FCC Form 470 – Funding Year 2026 Form 470 Application Number: 260017010

Cat22026

Billed Entity Contact Information

PIUTE COUNTY SCHOOL DISTRICT

500 NORTH MAIN JUNCTION, UT 84740 PIUTE

435-577-2912

Paul James paul.james@piutek12.org 435-577-2912

Billed Entity Number: 142882 FCC Registration Number: 0011831054

Application Type Applicant Type: School District Recipients of Services: Public School; Public School District

Number of Eligible Entities: 4

Consulting Firms

Name Consultant Registration Number

Phone Number Email

UETN NFP E-Rate Consulting Services

17028946 801-581-3019 erateNFPconsulting@uen.org

Consultants

Name Phone Number Email

Jerome Browning 801-581-3019 eratenfpconsulting@uen.org

RFPS

ID Name

232120 2026erate470

Category One Service Requests

Service Type Function Function Other Description

Minimum Capacity

Maximum Capacity

Entities Quantity Unit Installation and Initial Configuration?

Associated RFPs

Description of Other Functions

ID Name

Narrative

Category Two Service Requests

Service Type Function Manufacturer Manufacturer Other Description

Entities Quantity Unit Installation and Initial Configuration?

Associated RFPs

Internal Connections Wireless Access Points and Necessary Software and Licenses

Fortinet or equivalent

54 Each No 232120

Basic Maintenance of Internal Connections

Wireless Access Points Fortinet 4 54 Each 232120

Description of Other Manufacturers

ID Name

Narrative

E-rate Solicitation Bid Title: PiuteSD 2026 E-Rate Cat 2 Utah Public Procurement Place Bid Number: PiuteSD2026eratecat2 Closing Date: Noon, March 31, 2026.

1. Bidders must bid the brand and model listed or a "functionally equivalent" product. Piute School District reserves the right to be the determining entity of what is functionally equivalent. Product bid must be compatible with existing Piute School District equipment.

Award will be made to the Bidder with the highest score based on Piute School District's Bid Evaluation Matrix (available on UP). Bidders must be able to prove to Piute School District's satisfaction they are indeed responsible. If we have encountered performance problems with any bidder in the past, not meeting our expectations or the specification of any bid or contract, we will not accept bids from them.

Bid price must also be valid for the next-generation product if the current item listed in this bid is discontinued or the part number changes.

Bidders must supply a USAC SPIN number and have a current 473 form demonstrating they are a qualified vendor. Selected Service Provider must remain current on all applicable USAC certifications throughout the life of the contract.

5. These are estimated quantities that we anticipate purchasing over the course of the contract period. Bidders must understand we may not be purchasing all of these items.

6. Bid Requirements:

a) Vendor shall be a registered E-Rate Service Provider with a current form 473 Service Provider Annual Certification (SPAC) on file with USAC

b) Vendor shall provide SPIN number as part of the bid. Please enter this number in the "Questions" section of the bid where prompted.

c) Products must be new, not re-manufactured.

Price must include freight (FOB Destination) on the ground.

Any communication regarding this bid is to be conducted through the Utah Public Procurement Place (UP).

Terms and Conditions are non-negotiable. Any questions regarding Terms and Conditions are to be submitted prior to bid due date. Attempts to take exception to any Terms and Conditions will render the bid nonresponsive. Any terms or conditions submitted by the bidder, with their bid, will be discarded and will not be considered Piute School District reserves the right to award the bid to the next low bid if for any reason the low bid is rejected, is disqualified or fails to perform.

When submitting a bid electronically through the Utah Public Procurement Place, allow sufficient time to complete the online forms and to upload documents. The solicitation will end precisely at the closing time listed. If you are in the middle of uploading your bid at the closing time, the Utah Public Procurement Place will stop the process and your bid will not be received.

A person with an outstanding tax lien in the state of Utah may not submit a bid, bid or offer.

7. Bid Submittal Bids must be submitted on-line at the Utah Public Procurement Place located at https://purchasing.utah.gov/purchasing/for-vendors-purchasing/ If a functionally equivalent product is bid, Bidder must scan and upload (attach) an itemized bid document (in pdf format) listing make, model of item bidding, description and unit cost.

Item 1: FAP-231K-A FortiAP 231K Internal antennas Quantity: 36 each DESCRIPTION: FortiAP 231K Internal Antennas *If a functionally equivalent product is bid, it must be compatible with Fortigate 400E and be able to utilize the WLAN controller features Item 2: FAP-241K-A FortiAP 241K Quantity: 10 each DESCRIPTION: FortiAP 241K External Antennas *If a functionally equivalent product is bid, it must be compatible with Fortigate 400E and be able to utilize the WLAN controller features Item 3: FAP-831F-A FortiAP 831F Quantity: 8 each DESCRIPTION: FortiAP 831F internal Antennas *If a functionally equivalent product is bid, it must be compatible with Fortigate 400E and be able to utilize the WLAN controller features Item 4: FC-10-P231K-247-02-12 One Year FortiCare Premium Support for Item 1 Quantity 36 Item 5: FC-10-P241K-247-02-12 One Year FortiCare Premium Support for Item 2 Quantity 10 Item 6: FC-10-648FF-247-02-12 One Year FortiCare Premium Support for Item 3 Quantity 8

Delivery Location for all products:

Piute School District 500 N Main Street Junction, Utah 84740

Technical Contact

Paul James

Technology Director

435-577-2912 paul.james@piutek12.org

State and Local Procurement Restrictions https://purchasing.utah.gov

E-rate Solicitation Bid Title: PiuteSD 2026 E-Rate Cat 2 Utah Public Procurement Place Bid Number: PiuteSD2026eratecat2 Closing Date: Noon, March 31, 2026.

1. Bidders must bid the brand and model listed or a "functionally equivalent" product. Piute School District reserves the right to be the determining entity of what is functionally equivalent. Product bid must be compatible with existing Piute School District equipment.

Award will be made to the Bidder with the highest score based on Piute School District's Bid Evaluation Matrix (available on UP). Bidders must be able to prove to Piute School District's satisfaction they are indeed responsible. If we have encountered performance problems with any bidder in the past, not meeting our expectations or the specification of any bid or contract, we will not accept bids from them.

Bid price must also be valid for the next-generation product if the current item listed in this bid is discontinued or the part number changes.

Bidders must supply a USAC SPIN number and have a current 473 form demonstrating they are a qualified vendor. Selected Service Provider must remain current on all applicable USAC certifications throughout the life of the contract.

5. These are estimated quantities that we anticipate purchasing over the course of the contract period. Bidders must understand we may not be purchasing all of these items.

6. Bid Requirements:

a) Vendor shall be a registered E-Rate Service Provider with a current form 473 Service Provider Annual Certification (SPAC) on file with USAC

b) Vendor shall provide SPIN number as part of the bid. Please enter this number in the "Questions" section of the bid where prompted.

c) Products must be new, not re-manufactured.

Price must include freight (FOB Destination) on the ground.

Any communication regarding this bid is to be conducted through the Utah Public Procurement Place (UP).

Terms and Conditions are non-negotiable. Any questions regarding Terms and Conditions are to be submitted prior to bid due date. Attempts to take exception to any Terms and Conditions will render the bid nonresponsive. Any terms or conditions submitted by the bidder, with their bid, will be discarded and will not be considered Piute School District reserves the right to award the bid to the next low bid if for any reason the low bid is rejected, is disqualified or fails to perform.

When submitting a bid electronically through the Utah Public Procurement Place, allow sufficient time to complete the online forms and to upload documents. The solicitation will end precisely at the closing time listed. If you are in the middle of uploading your bid at the closing time, the Utah Public Procurement Place will stop the process and your bid will not be received.

A person with an outstanding tax lien in the state of Utah may not submit a bid, bid or offer.

7. Bid Submittal Bids must be submitted on-line at the Utah Public Procurement Place located at https://purchasing.utah.gov/purchasing/for-vendors-purchasing/ If a functionally equivalent product is bid, Bidder must scan and upload (attach) an itemized bid document (in pdf format) listing make, model of item bidding, description and unit cost.

Item 1: FAP-231K-A FortiAP 231K Internal antennas Quantity: 36 each DESCRIPTION: FortiAP 231K Internal Antennas *If a functionally equivalent product is bid, it must be compatible with Fortigate 400E and be able to utilize the WLAN controller features Item 2: FAP-241K-A FortiAP 241K Quantity: 10 each DESCRIPTION: FortiAP 241K External Antennas *If a functionally equivalent product is bid, it must be compatible with Fortigate 400E and be able to utilize the WLAN controller features Item 3: FAP-831F-A FortiAP 831F Quantity: 8 each DESCRIPTION: FortiAP 831F internal Antennas *If a functionally equivalent product is bid, it must be compatible with Fortigate 400E and be able to utilize the WLAN controller features

Item 4: FC-10-P231K-247-02-12 One Year FortiCare Premium Support for Item 1 Quantity 36 Item 5: FC-10-P241K-247-02-12 One Year FortiCare Premium Support for Item 2 Quantity 10 Item 6: FC-10-648FF-247-02-12 One Year FortiCare Premium Support for Item 3 Quantity 8

Delivery Location for all products:

Piute School District 500 N Main Street Junction, Utah 84740

Billed Entities

Billed Entity Number

Billed Entity Name

142882 PIUTE 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.

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 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 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.

NOTICE:

In accordance with Section 54.503 of the Federal Communications Commission’s (“Commission”) rules, certain schools and libraries ordering services that are eligible for and seeking universal service discounts must file this Description of Services Requested and Certification Form (FCC Form 470) with the Universal Service Administrator. 47 C.F.R. § 54.503. The collection of information stems from the Commission’s authority under Section 254 of the Communications Act of 1934, as amended. 47 U.S.C. § 254. The data in the report will be used to ensure that schools and libraries comply with the competitive bidding requirement contained in 47 C.F.R. § 54.503. Schools and libraries must file this form themselves or as part of a consortium.

An agency may not conduct or sponsor, and a person is not required to respond to, a collection of information unless it displays a currently valid OMB control number.

The FCC is authorized under the Communications Act of 1934, as amended, to collect the information requested in this form. We will use the information you provide to determine whether you have complied with the competitive bidding requirements applicable to requests for universal service discounts. If we believe there may be a violation or a potential violation of any applicable statute, regulation, rule or order, the information you provide in this form may be referred to the Federal, state, or local agency responsible for investigating, prosecuting, enforcing, or implementing the statute, rule, regulation or order. In certain cases, the information you provide in this form may be disclosed to the Department of Justice or a court or adjudicative body when (a) the FCC; or (b) any employee of the FCC; or (c) the United States Government is a party of a proceeding before the body or has an interest in the proceeding. In addition, information provided in or submitted with this form, or in response to subsequent inquiries, may also be subject to disclosure consistent with the Communications Act of 1934, FCC regulations, the Freedom of Information Act, 5 U.S.C. § 552, or other applicable law.

If you owe a past due debt to the federal government, the information you provide in this form may also be disclosed to the Department of the Treasury Financial Management Service, other Federal agencies and/or your employer to offset your salary, IRS tax refund or other payments to collect that debt. The FCC may also provide the information to these agencies through the matching of computer records when authorized.

If you do not provide the information we request on the form, the FCC or Universal Service Administrator may return your form without action or deny a related request for universal service discounts.

The foregoing Notice is required by the Paperwork Reduction Act of 1995, Pub. L. No. 104-13, 44 U.S.C. § 3501, et seq.

Public reporting burden for this collection of information is estimated to average 3.5 hours per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, completing, and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing the reporting burden to the Federal Communications Commission, Performance Evaluation and Records Management, Washington, DC 20554. We also will accept your comments via the email if you send them to PRA@FCC.gov. DO NOT SEND COMPLETED WORKSHEETS TO THESE ADDRESSES.

Authorized Person

Paul James

PIUTE COUNTY SCHOOL DISTRICT

500 NORTH MAIN JUNCTION, UT 84740 PIUTE

435-577-2912

Certified Timestamp

03/03/2026 02:07 PM EST