None Public School None SCHOOL 18058 MIDDLESEX Rural 000001697 None Public School None ELEMENTARY SCHOOL

Page 3 BEN Name Urban/ State State NCES Code Alternative School Attributes Endowment Rural LEA ID School ID Discount 18088 SHAULL ELEMENTARY Urban 000001696 None Public School None SCHOOL 18171 GREEN RIDGE Rural 000001700 None Public School None ELEMENTARY SCHOOL 18172 CUMBERLAND VALLEY Urban 000001701 None Public School None HIGH SCHOOL 18173 EAGLE VIEW MIDDLE Urban 000006714 None Public School None SCH 18174 SILVER SPRING ELEM Urban 000001699 None Public School None SCHOOL 18176 SPORTING HILL ELEM Urban 000001695 None Public School None SCHOOL 18187 GOOD HOPE MIDDLE Urban 000004849 None Public School None SCHOOL 18188 HAMPDEN ELEMENTARY Urban 000005020 None Public School None SCHOOL 17016445 WINDING CREEK Urban - - 1696 None New Construction None ELEMENTARY School; Public School 18177 NORTHSIDE Urban None Public School None ELEMENTARY SCHOOL 18179 BROAD STREET Urban None Public School None ELEMENTARY SCHOOL 18180 MECHANICSBURG AREA Urban None Public School None SENIOR HIGH SCHOOL 18181 MECHANICSBURG AREA Urban None Public School None INTERMEDIATE SCHOOL 18182 FILBERT STREET ELEM Urban None Public School None SCHOOL 18184 SHEPHERDSTOWN Urban None Public School None ELEMENTARY 18185 UPPER ALLEN Urban None Public School None ELEMENTARY SCHOOL 16035988 ELMWOOD Urban None Public School None ELEMENTARY SCHOOL 18207 MILLERSBURG AREA Rural None Public School None ELEMENTARY SCHOOL 18208 MILLERSBURG AREA Rural None Public School None HIGH SCHOOL 18210 GREENWOOD Rural 1155 7062 None Public School None ELEMENTARY SCHOOL 03004 18211 GREENWOOD HIGH Rural 1155 6341 None Public School None SCHOOL 03004 18240 NEWPORT JR-SR HIGH Rural None Public School None SCHOOL 18241 NEWPORT ELEMENTARY Rural None Public School None SCHOOL 18022 TRESSLER CARE Rural None Public School None WILDERNESS SCH 231712 LOYSVILLE YOUTH Rural None Juvenile Justice; None DETENTION CENTER Public School 16052568 HILL TOP ACADEMY Urban ESA School; None Public School 16064576 LEMOYNE PRESCHOOL Urban None Pre-K; Public School None CENTER 16064578 MILLERSBURG Rural None Pre-K; Public School None PRESCHOOL CENTER 16064579 SHIPPENSBURG Rural None Pre-K; Public School None PRESCHOOL CENTER Page 4 BEN Name Urban/ State State NCES Code Alternative School Attributes Endowment Rural LEA ID School ID Discount 16083253 WILLOW MILL Urban None Pre-K; Public School None PRESCHOOL CENTER 16083252 DELBROOK PRESCHOOL Urban None Pre-K; Public School None CENTER 18264 BEN FRANKLIN ACAD Urban Public School None PREP SCHOOL 18265 DOWNEY ELEMENTARY Urban Public School None SCHOOL 18270 HARRISBURG HIGH Urban Public School None SCHOOL 18273 MARSHALL Urban Public School None ELEMENTARY SCHOOL 18276 MELROSE ELEMENTARY Urban Public School None SCHOOL 18277 FOOSE ELEMENTARY Urban Public School None SCHOOL 18290 CAMP CURTIN Urban Public School None ELEMENTARY SCHOOL 208361 SCOTT ELEMENTARY Urban Public School None SCHOOL 208362 ROWLAND Urban Public School None INTERMEDIATE SCHOOL 13649036 HARRISBURG Urban Public School None UNIVERSITY SCIENCE AND TECHNOLOGY HIGH SCHOOL 16085427 HAMILTON SCHOOL Urban Public School None 17012784 Cougar Academy at Urban Public School None Lincoln 18066 MIDDLE PAXTON ELEM Rural None Public School None SCHOOL 18281 NORTH SIDE Urban Public School None ELEMENTARY SCHOOL 18283 CENTRAL DAUPHIN Urban None Public School None MIDDLE SCHOOL 18284 E H PHILLIPS Urban Public School None ELEMENTARY SCHOOL 18287 CENTRAL DAUPHIN Urban Public School None EAST MIDDLE SCHOOL 18288 CENTRAL DAUPHIN E SR Urban Public School None HIGH SCH 18301 PAXTANG ELEMENTARY Urban Public School None SCHOOL 18303 LAWNTON ELEMENTARY Urban Public School None SCHOOL 18304 SOUTH SIDE Urban Public School None ELEMENTARY SCHOOL 18305 CHAMBER HILL Urban Public School None ELEMENTARY SCHOOL 18306 RUTHERFORD Urban Public School None ELEMENTARY SCHOOL 18308 LINGLESTOWN Urban None Public School None ELEMENTARY SCHOOL 18309 LINGLESTOWN MIDDLE Urban None Public School None SCHOOL 18311 MOUNTAIN VIEW ELEM Urban Public School None SCHOOL

Page 5 BEN Name Urban/ State State NCES Code Alternative School Attributes Endowment Rural LEA ID School ID Discount 18313 PAXTONIA ELEMENTARY Urban None Public School None SCHOOL 18316 WEST HANOVER Urban None Public School None ELEMENTARY SCHOOL 18321 SWATARA MIDDLE Urban Public School None SCHOOL 18323 TRI-COMMUNITY ELEM Urban Public School None SCHOOL 16022202 CENTRAL DAUPHIN Urban None Public School None HIGH SCHOOL 18289 DAUPHIN COUNTY AVTS Urban None Public School None 18368 BIG SPRING MIDDLE Rural None Public School None SCHOOL 18370 NEWVILLE ELEMENTARY Rural None Public School None SCHOOL 18369 OAK FLAT ELEMENTARY Rural None Public School None SCHOOL 16036229 MOUNT ROCK Rural None Public School None ELEMENTARY 18367 BIG SPRING HIGH Rural None Public School None SCHOOL 18024 BOILING SPRINGS JR-SR Urban None Public School None HIGH SCH 18025 IRON FORGE Urban None Public School None EDUCATIONAL CENTER 18214 W G RICE ELEMENTARY Rural None Public School None SCHOOL 223727 YELLOW BREECHES Urban None Public School None MIDDLE SCHOOL 18071 SUSQUENITA Urban None Public School None ELEMENTARY SCHOOL 18072 SUSQUENITA HIGH Urban None Public School None SCHOOL 18073 SUSQUENITA MIDDLE Urban None Public School None SCHOOL 18021 BLAIN ELEMENTARY Rural None Public School None SCHOOL 18086 THE NEW BLOOMFIELD Rural None Public School None ELEMENTARY 18087 WEST PERRY SENIOR Rural None Public School None HIGH SCHOOL 18231 WEST PERRY MIDDLE Rural None Public School None SCHOOL 18254 CARROLL ELEMENTARY Rural None Pre-K; Public School None SCHOOL 18085 UPPER DAUPHIN HIGH Rural None Public School None SCHOOL 18162 UPPER DAUPHIN AREA Rural None Public School None ELEM SCHOOL 18163 UPPER DAUPHIN Rural None Public School None MIDDLE SCHOOL 18036 CEDAR CLIFF HIGH Urban None Public School None SCHOOL 18037 HIGHLAND Urban None Public School None ELEMENTARY SCHOOL 18041 ALLEN MIDDLE SCHOOL Urban None Public School None

Page 6 BEN Name Urban/ State State NCES Code Alternative School Attributes Endowment Rural LEA ID School ID Discount 18042 LOWER ALLEN ELEM Urban None Public School None SCHOOL 18135 WASHINGTON HEIGHTS Urban None Public School None ELEM SCHOOL 18183 ROSSMOYNE Urban None Public School None ELEMENTARY SCHOOL 18233 NEW CUMBERLAND Urban None Public School None MIDDLE SCHOOL 18234 HILLSIDE ELEMENTARY Urban None Public School None SCHOOL 18236 FAIRVIEW ELEMENTARY Rural None Public School None SCHOOL 18428 RED MILL ELEMENTARY Urban None Public School None SCHOOL 18429 NEWBERRY Urban None Public School None ELEMENTARY SCHOOL 18469 RED LAND HIGH Urban None Public School None SCHOOL 18471 FISHING CREEK ELEM Urban None Public School None SCHOOL 18470 CROSS ROADS MIDDLE Urban None Public School None SCHOOL 17026040 West Shore Intermediate Rural None New Construction None Building School; Public School 18278 LINDEMUTH Urban None Public School None ELEMENTARY SCHOOL 18279 SUSQUEHANNA TWP SR Urban None Public School None HIGH SCH 18282 SUSQUEHANNA TWP Urban None Public School None MIDDLE SCH 18297 T W HOLTZMAN Urban None Public School None ELEMENTARY SCHOOL 18318 STEELTON-HIGHSPIRE Urban 1152 000001799 Public School None ELEM SCH 28003 18319 STEELTON-HIGHSPIRE Urban 1152 000001801 Public School None JR-SR H S 28003 18383 SHIPPENSBURG AREA Rural None Public School None MIDDLE SCHOOL 18384 SHIPPENSBURG AREA Rural None Public School None SR HIGH SCH 18385 NANCY GRAYSON Rural None Public School None ELEMENTARY SCHOOL 18386 JAMES BURD Rural None Public School None ELEMENTARY SCHOOL 233833 GRACE B LUHRS Rural None Public School None UNIVERSITY ELEMENTARY SCHOOL 16045805 SHIPPENSBURG AREA Rural None Public School None INTERMEDIATE SCHOOL

Related Child School Entity - Discount Rate Calculation Details BEN Name Urban/ Number of Students CEP Rural Students Count Based Percentage on Estimate 18030 EISENHOWER ELEMENTARY SCHOOL Urban 294 N/A 18034 CAMP HILL JR-SR HIGH SCHOOL Urban 764 N/A

Page 7 BEN Name Urban/ Number of Students CEP Rural Students Count Based Percentage on Estimate 18035 HOOVER ELEMENTARY SCHOOL Urban 280 N/A 18067 DILLSBURG ELEMENTARY SCHOOL Urban 391 N/A 18068 NORTHERN MIDDLE SCHOOL Rural 779 N/A 18069 NORTHERN ELEMENTARY SCHOOL Rural 275 N/A 18070 NORTHERN HIGH SCHOOL Rural 1045 N/A 18507 WELLSVILLE ELEMENTARY SCHOOL Rural 192 N/A 211861 SOUTH MOUNTAIN ELEMENTARY SCHOOL Urban 405 N/A 18027 WEST CREEK HILLS ELEM SCHOOL Urban 499 N/A 18089 EAST PENNSBORO ELEMENTARY CTR Urban 551 N/A 18090 EAST PENNSBORO MIDDLE SCHOOL Urban 811 N/A 18091 EAST PENNSBORO SENIOR HIGH SCH Urban 817 N/A 18098 ENDERS FISHERVILLE SCHOOL Rural 0 N/A 18099 HALIFAX AREA ELEMENTARY SCHOOL Rural 417 N/A 18100 HALIFAX HIGH SCHOOL Rural 256 N/A 18101 HALIFAX MIDDLE SCHOOL Rural 246 N/A 18104 HERSHEY HIGH SCHOOL Urban 1253 N/A 18106 HERSHEY MIDDLE SCHOOL Urban 842 N/A 18107 HERSHEY PRIMARY SCHOOL Urban 975 N/A 233293 HERSHEY EARLY CHILDHOOD CENTER Urban 479 N/A 18079 CONEWAGO ELEMENTARY SCHOOL Rural 218 N/A 18096 EAST HANOVER ELEMENTARY SCHOOL Urban 378 N/A 18109 SOUTH HANOVER ELEM SCHOOL Urban 409 N/A 18112 NYE ELEMENTARY SCHOOL Urban 382 N/A 18113 LOWER DAUPHIN MIDDLE SCHOOL Urban 905 N/A 18114 LOWER DAUPHIN HIGH SCHOOL Urban 1130 N/A 18198 LONDONDERRY ELEMENTARY SCHOOL Rural 264 N/A 16023290 PRICE BUILDING Urban 11 N/A 18023 MONROE ELEMENTARY SCHOOL Rural 425 N/A 18058 MIDDLESEX ELEMENTARY SCHOOL Rural 346 N/A 18088 SHAULL ELEMENTARY SCHOOL Urban 588 N/A 18171 GREEN RIDGE ELEMENTARY SCHOOL Rural 497 N/A 18172 CUMBERLAND VALLEY HIGH SCHOOL Urban 2628 N/A 18173 EAGLE VIEW MIDDLE SCH Urban 1031 N/A 18174 SILVER SPRING ELEM SCHOOL Urban 486 N/A 18176 SPORTING HILL ELEM SCHOOL Urban 620 N/A 18187 GOOD HOPE MIDDLE SCHOOL Urban 1158 N/A 18188 HAMPDEN ELEMENTARY SCHOOL Urban 650 N/A 17016445 WINDING CREEK ELEMENTARY Urban 803 N/A 18177 NORTHSIDE ELEMENTARY SCHOOL Urban 239 N/A 18179 BROAD STREET ELEMENTARY SCHOOL Urban 232 N/A 18180 MECHANICSBURG AREA SENIOR HIGH SCHOOL Urban 1153 N/A 18181 MECHANICSBURG AREA INTERMEDIATE SCHOOL Urban 905 N/A 18182 FILBERT STREET ELEM SCHOOL Urban 364 N/A 18184 SHEPHERDSTOWN ELEMENTARY Urban 252 N/A 18185 UPPER ALLEN ELEMENTARY SCHOOL Urban 401 N/A Page 8 BEN Name Urban/ Number of Students CEP Rural Students Count Based Percentage on Estimate 16035988 ELMWOOD ELEMENTARY SCHOOL Urban 448 N/A 18207 MILLERSBURG AREA ELEMENTARY SCHOOL Rural 350 N/A 18208 MILLERSBURG AREA HIGH SCHOOL Rural 411 N/A 18210 GREENWOOD ELEMENTARY SCHOOL Rural 335 N/A 18211 GREENWOOD HIGH SCHOOL Rural 421 N/A 18240 NEWPORT JR-SR HIGH SCHOOL Rural 623 N/A 18241 NEWPORT ELEMENTARY SCHOOL Rural 501 N/A 18022 TRESSLER CARE WILDERNESS SCH Rural 56 N/A 231712 LOYSVILLE YOUTH DETENTION CENTER Rural 64 N/A 16052568 HILL TOP ACADEMY Urban 117 N/A 61.40% 16064576 LEMOYNE PRESCHOOL CENTER Urban 95 N/A 16064578 MILLERSBURG PRESCHOOL CENTER Rural 24 N/A 16064579 SHIPPENSBURG PRESCHOOL CENTER Rural 31 N/A 16083253 WILLOW MILL PRESCHOOL CENTER Urban 23 N/A 16083252 DELBROOK PRESCHOOL CENTER Urban 88 N/A 18264 BEN FRANKLIN ACAD PREP SCHOOL Urban 854 N/A 88.64% 18265 DOWNEY ELEMENTARY SCHOOL Urban 550 N/A 91.45% 18270 HARRISBURG HIGH SCHOOL Urban 1028 N/A 79.86% 18273 MARSHALL ELEMENTARY SCHOOL Urban 453 N/A 72.85% 18276 MELROSE ELEMENTARY SCHOOL Urban 605 N/A 85.45% 18277 FOOSE ELEMENTARY SCHOOL Urban 744 N/A 94.76% 18290 CAMP CURTIN ELEMENTARY SCHOOL Urban 719 N/A 86.79% 208361 SCOTT ELEMENTARY SCHOOL Urban 630 N/A 89.68% 208362 ROWLAND INTERMEDIATE SCHOOL Urban 777 N/A 85.07% 13649036 HARRISBURG UNIVERSITY SCIENCE AND TECHNOLOGY HIGH Urban 316 N/A 56.33% SCHOOL 16085427 HAMILTON SCHOOL Urban 117 N/A 94.02% 17012784 Cougar Academy at Lincoln Urban 237 N/A 81.43% 18066 MIDDLE PAXTON ELEM SCHOOL Rural 289 N/A 18281 NORTH SIDE ELEMENTARY SCHOOL Urban 642 N/A 52.17% 18283 CENTRAL DAUPHIN MIDDLE SCHOOL Urban 802 N/A 18284 E H PHILLIPS ELEMENTARY SCHOOL Urban 390 N/A 52.17% 18287 CENTRAL DAUPHIN EAST MIDDLE SCHOOL Urban 829 N/A 52.17% 18288 CENTRAL DAUPHIN E SR HIGH SCH Urban 1525 N/A 52.17% 18301 PAXTANG ELEMENTARY SCHOOL Urban 230 N/A 52.17% 18303 LAWNTON ELEMENTARY SCHOOL Urban 311 N/A 52.17% 18304 SOUTH SIDE ELEMENTARY SCHOOL Urban 817 N/A 52.17% 18305 CHAMBER HILL ELEMENTARY SCHOOL Urban 224 N/A 52.17% 18306 RUTHERFORD ELEMENTARY SCHOOL Urban 425 N/A 52.17% 18308 LINGLESTOWN ELEMENTARY SCHOOL Urban 399 N/A 18309 LINGLESTOWN MIDDLE SCHOOL Urban 812 N/A 18311 MOUNTAIN VIEW ELEM SCHOOL Urban 388 N/A 52.17% 18313 PAXTONIA ELEMENTARY SCHOOL Urban 688 N/A 18316 WEST HANOVER ELEMENTARY SCHOOL Urban 523 N/A 18321 SWATARA MIDDLE SCHOOL Urban 585 N/A 52.17%

Page 9 BEN Name Urban/ Number of Students CEP Rural Students Count Based Percentage on Estimate 18323 TRI-COMMUNITY ELEM SCHOOL Urban 445 N/A 52.17% 16022202 CENTRAL DAUPHIN HIGH SCHOOL Urban 1814 N/A 18289 DAUPHIN COUNTY AVTS Urban 1068 N/A 18368 BIG SPRING MIDDLE SCHOOL Rural 573 N/A 18370 NEWVILLE ELEMENTARY SCHOOL Rural 391 N/A 18369 OAK FLAT ELEMENTARY SCHOOL Rural 401 N/A 16036229 MOUNT ROCK ELEMENTARY Rural 398 N/A 18367 BIG SPRING HIGH SCHOOL Rural 796 N/A 18024 BOILING SPRINGS JR-SR HIGH SCH Urban 652 N/A 18025 IRON FORGE EDUCATIONAL CENTER Urban 487 N/A 18214 W G RICE ELEMENTARY SCHOOL Rural 445 N/A 223727 YELLOW BREECHES MIDDLE SCHOOL Urban 558 N/A 18071 SUSQUENITA ELEMENTARY SCHOOL Urban 787 N/A 18072 SUSQUENITA HIGH SCHOOL Urban 465 N/A 18073 SUSQUENITA MIDDLE SCHOOL Urban 571 N/A 18021 BLAIN ELEMENTARY SCHOOL Rural 285 N/A 18086 THE NEW BLOOMFIELD ELEMENTARY Rural 383 N/A 18087 WEST PERRY SENIOR HIGH SCHOOL Rural 714 N/A 18231 WEST PERRY MIDDLE SCHOOL Rural 558 N/A 18254 CARROLL ELEMENTARY SCHOOL Rural 377 N/A 18085 UPPER DAUPHIN HIGH SCHOOL Rural 351 N/A 18162 UPPER DAUPHIN AREA ELEM SCHOOL Rural 410 N/A 18163 UPPER DAUPHIN MIDDLE SCHOOL Rural 360 N/A 18036 CEDAR CLIFF HIGH SCHOOL Urban 1320 N/A 18037 HIGHLAND ELEMENTARY SCHOOL Urban 479 N/A 18041 ALLEN MIDDLE SCHOOL Urban 536 N/A 18042 LOWER ALLEN ELEM SCHOOL Urban 219 N/A 18135 WASHINGTON HEIGHTS ELEM SCHOOL Urban 426 N/A 18183 ROSSMOYNE ELEMENTARY SCHOOL Urban 188 N/A 18233 NEW CUMBERLAND MIDDLE SCHOOL Urban 621 N/A 18234 HILLSIDE ELEMENTARY SCHOOL Urban 612 N/A 18236 FAIRVIEW ELEMENTARY SCHOOL Rural 238 N/A 18428 RED MILL ELEMENTARY SCHOOL Urban 579 N/A 18429 NEWBERRY ELEMENTARY SCHOOL Urban 287 N/A 18469 RED LAND HIGH SCHOOL Urban 1118 N/A 18471 FISHING CREEK ELEM SCHOOL Urban 487 N/A 18470 CROSS ROADS MIDDLE SCHOOL Urban 706 N/A 17026040 West Shore Intermediate Building Rural 1000 N/A 18278 LINDEMUTH ELEMENTARY SCHOOL Urban 770 N/A 18279 SUSQUEHANNA TWP SR HIGH SCH Urban 732 N/A 18282 SUSQUEHANNA TWP MIDDLE SCH Urban 710 N/A 18297 T W HOLTZMAN ELEMENTARY SCHOOL Urban 735 N/A 18318 STEELTON-HIGHSPIRE ELEM SCH Urban 782 N/A 76.09% 18319 STEELTON-HIGHSPIRE JR-SR H S Urban 610 N/A 68.58% 18383 SHIPPENSBURG AREA MIDDLE SCHOOL Rural 800 N/A Page 10 BEN Name Urban/ Number of Students CEP Rural Students Count Based Percentage on Estimate 18384 SHIPPENSBURG AREA SR HIGH SCH Rural 900 N/A 18385 NANCY GRAYSON ELEMENTARY SCHOOL Rural 449 N/A 18386 JAMES BURD ELEMENTARY SCHOOL Rural 467 N/A 233833 GRACE B LUHRS UNIVERSITY ELEMENTARY SCHOOL Rural 129 N/A 16045805 SHIPPENSBURG AREA INTERMEDIATE SCHOOL Rural 467 N/A

Related School District NIFs School School District Name NIF BEN NIF Name District BEN 125683 EAST PENNSBORO AREA SCH DIST 16023273 EAST PENNSBORO AREA SCHOOL DISTRICT MAINTENANCE BUILDING 125683 EAST PENNSBORO AREA SCH DIST 16023270 EAST PENNSBORO AREA SCHOOL DISTRICT ADMINISTRATION BUILDING 125686 DERRY TOWNSHIP SCHOOL DISTRICT 16048987 DERRY TOWNSHIP ADMINISTRATION OFFICE 125686 DERRY TOWNSHIP SCHOOL DISTRICT 17019514 Derry Township Transportation Center 125688 LOWER DAUPHIN SCHOOL DISTRICT 16023285 LOWER DAUPHIN ADMINISTRATION BUILDING 125698 CUMBERLAND VALLEY SCHOOL DIST 16085105 DISTRICT SUPPORT FACILITY 125698 CUMBERLAND VALLEY SCHOOL DIST 16085106 DISTRICT OFFICE 125718 NEWPORT SCHOOL DISTRICT 16042302 ADMINISTRATION OFFICE 125723 INTERMEDIATE UNIT 15 16046450 CAPITAL AREA IU 15 ADMINISTRATION BUILDING 125727 HARRISBURG CITY SCHOOL DIST 16022783 HARRISBURG SCHOOL DISTRICT DATA CENTER 125727 HARRISBURG CITY SCHOOL DIST 16079184 NEW HARRISBURG ADMINISTRATION CENTER 125729 CENTRAL DAUPHIN SCHOOL DIST 16023089 ADMINISTRATION BUILDING 125729 CENTRAL DAUPHIN SCHOOL DIST 16023091 TRANSPORTATION BUILDING 125729 CENTRAL DAUPHIN SCHOOL DIST 16023092 PAXTONIA GARAGE 125729 CENTRAL DAUPHIN SCHOOL DIST 16023094 LANDIS FIELDHOUSE 125728 SUSQUEHANNA TWP SCHOOL DIST 16076319 SUSQUEHANNA SCHOOL DISTRICT ADMINISTRATIVE OFFICES 125750 SHIPPENSBURG AREA SCH DISTRICT 16020484 SHIPPENSBURG ADMINISTRATION BUILDING

Related Library NIFs Library Library Name NIF BEN NIF Name BEN 125675 BOSLER MEMORIAL LIBRARY 17009114 Cumberland County Library System Headquarters

Discount Rate Category One Discount Rate Category Two Discount Rate 65% 64%

School Discount Rate School Enrollment School NSLP Count School NSLP School Urban/ Category One Category Two Percentage Rural Status Discount Rate Discount Rate 983 317 32.0% Urban 50% 50%

Page 11 School District Discount Rate School District School District School District School District Category One Category Two Enrollment NSLP Count NSLP Percentage Urban/Rural Status Discount Rate Discount Rate 1338 195 15.0% Urban 40% 40% 3087 695 23.0% Rural 60% 60% 2678 851 32.0% Urban 50% 50% 919 324 35.0% Rural 70% 70% 3549 732 21.0% Urban 50% 50% 3697 895 24.0% Urban 50% 50% 9232 1834 20.0% Urban 50% 50% 3994 1402 35.0% Urban 60% 60% 761 341 45.0% Rural 70% 70% 753 233 31.0% Rural 60% 60% 1124 561 50.0% Rural 80% 80% 498 214 43.0% Urban 60% 60% 7030 6999 100.0% Urban 90% 85% 12138 6970 57.0% Urban 80% 80% 1068 620 58.0% Urban 80% 80% 2559 1066 42.0% Rural 70% 70% 2142 511 24.0% Urban 50% 50% 1823 710 39.0% Urban 60% 60% 2317 1086 47.0% Rural 70% 70% 1121 518 46.0% Rural 70% 70% 8816 3296 37.0% Urban 60% 60% 2947 1817 62.0% Urban 80% 80% 1392 1392 100.0% Urban 90% 85% 3212 1308 41.0% Rural 70% 70%

Library Discount Rate Associated School Associated School Associated School Library Urban/ Category One Category Two District Full- District NSLP Count District NSLP Rural Status Discount Rate Discount Rate time Enrollment Percentage 5109 2235 44.0% Urban 60% 60%

Page 12 Funding Request for FRN #2099084989 Funding Request Nickname: COVID 2nd Window Internet

Service Type: Data Transmission and/or Internet Access

Agreement Information - Contract Contract Number PA-JEwer-021417/FY17 Account Number

Establishing FCC Form 470 170048319 Service Provider Comcast Business Communications (SPN: Was an FCC Form 470 posted Yes 143003990) for the product and/or services you are requesting? Based on State Master No Contract? Award Date March 16, 2017 Based on a multiple award No How many bids were received 3 schedule? for this contract? Includes Voluntary Extensions? Yes What is the service start date? October 01, 2020 Remaining Voluntary 5 Extensions

Total Remaining Contract 96 Length

What is the date your contract June 30, 2021 expires for the current term of the contract?

Document Name Document Description

Comcast and CAIU 36 month Agreement 15Mar17.pdf

Pricing Confidentiality Is there a statute, rule, or other restriction which prohibits No publication of the specific pricing information for this contract?

Original FY 2020 Form 471 # 201017207__ Original FY 2020 FRN # 2099023069__ The Narrative discounts requested are for additional bandwidth needed as a result of the COVID-19 pandemic.__ Did you amend an existing contract with the same vendor that was listed on the original FRN, or did you sign a contract with a new vendor Amended__ Did you increase an existing circuit or add a new circuit Increased__ Original FY 2020 FRN monthly cost $8,000.00__ Original FY 2020 FRN bandwidth__ Original FY 2020 FRN Mbps price $0.80__ If increasing bandwidth with same vendor, what is new total monthly cost $14,000.00__ If increasing bandwidth with same vendor, what is new total bandwidth (Mbps) 20,000__ If increasing bandwidth with same vendor, what is new total Mbps price $0.70__ The amounts requested above (costs and bandwidth) the total amount, is the original plus new costs bandwidth.__ Provide any additional information that will help the reviewer understand what is being purchased and requested. We went from 10,000 Mbps @ $8000.00 and increased another 10,000 Mbps @ $6000.00 for a total of 20,000 Mbps @ $14,000.00__

Page 13 Line Item # 2099084989.001

Product and Service Details Internet access service that includes a connection from any applicant site directly to the Internet Service Purpose Provider

Function Fiber

Type of Connection Ethernet Bandwidth Speed Upload Speed 20.0 Gbps Download Speed 20.0 Gbps

Connection Information Does this include firewall services? No Is this a connection between eligible schools, Yes libraries and NIFs (i.e., a connection that provides a “Wide area network”)?

Is this a direct connection to a single school, No library or a NIF for Internet access?

Cost Calculation for FRN Line Item # 2099084989.001

Monthly Cost One-Time Cost Monthly Recurring Unit Cost $14,000.00 One-time Unit Cost $0.00 Monthly Recurring Unit Ineligible - $0.00 One-time Ineligible Unit Costs - $0.00 Costs One-time Eligible Unit Cost = $0.00 Monthly Recurring Unit Eligible = $14,000.00 One-time Quantity x 0 Costs Monthly Quantity x 1 Total Eligible One-time Costs = $0.00 Total Monthly Eligible Recurring = $14,000.00 Costs Summary Months of Service x 9 Total Eligible Recurring Costs $126,000.00 Total Eligible Recurring Costs = $126,000.00 Total Eligible One-time Costs + $0.00 Pre-Discount Extended Eligible = $126,000.00 Line Item Cost

Page 14 Recipients of Services BEN Name 18021 BLAIN ELEMENTARY SCHOOL 18022 TRESSLER CARE WILDERNESS SCH 18023 MONROE ELEMENTARY SCHOOL 18024 BOILING SPRINGS JR-SR HIGH SCH 18025 IRON FORGE EDUCATIONAL CENTER 18027 WEST CREEK HILLS ELEM SCHOOL 18030 EISENHOWER ELEMENTARY SCHOOL 18034 CAMP HILL JR-SR HIGH SCHOOL 18035 HOOVER ELEMENTARY SCHOOL 18036 CEDAR CLIFF HIGH SCHOOL 18037 HIGHLAND ELEMENTARY SCHOOL 18041 ALLEN MIDDLE SCHOOL 18042 LOWER ALLEN ELEM SCHOOL 18058 MIDDLESEX ELEMENTARY SCHOOL 18066 MIDDLE PAXTON ELEM SCHOOL 18067 DILLSBURG ELEMENTARY SCHOOL 18068 NORTHERN MIDDLE SCHOOL 18069 NORTHERN ELEMENTARY SCHOOL 18070 NORTHERN HIGH SCHOOL 18071 SUSQUENITA ELEMENTARY SCHOOL 18072 SUSQUENITA HIGH SCHOOL 18073 SUSQUENITA MIDDLE SCHOOL 18079 CONEWAGO ELEMENTARY SCHOOL 18085 UPPER DAUPHIN HIGH SCHOOL 18086 THE NEW BLOOMFIELD ELEMENTARY 18087 WEST PERRY SENIOR HIGH SCHOOL 18088 SHAULL ELEMENTARY SCHOOL 18089 EAST PENNSBORO ELEMENTARY CTR 18090 EAST PENNSBORO MIDDLE SCHOOL 18091 EAST PENNSBORO SENIOR HIGH SCH 18096 EAST HANOVER ELEMENTARY SCHOOL 18098 ENDERS FISHERVILLE SCHOOL 18099 HALIFAX AREA ELEMENTARY SCHOOL 18100 HALIFAX HIGH SCHOOL 18101 HALIFAX MIDDLE SCHOOL 18104 HERSHEY HIGH SCHOOL 18106 HERSHEY MIDDLE SCHOOL 18107 HERSHEY PRIMARY SCHOOL 18109 SOUTH HANOVER ELEM SCHOOL 18112 NYE ELEMENTARY SCHOOL 18113 LOWER DAUPHIN MIDDLE SCHOOL 18114 LOWER DAUPHIN HIGH SCHOOL 18135 WASHINGTON HEIGHTS ELEM SCHOOL 18162 UPPER DAUPHIN AREA ELEM SCHOOL

Page 15 BEN Name 18163 UPPER DAUPHIN MIDDLE SCHOOL 18171 GREEN RIDGE ELEMENTARY SCHOOL 18172 CUMBERLAND VALLEY HIGH SCHOOL 18173 EAGLE VIEW MIDDLE SCH 18174 SILVER SPRING ELEM SCHOOL 18176 SPORTING HILL ELEM SCHOOL 18177 NORTHSIDE ELEMENTARY SCHOOL 18179 BROAD STREET ELEMENTARY SCHOOL 18180 MECHANICSBURG AREA SENIOR HIGH SCHOOL 18181 MECHANICSBURG AREA INTERMEDIATE SCHOOL 18182 FILBERT STREET ELEM SCHOOL 18183 ROSSMOYNE ELEMENTARY SCHOOL 18184 SHEPHERDSTOWN ELEMENTARY 18185 UPPER ALLEN ELEMENTARY SCHOOL 18187 GOOD HOPE MIDDLE SCHOOL 18188 HAMPDEN ELEMENTARY SCHOOL 18198 LONDONDERRY ELEMENTARY SCHOOL 18207 MILLERSBURG AREA ELEMENTARY SCHOOL 18208 MILLERSBURG AREA HIGH SCHOOL 18210 GREENWOOD ELEMENTARY SCHOOL 18211 GREENWOOD HIGH SCHOOL 18214 W G RICE ELEMENTARY SCHOOL 18231 WEST PERRY MIDDLE SCHOOL 18233 NEW CUMBERLAND MIDDLE SCHOOL 18234 HILLSIDE ELEMENTARY SCHOOL 18236 FAIRVIEW ELEMENTARY SCHOOL 18240 NEWPORT JR-SR HIGH SCHOOL 18241 NEWPORT ELEMENTARY SCHOOL 18254 CARROLL ELEMENTARY SCHOOL 18264 BEN FRANKLIN ACAD PREP SCHOOL 18265 DOWNEY ELEMENTARY SCHOOL 18270 HARRISBURG HIGH SCHOOL 18273 MARSHALL ELEMENTARY SCHOOL 18276 MELROSE ELEMENTARY SCHOOL 18277 FOOSE ELEMENTARY SCHOOL 18278 LINDEMUTH ELEMENTARY SCHOOL 18279 SUSQUEHANNA TWP SR HIGH SCH 18281 NORTH SIDE ELEMENTARY SCHOOL 18282 SUSQUEHANNA TWP MIDDLE SCH 18283 CENTRAL DAUPHIN MIDDLE SCHOOL 18284 E H PHILLIPS ELEMENTARY SCHOOL 18287 CENTRAL DAUPHIN EAST MIDDLE SCHOOL 18288 CENTRAL DAUPHIN E SR HIGH SCH 18289 DAUPHIN COUNTY AVTS 18290 CAMP CURTIN ELEMENTARY SCHOOL 18297 T W HOLTZMAN ELEMENTARY SCHOOL

Page 16 BEN Name 18301 PAXTANG ELEMENTARY SCHOOL 18303 LAWNTON ELEMENTARY SCHOOL 18304 SOUTH SIDE ELEMENTARY SCHOOL 18305 CHAMBER HILL ELEMENTARY SCHOOL 18306 RUTHERFORD ELEMENTARY SCHOOL 18308 LINGLESTOWN ELEMENTARY SCHOOL 18309 LINGLESTOWN MIDDLE SCHOOL 18311 MOUNTAIN VIEW ELEM SCHOOL 18313 PAXTONIA ELEMENTARY SCHOOL 18316 WEST HANOVER ELEMENTARY SCHOOL 18318 STEELTON-HIGHSPIRE ELEM SCH 18319 STEELTON-HIGHSPIRE JR-SR H S 18321 SWATARA MIDDLE SCHOOL 18323 TRI-COMMUNITY ELEM SCHOOL 18367 BIG SPRING HIGH SCHOOL 18368 BIG SPRING MIDDLE SCHOOL 18369 OAK FLAT ELEMENTARY SCHOOL 18370 NEWVILLE ELEMENTARY SCHOOL 18383 SHIPPENSBURG AREA MIDDLE SCHOOL 18384 SHIPPENSBURG AREA SR HIGH SCH 18385 NANCY GRAYSON ELEMENTARY SCHOOL 18386 JAMES BURD ELEMENTARY SCHOOL 18428 RED MILL ELEMENTARY SCHOOL 18429 NEWBERRY ELEMENTARY SCHOOL 18469 RED LAND HIGH SCHOOL 18470 CROSS ROADS MIDDLE SCHOOL 18471 FISHING CREEK ELEM SCHOOL 18507 WELLSVILLE ELEMENTARY SCHOOL 125675 BOSLER MEMORIAL LIBRARY 125699 CUMBERLAND-PERRY AVTS DISTRICT 208361 SCOTT ELEMENTARY SCHOOL 208362 ROWLAND INTERMEDIATE SCHOOL 211861 SOUTH MOUNTAIN ELEMENTARY SCHOOL 223727 YELLOW BREECHES MIDDLE SCHOOL 231712 LOYSVILLE YOUTH DETENTION CENTER 233293 HERSHEY EARLY CHILDHOOD CENTER 233833 GRACE B LUHRS UNIVERSITY ELEMENTARY SCHOOL 13649036 HARRISBURG UNIVERSITY SCIENCE AND TECHNOLOGY HIGH SCHOOL 16022202 CENTRAL DAUPHIN HIGH SCHOOL 16023290 PRICE BUILDING 16035988 ELMWOOD ELEMENTARY SCHOOL 16036229 MOUNT ROCK ELEMENTARY 16045805 SHIPPENSBURG AREA INTERMEDIATE SCHOOL 16052568 HILL TOP ACADEMY 16064576 LEMOYNE PRESCHOOL CENTER 16064578 MILLERSBURG PRESCHOOL CENTER

Page 17 BEN Name 16064579 SHIPPENSBURG PRESCHOOL CENTER 16083252 DELBROOK PRESCHOOL CENTER 16083253 WILLOW MILL PRESCHOOL CENTER 16022783 HARRISBURG SCHOOL DISTRICT DATA CENTER 16023089 ADMINISTRATION BUILDING 16023091 TRANSPORTATION BUILDING 16023092 PAXTONIA GARAGE 16023094 LANDIS FIELDHOUSE 16023270 EAST PENNSBORO AREA SCHOOL DISTRICT ADMINISTRATION BUILDING 16023273 EAST PENNSBORO AREA SCHOOL DISTRICT MAINTENANCE BUILDING 16020484 SHIPPENSBURG ADMINISTRATION BUILDING 16023285 LOWER DAUPHIN ADMINISTRATION BUILDING 16042302 ADMINISTRATION OFFICE 16046450 CAPITAL AREA IU 15 ADMINISTRATION BUILDING 16048987 DERRY TOWNSHIP ADMINISTRATION OFFICE 16079184 NEW HARRISBURG ADMINISTRATION CENTER 16076319 SUSQUEHANNA SCHOOL DISTRICT ADMINISTRATIVE OFFICES 16085105 DISTRICT SUPPORT FACILITY 16085106 DISTRICT OFFICE 16085427 HAMILTON SCHOOL 17012784 Cougar Academy at Lincoln 17016445 WINDING CREEK ELEMENTARY 17019514 Derry Township Transportation Center

Page 18 FRN Calculation for FRN #2099084989

Monthly Charges Total Requested Amount Total Monthly Recurring Charges $14,000.00 Total Eligible Pre-Discount $126,000.00 Total Monthly Ineligible Charges - $0.00 Recurring Charges Total Eligible Pre-Discount One- + $0.00 Total Monthly Eligible Charges = $14,000.00 Time Charges Total Number of Months of x 9 Total Pre-Discount Charges = $126,000.00 Service Discount Rate 65% Total Eligible Pre-Discount = $126,000.00 Recurring Charges Funding Commitment Request = $81,900.00

One-Time Charges Total One-Time Charges $0.00 Total Ineligible One-Time - $0.00 Charges Total Eligible Pre-Discount = $0.00 One-Time Charges

Page 19 Certifications I certify that the entities listed in this application are eligible for support because they are schools under the statutory definitions of elementary and secondary schools found in the No Child Left Behind Act of 2001, 20 U.S.C. §§ 7801(18) and (38), that do not operate as for-profit businesses and do not have endowments exceeding $50 million, and they are libraries or library consortia eligible for assistance from a State library administrative agency under the Library Services and Technology Act of 1996 that do not operate as for-profit businesses and whose budgets are completely separate from any schools, including, but not limited to, elementary, secondary schools, colleges, or universities. I certify that the entity I represent or the entities listed on this application have secured access, separately or through this program, to all of the resources, including computers, training, software, internal connections, maintenance, and electrical capacity, necessary to use the services purchased effectively. I recognize that some of the aforementioned resources are not eligible for support. I certify that the entities I represent or the entities listed on this application have secured access to all of the resources to pay the discounted charges for eligible services from funds to which access has been secured in the current funding year. I certify that the Billed Entity will pay the non-discount portion of the cost of the goods and services to the service provider(s). Total Funding Summary

Below is a summary of the total line item costs on this FCC Form 471:

Summary Total funding year pre-discount eligible amount on this FCC Form $126,000.00 471 Total funding commitment request amount on this FCC Form 471 $81,900.00 Total applicant non-discount share of the eligible amount $44,100.00 Total budgeted amount allocated to resources not eligible for E-rate $3,403,000.00 support Total amount necessary for the applicant to pay the non-discount $3,447,100.00 share of eligible and any ineligible amounts Are you receiving any of the funds directly from a service provider No listed on any of the FCC Forms 471 filed by this Billed Entity for this funding year? Has a service provider listed on any of the FCC Forms 471 filed by No this Billed Entity for this funding year assited you in locating funds needed to pay your non-discounted share?

I certify an FCC Form 470 was posted and that any related RFP was made available for at least 28 days before considering all bids received and selecting a service provider. I certify that all bids submitted were carefully considered and the most cost-effective service offering was selected, with price being the primary factor considered, and is the most cost-effective means of meeting educational needs and technology goals. I certify that the entity responsible for selecting the service provider(s) has reviewed all applicable FCC, state, and local procurement/competitive bidding requirements and that the entity or entities listed on this application have complied with them. I certify that the services the applicant purchases at discounts provided by 47 U.S.C. § 254 will be used primarily for educational purposes, see 47 C.F.R. § 54.500 and will not be sold, resold or transferred in consideration for money or any other thing of value, except as permitted by the Commission’s rules at 47 C.F.R. § 54.513. Additionally, I certify that the entity or entities listed on this application have not received anything of value or a promise of anything of value, as prohibited by the Commission’s rules at 47 C.F.R. § 54.503(d), other than services and equipment sought by means of this form, from the service provider, or any representative or agent thereof or any consultant in connection with this request for services. I certify that I and the entity(ies) I represent have complied with all program rules and I acknowledge that failure to do so may result in denial of discount funding and/or cancellation of funding commitments. There are signed contracts or other legally binding agreements covering all of the services listed on this FCC Form 471 except for those services provided under non-contracted tariffed or month-to-month arrangements. I acknowledge that failure to comply with program rules could result in civil or criminal prosecution by the appropriate law enforcement authorities. I acknowledge that the discount level used for shared services is conditional, for future years, upon ensuring that the most disadvantaged schools and libraries that are treated as sharing in the service, receive an appropriate share of benefits from those services. I certify that I will retain required documents for a period of at least 10 years (or whatever retention period is required by the rules in effect at the time of this certification) after the later of the last day of the applicable funding year or the service delivery deadline for the associated funding request. I acknowledge that I may be audited pursuant to participation in the schools and libraries program. I certify that I will retain all documents necessary to demonstrate compliance with the statute and Commission rules regarding the application for, receipt of, and delivery of services receiving schools and libraries discounts, and that if audited, I will make such records available to USAC. I certify that I am authorized to order telecommunications and other supported services for the eligible entity(ies) listed on this application. I certify that I am authorized to submit this request on behalf of the eligible entity(ies) listed on this application, that I have examined this request, that all of the information on this form is true and correct to the best of my knowledge, that the entities that are receiving discounts pursuant to this application have complied with the terms, conditions and purposes of the program, that no kickbacks were paid to anyone and that false statements on this form can be punished by fine or forfeiture under the Communications Act, 47 U.S.C. §§ 502, 503(b), or fine or imprisonment under Title 18 of the United States Code, 18 U.S.C. § 1001 and civil violations of the False Claims Act. I acknowledge that FCC rules provide that persons who have been convicted of criminal violations or held civilly liable for certain acts arising from their participation in the schools and libraries support mechanism are subject to suspension and debarment from the program. I will institute reasonable measures to be informed, and will notify USAC should I be informed or become aware that I or any of the entities listed on this application, or any person associated in any way with my entity and/or the entities listed on this application, is convicted of a criminal violation or held civilly liable for acts arising from their participation in the schools and libraries support mechanism. I certify that if any of the Funding Requests on this FCC Form 471 are for discounts for products or services that contain both eligible and ineligible components, that I have allocated the eligible and ineligible components as required by the Commission's rules at 47 C.F.R. § 54.504.

Page 20 Notice Section 54.504 of the Federal Communications Commission's rules requires all schools and libraries ordering services that are eligible for and seeking universal service discounts to submit an application for such discounts by filing this Services Ordered and Certification Form (FCC Form 471) with the Universal Service Administrator. 47 C.F.R. § 54.504. The collection of information stems from the Commission's authority under Section 254 of the Communications Act of 1934, as amended. 47 U.S.C. § 254. The data in the report will be used to ensure that schools and libraries comply with the application requirements for universal service discounts contained in 47 C.F.R. § 54.504. Schools and libraries must file this form themselves or as part of a consortium. An agency may not conduct or sponsor, and a person is not required to respond to, a collection of information unless it displays a currently valid OMB control number. The FCC is authorized under the Communications Act of 1934, as amended, to collect the information we request in this form. We will use the information you provide to determine whether approving your application for universal service discounts is in the public interest. If we believe there may be a violation or a potential violation of any applicable statute, regulation, rule or order, your application may be referred to the Federal, state, or local agency responsible for investigating, prosecuting, enforcing, or implementing the statute, rule, regulation or order. In certain cases, the information in your application for universal service discounts may be disclosed to the Department of Justice or a court or adjudicative body when (a) the FCC; or (b) any employee of the FCC; or (c) the United States Government is a party of a proceeding before the body or has an interest in the proceeding. In addition, consistent with the Communications Act of 1934, FCC regulations and orders, the Freedom of Information Act, 5 U.S.C. § 552, or other applicable law, information provided in or submitted with this form or in response to subsequent inquiries may be disclosed to the public. If you owe a past due debt to the Federal government, the information you provide may also be disclosed to the Department of the Treasury Financial Management Service, other Federal agencies and/or your employer to offset your salary, IRS tax refund or other payments to collect that debt. The FCC may also provide the information to these agencies through the matching of computer records when authorized. If you do not provide the information we request on the form, the FCC or the Universal Service Administrator may delay processing of your application for universal service discounts or may return your application without action. The foregoing Notice is required by the Paperwork Reduction Act of 1995, Pub. L. No. 104-13, 44 U.S.C. § 3501, et seq. Public reporting burden for this collection of information is estimated to average 4.5 hours per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, completing, and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing the reporting burden to the Federal Communications Commission, Performance Evaluation and Records Management, Washington, DC 20554. We also will accept your comments via the email if you send them to [email protected]. DO NOT SEND COMPLETED WORKSHEETS TO THESE ADDRESSES. Authorized Person Title: Administrator Name: Steve Stoner

Phone: 717-732-8402 Email: [email protected]

Address: 55 MILLER STREET Enola PA 17025 - Employer: Intermediate Unit 15 1640

12-Oct-2020 19:58:10 EDT Certified Timestamp

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