los angeles unified school district information technology division

Los Angeles Unified School DistrictInformation Technology Division

Schools and Libraries Universal Service Program(E-Rate)

Services Ordered and Certification Form(FCC Form 471)

Instructions for Filing


DEADLINE!!!

April 15


The FCC suggests you submit the Form 471 as early as possible, so that you can be contacted and problemscan be resolved before the window closes -- if everything is not resolvedby April 15…

you will not be “First-In-Line”


• Must be submitted in form

• Clocked into Iowa City by US Postal Service or express delivery service

• If form is late, it is not “First” in First-Come-First-Served

PAPER


If you do not make the deadline--

You can still submit--

But you will not be considered“FIRST IN LINE”

for the 1998 funds


Remember, no online submissions--

PAPER SUBMISSIONS ONLY!


US Postal Service:

Schools and Libraries CorporationP.O. Box 4217Iowa City, IA 52244-4217


US Postal Service with return receipt ORexpress delivery service (FedEx, UPS):

Schools and Libraries Corporationc/o Sherri Chalupa2510 N. Dodge St.Iowa City, IA 52245


The Form 471 must meet the following requirements, or it will be automaticallyrejected:

• Correct Form

• Completed Certification

• Previously Filed Form 470

• Valid Signature Date

• Completed Form


The SLC Program IntegrityAssurance (PIA) will check the forms for Correctness, Certification, Form 470, 28 days on the Web, and Completeness


ALL QUESTIONS FROM PIAAUDITORS MUST ANSWEREDWITHIN FOUR DAYS. THE FOUR DAYS MAY EXTENDBEYOND APRIL 15.


Correct Form

must include correct OMB form # and bevisually equivalent to the official form

Either print the Adobe Acrobat PDFversion and type your application on it

OR fill in the Excel spreadsheet

Check our E-Rate Information page for both


Completed Certification

Form must have an ORIGINAL signature(not Xeroxed) from principal, cluster leader

must be dated

should be in blue or color other than black


Previously Filed Form 470

Form 470 must have been submitted for all existing contracts or new services

The Form 471 must be based on EXISTINGForm 470--(indicate in Item 7 if for EXISTING contract, contracts signed AFTER 470 posted, or a modification to another 471)


Valid Signature Date

•If you are asking for NEW service,then the date of the Form 471 must be at least 28 days after the date you posted the Form 470 (check your Form 470on line for date)

•That means the LAST day to post the Form 470 was March 18


Completed Form

•Item 1 -- Entity that will be paying the UNDISCOUNTED part of the bill-- should be same as Form 470

•Item 2 -- should be same as Form 470


•Item 3a -- NCES code -- should be on Form 470

If you did not get your code:

www.lausd.k12.ca.us/lausd/itd/erate/click on National School Locator

or call 888-203-8100 for assistance


•Item 3b -- SLC administrator will insert

•Item 3c -- comes from Item 19 of the Form 470 -- it was inserted for each billed entity when you posted them

EACH billed entity must submit its ownForm 471--if only ONE entity will pay thebill, then only ONE Form 471 need be filed

IMPORTANT!!!


•Item 4a --- should be same as Form 470

•Item 4b --- should be same as Form 470

EXCEPT THAT

EACH billed entity must submit its ownForm 471--if only ONE entity will pay thebill, then only ONE Form 471 need be filed


Item 5 -- should be same as Form 470

• this is the address, phone #, e-mailof the BILLED ENTITYit will be used for statisticsand audits

• the next item is the contact informationfor the project leader -- questionswill be directed there


ALL QUESTIONS FROM PIAAUDITORS MUST ANSWEREDWITHIN FOUR DAYS. THE FOURDAYS MAY EXTEND BEYONDAPRIL 15.


•Item 6 -- our suggestion is that the contact person be the projectleader AT THE SCHOOL ORCLUSTER SITE

•most questions will be detailsregarding the services you have requested

• school contact can refer toPurchasing or Public Worksif necessary


Item 6 (continued)

If the contact person is a classroomteacher, we suggest that person be provided with a phone, or withan arrangement for contact fromthe office and class coverage. Theremay be questions from a Districtoffice, from your vendors or fromthe “feds”.


Item 7a -- only for existing contracts

Item 7b -- most of you -- you requesteda new service by posting a Form 470 on the SLC Web site


Item 7c

• if you wish to modify or supplement a previous Form 471 (put theAPPLICATION NUMBERof the Form 471 you are modifyingin Item 3b)


Item 7c (continued)

•if you are adding service, list onlyservices added

• if you are deleting services, call SLC888-203-8100


Block 3 -- Characteristics of Applicantand Applicant’s ServiceOrder (Items 8a -- 13d)

•Basically the same as the informationyou posted in Block 3 of Form 470

• EXCEPTION -- if you posted a comprehensive Form 470 andeach billed entity is filing aseparate Form 471


Block 4 - Item 14

• % ELIGIBLE for (not necessarily receiving) national school lunch program as

of Dec 1, 1997 (or use Norm Day)

• we can get % for multi-campus projectsif it would help you


Item 14 (continued)

For multi-campus applications:

Calculate discount for each school•<1 = 20%•1-19 = 40%•20-34 = 50%•35-49 = 60%•50-74 = 80%•75-100 = 90%


Item 14 (continued -- multi-campus)

1.) Discount rate for each schooltimes Norm Day or Dec. 1 enrollment

2.) Add the products from (1)

3.) Sum enrollments

4.) Divide (2) by (3), round to nearestwhole number


Items 15 and 16

• Item 15 is for “shared” services

• Item 16 is for “Site Specific” services

• Services can only appear in Item 15or Item 16, never both


•In column 1 of both items, use the SLC

Service Provider IdentificationNumber (SPIN)

. . . If you do not know the SPIN, use the Full Legal Name of the company

Item 15 & Item 16


•In column 3 of both items, use the Districtcontract number -- used for audits

Item 15 & Item 16


Item 17

You must attach an appendix thatlists the services that will be provided


Item 18

Filled in by SLC administrator

Item 19

Make a good faith estimate of dollars you will need for next year


ADVICE FROM THE FCC:

• Do not ask for “pie-in-the-sky”

• Do not contract for services you willnot be using during the year

Congressional opponents of E-Ratewill look for unrealistic requestsas ammunition to shoot down the program


Item 20

Check only if the application is SOLELY for basic telephone --this should not be any of you


Item 21 -- check box labeled “a.”


Item 22 -- According to the FCC:

• this item will be the target of audits

• E-Rate has many enemies

• they will be looking for

“wires to nowhere . . .”


Item 22 (continued)

The members of the Council of Great City Schools say:

“It makes sense to wire a whole building at once (because of disruption and expense), even if you don’t have the money to put a computer at each drop”


No one knows how this will come out. Prudence dictates that you do not buildwhat you cannot connect.

•you are signing that you have computers,training, software and ELECTRICAL-- HAVE THEM!

• if schools lie, enemies of E-Rate will usethat fact to kill the program


Item 23

The Form 486 (Indicating youhave begun receiving services)will

REQUIRE CERTIFICATIONthat your TechnologyUse Plan has received Stateapproval


Item 24

If your plan has not yet received Stateapproval, DO IT NOW!

Have your approval letter ready for the AUDITORS


Remember -- The Technology Planshould include:

Clear Goals and Strategies

Professional Development


What Do We Have Now --(equipment,software, training, support,maintenance) ?

Technology Plan


What Do We Need ?(--should include what you are asking for)

Sufficient BudgetShown to Meet StatedGoals

Technology Plan


Evaluation Component(--how will you know thatyou have accomplished thegoals you have stated?)

Technology Plan


Item 25 -- have contracts, numbers, etc.ready for the AUDITORS

Item 26 -- make sure equipment itemsgo into your inventory, and haveyour inventory ready for theAUDITORS

Item 27 -- e.g. the District applicationfor data lines gives same bandwidth to all schools


Item 28

• Certify that you are aware that you maybe audited

• Commit to retain any and all worksheetsthat you used to arrive at dataentered on 470 and 471s

(3 years for 470, 5 years for 471)


Items 29 -- 33

The certification

Remember:

• a paper Form 471 must be submitted


Reminders:

• each time you order from your contractyou file a new 471

• fill out all items -- N/A in all itemsthat do not apply

• SLC Administrator informs applicant,486 is filed certifying TUPand service has begun to beprovided


Reminders:

•Independent auditing companies, hired

by the SLC, will be verifying information on the Form

471--the contact person must answer questions

IMMEDIATELY

• Put the Name and Phone # of contact person

at the top of EACH PAGE


Reminder

• attach lists, notes, budgets and any other appendices

•all documentation supporting your form 470must be kept for 3 years for AUDITpurposes

• all documentation supporting your Form 471must be kept for 5 years for AUDITpurposes


From the SLC Homepage:

“Please pay particular attention to the certifications that applicants must make. For example, the Form 471 requires a certification that the applicant has secured access to the resources necessary to make effective use of the discounted services. Applicants must have already secured access to the computers, video equipment, teacher training and the like, in addition to having the funds available for paying their share of discounted service costs. We will be conducting audits to check records and verify this and the other certifications. The SLC has retained outside contractors whose only function is application review and audits. We will not hesitate to deny funding requests and to recommend enforcement where we find failure to comply with FCC rules.

los angeles unified school district information technology division

Documents

filed form

certification formfcc

correct omb form

new servicesthe form

iowa city

libraries corporationp

existing contracts

online submissions