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Description of Services Ordered and Certification Form 471 FCC

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Description of Services Ordered and Certification Form 471 FCC 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 CENIC471FY2019 K12Node Y19-R2 Nort Application Number 191013520 h Dark Fiber - 160008827 Funding Year 2019 Category of Service Category 1 Billed Entity Contact Information CENIC-CORPORATION FOR EDUCATION NETW Cathy Benham ORK INITIATIVES IN CALIFORNIA 909-944-7798 16700 VALLEY VIEW AVENUE, SUITE 400 LA MI [email protected] RADA CA 90638 714-220-3453 [email protected] Billed Entity Number 225495 FCC Registration Number 0011656477 Applicant Type Consortium Cassandra Patrizio - [email protected]; Debbie Bickenbach - Holiday/Summer Contact [email protected]; Hai Do - [email protected]; Karen Hall - Information [email protected] Consulting Firms Name Consultant City State Zip Phone Email Registration Code Number Number CSM Consulting Inc. 16043564 Ontario CA 91764 909-652-9104 [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 16069975 CHARTER SCHOOL OF Rural 6118541 None Public School None MORGAN HILL School Entity - Discount Rate Calculation Details Page 1 BEN Name Urban/ Number of Students CEP Rural Students Count Based Percentage on Estimate 16069975 CHARTER SCHOOL OF MORGAN HILL Rural 651 N/A Related School District Entity - Details BEN Name Urban/ State State NCES School District Endowment Rural LEA ID School Code Attributes ID 144122 LOS ALTOS ELEM SCHOOL DIST Urban Public School District None 144129 Mountain View Whisman Elementary Urban 436 Public School District None School District 9591 144146 FREMONT UNION HIGH SCHOOL Urban Public School District None DIST 144148 SUNNYVALE ELEMENTARY Urban Public School District None SCHOOL DISTRICT 144274 CAMPBELL UNION SCHOOL Urban Charter School District; None DISTRICT Public School District 144278 CUPERTINO UNION SCHOOL Urban Public School District None DISTRICT 144291 LOS GATOS UNION ELEM SCH Urban Public School District None DIST 144292 LOS GATOS-SARATOGA Urban Public School District None 144294 LOMA PRIETA JT UN ELEM DIST Rural 436 Public School District None 9500 144295 LAKESIDE JT ELEM SCHOOL DIST Rural Public School District None 144296 MILPITAS UNIF SCHOOL Urban Public School District None DISTRICT 144297 MORGAN HILL UNIFIED SCHOOL Urban Public School District None DISTRICT 144304 SANTA CLARA UNIF SCHOOL Urban Public School District None DIST 144313 SARATOGA UNION ELEM SCH Urban Public School District None DIST 144318 FRANKLIN MCKINLEY SCHOOL Urban Public School District None DISTRICT 144319 ORCHARD ELEM SCHOOL Urban Public School District None DISTRICT 144325 CAMPBELL UNION H S DISTRICT Urban Public School District None 144326 CAMBRIAN ELEM SCHOOL Urban 4369 Public School District None DISTRICT 38500 00000 144327 UNION ELEMENTARY SCHOOL Urban Public School District None DISTRICT 144329 SAN JOSE UNIF SCHOOL Urban Public School District None DISTRICT 144332 MORELAND SCHOOL DISTRICT Urban 436 0000000 Public School District None 9575 144333 SANTA CLARA CO OFFICE OF Urban 4310439 Charter School District; None EDUCATION ESA School District; Public School District 144334 BERRYESSA UNION ELEM SCH Urban Public School District None DIST 144337 MOUNT PLEASANT ELEM SCH Urban Charter School District; None DIST Public School District 144338 EVERGREEN SCHOOL DISTRICT Urban Public School District None Page 2 BEN Name Urban/ State State NCES School District Endowment Rural LEA ID School Code Attributes ID 17003119 Mountain View Los Altos Union High Urban Public School District None School District 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 107914 EGAN INTERMEDIATE Urban 43695186047385 None Public School None SCHOOL 107915 SANTA RITA Urban 43695186047492 None Public School None ELEMENTARY SCHOOL 107918 ALMOND ELEMENTARY Urban 43695186047377 None Public School None SCHOOL 107919 GARDNER BULLIS ELEM Urban 43695186047427 None Public School None SCHOOL 107926 BLACH INTERMEDIATE Urban 43695186047435 None Public School None SCHOOL 107928 LOYOLA ELEMENTARY Urban 43695186047450 None Public School None SCHOOL 107930 OAK AVENUE Urban 43695186047468 None Public School None ELEMENTARY SCHOOL 107974 SPRINGER Urban 43695186047500 None Public School None ELEMENTARY SCHOOL 16023585 COVINGTON Urban 43695186047401 None Public School None ELEMENTARY 107978 Bubb Elementary School Urban 436 6047955 06 - 26280- None Public School None 9591 3922 107979 Castro Elementary School Urban 436 6048003 06 - 26280- None Public School None 9591 3923 107980 Graham Middle School Urban 436 6047989 06 - 26280- None Public School None 9591 3924 107981 Landels Elementary School Urban 436 6047963 06 - 26280- None Public School None 9591 3926 107984 Crittenden Middle School Urban 436 6049472 06 - 26280- None Public School None 9591 6931 107985 Monta Loma Elementary Urban 436 6049480 06 - 26280- None Public School None School 9591 6932 107986 Theuerkauf Elementary Urban 436 6049514 06 - 26280- None Public School None School 9591 6933 202014 Huff Elementary School Urban 436 6047971 06 - 26280- None Public School None 9591 7791 16065004 Stevenson Elementary Urban 436 6049464 06 - 26280- None Public School None 9591 12540 17010386 Gabriela Mistral Urban 436 132373 None Public School None Elementary 9591 108095 ALTERNATIVE Urban None Public School None PROGRAMS CENTER 108096 CUPERTINO HIGH Urban None Public School None SCHOOL 108097 FREMONT HIGH Urban None Public School None SCHOOL 108098 HOMESTEAD HIGH Urban None Public School None SCHOOL Page 3 BEN Name Urban/ State State NCES Code Alternative School Attributes Endowment Rural LEA ID School ID Discount 108099 LYNBROOK HIGH Urban None Public School None SCHOOL 108100 MONTA VISTA HIGH Urban None Public School None SCHOOL 17007952 Adult Education Center Urban Combination Adult Education; None (not CEP) Public School 108084 COLUMBIA MIDDLE Urban None Public School None SCHOOL 108086 SAN MIGUEL Urban None Public School None ELEMENTARY SCHOOL 108087 BISHOP ELEMENTARY Urban None Public School None SCHOOL 108088 VARGAS ELEMENTARY Urban None Public School None SCHOOL 108090 ELLIS ELEMENTARY Urban None Public School None SCHOOL 108101 CUMBERLAND Urban None Public School None ELEMENTARY SCHOOL 108102 CHERRY CHASE Urban None Public School None ELEMENTARY SCHOOL 108103 SUNNYVALE MIDDLE Urban None Public School None SCHOOL 108113 FAIRWOOD Urban None Public School None ELEMENTARY SCHOOL 108114 LAKEWOOD Urban None Public School None ELEMENTARY SCHOOL 109692 CASTLEMONT Urban None Public School None ELEMENTARY SCHOOL 109693 ROSEMARY Urban None Pre-K; Public School None ELEMENTARY SCHOOL 109701 CAMPBELL SCHOOL OF Urban None Public School None INNOVATION 109706 CAPRI ELEMENTARY Urban None Pre-K; Public School None SCHOOL 109789 ROLLING HILLS MIDDLE Urban None Public School None SCHOOL 109935 MARSHALL LANE ELEM Urban None Pre-K; Public School None SCHOOL 110014 LYNHAVEN Urban None Public School None ELEMENTARY SCHOOL 110140 BLACKFORD Urban None Pre-K; Public School None ELEMENTARY SCHOOL 110182 MONROE MIDDLE Urban None Public School None SCHOOL 110206 FOREST HILL Urban None Pre-K; Public School None ELEMENTARY SCH 202010 SHERMAN OAKS Urban None Pre-K; Public School None ELEMENTARY SCHOOL 16036206 VILLAGE SCHOOL Urban None Public School None 107932 MONTCLAIRE Urban None Public School None ELEMENTARY SCHOOL 108107 STOCKLMEIR Urban None Public School None ELEMENTARY SCHOOL 108109 WEST VALLEY Urban None Public School None ELEMENTARY SCHOOL 108111 NIMITZ ELEMENTARY Urban None Public School None SCHOOL Page 4 BEN Name Urban/ State State NCES Code Alternative School Attributes Endowment Rural LEA ID School ID Discount 108112 CUPERTINO MIDDLE Urban None Public School None SCHOOL 109716 STEVENS CREEK ELEM Urban None Public School None SCHOOL 109717 GARDEN GATE Urban None Public School None ELEMENTARY SCHOOL 109718 COLLINS ELEMENTARY Urban None Public School None SCHOOL 109720 MURDOCK-PORTAL Urban None Public School None ELEMENTARY SCHOOL 109721 FARIA ELEMENTARY Urban None Public School None SCHOOL 109725 SEDGWICK Urban None Public School None ELEMENTARY SCHOOL 109726 LINCOLN ELEMENTARY Urban None Public School None SCHOOL 109728 HYDE MIDDLE SCHOOL Urban None Public School None 109729 KENNEDY MIDDLE Urban None Public School None SCHOOL 109730 REGNART ELEMENTARY Urban None Public School None SCHOOL 109878 EISENHOWER Urban None Public School None ELEMENTARY SCHOOL 109926 BLUE HILLS Urban None Public School None ELEMENTARY SCHOOL 109927 MCAULIFFE Urban None Public School None ELEMENTARY SCHOOL 110189 DE VARGAS Urban None Public School None ELEMENTARY SCHOOL 110191 MEYERHOLZ Urban None Public School None ELEMENTARY SCHOOL 110195 MUIR ELEMENTARY Urban None Public School None SCHOOL 110196 MILLER MIDDLE SCHOOL Urban None Public School None 110197 DILWORTH Urban None Public School None ELEMENTARY SCHOOL 202011 EATON ELEMENTARY Urban None Public School None SCHOOL 16035825 SAM H. LAWSON MIDDLE Urban None Public School None SCHOOL 109785 DAVES AVENUE Urban 43695266047526 None Public School None ELEMENTARY SCHOOL 109791 BLOSSOM HILL Urban 43695266047518 None Public School None ELEMENTARY SCHOOL 109794 FISHER MIDDLE Urban 43695266047567 None Public School None SCHOOL 109797 VAN METER Urban 43695266047542 None Public School None ELEMENTARY SCHOOL
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