Description of Services Ordered and Certification Form 471 FCC Form
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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 2020 RWAN 471 Application Number 201020958 Funding Year 2020 Category of Service Category 1 Billed Entity Contact Information Diocese of Harrisburg Daniel Breen 4800 Union Deposit Rd Harrisburg PA 17111 717-657-4804 717-657-4808 [email protected] [email protected] Billed Entity Number 17005340 FCC Registration Number 0020262820 Applicant Type Consortium Consulting Firms Name Consultant City State Zip Phone Email Registration Code Number Number James R. Beeghley, Ed.D. 16079485 Mechanicsburg PA 17055 717-467-1863 [email protected] Entity Information Consortium Entities School Entity - Details BEN Name Urban/ State State NCES Code Alternative School Attributes Endowment Rural LEA ID School ID Discount 18033 GOOD SHEPHERD Urban Survey Public School None SCHOOL 18040 TRINITY HIGH SCHOOL Urban Survey Public School None 18059 ST PATRICK ELEM SCH- Urban Survey Public School None CARLISLE 18108 ST JOAN OF ARC Urban Survey Private School None ELEMENTARY SCH 18121 LEBANON CATHOLIC Urban 2.1522 Survey Private School None SCHOOL 1513E8 18143 SACRED HEART ELEM Rural 2.1522 Survey Private School None SCH-LEWISTOWN 1513E8 18186 ST JOSEPH SCHOOL- Urban 2.1522 Survey Private School None MECHANICSBURG 1513E8 18193 SEVEN SORROWS OF Urban 2.1522 Survey Pre-K; Private School None BVM SCHOOL 1513E8 Page 1 BEN Name Urban/ State State NCES Code Alternative School Attributes Endowment Rural LEA ID School ID Discount 18235 ST THERESA Urban 2.1522 Survey Private School None ELEMENTARY SCHOOL 1513E8 18259 HARRISBURG CATHOLIC Urban 2.1522 Survey Pre-K; Private School None ELEMENTARY 1513E8 CATHEDRAL CAMPUS 18268 ST MARGARET MARY Urban 2.1522 Survey Private School None SCHOOL 1513E8 18271 BISHOP MCDEVITT HIGH Urban 2.1522 Survey Private School None SCHOOL 1513E8 18312 HOLY NAME OF JESUS Urban 2.1522 Survey Private School None SCHOOL 1513E8 18441 ST FRANCIS XAVIER Urban 2.1522 Survey Private School None SCHOOL 1513E8 18456 ST JOSEPH ELEM Urban 2.1522 Survey Private School None SCHOOL-HANOVER 1513E8 18462 St. Teresa of Calcutta - Urban 2.1522 None Private School None Conewago Campus 1513E8 18476 St. Teresa of Calcutta - Urban 2.1522 Survey Private School None McSherrystown Campus 1513E8 18477 DELONE CATHOLIC Urban 2.1522 Survey Private School None HIGH SCHOOL 1513E8 18527 ST JOSEPH Urban 2.1522 Survey Private School None ELEMENTARY SCH- 1513E8 YORK 18540 YORK CATHOLIC HIGH Urban 2.1522 Survey Private School None SCHOOL 1513E8 18547 ST PATRICK Urban 2.1522 Survey Private School None ELEMENTARY SCH- 1513E8 YORK 18605 OUR MOTHER Urban Survey Private School None PERPETUAL HELP SCH 18740 ST LEO THE GREAT Urban 2.1522 Survey Private School None SCHOOL 1513E8 18744 LANCASTER CATHOLIC Urban 2.1522 Survey Private School None HIGH SCHOOL 1513E8 18776 SACRED HEART ELEM- Urban 2.1522 Survey Private School None LANCASTER 1513E8 18778 RESURRECTION Urban 2.1522 Survey Private School None ELEMENTARY SCHOOL 1513E8 18880 ST COLUMBA SCHOOL Urban Survey Public School None 18895 ST JOSEPH ELEM SCH- Urban 2.1522 Survey Private School None DANVILLE 1513E8 18951 OUR LADY OF LOURDES Urban 2.1522 Survey Private School None REGIONAL SCHOOL 1513E8 19459 HOLY FAMILY Urban Survey Public School None CONSOLIDATED SCH 229337 OUR LADY OF THE Urban 2.1522 Survey Private School None ANGELS 1513E8 14461012 SAINT ROSA OF LIMA Urban 2.1522 Survey Private School None ELEMENTARY SCHOOL 1513E8 16060975 SAINT JOHN THE Rural 2.1522 Survey Private School None BAPTIST 1513E8 153799 St. Catherine Laboure Urban None Private School None School Entity - Discount Rate Calculation Details Page 2 BEN Name Urban/ Number of Students CEP Rural Students Count Based Percentage on Estimate 18033 GOOD SHEPHERD SCHOOL Urban 251 N/A 18040 TRINITY HIGH SCHOOL Urban 517 N/A 18059 ST PATRICK ELEM SCH-CARLISLE Urban 276 N/A 18108 ST JOAN OF ARC ELEMENTARY SCH Urban 350 N/A 18121 LEBANON CATHOLIC SCHOOL Urban 352 N/A 18143 SACRED HEART ELEM SCH-LEWISTOWN Rural 81 N/A 18186 ST JOSEPH SCHOOL-MECHANICSBURG Urban 367 N/A 18193 SEVEN SORROWS OF BVM SCHOOL Urban 208 N/A 18235 ST THERESA ELEMENTARY SCHOOL Urban 462 N/A 18259 HARRISBURG CATHOLIC ELEMENTARY CATHEDRAL CAMPUS Urban 211 N/A 18268 ST MARGARET MARY SCHOOL Urban 333 N/A 18271 BISHOP MCDEVITT HIGH SCHOOL Urban 746 N/A 18312 HOLY NAME OF JESUS SCHOOL Urban 362 N/A 18441 ST FRANCIS XAVIER SCHOOL Urban 202 N/A 18456 ST JOSEPH ELEM SCHOOL-HANOVER Urban 152 N/A 18462 St. Teresa of Calcutta - Conewago Campus Urban 204 N/A 18476 St. Teresa of Calcutta - McSherrystown Campus Urban 427 N/A 18477 DELONE CATHOLIC HIGH SCHOOL Urban 412 N/A 18527 ST JOSEPH ELEMENTARY SCH-YORK Urban 279 N/A 18540 YORK CATHOLIC HIGH SCHOOL Urban 601 N/A 18547 ST PATRICK ELEMENTARY SCH-YORK Urban 113 N/A 18605 OUR MOTHER PERPETUAL HELP SCH Urban 153 N/A 18740 ST LEO THE GREAT SCHOOL Urban 365 N/A 18744 LANCASTER CATHOLIC HIGH SCHOOL Urban 630 N/A 18776 SACRED HEART ELEM-LANCASTER Urban 156 N/A 18778 RESURRECTION ELEMENTARY SCHOOL Urban 125 N/A 18880 ST COLUMBA SCHOOL Urban 98 N/A 18895 ST JOSEPH ELEM SCH-DANVILLE Urban 82 N/A 18951 OUR LADY OF LOURDES REGIONAL SCHOOL Urban 510 N/A 19459 HOLY FAMILY CONSOLIDATED SCH Urban 93 N/A 229337 OUR LADY OF THE ANGELS Urban 169 N/A 14461012 SAINT ROSA OF LIMA ELEMENTARY SCHOOL Urban 85 N/A 16060975 SAINT JOHN THE BAPTIST Rural 85 N/A 153799 St. Catherine Laboure Urban 353 N/A Related Entity Information Consortium Related Entities Related School NIFs School BEN School Name NIF BEN NIF Name 18121 LEBANON CATHOLIC SCHOOL 16060452 DIOCESE OF HARRISBURG OFFICE Discount Rate Page 3 Category One Discount Rate Category Two Discount Rate 47% 47% School Discount Rate School Enrollment School NSLP Count School NSLP School Urban/ Category One Category Two Percentage Rural Status Discount Rate Discount Rate 251 27 11.0% Urban 40% 40% 517 61 12.0% Urban 40% 40% 276 36 13.0% Urban 40% 40% 350 35 10.0% Urban 40% 40% 352 30 9.0% Urban 40% 40% 81 26 32.0% Rural 60% 60% 367 26 7.0% Urban 40% 40% 208 52 25.0% Urban 50% 50% 397 39 10.0% Urban 40% 40% 211 155 73.0% Urban 80% 80% 333 75 23.0% Urban 50% 50% 746 193 26.0% Urban 50% 50% 362 35 10.0% Urban 40% 40% 202 52 26.0% Urban 50% 50% 152 44 29.0% Urban 50% 50% 204 21 10.0% Urban 40% 40% 427 65 15.0% Urban 40% 40% 412 62 15.0% Urban 40% 40% 279 42 15.0% Urban 40% 40% 601 57 9.0% Urban 40% 40% 113 46 41.0% Urban 60% 60% 153 30 20.0% Urban 50% 50% 365 50 14.0% Urban 40% 40% 620 116 19.0% Urban 40% 40% 156 58 37.0% Urban 60% 60% 125 41 33.0% Urban 50% 50% 98 18 18.0% Urban 40% 40% 82 28 34.0% Urban 50% 50% 510 75 15.0% Urban 40% 40% 93 19 20.0% Urban 50% 50% 155 65 42.0% Urban 60% 60% 85 13 15.0% Urban 40% 40% 85 14 16.0% Rural 50% 50% 353 76 22.0% Urban 50% 50% Page 4 Funding Request for FRN #2099029916 Funding Request Nickname: Comcast Service Type: Data Transmission and/or Internet Access Agreement Information - Contract Contract Number PA-SVaro-121219-KA02/FY20 Account Number Establishing FCC Form 470 200001120 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 January 28, 2020 Based on a multiple award No How many bids were received 3 schedule? for this contract? Includes Voluntary Extensions? No What is the service start date? July 01, 2020 Remaining Voluntary Extensions Total Remaining Contract Length What is the date your contract June 30, 2025 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? Wide area network connectivity to 37 schools and the Diocese of Harrisburg. Note Due to Narrative the limitations in EPC, the Diocese NIF has been added to the Lebanon Catholic School. It is a fully eligible NIF, but the system does not permit it to be its own consortium member. Page 5 Line Item # 2099029916.001 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 1000.0 Mbps Download Speed 1000.0 Mbps 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 # 2099029916.001 Monthly Cost One-Time Cost Monthly Recurring Unit Cost $3,276.64 One-time Unit Cost $1,000.00 Monthly Recurring Unit Ineligible - $0.00 One-time Ineligible Unit Costs - $0.00 Costs One-time Eligible Unit Cost = $1,000.00 Monthly Recurring Unit Eligible = $3,276.64 One-time Quantity x 1 Costs Monthly Quantity x 1 Total Eligible One-time Costs = $1,000.00 Total Monthly Eligible Recurring = $3,276.64 Costs Summary Months of Service x 12 Total Eligible Recurring Costs $39,319.68 Total Eligible Recurring Costs = $39,319.68 Total Eligible One-time Costs + $1,000.00 Pre-Discount Extended Eligible = $40,319.68 Line Item Cost Page 6 Recipients of Services BEN Name 16060452 DIOCESE OF HARRISBURG OFFICE Page 7 FRN Calculation for FRN #2099029916 Monthly Charges Total Requested Amount Total Monthly Recurring Charges $3,276.64 Total Eligible Pre-Discount $39,319.68 Total Monthly Ineligible Charges