Form 471 Changes John Noran

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Form 471 ChangesJohn Noran

Train-the-Trainer Workshop September 27-29,
2004 Schools Libraries Division
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Form 471

• Services Ordered and Certification Form
• Lists individual funding requests
• Separated by category of service
• Separated by service provider
• Reports information on services
• Service start and end dates
• Contracts signed
• Discount percentage

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Form 471 Changes

• Block 1 Billed Entity Information
• E-mail address for Billed Entity removed.
• Report Contact Persons e-mail address.
• Categories for type of application now match
  those on Form 470.

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Form 471 Changes

• Former Block 2 Minor Contract Modification to
  Existing Contract
• This block has been removed.
• Minor contract modifications now handled through
  service substitution process where appropriate.

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Form 471 Changes

• Blocks 2 3 Impact of Services Ordered
• These blocks have been restructured and the
  information requested has changed.
• Schools and consortia including schools complete
  Item 7.
• Libraries and consortia containing libraries
  complete Item 8.

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Form 471 Changes

• Block 2 Impact of Services Ordered on Schools
• Number of students
• Number of classrooms with phone service
• Number of dial-up Internet connections
• Number of buildings served by broadband (3
  speeds)
• Number of drops for direct Internet connections
• Number of classrooms with Internet access
• Number of computers/devices with Internet access

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Form 471 Changes

• Block 3 Impact of Services Ordered on Libraries
• Number of library patrons
• Number of rooms with phone service
• Number of dial-up Internet connections
• Number of buildings served by broadband (3
  speeds)
• Number of drops for direct Internet connections
• Number of buildings with Internet access
• Number of computers/devices with Internet access

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Form 471 Changes

• Block 4 Discount Calculation Worksheet
• Three separate worksheets (schools, libraries,
  and consortia) merged into one worksheet.
• Complete worksheets as before, for example
• Applicants must complete one worksheet for each
  group of recipients receiving shared services.
• Consortia containing school districts or library
  systems must complete a worksheet for each of
  these members in order to calculate the member
  discount.

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Form 471 Changes

• Block 4 Discount Calculation Worksheet
• New fields
• NCES code (schools) or FSCS code (libraries)
• Indicator for pre-kindergarden, juvenile justice,
  or adult education students/facilities
• Indicator for alternative discount mechanism
• Shared service calculations (Item 9b)

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Form 471 Changes

• Block 4 Discount Calculation Worksheet
• Individual schools complete
• Columns 1-7
• Name, Entity Number, NCES code, Urban/Rural
  status, NSLP information, discount calculation
• Columns 9-10, as appropriate
• Pre-K, Juvenile Justice, Adult Ed
  students/facilities
• Alternative discount mechanism used

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Form 471 Changes

• Block 4 Discount Calculation Worksheet
• School districts complete
• Columns 1-10
• Name, Entity Number, NCES code, Urban/Rural
  status, NSLP information, discount calculation
  etc. for each individual school as above
• Weighted product for shared discount
• Item 9b for school districts
• Multiply totals of Columns 4 and 8

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Form 471 Changes

• Block 4 Discount Calculation Worksheet
• Library outlets/branches complete
• Columns 1-7
• Name, Entity Number, FSCS code, Urban/Rural
  status, NSLP information, discount calculation
• Note that NSLP numbers are the TOTALS for the
  school district in which the library
  outlet/branch is located
• Entity number of school district in which library
  outlet/branch is located

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Form 471 Changes

• Block 4 Discount Calculation Worksheet
• Library systems complete
• Columns 1-7 and 11
• Name, Entity Number, FSCS code, Urban/Rural
  status, NSLP information, discount calculation
  etc. for each individual library outlet/branch as
  above
• Item 9b for library systems
• Divide total of individual discounts by number of
  library outlet/branches

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Form 471 Changes

• Block 4 Discount Calculation Worksheet
• Consortia complete one worksheet as appropriate
  for each school district or library system member
• Complete one worksheet as appropriate for each
  group of entities sharing services
• Columns 1-2 and Column 12, member entity discount
• Item 9b for consortia
• Divide total of individual discounts by number of
  consortium members

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Form 471 Changes

• Block 5 Discount Funding Request(s)
• New fields
• Duplicate funding request / original FRN
• Basic maintenance category of service
• Non-contracted tariffed or month-to-month
  services
• Master contract
• Continuation of multi-year contract / FRN
• Multiple billing account numbers / attachment

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Form 471 Changes

• Block 6 Certifications and Signature
• New certifications
• Budget information requested as part of Item 25
  certification
• Name of authorized persons employer
• Consultants must enter name of organization that
  employs consultant, not applicant name.

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Form 471 Changes

• Block 6 Item 25 certification
• Entities 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.
• Some of these resources are not eligible for
  support.
• Entities 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.
• The Billed Entity will pay the non-discount
  portion of the cost of the goods and services to
  the service provider(s).

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Form 471 Changes

• Block 6 Item 25 budget information
• Total pre-discount costs for all FRNs on this
  form
• Minus total funding commitment requests on this
  form
• Equals total applicant non-discount share
• Plus total budget for non-eligible services
• Equals total amount needed apart from E-rate
• Service provider assistance in locating funds

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Form 471 Changes

• Block 6 Item 26 certification
• All of the schools and libraries or library
  consortia listed in Block 4 of this application
  are covered by technology plans that are written,
  that cover all 12 months of the funding year, and
  that have been or will be approved by an
  SLD-certified Technology Plan Approver prior to
  the commencement of service.
• Separate certification for technology plan
  approval status has been removed.

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Form 471 Changes

• Block 6 Item 27 certification
• Form 470 was posted and (if applicable) RFP was
  available for at least 28 days before selecting a
  service provider.
• All bids submitted were carefully considered and
  the most cost-effective service offering was
  selected, with price being the primary factor
  considered.

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Form 471 Changes

• Block 6 Item 28 certification
• The entity responsible for selecting the service
  provider(s) has reviewed all applicable state and
  local procurement/competitive bidding
  requirements and the entity or entities listed on
  this application have complied with them.

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Form 471 Changes

• Block 6 Item 29 certification
• The services the applicant purchases at discounts
  will be used solely for educational purposes and
  will not be sold, resold, or transferred in
  consideration for money or any other thing of
  value, except as permitted by FCC rules.
• The Billed Entity has not received anything of
  value or a promise of anything of value, other
  than services and equipment requested under this
  form, from the service provider(s), or any
  representative or agent thereof or any consultant
  in connection with this request for services.

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Form 471 Changes

• Block 6 Item 30 certification
• I and the entity or entities I represent have
  complied with all program rules failure to do
  so may result in denial of discount funding
  and/or cancellation of funding commitments.
• There are signed contracts covering all of the
  services listed on this Form 471 except for those
  services provided under non-contracted tariffed
  or month-to-month arrangements.
• Failure to comply with program rules could result
  in civil or criminal prosecution by the
  appropriate law enforcement authorities.

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Form 471 Changes

• Block 6 Item 31 certification (not new)
• 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.

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Form 471 Changes

• Block 6 Item 32 certification
• I will retain required documents for a period of
  at least five years after the last date of
  service delivered.
• I will retain all documents necessary to
  demonstrate compliance with the statute and FCC
  rules regarding application for, receipt of, and
  delivery of services receiving discounts.
• I may be audited pursuant to the E-rate program.

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Form 471 Changes

• Block 6 Item 33 certification
• I am authorized to order telecommunications and
  other supported services for, and to submit this
  request on behalf of, the eligible entity or
  entities listed on this application.
• I have examined this request and all of the
  information on this form is true and correct to
  the best of my knowledge.
• The entities that are receiving discounts
  pursuant to this application have complied with
  the terms, conditions and purposes of the E-rate
  program, and no kickbacks were paid to anyone.
• False statements on this form can be punished by
  fine, forfeiture, or imprisonment.

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Form 471 Changes

• Block 6 Item 34 certification
• Persons who have been convicted of criminal
  violations or held civilly liable for certain
  acts arising from their participation in the
  E-rate program 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 E-rate program.

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Form 471 Changes

• Block 6 Item 35 certification
• If any of the Funding Requests on this Form 471
  are for discounts for products or services that
  contain both eligible and ineligible components,
  I have allocated the cost of the contract to
  eligible and ineligible components as required by
  FCC rules.

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Form 471 Changes

• Block 6 Item 36 certification
• This funding request does not constitute a
  request for internal connections services, except
  basic maintenance services, in violation of the
  FCC requirement that eligible entities are not
  eligible for such support more than twice every
  five funding years beginning with Funding Year
  2005 as required by FCC rules.

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Form 471 Changes

• Block 6 Item 37 certification
• The non-discount portion of the costs for
  eligible services will not be paid by the service
  provider.
• The pre-discount costs of eligible services
  featured on this Form 471 are net of any rebates
  or discounts offered by the service provider.
• For the purpose of this rule, the provision, by
  the provider of a supported service, of free
  services or products unrelated to the supported
  service or product constitutes a rebate of some
  or all of the cost of the supported services.

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Form 471 Changes

• Address for paper form submission
• Please note disappearance of (fictitious) Ms.
  Smith
• Use ATTN SLD Form 471 for C/O field requested
  by express delivery services and U.S. Postal
  Service, Return Receipt Requested
• Remember to use the correct form
• Dated October 2004

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QUESTIONS