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 Based on State Master No for the product and/or services Contract? you are requesting? Based on a multiple award No Award Date January 19, 2021 schedule?

How many bids were received 2 Includes Voluntary Extensions? No for this contract? Remaining Voluntary What is the service start date? July 01, 2021 Extensions

Total Remaining Contract Length

What is the date your contract June 30, 2022 expires for the current term of the contract?

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

Campus Edge Switches and Supporting Equipment Narrative

Page 6 Line Item # 2199011046.001

Product and Service Details Type of Internal Connection Data Distribution Type of Product Switch

Make Aruba Model JL324A

Is installation included in Price?No Is the hardware for this FRN lineNo item leased?

Cost Calculation for FRN Line Item # 2199011046.001

Monthly Cost One-Time Cost Monthly Recurring Unit Cost $0.00 One-time Unit Cost $3,505.78 Monthly Recurring Unit Ineligible - $0.00 One-time Ineligible Unit Costs - $0.00 Costs One-time Eligible Unit Cost = $3,505.78 Monthly Recurring Unit Eligible = $0.00 One-time Quantity x 133 Costs Monthly Quantity x 0 Total Eligible One-time Costs = $466,268.74 Units 0 Total Monthly Eligible Recurring = $0.00 Summary Costs Total Eligible Recurring Costs $0.00 Months of Service x 12 Total Eligible One-time Costs + $466,268.74 Total Eligible Recurring Costs = $0.00 Pre-Discount Extended Eligible = $466,268.74 Line Item Cost

Page 7 Recipients of Services Entity # Entity Name 35482 PENSACOLA HIGH SCHOOL 35486 COOK ELEMENTARY SCHOOL 35493 BROWN BARGE MIDDLE SCHOOL 35496 O. J. SEMMES ELEMENTARY SCHOOL 35506 SCENIC HEIGHTS ELEM SCHOOL 35508 HOLM ELEMENTARY SCHOOL 35514 BRENTWOOD ELEMENTARY SCHOOL 35515 MONTCLAIR ELEMENTARY SCHOOL 35516 OAKCREST ELEMENTARY SCHOOL 35518 WEIS ELEMENTARY SCHOOL 35521 SHERWOOD ELEMENTARY SCHOOL 35522 ESCAMBIA HIGH SCHOOL 35523 MYRTLE GROVE ELEMENTARY SCHOOL 35524 WEST PENSACOLA ELEM SCHOOL 35525 CARO ELEMENTARY SCHOOL 35531 NAVY POINT ELEMENTARY SCHOOL 35532 WARRINGTON ELEMENTARY SCHOOL 35534 WARRINGTON MIDDLE SCHOOL 35541 ENSLEY ELEMENTARY SCHOOL 35543 FERRY PASS ELEMENTARY SCHOOL 35545 FERRY PASS MIDDLE SCHOOL 35548 BELLVIEW ELEMENTARY SCHOOL 35552 BEULAH ELEMENTARY SCHOOL 35555 LONGLEAF ELEMENTARY SCHOOL 35560 JIM ALLEN ELEMENTARY SCHOOL 35562 PINE MEADOW ELEMENTARY SCHOOL 35563 LINCOLN PARK ELEMENTARY SCHOOL 35565 ESCAMBIA WESTGATE CENTER 35566 R.C. LIPSCOMB ELEMENTARY SCHOOL 35567 BRATT ELEMENTARY SCHOOL 35570 NORTHVIEW HIGH SCHOOL 35603 TATE HIGH SCHOOL 35645 MOLINO PARK ELEMENTARY SCHOOL 224587 BLUE ANGELS ELEMENTARY 230423 WEST FLORIDA HIGH SCHOOL OF ADVANCED TECHNOLOGY

Page 8 Line Item # 2199011046.002

Product and Service Details Type of Internal Connection Data Distribution Type of Product Switch

Make Aruba Model JL087A

Is installation included in Price?No Is the hardware for this FRN lineNo item leased?

Cost Calculation for FRN Line Item # 2199011046.002

Monthly Cost One-Time Cost Monthly Recurring Unit Cost $0.00 One-time Unit Cost $386.34 Monthly Recurring Unit Ineligible - $0.00 One-time Ineligible Unit Costs - $0.00 Costs One-time Eligible Unit Cost = $386.34 Monthly Recurring Unit Eligible = $0.00 One-time Quantity x 133 Costs Monthly Quantity x 0 Total Eligible One-time Costs = $51,383.22 Units 0 Total Monthly Eligible Recurring = $0.00 Summary Costs Total Eligible Recurring Costs $0.00 Months of Service x 12 Total Eligible One-time Costs + $51,383.22 Total Eligible Recurring Costs = $0.00 Pre-Discount Extended Eligible = $51,383.22 Line Item Cost

Page 9 Recipients of Services Entity # Entity Name 35493 BROWN BARGE MIDDLE SCHOOL 35514 BRENTWOOD ELEMENTARY SCHOOL 35525 CARO ELEMENTARY SCHOOL 35548 BELLVIEW ELEMENTARY SCHOOL 35552 BEULAH ELEMENTARY SCHOOL 35560 JIM ALLEN ELEMENTARY SCHOOL 35567 BRATT ELEMENTARY SCHOOL 224587 BLUE ANGELS ELEMENTARY 35482 PENSACOLA HIGH SCHOOL 35486 COOK ELEMENTARY SCHOOL 35496 O. J. SEMMES ELEMENTARY SCHOOL 35506 SCENIC HEIGHTS ELEM SCHOOL 35508 HOLM ELEMENTARY SCHOOL 35515 MONTCLAIR ELEMENTARY SCHOOL 35516 OAKCREST ELEMENTARY SCHOOL 35518 WEIS ELEMENTARY SCHOOL 35521 SHERWOOD ELEMENTARY SCHOOL 35522 ESCAMBIA HIGH SCHOOL 35523 MYRTLE GROVE ELEMENTARY SCHOOL 35524 WEST PENSACOLA ELEM SCHOOL 35531 NAVY POINT ELEMENTARY SCHOOL 35532 WARRINGTON ELEMENTARY SCHOOL 35534 WARRINGTON MIDDLE SCHOOL 35541 ENSLEY ELEMENTARY SCHOOL 35543 FERRY PASS ELEMENTARY SCHOOL 35545 FERRY PASS MIDDLE SCHOOL 35555 LONGLEAF ELEMENTARY SCHOOL 35562 PINE MEADOW ELEMENTARY SCHOOL 35563 LINCOLN PARK ELEMENTARY SCHOOL 35565 ESCAMBIA WESTGATE CENTER 35566 R.C. LIPSCOMB ELEMENTARY SCHOOL 35570 NORTHVIEW HIGH SCHOOL 35603 TATE HIGH SCHOOL 35645 MOLINO PARK ELEMENTARY SCHOOL 230423 WEST FLORIDA HIGH SCHOOL OF ADVANCED TECHNOLOGY

Page 10 Line Item # 2199011046.003

Product and Service Details Type of Internal Connection Module Type of Product Module

Make Aruba Model JL083A

Is installation included in Price?No Is the hardware for this FRN lineNo item leased?

Cost Calculation for FRN Line Item # 2199011046.003

Monthly Cost One-Time Cost Monthly Recurring Unit Cost $0.00 One-time Unit Cost $426.94 Monthly Recurring Unit Ineligible - $0.00 One-time Ineligible Unit Costs - $0.00 Costs One-time Eligible Unit Cost = $426.94 Monthly Recurring Unit Eligible = $0.00 One-time Quantity x 133 Costs Monthly Quantity x 0 Total Eligible One-time Costs = $56,783.02 Units 0 Total Monthly Eligible Recurring = $0.00 Summary Costs Total Eligible Recurring Costs $0.00 Months of Service x 12 Total Eligible One-time Costs + $56,783.02 Total Eligible Recurring Costs = $0.00 Pre-Discount Extended Eligible = $56,783.02 Line Item Cost

Page 11 Recipients of Services Entity # Entity Name 35482 PENSACOLA HIGH SCHOOL 35486 COOK ELEMENTARY SCHOOL 35493 BROWN BARGE MIDDLE SCHOOL 35496 O. J. SEMMES ELEMENTARY SCHOOL 35506 SCENIC HEIGHTS ELEM SCHOOL 35508 HOLM ELEMENTARY SCHOOL 35514 BRENTWOOD ELEMENTARY SCHOOL 35515 MONTCLAIR ELEMENTARY SCHOOL 35516 OAKCREST ELEMENTARY SCHOOL 35518 WEIS ELEMENTARY SCHOOL 35521 SHERWOOD ELEMENTARY SCHOOL 35522 ESCAMBIA HIGH SCHOOL 35523 MYRTLE GROVE ELEMENTARY SCHOOL 35524 WEST PENSACOLA ELEM SCHOOL 35525 CARO ELEMENTARY SCHOOL 35531 NAVY POINT ELEMENTARY SCHOOL 35532 WARRINGTON ELEMENTARY SCHOOL 35534 WARRINGTON MIDDLE SCHOOL 35541 ENSLEY ELEMENTARY SCHOOL 35543 FERRY PASS ELEMENTARY SCHOOL 35545 FERRY PASS MIDDLE SCHOOL 35548 BELLVIEW ELEMENTARY SCHOOL 35552 BEULAH ELEMENTARY SCHOOL 35555 LONGLEAF ELEMENTARY SCHOOL 35560 JIM ALLEN ELEMENTARY SCHOOL 35562 PINE MEADOW ELEMENTARY SCHOOL 35563 LINCOLN PARK ELEMENTARY SCHOOL 35565 ESCAMBIA WESTGATE CENTER 35566 R.C. LIPSCOMB ELEMENTARY SCHOOL 35567 BRATT ELEMENTARY SCHOOL 35570 NORTHVIEW HIGH SCHOOL 35603 TATE HIGH SCHOOL 35645 MOLINO PARK ELEMENTARY SCHOOL 224587 BLUE ANGELS ELEMENTARY 230423 WEST FLORIDA HIGH SCHOOL OF ADVANCED TECHNOLOGY

Page 12 FRN Calculation for FRN #2199011046

Monthly Charges Total Requested Amount Total Monthly Recurring Charges $0.00 Total Eligible Pre-Discount $0.00 Total Monthly Ineligible Charges - $0.00 Recurring Charges Total Eligible Pre-Discount One- + $574,434.98 Total Monthly Eligible Charges = $0.00 Time Charges Total Number of Months of x 12 Total Pre-Discount Charges = $574,434.98 Service Discount Rate 85% Total Eligible Pre-Discount = $0.00 Recurring Charges Funding Commitment Request = $488,269.73

One-Time Charges Total One-Time Charges $574,434.98 Total Ineligible One-Time - $0.00 Charges Total Eligible Pre-Discount = $574,434.98 One-Time Charges

Page 13 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. 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 $574,434.98 471 Total funding commitment request amount on this FCC Form 471 $488,269.73 Total applicant non-discount share of the eligible amount $86,165.25 Total budgeted amount allocated to resources not eligible for E-rate $7,000,000.00 support Total amount necessary for the applicant to pay the non-discount $7,086,165.25 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. Notice

Page 14 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: 850-469-6112 Name: Ghislaine Andrews

Phone: 850-469-6112 Email: [email protected]

Address: 75 N PACE BLVD PENSACOLA FL Employer: ESCAMBIA COUNTY SCHOOL DIST 32505 - 7965

08-Feb-2021 15:39:50 EST Certified Timestamp

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