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 CM19-47102-MIBS Application Number 191020583 Funding Year 2019 Category of Service Category 2
Billed Entity Contact Information Cleveland Municipal School District Curtis Timmons 1111 SUPERIOR AVENUE, E SUITE 1800 CLEVE 216-838-0485 LAND OH 44114 [email protected] 216-574-8000
Billed Entity Number 129482 FCC Registration Number 0012671517 Applicant Type School District
Dedra Ross, 216-838-0495, [email protected] Holiday/Summer Contact Information
Consulting Firms Name Consultant City State Zip Phone Email Registration Code Number Number Funds for Learning 16024808 Edmond OK 73013 405-341-4140 jharrington@fundsforlearn ing.com
Entity Information
School District Entity - Details BEN Name Urban/ State State NCES School District Endowment Rural LEA ID School Code Attributes ID 129482 Cleveland Municipal School District Urban Public School District None
Related Entity Information
Related Child School Entity - Details BEN Name Urban/ State State NCES Code Alternative School Attributes Endowment Rural LEA ID School ID Discount 47671 MAX HAYES Urban Public School None
Page 1 BEN Name Urban/ State State NCES Code Alternative School Attributes Endowment Rural LEA ID School ID Discount 47673 MARION C. SELTZER Urban Public School None 47676 JOSEPH M. GALLAGHER Urban Public School None 47677 WAVERLY Urban Public School None 47682 H. BARBARA BOOKER Urban Public School None MONTESSORI 47683 CLARK Urban Public School None 47684 ALMIRA Urban Public School None 47687 CASE Urban Public School None 47691 WILLSON Urban Public School None 47695 WADE PARK Urban Public School None 47699 MARY B. MARTIN Urban Public School None 47703 ALFRED A. BENESCH Urban Public School None 47704 EAST TECHNICAL HIGH Urban Public School None SCHOOL 47705 Dike School of the Arts Urban Public School None 47710 HARVEY RICE Urban Public School None 47725 ANDREW J. RICKOFF Urban Public School None 47731 FULLERTON Urban Public School None 47736 MILES PARK Urban Public School None 47737 MILES PARK Urban Public School None 47740 DANIEL E. MORGAN Urban Public School None 47742 MARY M. BETHUNE Urban Public School None 47746 CLEVELAND SCHOOL OF Urban Public School None THE ARTS 47747 JOHN HAY CAMPUS Urban Public School None 47749 BOLTON Urban Public School None 47780 IOWA-MAPLE Urban Public School None 47783 GLENVILLE Urban Public School None 47785 PATRICK HENRY Urban Public School None 47787 FRANKLIN D. Urban Public School None ROOSEVELT 47789 MICHAEL R WHITE Urban Public School None 47796 LINCOLN-WEST Urban Public School None 47797 BUHRER ELEMENTARY Urban Public School None 47798 JONES HOME AKA Urban None Dormitory; None CHILDREN AID SOCIETY Public School 47800 DENISON Urban Public School None 47802 CHARLES A. MOONEY Urban Public School None 47806 BENJAMIN FRANKLIN Urban Public School None 47808 WILLIAM CULLEN Urban Public School None BRYANT 47813 GINN ACADEMY Urban Public School None 47816 COLLINWOOD Urban Public School None 47819 EAST CLARK Urban Public School None 47830 WILBUR WRIGHT Urban Public School None 47832 GARFIELD ELEMENTARY Urban Public School None 47836 CLEVELAND CHRISTIAN Urban None Charter School; None HOME Dormitory; Public School Page 2 BEN Name Urban/ State State NCES Code Alternative School Attributes Endowment Rural LEA ID School ID Discount 47838 NEWTON D. BAKER Urban Public School None 47840 LOUIS AGASSIZ Urban Public School None 47844 KENNETH W. CLEMENT- Urban Public School None BOYS SCHOOL 47858 GARRETT MORGAN Urban Public School None 47862 ORCHARD STEM (K-8) Urban Public School None 47863 PAUL L. DUNBAR Urban Public School None 47864 TREMONT Urban Public School None 47868 WALTON Urban Public School None 47869 SCRANTON Urban Public School None 47870 LUIS MUNOZ MARIN Urban Public School None 47872 DESIGN LAB EARLY Urban Public School None COLLEGE SCHOOL 47875 MARION-STERLING Urban Public School None 47876 JANE ADDAMS Urban Public School None 47915 OLIVER H. PERRY Urban Public School None 47917 SUNBEAM Urban Public School None 47929 CHARLES DICKENS Urban Public School None 47963 ADLAI E. STEVENSON Urban Public School None 48009 WILLOW Urban Public School None 48014 WHITNEY YOUNG Urban Public School None 48018 JOHN F. KENNEDY Urban Public School None E3AGLE ACADEMY 48019 CHARLES W. ELIOT Urban Public School None 48097 CLARA E. WESTROPP Urban Public School None 48098 MEMORIAL Urban Public School None 48099 BARD HIGH SCHOOL Urban Public School None EARLY COLLEGE CLEVELAND 48104 ROBINSON G. JONES Urban Public School None 48105 VALLEY VIEW- BOYS Urban Public School None SCHOOL 48181 JAMES FORD RHODES Urban Public School None 203710 HANNAH GIBBONS-STEM Urban Public School None 223388 LOUISA MAY ALCOTT Urban Public School None 235043 DOWNTOWN Urban None Juvenile Justice; None EDUCATION CENTER Public School AKA JUVENILE DETENTION CENTER 16024156 RIVERSIDE Urban Public School None ELEMENTARY SCHOOL 16025372 WASHINGTON PARK- Urban Public School None ENVIRONMENTAL SCIENCES 16035684 JOHN ADAMS Urban Public School None 16035685 WARNER- GIRLS Urban Public School None SCHOOL 16035797 DOUGLAS MACARTHUR- Urban Public School None GIRLS SCHOOL 16043187 ARTEMUS WARD Urban Public School None
Page 3 BEN Name Urban/ State State NCES Code Alternative School Attributes Endowment Rural LEA ID School ID Discount 16060052 Campus International High Urban Public School None School 16060057 ANTON GRDINA Urban Public School None 16060067 EUCLID PARK NEW Urban Public School None 16060070 GEORGE WASHINGTON Urban Public School None CARVER 16060072 MOUND Urban Public School None 16060076 NATHAN HALE Urban Public School None 16060078 ROBERT H. JAMISON Urban Public School None 16060079 THOMAS JEFFERSON Urban Public School None INTERNATIONAL NEWCOMERS ACADEMY 16070874 MC2 STEM 11-12 AT Urban Public School None CLEVELAND STATE UNIV RHODES TOWER 16077035 CLEVELAND HIGH Urban Public School None SCHOOL FOR DIGITAL ARTS 16079097 John Marshall School Urban Public School None of Civic & Business Leadership 17008191 CAMPUS Urban None Public School None INTERNATIONAL 223393 MARTIN LUTHER KING Urban Public School None HIGH SCHOOL 17013515 Davis Aerospace & Urban None Public School None Maritime High School 223390 SCHOOL OF ONE Urban Public School None 17019917 NEW TECH WEST Urban Public School None 17019918 WILLIAM RAINEY Urban Public School None HARPER
Related Child School Entity - Discount Rate Calculation Details BEN Name Urban/ Number of Students CEP Rural Students Count Based Percentage on Estimate 47671 MAX HAYES Urban 608 N/A 71.00% 47673 MARION C. SELTZER Urban 427 N/A 71.00% 47676 JOSEPH M. GALLAGHER Urban 704 N/A 71.00% 47677 WAVERLY Urban 223 N/A 71.00% 47682 H. BARBARA BOOKER MONTESSORI Urban 346 N/A 71.00% 47683 CLARK Urban 578 N/A 71.00% 47684 ALMIRA Urban 482 N/A 71.00% 47687 CASE Urban 227 N/A 71.00% 47691 WILLSON Urban 293 N/A 71.00% 47695 WADE PARK Urban 447 N/A 71.00% 47699 MARY B. MARTIN Urban 245 N/A 71.00% 47703 ALFRED A. BENESCH Urban 268 N/A 71.00% 47704 EAST TECHNICAL HIGH SCHOOL Urban 438 N/A 71.00% 47705 Dike School of the Arts Urban 360 N/A 71.00% 47710 HARVEY RICE Urban 443 N/A 71.00% Page 4 BEN Name Urban/ Number of Students CEP Rural Students Count Based Percentage on Estimate 47725 ANDREW J. RICKOFF Urban 429 N/A 71.00% 47731 FULLERTON Urban 207 N/A 71.00% 47736 MILES PARK Urban 445 N/A 71.00% 47737 MILES PARK Urban 401 N/A 71.00% 47740 DANIEL E. MORGAN Urban 221 N/A 71.00% 47742 MARY M. BETHUNE Urban 281 N/A 71.00% 47746 CLEVELAND SCHOOL OF THE ARTS Urban 483 N/A 71.00% 47747 JOHN HAY CAMPUS Urban 1047 N/A 71.00% 47749 BOLTON Urban 269 N/A 71.00% 47780 IOWA-MAPLE Urban 190 N/A 71.00% 47783 GLENVILLE Urban 322 N/A 71.00% 47785 PATRICK HENRY Urban 272 N/A 71.00% 47787 FRANKLIN D. ROOSEVELT Urban 448 N/A 71.00% 47789 MICHAEL R WHITE Urban 154 N/A 71.00% 47796 LINCOLN-WEST Urban 583 N/A 71.00% 47797 BUHRER ELEMENTARY Urban 388 N/A 71.00% 47798 JONES HOME AKA CHILDREN AID SOCIETY Urban 18 N/A 47800 DENISON Urban 261 N/A 71.00% 47802 CHARLES A. MOONEY Urban 736 N/A 71.00% 47806 BENJAMIN FRANKLIN Urban 600 N/A 71.00% 47808 WILLIAM CULLEN BRYANT Urban 433 N/A 71.00% 47813 GINN ACADEMY Urban 370 N/A 71.00% 47816 COLLINWOOD Urban 244 N/A 71.00% 47819 EAST CLARK Urban 224 N/A 71.00% 47830 WILBUR WRIGHT Urban 510 N/A 71.00% 47832 GARFIELD ELEMENTARY Urban 516 N/A 71.00% 47836 CLEVELAND CHRISTIAN HOME Urban 51 N/A 47838 NEWTON D. BAKER Urban 481 N/A 71.00% 47840 LOUIS AGASSIZ Urban 241 N/A 71.00% 47844 KENNETH W. CLEMENT- BOYS SCHOOL Urban 155 N/A 71.00% 47858 GARRETT MORGAN Urban 260 N/A 71.00% 47862 ORCHARD STEM (K-8) Urban 456 N/A 71.00% 47863 PAUL L. DUNBAR Urban 330 N/A 71.00% 47864 TREMONT Urban 385 N/A 71.00% 47868 WALTON Urban 276 N/A 71.00% 47869 SCRANTON Urban 449 N/A 71.00% 47870 LUIS MUNOZ MARIN Urban 508 N/A 71.00% 47872 DESIGN LAB EARLY COLLEGE SCHOOL Urban 266 N/A 71.00% 47875 MARION-STERLING Urban 305 N/A 71.00% 47876 JANE ADDAMS Urban 231 N/A 71.00% 47915 OLIVER H. PERRY Urban 244 N/A 71.00% 47917 SUNBEAM Urban 406 N/A 71.00% 47929 CHARLES DICKENS Urban 353 N/A 71.00% 47963 ADLAI E. STEVENSON Urban 429 N/A 71.00% 48009 WILLOW Urban 220 N/A 71.00% Page 5 BEN Name Urban/ Number of Students CEP Rural Students Count Based Percentage on Estimate 48014 WHITNEY YOUNG Urban 141 N/A 71.00% 48018 JOHN F. KENNEDY E3AGLE ACADEMY Urban 446 N/A 71.00% 48019 CHARLES W. ELIOT Urban 274 N/A 71.00% 48097 CLARA E. WESTROPP Urban 328 N/A 71.00% 48098 MEMORIAL Urban 358 N/A 71.00% 48099 BARD HIGH SCHOOL EARLY COLLEGE CLEVELAND Urban 420 N/A 71.00% 48104 ROBINSON G. JONES Urban 456 N/A 71.00% 48105 VALLEY VIEW- BOYS SCHOOL Urban 203 N/A 71.00% 48181 JAMES FORD RHODES Urban 1216 N/A 71.00% 203710 HANNAH GIBBONS-STEM Urban 250 N/A 71.00% 223388 LOUISA MAY ALCOTT Urban 224 N/A 71.00% 235043 DOWNTOWN EDUCATION CENTER AKA JUVENILE DETENTION Urban 166 N/A CENTER 16024156 RIVERSIDE ELEMENTARY SCHOOL Urban 491 N/A 71.00% 16025372 WASHINGTON PARK-ENVIRONMENTAL SCIENCES Urban 282 N/A 71.00% 16035684 JOHN ADAMS Urban 589 N/A 71.00% 16035685 WARNER- GIRLS SCHOOL Urban 446 N/A 71.00% 16035797 DOUGLAS MACARTHUR- GIRLS SCHOOL Urban 303 N/A 71.00% 16043187 ARTEMUS WARD Urban 485 N/A 71.00% 16060052 Campus International High School Urban 189 N/A 71.00% 16060057 ANTON GRDINA Urban 349 N/A 71.00% 16060067 EUCLID PARK NEW Urban 343 N/A 71.00% 16060070 GEORGE WASHINGTON CARVER Urban 390 N/A 71.00% 16060072 MOUND Urban 395 N/A 71.00% 16060076 NATHAN HALE Urban 499 N/A 71.00% 16060078 ROBERT H. JAMISON Urban 368 N/A 71.00% 16060079 THOMAS JEFFERSON INTERNATIONAL NEWCOMERS ACADEM Urban 529 N/A 71.00% Y 16070874 MC2 STEM 11-12 AT CLEVELAND STATE UNIV RHODES TOWER Urban 358 N/A 71.00% 16077035 CLEVELAND HIGH SCHOOL FOR DIGITAL ARTS Urban 321 N/A 71.00% 16079097 John Marshall School of Civic & Business Leadership Urban 1173 N/A 71.00% 17008191 CAMPUS INTERNATIONAL Urban 746 N/A 71.00% 223393 MARTIN LUTHER KING HIGH SCHOOL Urban 314 N/A 71.00% 17013515 Davis Aerospace & Maritime High School Urban 103 N/A 71.00% 223390 SCHOOL OF ONE Urban 183 N/A 71.00% 17019917 NEW TECH WEST Urban 282 N/A 71.00% 17019918 WILLIAM RAINEY HARPER Urban 128 N/A 71.00%
Related Child School Annexes School BEN School Name Annex Name 47704 EAST TECHNICAL HIGH SCHOOL New Tech East 47747 JOHN HAY CAMPUS Cleveland School of Science & Medicine 47747 JOHN HAY CAMPUS Cleveland Early College High School 47747 JOHN HAY CAMPUS Cleveland School of Architecture & Design 47796 LINCOLN-WEST Lincoln-West Global Studies
Page 6 School BEN School Name Annex Name 47796 LINCOLN-WEST LINCOLN-WEST SCHOOL OF SCIENCE & HEALTH AT METROHEALTH 47796 LINCOLN-WEST Lincoln-West Science & Health 47802 CHARLES A. MOONEY Facing History New Tech High School 48018 JOHN F. KENNEDY E3AGLE ACADEMY John F. Kennedy PACT Academy 48181 JAMES FORD RHODES High Tech Academy @ Tri-C 48181 JAMES FORD RHODES Rhodes College & Career Academy 48181 JAMES FORD RHODES Rhodes School of Environmental Studies 223390 SCHOOL OF ONE School of One @ East Tech 223390 SCHOOL OF ONE School of One @ Lincoln-West 223390 SCHOOL OF ONE School of One @ Collinwood 223390 SCHOOL OF ONE School of One @ Glenville High School 223390 SCHOOL OF ONE School of One @ James F. Rhodes 223390 SCHOOL OF ONE School of One @ John Adams 223390 SCHOOL OF ONE School of One @ John Marshall 16035684 JOHN ADAMS Bard High School Early College Cleveland East Campus 16035684 JOHN ADAMS Career and College Academy (@ John Adams) 16070874 MC2 STEM 11-12 AT CLEVELAND STATE UNIV RHODES MC2 STEM GLS CENTER TOWER 16070874 MC2 STEM 11-12 AT CLEVELAND STATE UNIV RHODES MC2 STEM NELA TOWER 16079097 John Marshall School of Civic & Business Leadership John Marshall School of Information Technology 16079097 John Marshall School of Civic & Business Leadership John Marshall School of Engineering
Related School District NIFs School School District Name NIF BEN NIF Name District BEN 129482 Cleveland Municipal School District 16030796 LAKESIDE BUILDING 129482 Cleveland Municipal School District 235044 ADMINISTRATION BUILDING 129482 Cleveland Municipal School District 235045 WOODLAND DATA CENTER 129482 Cleveland Municipal School District 16024167 RIDGE ROAD DEPOT 129482 Cleveland Municipal School District 16024172 LAKE CTR. BUS DEPOT 129482 Cleveland Municipal School District 16024173 HARVARD BUS DEPOT 129482 Cleveland Municipal School District 16024176 CENTRAL KITCHEN 129482 Cleveland Municipal School District 16075441 EAST PROFESSIONAL CENTER 129482 Cleveland Municipal School District 16075442 SOUTH HIGHNON-INSTRUCTIONAL SITE 129482 Cleveland Municipal School District 17009422 TRADES DEPARTMENT
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 35935 35935 100.0% Urban 90% 85%
Page 7 Funding Request for FRN #1999031696 Funding Request Nickname: MIBS
Service Type: Managed Internal Broadband Services
What is the FRN number from the previous 1899078812 year ?
Agreement Information - Contract Contract Number N/A Account Number
Establishing FCC Form 470 180015061 Service Provider ENA Services, LLC (SPN: 143030857) Was an FCC Form 470 posted Yes for the product and/or services Based on State Master No you are requesting? Contract?
Award Date March 22, 2018 Based on a multiple award No schedule? How many bids were received 5 Includes Voluntary Extensions? Yes for this contract?
What is the service start date? July 01, 2019 Remaining Voluntary 2 Extensions
Total Remaining Contract 63 Length
What is the date your contract June 30, 2021 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?
This funding request is for the management of the internal broadband services, which Narrative include the operation, management and monitoring of the eligible components of the Districts LAN and wireless WAN systems.
Page 8 Line Item # 1999031696.001
Product and Service Details Type of Managed Service Managed services contract of already installed equipment Agreement
Cost Calculation for FRN Line Item # 1999031696.001
Monthly Cost One-Time Cost Monthly Recurring Cost $56,272.00 One-time Cost $0.00 Monthly Recurring Ineligible - $2,045.00 One-time Ineligible Costs - $0.00 Costs One-time Eligible Cost = $0.00 Monthly Recurring Eligible Costs = $54,227.00 Months of Service x 12 Summary Total Eligible Recurring Costs = $650,724.00 Total Eligible Recurring Costs $650,724.00 One-time Eligible Costs + $0.00 Pre-Discount Extended Eligible = $650,724.00 Line Item Cost
Page 9 Recipients of Services BEN Name Amount 47671 MAX HAYES $7,038.00 47673 MARION C. SELTZER $7,218.00 47676 JOSEPH M. GALLAGHER $13,818.00 47677 WAVERLY $6,078.00 47682 H. BARBARA BOOKER MONTESSORI $7,098.00 47683 CLARK $6,864.00 47684 ALMIRA $4,446.00 47687 CASE $7,008.00 47691 WILLSON $7,014.00 47695 WADE PARK $5,820.00 47699 MARY B. MARTIN $5,154.00 47703 ALFRED A. BENESCH $5,202.00 47704 EAST TECHNICAL HIGH SCHOOL $17,064.00 47705 Dike School of the Arts $6,420.00 47710 HARVEY RICE $5,340.00 47725 ANDREW J. RICKOFF $5,082.00 47731 FULLERTON $5,106.00 47736 MILES PARK $6,978.00 47737 MILES PARK $4,986.00 47740 DANIEL E. MORGAN $7,782.00 47742 MARY M. BETHUNE $6,528.00 47746 CLEVELAND SCHOOL OF THE ARTS $9,396.00 47747 JOHN HAY CAMPUS $11,826.00 47749 BOLTON $7,008.00 47780 IOWA-MAPLE $7,518.00 47783 GLENVILLE $18,738.00 47785 PATRICK HENRY $6,738.00 47787 FRANKLIN D. ROOSEVELT $9,276.00 47789 MICHAEL R WHITE $6,528.00 47796 LINCOLN-WEST $16,824.00 47797 BUHRER ELEMENTARY $5,574.00 47798 JONES HOME AKA CHILDREN AID SOCIETY $1,512.00 47800 DENISON $7,446.00 47802 CHARLES A. MOONEY $11,376.00 47806 BENJAMIN FRANKLIN $8,658.00 47808 WILLIAM CULLEN BRYANT $3,288.00 47813 GINN ACADEMY $6,714.00 47816 COLLINWOOD $11,892.00 47819 EAST CLARK $4,620.00 47830 WILBUR WRIGHT $5,616.00 47832 GARFIELD ELEMENTARY $6,474.00 47836 CLEVELAND CHRISTIAN HOME $1,200.00 47838 NEWTON D. BAKER $9,120.00 47840 LOUIS AGASSIZ $4,764.00
Page 10 BEN Name Amount 47844 KENNETH W. CLEMENT- BOYS SCHOOL $3,756.00 47858 GARRETT MORGAN $5,604.00 47862 ORCHARD STEM (K-8) $3,612.00 47863 PAUL L. DUNBAR $5,874.00 47864 TREMONT $9,678.00 47868 WALTON $6,558.00 47869 SCRANTON $5,652.00 47870 LUIS MUNOZ MARIN $10,830.00 47872 DESIGN LAB EARLY COLLEGE SCHOOL $4,668.00 47875 MARION-STERLING $6,600.00 47876 JANE ADDAMS $11,544.00 47915 OLIVER H. PERRY $6,270.00 47917 SUNBEAM $6,972.00 47929 CHARLES DICKENS $5,820.00 47963 ADLAI E. STEVENSON $5,712.00 48009 WILLOW $4,134.00 48014 WHITNEY YOUNG $5,802.00 48018 JOHN F. KENNEDY E3AGLE ACADEMY $16,722.00 48019 CHARLES W. ELIOT $8,652.00 48097 CLARA E. WESTROPP $8,478.00 48098 MEMORIAL $2,940.00 48099 BARD HIGH SCHOOL EARLY COLLEGE CLEVELAND $7,998.00 48104 ROBINSON G. JONES $6,210.00 48105 VALLEY VIEW- BOYS SCHOOL $3,810.00 48181 JAMES FORD RHODES $14,694.00 203710 HANNAH GIBBONS-STEM $4,278.00 223388 LOUISA MAY ALCOTT $4,506.00 223390 SCHOOL OF ONE $3,390.00 223393 MARTIN LUTHER KING HIGH SCHOOL $10,494.00 235043 DOWNTOWN EDUCATION CENTER AKA JUVENILE DETENTION CENTER $1,296.00 16024156 RIVERSIDE ELEMENTARY SCHOOL $3,294.00 16025372 WASHINGTON PARK-ENVIRONMENTAL SCIENCES $3,342.00 16035684 JOHN ADAMS $7,854.00 16035685 WARNER- GIRLS SCHOOL $8,028.00 16035797 DOUGLAS MACARTHUR- GIRLS SCHOOL $4,308.00 16043187 ARTEMUS WARD $5,286.00 16060052 Campus International High School $3,966.00 16060057 ANTON GRDINA $6,522.00 16060067 EUCLID PARK NEW $4,824.00 16060070 GEORGE WASHINGTON CARVER $6,210.00 16060072 MOUND $6,156.00 16060076 NATHAN HALE $5,268.00 16060078 ROBERT H. JAMISON $7,116.00 16060079 THOMAS JEFFERSON INTERNATIONAL NEWCOMERS ACADEMY $8,592.00 16070874 MC2 STEM 11-12 AT CLEVELAND STATE UNIV RHODES TOWER $2,214.00 16077035 CLEVELAND HIGH SCHOOL FOR DIGITAL ARTS $10,116.00
Page 11 BEN Name Amount 16079097 John Marshall School of Civic & Business Leadership $14,106.00 17008191 CAMPUS INTERNATIONAL $3,888.00 17013515 Davis Aerospace & Maritime High School $1,812.00 17019917 NEW TECH WEST $5,118.00
Page 12 Line Item # 1999031696.002
Product and Service Details Type of Managed Service Managed services contract of already installed equipment Agreement
Cost Calculation for FRN Line Item # 1999031696.002
Monthly Cost One-Time Cost Monthly Recurring Cost $51,025.83 One-time Cost $0.00 Monthly Recurring Ineligible - $48,525.83 One-time Ineligible Costs - $0.00 Costs One-time Eligible Cost = $0.00 Monthly Recurring Eligible Costs = $2,500.00 Months of Service x 12 Summary Total Eligible Recurring Costs = $30,000.00 Total Eligible Recurring Costs $30,000.00 One-time Eligible Costs + $0.00 Pre-Discount Extended Eligible = $30,000.00 Line Item Cost
Page 13 Recipients of Services BEN Name Amount 47671 MAX HAYES $319.15 47673 MARION C. SELTZER $319.15 47676 JOSEPH M. GALLAGHER $319.15 47677 WAVERLY $319.15 47682 H. BARBARA BOOKER MONTESSORI $319.15 47683 CLARK $319.15 47684 ALMIRA $319.15 47687 CASE $319.15 47691 WILLSON $319.05 47695 WADE PARK $319.15 47699 MARY B. MARTIN $319.15 47703 ALFRED A. BENESCH $319.15 47704 EAST TECHNICAL HIGH SCHOOL $319.15 47705 Dike School of the Arts $319.15 47710 HARVEY RICE $319.15 47725 ANDREW J. RICKOFF $319.15 47731 FULLERTON $319.15 47736 MILES PARK $319.15 47737 MILES PARK $319.15 47740 DANIEL E. MORGAN $319.15 47742 MARY M. BETHUNE $319.15 47746 CLEVELAND SCHOOL OF THE ARTS $319.15 47747 JOHN HAY CAMPUS $319.15 47749 BOLTON $319.15 47780 IOWA-MAPLE $319.15 47783 GLENVILLE $319.15 47785 PATRICK HENRY $319.15 47787 FRANKLIN D. ROOSEVELT $319.15 47789 MICHAEL R WHITE $319.15 47796 LINCOLN-WEST $319.15 47797 BUHRER ELEMENTARY $319.15 47798 JONES HOME AKA CHILDREN AID SOCIETY $319.15 47800 DENISON $319.15 47802 CHARLES A. MOONEY $319.15 47806 BENJAMIN FRANKLIN $319.15 47808 WILLIAM CULLEN BRYANT $319.15 47813 GINN ACADEMY $319.15 47816 COLLINWOOD $319.15 47819 EAST CLARK $319.15 47830 WILBUR WRIGHT $319.15 47832 GARFIELD ELEMENTARY $319.15 47836 CLEVELAND CHRISTIAN HOME $319.15 47838 NEWTON D. BAKER $319.15 47840 LOUIS AGASSIZ $319.15
Page 14 BEN Name Amount 47844 KENNETH W. CLEMENT- BOYS SCHOOL $319.15 47858 GARRETT MORGAN $319.15 47862 ORCHARD STEM (K-8) $319.15 47863 PAUL L. DUNBAR $319.15 47864 TREMONT $319.15 47868 WALTON $319.15 47869 SCRANTON $319.15 47870 LUIS MUNOZ MARIN $319.15 47872 DESIGN LAB EARLY COLLEGE SCHOOL $319.15 47875 MARION-STERLING $319.15 47876 JANE ADDAMS $319.15 47915 OLIVER H. PERRY $319.15 47917 SUNBEAM $319.15 47929 CHARLES DICKENS $319.15 47963 ADLAI E. STEVENSON $319.15 48009 WILLOW $319.15 48014 WHITNEY YOUNG $319.15 48018 JOHN F. KENNEDY E3AGLE ACADEMY $319.15 48019 CHARLES W. ELIOT $319.15 48097 CLARA E. WESTROPP $319.15 48098 MEMORIAL $319.15 48099 BARD HIGH SCHOOL EARLY COLLEGE CLEVELAND $319.15 48104 ROBINSON G. JONES $319.15 48105 VALLEY VIEW- BOYS SCHOOL $319.15 48181 JAMES FORD RHODES $319.15 203710 HANNAH GIBBONS-STEM $319.15 223388 LOUISA MAY ALCOTT $319.15 223390 SCHOOL OF ONE $319.15 223393 MARTIN LUTHER KING HIGH SCHOOL $319.15 235043 DOWNTOWN EDUCATION CENTER AKA JUVENILE DETENTION CENTER $319.15 16024156 RIVERSIDE ELEMENTARY SCHOOL $319.15 16025372 WASHINGTON PARK-ENVIRONMENTAL SCIENCES $319.15 16035684 JOHN ADAMS $319.15 16035685 WARNER- GIRLS SCHOOL $319.15 16035797 DOUGLAS MACARTHUR- GIRLS SCHOOL $319.15 16043187 ARTEMUS WARD $319.15 16060052 Campus International High School $319.15 16060057 ANTON GRDINA $319.15 16060067 EUCLID PARK NEW $319.15 16060070 GEORGE WASHINGTON CARVER $319.15 16060072 MOUND $319.15 16060076 NATHAN HALE $319.15 16060078 ROBERT H. JAMISON $319.15 16060079 THOMAS JEFFERSON INTERNATIONAL NEWCOMERS ACADEMY $319.15 16070874 MC2 STEM 11-12 AT CLEVELAND STATE UNIV RHODES TOWER $319.15 16077035 CLEVELAND HIGH SCHOOL FOR DIGITAL ARTS $319.15
Page 15 BEN Name Amount 16079097 John Marshall School of Civic & Business Leadership $319.15 17008191 CAMPUS INTERNATIONAL $319.15 17013515 Davis Aerospace & Maritime High School $319.15 17019917 NEW TECH WEST $319.15
Page 16 FRN Calculation for FRN #1999031696
Monthly Charges Total Requested Amount Total Monthly Recurring Charges $107,297.83 Total Eligible Pre-Discount $680,724.00 Total Monthly Ineligible Charges - $50,570.83 Recurring Charges Total Eligible Pre-Discount One- + $0.00 Total Monthly Eligible Charges = $56,727.00 Time Charges Total Number of Months of x 12 Total Pre-Discount Charges = $680,724.00 Service Discount Rate 85% Total Eligible Pre-Discount = $680,724.00 Recurring Charges Funding Commitment Request = $578,615.40
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 17 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 $680,724.00 471 Total funding commitment request amount on this FCC Form 471 $578,615.40 Total applicant non-discount share of the eligible amount $102,108.60 Total budgeted amount allocated to resources not eligible for E-rate $2,580,922.00 support Total amount necessary for the applicant to pay the non-discount $2,683,030.60 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 18 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: Deputy Chief of IT Name: Curtis Timmons
Phone: 216-838-0485 Email: curtis.timmons@clevelandmetroschools. org
Address: 1349 E 79th St CLEVELAND OH 44103 Employer: Cleveland Municipal School District
14-Mar-2019 11:23:22 EDT Certified Timestamp
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