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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 December 2018 Description of Services Ordered and Certification Form 471 FCC Form 471 Application Information Nickname FY21-471-2 Campus Edge Switches and Application Number 211009360 Supporting Equipment Funding Year 2021 Category of Service Category 2 Billed Entity Contact Information ESCAMBIA COUNTY SCHOOL DIST Ghislaine Andrews 75 N PACE BLVD PENSACOLA FL 32505 - 7965 850-469-6112 850-469-6112 [email protected] [email protected] Billed Entity Number 127641 FCC Registration Number 0011611902 Applicant Type School District Ron Mosley [email protected] (850)469-6213 Holiday/Summer Contact Information Entity Information School District Entity - Details BEN Name Urban/ State State NCES School District How does Total Endowment Rural LEA ID School Code Attributes the district Student ID report its Count for student count Category for Category Two Budget Two budget? 127641 ESCAMBIA COUNTY Urban Public Sch A number for 38625 None SCHOOL DIST ool District each school in the district Related Entity Information Related Child School Entity - Details BEN Name Urban/ State State NCES Alternative School Attributes Total Endowment Rural LEA ID School ID Code Discount Students for C2 Budget 35482 PENSACOLA HIGH SC Urban Public School 1424 None HOOL 35486 COOK ELEMENTARY Urban None Public School 578 None SCHOOL Page 1 BEN Name Urban/ State State NCES Alternative School Attributes Total Endowment Rural LEA ID School ID Code Discount Students for C2 Budget 35493 BROWN BARGE MIDD Urban None Public School 563 None LE SCHOOL 35494 CORDOVA PARK ELE Urban None Public School 628 None MENTARY SCHOOL 35496 O. J. SEMMES ELEME Urban Public School 445 None NTARY SCHOOL 35503 SUTER ELEMENTARY Urban None Public School 568 None SCHOOL 35506 SCENIC HEIGHTS ELE Urban Public School 825 None M SCHOOL 35507 WASHINGTON HIGH S Urban Public School 1778 None CHOOL 35508 HOLM ELEMENTARY S Urban Public School 440 None CHOOL 35509 WORKMAN MIDDLE S Urban Public School 978 None CHOOL 35514 BRENTWOOD ELEME Urban Public School 473 None NTARY SCHOOL 35515 MONTCLAIR ELEMENT Urban Public School 398 None ARY SCHOOL 35516 OAKCREST ELEMENT Urban Public School 533 None ARY SCHOOL 35518 WEIS ELEMENTARY S Urban Public School 546 None CHOOL 35521 SHERWOOD ELEMEN Urban Public School 540 None TARY SCHOOL 35522 ESCAMBIA HIGH SCH Urban Public School 1746 None OOL 35523 MYRTLE GROVE ELE Urban Public School 571 None MENTARY SCHOOL 35524 WEST PENSACOLA EL Urban Public School 562 None EM SCHOOL 35525 CARO ELEMENTARY S Urban None Public School 806 None CHOOL 35526 JIM C. BAILEY MIDDLE Urban Public School 1389 None SCHOOL 35531 NAVY POINT ELEMEN Urban Public School 537 None TARY SCHOOL 35532 WARRINGTON ELEME Urban Public School 358 None NTARY SCHOOL 35534 WARRINGTON MIDDL Urban Public School 819 None E SCHOOL 35538 PLEASANT GROVE EL Urban Public School 599 None EM SCHOOL 35541 ENSLEY ELEMENTAR Urban Public School 409 None Y SCHOOL 35543 FERRY PASS ELEMEN Urban Public School 616 None TARY SCHOOL 35545 FERRY PASS MIDDLE Urban Public School 1203 None SCHOOL 35548 BELLVIEW ELEMENTA Urban Public School 631 None RY SCHOOL 35549 BELLVIEW MIDDLE SC Urban Public School 992 None HOOL 35552 BEULAH ELEMENTAR Urban None Public School 914 None Y SCHOOL Page 2 BEN Name Urban/ State State NCES Alternative School Attributes Total Endowment Rural LEA ID School ID Code Discount Students for C2 Budget 35555 LONGLEAF ELEMENT Urban Public School 566 None ARY SCHOOL 35556 PINE FOREST HIGH S Urban Public School 1630 None CHOOL 35559 RANSOM MIDDLE SCH Urban None Public School 1274 None OOL 35560 JIM ALLEN ELEMENTA Urban Public School 670 None RY SCHOOL 35562 PINE MEADOW ELEME Urban Public School 620 None NTARY SCHOOL 35563 LINCOLN PARK ELEM Urban Public School 316 None ENTARY SCHOOL 35564 MCARTHUR ELEMENT Urban Public School 713 None ARY SCHOOL 35565 ESCAMBIA WESTGAT Urban Public School 197 None E CENTER 35566 R.C. LIPSCOMB ELEM Urban Public School 838 None ENTARY SCHOOL 35567 BRATT ELEMENTARY Urban Public School 513 None SCHOOL 35570 NORTHVIEW HIGH SC Urban Public School 499 None HOOL 35603 TATE HIGH SCHOOL Urban None Public School 2175 None 35620 WARD MIDDLE SCHO Urban Public School 489 None OL 35645 MOLINO PARK ELEME Urban Public School 495 None NTARY SCHOOL 224587 BLUE ANGELS ELEME Urban None Public School 813 None NTARY 230423 WEST FLORIDA HIGH Urban None Public School 1338 None SCHOOL OF ADVANC ED TECHNOLOGY 16064830GLOBAL LEARNING A Urban Public School 602 None CADEMY 17002439ESCAMBIA VIRTUAL A Urban None Public School 148 None CADEMY FRANCHISE 17002440ESCAMBIA VIRTUAL I Urban None Public School 0 None NSTRUCTION (COURS E OFFERINGS) 17002441ESCAMBIA VIRTUAL I Urban None Public School 80 None NSTRUCTION PROGR AM 17002442ESCAMBIA VIRTUAL I Urban None Public School 0 None NSTRUCTIONAL PRO GRAM (DISTRICT PRO VIDED) 35530 CAMELOT ACADEMY Urban Public School 192 None OF ESCAMBIA COUNT Y 35533 Success Academy Urban Public School 141 None 202873 HOSPITAL & HOMEBO Urban None Public School 0 None UND 17016375Beulah Middle School Urban 1291 Public School 830 None 17016376Kingsfield Elementary S Urban 1311 None Public School 617 None chool Page 3 Related Child School Entity - Discount Rate Calculation Details BEN Name Urban/ Number of Students CEP CEP Base Rural Students Count Based Percentage Year on Estimate 35482 PENSACOLA HIGH SCHOOL Urban 1380 N/A 60.51% 2019 35486 COOK ELEMENTARY SCHOOL Urban 567 N/A 35493 BROWN BARGE MIDDLE SCHOOL Urban 517 N/A 35494 CORDOVA PARK ELEMENTARY SCHOOL Urban 603 N/A 35496 O. J. SEMMES ELEMENTARY SCHOOL Urban 475 N/A 60.51% 2019 35503 SUTER ELEMENTARY SCHOOL Urban 573 N/A 35506 SCENIC HEIGHTS ELEM SCHOOL Urban 844 N/A 60.51% 2019 35507 WASHINGTON HIGH SCHOOL Urban 1819 N/A 60.51% 2019 35508 HOLM ELEMENTARY SCHOOL Urban 480 N/A 60.51% 2019 35509 WORKMAN MIDDLE SCHOOL Urban 923 N/A 60.51% 2019 35514 BRENTWOOD ELEMENTARY SCHOOL Urban 400 N/A 60.51% 2019 35515 MONTCLAIR ELEMENTARY SCHOOL Urban 417 N/A 60.51% 2019 35516 OAKCREST ELEMENTARY SCHOOL Urban 510 N/A 60.51% 2019 35518 WEIS ELEMENTARY SCHOOL Urban 554 N/A 60.51% 2019 35521 SHERWOOD ELEMENTARY SCHOOL Urban 503 N/A 60.51% 2019 35522 ESCAMBIA HIGH SCHOOL Urban 1759 N/A 60.51% 2019 35523 MYRTLE GROVE ELEMENTARY SCHOOL Urban 566 N/A 60.51% 2019 35524 WEST PENSACOLA ELEM SCHOOL Urban 584 N/A 60.51% 2019 35525 CARO ELEMENTARY SCHOOL Urban 758 N/A 35526 JIM C. BAILEY MIDDLE SCHOOL Urban 1311 N/A 60.51% 2019 35531 NAVY POINT ELEMENTARY SCHOOL Urban 482 N/A 60.51% 2019 35532 WARRINGTON ELEMENTARY SCHOOL Urban 355 N/A 60.51% 2019 35534 WARRINGTON MIDDLE SCHOOL Urban 809 N/A 60.51% 2019 35538 PLEASANT GROVE ELEM SCHOOL Urban 528 N/A 60.51% 2019 35541 ENSLEY ELEMENTARY SCHOOL Urban 438 N/A 60.51% 2019 35543 FERRY PASS ELEMENTARY SCHOOL Urban 598 N/A 60.51% 2019 35545 FERRY PASS MIDDLE SCHOOL Urban 1116 N/A 60.51% 2019 35548 BELLVIEW ELEMENTARY SCHOOL Urban 616 N/A 60.51% 2019 35549 BELLVIEW MIDDLE SCHOOL Urban 1023 N/A 60.51% 2019 35552 BEULAH ELEMENTARY SCHOOL Urban 904 N/A 35555 LONGLEAF ELEMENTARY SCHOOL Urban 610 N/A 60.51% 2019 35556 PINE FOREST HIGH SCHOOL Urban 1655 N/A 60.51% 2019 35559 RANSOM MIDDLE SCHOOL Urban 1309 N/A 35560 JIM ALLEN ELEMENTARY SCHOOL Urban 616 N/A 60.51% 2019 35562 PINE MEADOW ELEMENTARY SCHOOL Urban 675 N/A 60.51% 2019 35563 LINCOLN PARK ELEMENTARY SCHOOL Urban 312 N/A 60.51% 2019 35564 MCARTHUR ELEMENTARY SCHOOL Urban 657 N/A 60.51% 2019 35565 ESCAMBIA WESTGATE CENTER Urban 190 N/A 60.51% 2019 35566 R.C. LIPSCOMB ELEMENTARY SCHOOL Urban 808 N/A 60.51% 2019 35567 BRATT ELEMENTARY SCHOOL Urban 516 N/A 60.51% 2019 35570 NORTHVIEW HIGH SCHOOL Urban 530 N/A 60.51% 2019 35603 TATE HIGH SCHOOL Urban 2124 N/A 35620 WARD MIDDLE SCHOOL Urban 487 N/A 60.51% 2019 Page 4 BEN Name Urban/ Number of Students CEP CEP Base Rural Students Count Based Percentage Year on Estimate 35645 MOLINO PARK ELEMENTARY SCHOOL Urban 503 N/A 60.51% 2019 224587 BLUE ANGELS ELEMENTARY Urban 848 N/A 230423 WEST FLORIDA HIGH SCHOOL OF ADVANCED TE Urban 1280 N/A CHNOLOGY 16064830 GLOBAL LEARNING ACADEMY Urban 575 N/A 60.51% 2019 17002439 ESCAMBIA VIRTUAL ACADEMY FRANCHISE Urban 148 N/A 17002440 ESCAMBIA VIRTUAL INSTRUCTION (COURSE OFF Urban 0 N/A ERINGS) 17002441 ESCAMBIA VIRTUAL INSTRUCTION PROGRAM Urban 80 N/A 17002442 ESCAMBIA VIRTUAL INSTRUCTIONAL PROGRAM ( Urban 0 N/A DISTRICT PROVIDED) 35530 CAMELOT ACADEMY OF ESCAMBIA COUNTY Urban 192 N/A 60.51% 35533 Success Academy Urban 206 N/A 60.51% 2019 202873 HOSPITAL & HOMEBOUND Urban 0 N/A 17016375 Beulah Middle School Urban 1048 N/A 60.51% 2019 17016376 Kingsfield Elementary School Urban 775 N/A Related School District NIFs School School District Name NIF BEN NIF Name District BEN 127641 ESCAMBIA COUNTY SCHOOL DIST 186701 J E HALL EDUCATION SERVICE CENTER 127641 ESCAMBIA COUNTY SCHOOL DIST 16030597 WALNUT HILL SCHOOL BUS GARAGE 127641 ESCAMBIA COUNTY SCHOOL DIST 16030598 NORTHEND MAINTENANCE SHOP 127641 ESCAMBIA COUNTY SCHOOL DIST 16050698 ADMINISTRATIVE CENTER ESCAMBIA COUNTY 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 38556 31536 82.0% Urban 90% 85% Page 5 Funding Request for FRN #2199011046 Funding Request Nickname: FY21-471-2 Campus Edge Switches and Supporting Equipment Service Type: Internal Connections Agreement Information - Contract Contract Number Account Number Establishing FCC Form 470 210003317 Service Provider PC Specialists (SPN: 143025490) Was an FCC Form 470 posted Yes
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