USAC Form

FCC Form 470 – Funding Year 2023 Form 470 Application Number: 230019172

23DoughertySwitches Billed Entity

Dougherty County School System 200 Pine Avenue

Albany, GA 31701 Dougherty

229-431-1264 info@dougherty.k12.ga.us

Billed Entity Number: 127501 FCC Registration Number: 0013171459

Contact Information Chris Rodriguez crodriguez@fundingtechnology.com 866-490-3688

Application Type Applicant Type: School District

Recipients of Services: Charter School; Charter School District; Pre-K; Public School; Public School District

Number of Eligible Entities: 34

Consulting Firms Name Consultant

Registration Number Phone Number

Email

Universal Funding Consultants Inc 16043686 866-490-3688 snutgrass@fundingtechnology.com

Consultants Name Phone Number Email

Chris Rodriguez 866-490-3688 crodriguez@fundingtechnology.com

Scott Nutgrass 866-490-3688 scott@fundingtechnology.com

RFPs Id Name 155112 024PUR2023NetworkSwitches

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 Switches and

Necessary Software and Licenses

Cisco Systems or equivalent

96 Each No 155112

Basic Maintenance of Internal

Connections

Switches Cisco Systems 23 96 Each 155112

Service Type Function Manufacturer

Manufacturer Other

Description Entities Quantity Unit

Installation and Initial

Configuration? Associated RFPs

Internal Connections Antennas, Connectors, and Related

Components

Cisco Systems or equivalent

23 288 Each No 155112

Description of Other Manufacturers Id Name

Narrative The Dougherty County School District seeks bids for network switches (including necessary componentry) and licenses.

Installation and configuration are out of scope and should not be included in the bid.

The QA deadline is March 6, 2023 at 4:30PM EST and the response deadline is March 16, 2023 at 11:30AM EST.

Please see the posted RFP for all relevant details, including communications and response guidelines.

All responses and inquiries should be submitted to Sharonda.thompson@docoschools.org according to the instructions in the RFP.

Only substantive communications submitted according to the process defined in the RFP will be reviewed, and a failure to adhere to these guidelines may be grounds for disqualification.

Technical Contact

State and Local Procurement Restrictions The Dougherty County School District is an accredited educational agency in the State of Georgia operating under the management of the Dougherty County Board of Education. All procurement activity must adhere to the standards defined in Code of Federal Regulations 200.318 concerning General Procurement Standards, as well as the policies set forth by the Board of Education and the District. Purchases funded with E-Rate monies will be subject to all program rules and requirements as defined by the Universal Service Administration Company and FCC.

The District and all bids are bound by federal, state and local laws. By submitting a bid, a vendor acknowledges that the proposal was created independently and without collusion and agrees to abide by all applicable statutes, regulations and ordinances, including:

Title VI of the federal Civil Rights Act of 1964 Title IX of Federal Educational Requirements Act of 1972 Equal Employment Opportunity Act Americans with Disabilities Act of 1990 O.C.G.A. 36-91-0022 Exceptions; use of inmate labor; emergency requirements O.C.G.A. 36-91-0050 Projects requiring bid bonds O.C.G.A. 13-10-0003 Determining Georgia residency for businesses O.C.G.A. 20-02-0500 Promulgation of rules and regulations for contracts over $100; purchases over $100,000;

vendor preferences O.C.G.A. 36-91-23 Disqualification of otherwise qualified bidder from bid or proposal based upon lack of previous experience As a recipient of Federal monies, no District vendor may have been debarred, suspended, ineligible or excluded from doing business with the Federal government or any agency thereof. All vendors are subject to relevant labor laws and regulations, including those defined in GDOL 300-10-1, and will be required to provide an affidavit stating its compliance with O.C.G.A. 13-10-90. A copy of the E-Verify affidavit is available via the Districts website or purchasing department.

All bid reviews and contract awards will be done in accordance with the guidelines set forth by the Board of Education and any applicable statutes, regulations or ordinances, including O.C.G.A. 36-91-0021 Competitive Award Requirements. By submitting a bid, vendors attest that no amounts are paid, directly or indirectly, to an employee or official of the District.

Billed Entities Billed Entity Number Billed Entity Name 127501 Dougherty County School System

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 Chris Rodriguez Universal Funding Consultants Inc 1094 Columbus St.

Macon, GA 31201 866-490-3688 crodriguez@fundingtechnology.com

Certified Timestamp

02/07/2023 04:32 PM EST