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 16-GUHSD-P1 Application Number 161013024 Funding Year 2016 Category of Service Category 1 Billed Entity Contact Information GLENDALE UNION HIGH SCHOOL DISTRICT Joshua Dean 7650 N 43RD AVE GLENDALE AZ 85301 - 1661 602-435-6000 623-435-6000 [email protected] [email protected] Billed Entity Number 142965 FCC Registration Number 0004526331 Applicant Type School District Holiday/Summer Contact Information During summer hours, please contact: Stephanie Nicely Nicely Done Consulting Phone: 623-780-5737 ext 502 Fax: 602-635-3442 Email: [email protected] Consulting Firms Name Consultant City State Zip Code Phone Number Email Registration Number Nicely Done 16043643 Glendale AZ 85310 623-780-5737 stephanie@ Consulting nicelydoneco nsulting.com School District Name BEN Urban or Rural State LEA ID State School ID NCES Code School District Endowment Attributes GLENDALE UN 142965 Urban Public Sch None ION HIGH SCH ool District OOL DISTRICT Related Child School Entities Name BEN Urban State State NCES Number Students Alternative CEP School Endo or Rural LEA ID School ID Code of Count DiscountPercentageAttributes wment Students Based on Estimate SUNNYSL 97176 Urban 2035 N/A None Public None OPE HIGH School SCHOOL Page 1 Name BEN Urban State State NCES Number Students Alternative CEP School Endo or Rural LEA ID School ID Code of Count DiscountPercentageAttributes wment Students Based on Estimate WASHING 97181 Urban 1752 N/A None Public None TON HIGH School SCHOOL GREENW 97195 Urban 1441 N/A None Public None AY HIGH School SCHOOL THUND 97201 Urban 1540 N/A None Public None ERBIRD School HIGH S CHOOL MOON 97233 Urban 1470 N/A None Public None VALLEY School HIGH S CHOOL CORTEZ 97363 Urban 1149 N/A None Public None HIGH S School CHOOL NORTHER 97779 Urban 49 N/A None Public None N ANNEX School ACADEMY GLENDA 97783 Urban 1824 N/A None Public None LE HIGH School SCHOOL APOLLO 97802 Urban 2044 N/A None Public None HIGH S School CHOOL INDEPE 97806 Urban 2130 N/A None Public None NDENCE School HIGH S CHOOL METRO C 16026956 Urban 83 N/A None Public None ENTER A School CADEMY Related School District NIFs School District BEN School District Name NIF BEN NIF Name 142965 GLENDALE UNION HI 16054989 GLENDALE UNION GH SCHOOL DISTRICT DISTRICT OFFICE Discount Rate School District School District School District School District Category One Category Two Voice Enrollment NSLP Count NSLP Percentage Urban/Rural Status Discount Rate Discount Rate Discount Rate 15517 9454 61.0% Urban 80% 80% 40% Funding Request for FRN #1699021966 Funding Request Nickname: 16-GUHSD-IA-Cogent Service Type: Data Transmission and/or Internet Access What is the FRN number from the previous 2833963 year ? Agreement Information - Contract Page 2 Contract Number 119-R Account Number GLENDALE00002 User-entered Establishing FCC 820340001276977 Service Provider Cogent Communications, Inc. Form 470# (SPN: 143025258) Was an FCC Form 470 posted No Based on State Master No for the product and/or services Contract? you are requesting? Based on a multiple award No Award Date April 01, 2015 schedule? How many bids were received 4 Includes Voluntary Extensions? No for this contract? Remaining Voluntary Extensions Total Remaining Contract Length What is the service start date? July 01, 2016 What is the date your contract expires for the current June 30, term of the contract? 2017 Document Name Document Description GUHSD_Cogent_IA_15-17_CS.pdf Pricing Confidentiality Is there a statute, rule, or other restriction which prohibits No publication of the specific pricing information for this contract? Narrative Monthly service charges for internet access for district and schools. 500mbps ethernet Line Item # 1699021966.001 Product and Service Details Purpose Internet access service that includes a connection from any applicant site directly to the Internet Service Provider Function Fiber Type of Connection Ethernet Unit Lease or Non-Purchase No Agreement? Bandwidth Speed Download Speed 500.0 Mbps Upload Speed 500.0 Mbps Connection Information Does this include firewall No Is this a connection between No services? eligible schools, libraries and NIFs (i.e., a connection that provides a “Wide area network”)? Page 3 Is this a direct connection to a No Connection Used by All buildings/sites listed single school, library or a NIF for Internet access? Cost Calculation for FRN Line Item # 1699021966.001 Monthly Cost One-Time Cost Monthly Recurring Unit Cost $2,510.00 One-time Unit Cost $0.00 Monthly Recurring Unit - $0.00 One-time Ineligible Unit Costs - $0.00 Ineligible Costs One-time Eligible Unit Cost = $0.00 Monthly Recurring Unit Eligible = $2,510.00 One-time Quantity x 0 Costs Monthly Quantity x 1 Total Eligible One-time Costs = $0.00 Total Monthly Eligible Recurring = $2,510.00 Costs Summary Months of Service x 12 Total Eligible Recurring Costs $30,120.00 Total Eligible Recurring Costs = $30,120.00 Total Eligible One-time Costs + $0.00 Pre-Discount Extended Eligible = $30,120.00 Line Item Cost Recipients of Services BEN Name 16054989 GLENDALE UNION DISTRICT OFFICE FRN Calculation for FRN #1699021966 -16-GUHSD-IA-Cogent Monthly Charges Total Requested Amount Total Monthly Recurring $2,510.00 Total Eligible Pre-Discount $30,120.00 Charges Recurring Charges Total Monthly Ineligible - $0.00 Total Eligible Pre-Discount + $0.00 Charges One-Time Charges Total Monthly Eligible Charges = $2,510.00 Total Pre-Discount Charges = $30,120.00 Total Number of Months of x 12 Discount Rate 80% Service Funding Commitment Request = $24,096.00 Total Eligible Pre-Discount = $30,120.00 Recurring Charges 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 Funding Request for FRN #1699021967 Funding Request Nickname: 16-GUHSD-Hosted VoIP Service Type: Voice What is the FRN number from the previous 2758923 year ? Agreement Information - Contract Contract Number 2654520000004784167 Account Number CN-562641-1312 User-entered Establishing FCC 621550001103403 Service Provider Jive Communications, Inc. (SPN: Form 470# 143033971) Page 4 Was an FCC Form 470 posted No Based on State Master No for the product and/or services Contract? you are requesting? Based on a multiple award No Award Date March 12, 2013 schedule? How many bids were received 3 Includes Voluntary Extensions? No for this contract? Remaining Voluntary Extensions Total Remaining Contract Length What is the service start date? July 01, 2016 What is the date your contract expires for the current June 30, term of the contract? 2018 Document Name Document Description GUHSD_Jive_VoIP+13-18_CS.pdf Pricing Confidentiality Is there a statute, rule, or other restriction which prohibits No publication of the specific pricing information for this contract? Narrative Monthly service fees for hosted VOIP system for district and schools. 1412 users Line Item # 1699021967.001 Product and Service Details Function Voice Cost Calculation for FRN Line Item # 1699021967.001 Monthly Cost One-Time Cost Monthly Recurring Unit Cost $21.91 One-time Unit Cost $0.00 Monthly Recurring Unit - $0.00 One-time Ineligible Unit Costs - $0.00 Ineligible Costs One-time Eligible Unit Cost = $0.00 Monthly Recurring Unit Eligible = $21.91 One-time Quantity x 0 Costs Monthly Quantity x 1412 Total Eligible One-time Costs = $0.00 Total Monthly Eligible Recurring = $30,936.92 Costs Summary Months of Service x 12 Total Eligible Recurring Costs $371,243.04 Total Eligible Recurring Costs = $371,243.04 Total Eligible One-time Costs + $0.00 Pre-Discount Extended Eligible = $371,243.04 Line Item Cost Recipients of Services BEN Name 97176 SUNNYSLOPE HIGH SCHOOL 97181 WASHINGTON HIGH SCHOOL 97195 GREENWAY HIGH SCHOOL Page 5 97201 THUNDERBIRD HIGH SCHOOL 97233 MOON VALLEY HIGH SCHOOL 97363 CORTEZ HIGH SCHOOL 97779 NORTHERN ANNEX ACADEMY 97783 GLENDALE HIGH SCHOOL 97802 APOLLO HIGH SCHOOL 97806 INDEPENDENCE HIGH SCHOOL 16026956 METRO CENTER ACADEMY 16054989 GLENDALE UNION DISTRICT OFFICE FRN Calculation for FRN #1699021967 -16-GUHSD-Hosted VoIP Monthly Charges Total Requested Amount Total Monthly Recurring $30,936.92 Total Eligible Pre-Discount $371,243.04 Charges Recurring Charges Total Monthly Ineligible - $0.00 Total Eligible Pre-Discount + $0.00 Charges One-Time Charges Total Monthly Eligible Charges = $30,936.92 Total Pre-Discount Charges = $371,243.04 Total Number of Months of x 12 Discount Rate 40% Service Funding Commitment Request = $148,497.22 Total Eligible Pre-Discount = $371,243.04 Recurring Charges 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 Funding Request for FRN #1699067617 Funding Request Nickname: 16-GUHS-Voice Service Type: Voice Agreement Information - Contract Contract Number ADSPO15-088473 Account Number Establishing FCC Form 470 160025903 Service Provider Cox Arizona Telcom, LLC (SPN: 143014467) Was an FCC Form 470 posted Yes for the product and/or services Based on State Master Yes you are requesting? Contract? Award Date April 21, 2016 Based on a multiple award Yes schedule? How many bids were received 2 Includes Voluntary Extensions? No for this contract? Remaining Voluntary Extensions Total Remaining Contract Length What is the service start date? July 01, 2016 What is the date your contract expires for the current June 30, term of the