FCC Form 470 Funding Year 2016 Form 470 Application Number: 160017344 TN Erate Consortium II Billed Entity Tennessee E-rate Consortium 2601 Bransford Ave Nashville, Davidson, TN 37204 615-259-8502 tom.bayersdorfer@mnps.org Contact Information Thomas Bayersdorfer tbayersdorfer@gmail.com 615-259-8502 Billed Entity Number: 17002576 FCC Registration Number: 0011654399 Application Type Applicant Type: Consortium Recipients of Services: Number of Eligible Entities: 1816 Consulting Firms Name Consultant Registration Number Phone Number Email Consultants Name Phone Number Email RFPs Id Name 7327 16-11+Amendment+_1-Released 7328 Attachment+D+Site+List+Final 7329 Attachment+E++Cost+Proposal+Final 7330 Attachment+F+Installation+Cost+Final 9617 RFP+16-11+Internet+and++Services 9622 Attachment+D+Site+List 9623 Attachment+E++Cost+Proposal 9625 Attachment+F+Installation+Cost Category One Service Requests Service Type Function Other Internet Access and Transport Bundled Voice Service (Analog, Digital, Interconnected VOIP, etc) Minimum Capacity Maximum Capacity Entities Quantity Unit Installation and Initial Configuration? Maintenance and Technical Support? Associated RFPs 1.5 Mbps 25 Gbps 1850 1900 Circuits Yes Yes 7327, 7328, 7329, 1850 25000 Users Yes Yes 7327, 7328, 7329, Lit Fiber Service 1.5 Mbps 25 Gbps 1850 2000 Circuits Yes Yes 7327, 7328, 7329, Dark Fiber 1850 20000 Fiber Strands Yes Yes 7327, 7328, 7329,
Description of Other Functions Id Name Narrative They are detailed in RFP RFP 16-11 found at: http://www.mnps.org/pages/mnps/about_us/departments/purchasing/bid_on_current_procurements/ RFP_16-11_Internet_Access_and_ Category Two Service Requests Service Type Function Manufacturer Other Entities Quantity Unit Installation and Initial Configuration? Associated RFPs Description of Other Manufacturers Id Name Narrative Technical Contact Brad Wyatt Contract Agent 615-259-8543 brad.wyatt@mnps.org State and Local Procurement Restrictions The requirements are listed in RFP 16-11 located at: http://www.mnps.org/pages/mnps/about_us/departments/purchasing/bid_on_current_procurements/ RFP_16-11_Internet_Access_and_ Recipients of Service Billed Entity Number Billed Entity Name 128241 MURFREESBORO CITY SCHOOL DIST 128509 PUTNAM COUNTY SCHOOL DISTRICT 128266 ATHENS CITY SCHOOL DISTRICT 128277 DAYTON CITY SCHOOL DISTRICT 16081242 LIBERTAS CHARTER MEMPHIS 128391 ROGERSVILLE CITY SCHOOL DIST 128433 FAYETTE COUNTY SCHOOL DISTRICT 128446 WEAKLEY COUNTY SCHOOL DISTRICT 128465 BRADFORD SPECIAL SCHOOL DIST 128505 WAYNE COUNTY SCHOOLS 16085060 CAPSTONE EDUCATION GROUP 128287 FAYETTEVILLE CITY SCHOOL DIST 128311 FRANKLIN COUNTY SCHOOL DIST 128430 LAUDERDALE COUNTY SCHOOL DIST 128295 MONROE COUNTY SCHOOL DISTRICT 128234 LEBANON SPECIAL SCHOOL DIST 128275 RHEA COUNTY SCHOOL DISTRICT 128217 STEWART COUNTY BD OF EDUCATION 128416 HARDEMAN COUNTY SCHOOL DISTRICT 128415 BELLS SCHOOL DISTRICT
Billed Entity Number Billed Entity Name 128404 CLAIBORNE COUNTY BD OF EDUC 128240 WARREN COUNTY SCHOOL DISTRICT 128331 KINGSPORT CITY SCHOOL DISTRICT 128318 JOHNSON CITY SCHOOL DISTRICT 128474 CHESTER COUNTY SCHOOL DISTRICT 128454 HENRY COUNTY SCHOOL DISTRICT 128279 MEIGS COUNTY SCHOOLS 16076502 COLLIERVILLE SCHOOLS 128334 ALCOA CITY SCHOOL DISTRICT 128304 RICHARD CITY INDEP SCHOOL DIST 128208 SMITH COUNTY BOARD OF EDUC 128413 ALAMO CITY SCHOOL DISTRICT 16076452 BARTLETT CITY SCHOOLS 128309 TULLAHOMA CITY SCHOOLS 128528 VAN BUREN COUNTY SCHOOL DIST 128458 OBION COUNTY SCHOOL DISTRICT 128346 GREENEVILLE CITY SCHOOLS 128352 CAMPBELL COUNTY SCHOOL DIST 128231 MACON COUNTY SCHOOL DISTRICT 128511 PICKETT COUNTY SCHOOL DISTRICT 128390 HAWKINS COUNTY SCHOOL DISTRICT 128288 LINCOLN COUNTY SCHOOL DISTRICT 128466 HOLLOW ROCK BRUCETON SCH DIST 128233 WILSON COUNTY SCHOOL DISTRICT 128470 DECATUR COUNTY SCHOOL DISTRICT 128517 FENTRESS COUNTY SCHOOL DIST 128236 MARSHALL COUNTY BOARD OF EDUC 128443 MCKENZIE SPECIAL SCHOOL DIST 128341 JEFFERSON COUNTY SCHOOLS 128345 GREENE COUNTY SCHOOL DISTRICT 128361 LENOIR CITY SCHOOL DISTRICT 128440 SHELBY COUNTY SCHOOL DISTRICT 128327 UNICOI COUNTY SCHOOLS 128371 HAMBLEN COUNTY SCHOOL DISTRICT 128386 ONEIDA SPECIAL SCHOOL DISTRICT 128265 MCMINN COUNTY SCHOOL DISTRICT 128366 MARYVILLE CITY SCHOOL DISTRICT 16076501 LAKELAND SCHOOL SYSTEM 128513 CLAY COUNTY SCHOOL DISTRICT 128401 SWEETWATER CITY SCHOOL DIST 128215 DICKSON COUNTY SCHOOL DISTRICT 128328 WASHINGTON COUNTY SCHOOL DIST 128285 ETOWAH CITY SCHOOL DISTRICT 16076454 GERMANTOWN MUNICIPAL SCHOOL DISTRICT 128258 METROPOLITAN NASHVILLE PUBLIC SCHOOLS 128478 HUNTINGDON SPECIAL SCHOOL DIST 128221 FRANKLIN SPECIAL SCHOOL DIST 128207 CHEATHAM COUNTY SCHOOL DIST 16063089 LEAD PUBLIC SCHOOLS INC 128213 CLARKSVILLE-MONTGOMERY DIST 128225 SUMNER COUNTY SCHOOL DISTRICT 128406 MORGAN COUNTY SCHOOL DISTRICT 128469 SOUTH CARROLL COUNTY SCH DIST 128255 CANNON COUNTY SCHOOL DISTRICT 128515 CUMBERLAND COUNTY SCHOOL DIST 128300 BLEDSOE COUNTY SCHOOL DISTRICT 128357 ROANE COUNTY SCHOOL DISTRICT 128490 MCNAIRY COUNTY BOARD OF EDUC 128362 LOUDON COUNTY SCHOOL DISTRICT
Billed Entity Number Billed Entity Name 128418 HAYWOOD COUNTY SCHOOL DISTRICT 128485 MILAN SPECIAL SCHOOL DISTRICT 16076455 MILLINGTON MUNICIPAL SCHOOLS 128460 UNION CITY SCHOOLS 128211 HICKMAN COUNTY SCHOOL DISTRICT 128290 MARION COUNTY SCHOOL DISTRICT 128436 LAKE COUNTY SCHOOL 128382 OAK RIDGE SCHOOLS 128414 CROCKETT COUNTY SCHOOL DIST 128525 WHITE COUNTY SCHOOL DISTRICT 16076500 ARLINGTON COMMUNITY SCHOOLS 128421 TIPTON COUNTY SCHOOL DISTRICT 128407 KNOX COUNTY SCHOOL DISTRICT 128250 ROBERTSON COUNTY SCHOOL DIST 128367 BLOUNT COUNTY SCHOOLS 128425 DYER COUNTY SCHOOL DISTRICT 128315 HAMILTON COUNTY SCHOOL DIST 128522 OVERTON COUNTY SCHOOL DISTRICT 128273 CLEVELAND CITY SCHOOL DISTRICT 128248 DE KALB COUNTY SCHOOL DISTRICT 128396 SEVIER COUNTY SCHOOL DISTRICT 128377 NEWPORT CITY SCHOOL DISTRICT 128322 BRISTOL CITY SCHOOL SYSTEM 128480 HENDERSON COUNTY SCHOOL DISTRICT 128269 POLK COUNTY SCHOOL DISTRICT 128502 GILES COUNTY SCHOOL DISTRICT 128340 ANDERSON COUNTY SCHOOL DIST 128492 TRENTON SPECIAL SCHOOL DIST 128393 GRAINGER COUNTY SCHOOL DISTRICT 128426 DYERSBURG CITY SCHOOL DISTRICT 128467 BENTON COUNTY SCHOOL DISTRICT 128324 CARTER COUNTY BD OF EDUCATION 128472 GIBSON COUNTY SPECIAL SCH DIST 128499 LAWRENCE COUNTY SCHOOL DIST 128281 SEQUATCHIE COUNTY BD OF EDUC 128368 UNION COUNTY SCHOOL DISTRICT 16073462 GRAD ACADEMY MEMPHIS 128238 PERRY COUNTY SCHOOL DISTRICT 128398 HANCOCK COUNTY SCHOOL DISTRICT 128457 WEST CARROLL SPECIAL SCHOOL DISTRICT 128353 JACKSBORO PUBLIC LIBRARY 128488 HARDIN COUNTY SCHOOL DISTRICT 128375 COCKE COUNTY SCHOOLS 128262 GRUNDY COUNTY SCHOOLS 128272 BRADLEY COUNTY SCHOOL DISTRICT 128483 LEXINGTON CITY ELEM SCH DIST 16071130 ACHIEVEMENT SCHOOL DISTRICT 128246 BEDFORD COUNTY SCHOOL DISTRICT 128493 MAURY COUNTY SCHOOL DISTRICT 128296 MANCHESTER CITY SCHOOL DIST 128453 PARIS SPECIAL SCHOOL DISTRICT 128253 HUMPHREYS COUNTY SCHOOLS 128320 SULLIVAN COUNTY SCHOOL DIST 128297 COFFEE COUNTY SCHOOL DISTRICT 128338 CLINTON CITY SCHOOL DISTRICT 128220 HOUSTON COUNTY SCHOOL DISTRICT 128325 ELIZABETHTON CITY SCHOOL DIST 128333 JOHNSON COUNTY SCHOOL DISTRICT 128520 JACKSON COUNTY SCHOOL DISTRICT
Certifications I certify that the applicant includes: I certify that the applicant includes schools under the statutory definitions of elementary and secondary schools found in the No Child Left Behind Act of 2001, 20 U.S.C. 7801 (18) and (38), that do not operate as for-profit businesses, and do not have endowments exceeding $50 million. I certify that the applicant includes libraries or library consortia eligible for assistance from a State library administrative agency under the Library Services and Technology Act of 1996 that do not operate as for-profit businesses and whose budgets are completely separate from any schools (including, but not limited to elementary and secondary schools, colleges, and universities). Other Certifications I certify that this FCC Form 470 and any applicable RFP will be available for review by potential bidders for at least 28 days before considering all bids received and selecting a service provider. I certify that all bids submitted will be carefully considered and the bid selected will be for the most cost-effective service or equipment offering, with price being the primary factor, and will be the most cost-effective means of meeting educational needs and technology goals. I certify that I will retain required documents for a period of at least 10 years (or whatever retention period is required by the rules in effect at the time of this certification) after the later of the last day of the applicable funding year or the service delivery deadline for the associated funding request. I certify that I will retain all documents necessary to demonstrate compliance with the statute and Commission rules regarding the form for, receipt of, and delivery of services receiving schools and libraries discounts. I acknowledge that I may be audited pursuant to participation in the schools and libraries program. I acknowledge that support under this support mechanism is conditional upon the school(s) and/or library(ies) I represent securing 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. I certify that I have reviewed all applicable FCC, state, and local procurement/competitive bidding requirements and that I have complied with them. I acknowledge that persons willfully making false statements on this form may be punished by fine or forfeiture, under the Communications Act, 47 U.S.C. 502, 503(b), or fine or imprisonment under Title 18 of the United States Code, 18 U.S.C. 1001. I acknowledge that FCC rules provide that persons who have been convicted of criminal violations or held civilly liable for certain acts arising from their participation in the schools and libraries support mechanism are subject to suspension and debarment from the program. I certify that I will retain required documents for a period of at least 10 years (or whatever retention period is required by the rules in effect at the time of this certification) after the later of the last day of the applicable funding year or the service delivery deadline for the associated funding request. I certify that I will retain all documents necessary to demonstrate compliance with the statute and Commission rules regarding the form for, receipt of, and delivery of services receiving schools and libraries discounts. I acknowledge that I may be audited pursuant to participation in the schools and libraries program. I certify that the services the applicant purchases at discounts provided by 47 U.S.C. 254 will be used primarily for educational purposes, see 47 C.F.R. 54.500, and will not be sold, resold or transferred in consideration for money or any other thing of value, except as permitted by the Commission s rules at 47 C.F.R. 54.513. Additionally, I certify that the entity or entities listed on this form have not received anything of value or a promise of anything of value, other than services and equipment sought by means of this form, from the service provider, or any representative or agent thereof or any consultant in connection with this request for services. I acknowledge that support under this support mechanism is conditional upon the school(s) and/or library(ies) I represent securing 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. I recognize that some of the aforementioned resources are not eligible for support. I certify that I have considered what financial resources should be available to cover these costs. I certify that I am authorized to procure eligible services for the eligible entity(ies). I certify that I am authorized to submit this request on behalf of the eligible entity(ies) listed on this form, that I have examined this request, and to the best of my knowledge, information, and belief, all statements of fact contained herein are true.
Authorized Person Thomas Bayersdorfer Tennessee E-rate Consortium 2601 Bransford Ave Nashville, Davidson, TN 37204 615-259-8502 tbayersdorfer@gmail.com Certified Timestamp 01/11/2016 04:08 PM CST