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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 November 2015 Description of Services Ordered and Certification Form 471 FCC Form 471 Application Information Nickname AL19-47104-K12-60 Application Number 191024077 Funding Year 2019 Category of Service Category 1 Billed Entity Contact Information ALABAMA SUPERCOMPUTER AUTHORITY Nichole Gipson 401 ADAMS AVENUE, SUITE 764 MONTGOMERY 334-242-0175 AL 36130 - 9553 [email protected] 334-242-0100 [email protected] Billed Entity Number 198892 FCC Registration Number 0013662903 Applicant Type Consortium Debra Wallace, Accounting Manager, [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 Consortium Entities Related School District Entity - Details BEN Name Urban/ State State NCES School District Endowment Rural LEA ID School Code Attributes ID 128073 AUTAUGA COUNTY BOARD OF Urban Public School District None EDUCATION 127924 CULLMAN CITY SCHOOL Rural 125 Public School District None DISTRICT 128119 ENTERPRISE CITY SCHOOL DIST Urban 132 0000 Public School District None 17017547 Gulf Shores City Schools Urban 152 Public School District None 128052 GUNTERSVILLE CITY SCH Urban 154 10 Public School District None DISTRICT Page 1 BEN Name Urban/ State State NCES School District Endowment Rural LEA ID School Code Attributes ID 16077366 PELHAM CITY SCHOOLS Urban 177 8610 Public School District None 16050567 SARALAND CITY BOARD OF Urban 187 0000 Public School District None EDUCATION 16071028 SATSUMA CITY SCHOOL Urban 196 Public School District None DISTRICT 127919 SHELBY COUNTY SCHOOL Rural 059 0000 Public School District None 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 39914 AUTAUGAVILLE HIGH Rural 001 0015 01 - 00240- None Public School None SCHOOL 1480 39918 BILLINGSLEY SCHOOL Rural 001 0040 01 - None Public School None 00240- 45 39972 MARBURY SCHOOL Rural 001 0052 01 - 00240- None Public School None 2159 39982 DANIEL PRATT Urban 001 0065 01 - None Public School None ELEMENTARY SCHOOL 00240- 546 39985 PINE LEVEL Rural 001 0055 01 - None Pre-K; Public School None ELEMENTARY SCHOOL 00240- 543 39986 PRATTVILLE JUNIOR Urban 001 0080 01 - None Public School None HIGH SCHOOL 00240- 49 39988 PRATTVILLE PRIMARY Urban 001 0090 01 - None Public School None SCHOOL 00240- 51 39989 PRATTVILLE Urban 001 0085 01 - 00240- None Public School None KINDERGARTEN 1639 39990 PRATTVILLE Urban 001 0060 01 - None Public School None ELEMENTARY SCHOOL 00240- 47 39991 LOUSIE SMITH DVLPMT Urban 001 None Public School None CTR 39992 PRATTVILLE Urban 001 0070 01 - None Public School None INTERMEDIATE SCHOOL 00240- 50 39993 AUTAUGA COUNTY Urban 001 None Public School None TECHNOLOGY CENTER 39995 PRATTVILLE HIGH Rural 001 0086 01 - None Public School None SCHOOL 00240- 48 16051712 MARBURY HIGH Rural 001 0050 01 - None Public School None SCHOOL 00240- 46 16038465 AUTAUGA COUNTY Urban 001 None Public School None BOARD OF EDUCATION OFFICE 16024308 AUTAUGA COUNTY Urban 001 None Public School None ALTERNATIVE SCHOOL 16039404 AUTAUGA COUNTY Urban 001 None Public School None SCHOOLS BUS GARAGE 38992 CULLMAN CITY HIGH Rural 125 0020 01 - None Public School None SCHOOL 00990- 370 38993 CULLMAN MIDDLE Rural 125 0010 01 - None Public School None SCHOOL 00990- 369 38994 WEST ELEMENTARY Rural 125 0040 01 - None Public School None SCHOOL 00990- 372 Page 2 BEN Name Urban/ State State NCES Code Alternative School Attributes Endowment Rural LEA ID School ID Discount 38997 EAST ELEMENTARY Rural 125 0030 01 - None Public School None SCHOOL 00990- 371 38999 CULLMAN CITY PRIMARY Rural 125 0050 01 - None Public School None SCHOOL 00990- 326 40230 COPPINVILLE JUNIOR Rural 132 0030 01 - None Public School None HIGH SCHOOL 01320- 474 40231 DAUPHIN JUNIOR HIGH Urban 132 0040 01 - None Public School None SCHOOL 01320- 475 40232 PINEDALE ELEMENTARY Urban 132 0090 01 - None Public School None SCHOOL 01320- 480 40233 HOLLY HILL Urban 132 0080 01 - None Public School None ELEMENTARY SCHOOL 01320- 479 40234 HARRAND CREEK Urban 132 0065 01 - 01320- None Public School None ELEMENTARY SCH 1719 40235 ENTERPRISE HIGH Urban 132 0050 01 - None Public School None SCHOOL 01320- 476 40236 HILLCREST Urban 132 0070 01 - None Public School None ELEMENTARY SCHOOL 01320- 478 40239 RUCKER BLVD Urban 132 0100 01 - None Public School None ELEMENTARY SCHOOL 01320- 481 16039288 ENTERPRISE EARLY Urban 132 0045 01 - 01320- None Pre-K; Public School None EDUCATION CENTER 1867 17018469 Enterprise Career and Urban None Public School None Technology Center 17018470 Coppinville Temporary Urban 132 7000 None Public School None Alternative Placement 40390 GULF SHORES MIDDLE Rural 002 0086 None Public School None SCHOOL 40398 GULF SHORES Urban 002 0087 None Pre-K; Public School None ELEMENTARY SCHOOL 201602 GULF SHORES HIGH Urban 002 0089 None Public School None SCHOOL 39894 GUNTERSVILLE HIGH Urban 154 154004 01 - None Public School None SCHOOL 01690- 582 39895 GUNTERSVILLE MIDDLE Urban 154 154001 01 - None Public School None SCHOOL 01690- 579 39896 GUNTERSVILLE Urban 154 154003 01 - None Public School None ELEMENTARY SCHOOL 01690- 581 39897 CHEROKEE Urban 154 154002 01 - None Public School None ELEMENTARY SCHOOL 01690- 580 39080 Pelham Ridge Urban 177 0150 01 - 00194- None Pre-K; Public School None 2396 39081 Pelham High School Urban 177 0085 01 - 00194- None Public School None 2399 39361 Pelham Park Middle Urban 177 0087 01 - 00194- None New Construction None School 2398 School; Public School 212703 Pelham Oaks Urban 177 0155 01 - 00194- None Pre-K; Public School None 2395 40421 SARALAND Urban 187 0630 01 - None Public School None ELEMENTARY SCHOOL 00185- 952 40424 SARALAND MIDDLE Urban 187 0020 01 - None Public School None SCHOOL 00185- 893 16050649 SARALAND HIGH Urban 187 0635 01 - 00185- None Public School None SCHOOL 2137 17010503 SARALAND EARLY Rural 187 0010 None New Construction None EDUCATION CENTER School; Pre- K; Public School Page 3 BEN Name Urban/ State State NCES Code Alternative School Attributes Endowment Rural LEA ID School ID Discount 40425 SATSUMA HIGH SCHOOL Urban 196 0020 01 - 00189- None Public School None 2195 235088 ROBERT E LEE Urban 196 0010 01 - 00189- None Pre-K; Public School None ELEMENTARY SCHOOL 2196 38962 CALERA MIDDLE Rural 059 0019 None Public School None SCHOOL 38963 CALERA ELEMENTARY Urban 059 0018 None Public School None SCHOOL 38970 CHELSEA MIDDLE Urban 059 0023 None Public School None SCHOOL 38971 CHELSEA HIGH SCHOOL Rural 059 0020 None Public School None 38986 COLUMBIANA MIDDLE Rural 059 0040 None Public School None SCHOOL 38987 SHELBY COUNTY HIGH Rural 059 0090 None Public School None SCHOOL 38988 ELVIN HILL Rural 059 0045 None Public School None ELEMENTARY SCHOOL 39046 HELENA ELEMENTARY Urban 059 0050 None Public School None SCHOOL 39068 MONTEVALLO Urban 059 0070 None Public School None ELEMENTARY SCHOOL 39069 MONTEVALLO HIGH Urban 059 0060 None Public School None SCHOOL 39070 MONTEVALLO MIDDLE Urban 059 0080 None Public School None SCHOOL 39108 SHELBY ELEMENTARY Rural 059 0110 None Public School None SCHOOL 39141 VINCENT HIGH SCHOOL Rural 059 0160 None Public School None 39142 VINCENT ELEMENTARY Rural 059 0170 None Pre-K; Public School None SCHOOL 39154 WILSONVILLE Rural 059 0180 None Public School None ELEMENTARY SCHOOL 39350 INVERNESS Urban 059 0055 None Pre-K; Public School None ELEMENTARY SCHOOL 39351 OAK MOUNTAIN Urban 059 0082 None Public School None INTERMEDIATE SCHOOL 39352 OAK MOUNTAIN Urban 059 0083 None Public School None ELEMENTARY SCHOOL 39353 OAK MOUNTAIN MIDDLE Urban 059 0084 None Public School None SCHOOL 186131 LINDA NOLEN LEARNING Urban 059 0035 None Pre-K; Public School None CENTER 205576 Career Technical Rural 059 6010 None Public School None Education Center 212695 OAK MOUNTAIN HIGH Urban 059 0081 None Public School None SCHOOL 212704 HELENA INTERMEDIATE Urban 059 0053 None Public School None SCHOOL 234659 MT. LAUREL Rural 059 0075 None Public School None ELEMENTARY SCHOOL 16024347 NEW DIRECTION Rural 059 0095 None Public School None 16034806 CHELSEA PARK Rural 059 0200 None Public School None ELEMENTARY 16047007 HELENA MIDDLE Rural 059 0052 None Public School None SCHOOL 16047008 CALERA HIGH SCHOOL Rural 059 0010 None Public School None Page 4 BEN Name Urban/ State State NCES Code Alternative School Attributes Endowment Rural LEA ID School ID Discount 16064668 CALERA INTERMEDIATE Rural 059 0015 None Public School None SCHOOL 16068219 FOREST OAKS Urban 059 0026 None Public School None ELEMENTARY SCHOOL 16068221 HELENA HIGH SCHOOL Rural 059 0051 None Public School None Related Child School Entity - Discount Rate Calculation Details BEN Name Urban/ Number of Students CEP Rural Students Count Based Percentage on Estimate 39914 AUTAUGAVILLE HIGH SCHOOL Rural 278 N/A 39918 BILLINGSLEY SCHOOL Rural 631 N/A 39972 MARBURY SCHOOL Rural 429 N/A 39982 DANIEL PRATT ELEMENTARY SCHOOL Urban 1094 N/A 39985 PINE LEVEL ELEMENTARY SCHOOL Rural 876 N/A 39986 PRATTVILLE JUNIOR HIGH SCHOOL Urban 1002 N/A 39988 PRATTVILLE PRIMARY SCHOOL Urban 588 N/A 39989 PRATTVILLE KINDERGARTEN Urban 425 N/A 39990 PRATTVILLE ELEMENTARY SCHOOL Urban 654 N/A 39991 LOUSIE SMITH DVLPMT CTR Urban 0 N/A 39992 PRATTVILLE INTERMEDIATE SCHOOL Urban 637 N/A 39993 AUTAUGA COUNTY TECHNOLOGY CENTER Urban 955
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