OMB 3060-1286 Approval by OMB
FCC Form 471
Description of Services Ordered and Certification Form 471 Emergency Connectivity Fund FCC Form 471
Application Information
Nickname Access for Richmond
Application Number ECF202115284
Funding Year 2021
Billed Entity
RICHMOND PUBLIC LIBRARY
325 CIVIC CENTER ST RICHMOND CA 94804 - 1701
510-620-6555
[email protected]
Billed Entity Number 144238
FCC Registration Number 0001540905
Applicant Type Library System
Contact Information
Christopher P Larsen
510-620-5524
[email protected]
Entity Information
BEN Name Total Square Footage Urban or Rural
144238 RICHMOND PUBLIC LIBRARY 10500 Urban
Funding Request for FRN #ECF2190024738
Funding Request Nickname Laptops
Service Type Equipment
Agreement (Contract) Type Non-Contracted
Service Provider TechSoup
What is the service start date? September 01, 2021
When will the services end? June 30, 2022
Invoicing Method Applicant - FCC Form 472 (BEAR Form)
Narrative Additional refurbished laptops to be provided to library patrons, supporting the need for connectivity away from the library.
FRN Calculation
Total Recurring Charges $0.00
Total One-Time Charges + $12,495.00
Total Charges = $12,495.00
Equipment Detail - ID # 1
Type of Product Laptops
Make Dell
Model Latitude E6440
Total Quantity 35
Total Cost $12,495.00
Cost Calculation
Monthly Cost
Monthly Recurring Unit Cost $0.00
Monthly Quantity x 0
Months of Service x 0.00
Total Recurring Costs = $0.00
One-Time Cost
One-Time Unit Cost $357.00
One-Time Quantity x 35
Total One-Time Costs = $12,495.00
Summary
Total Cost $12,495.00
Funding Request for FRN #ECF2190024760
Funding Request Nickname Book Van Hotspots
Service Type Equipment
Agreement (Contract) Type Non-Contracted
Service Provider Rhino Networks
What is the service start date? September 01, 2021
When will the services end? June 30, 2022
Invoicing Method Applicant - FCC Form 472 (BEAR Form)
Narrative Two hotspots to allow existing Library Book Van to serve as a mobile hotspot for neighborhoods within Richmond. Cost includes cloud management Advanced license to allow CIPA-compliant filtering.
FRN Calculation
Total Recurring Charges $0.00
Total One-Time Charges + $3,540.56
Total Charges = $3,540.56
Equipment Detail - ID # 1
Type of Product Modem/Router combined
Make Meraki
Model MX68CW
Total Quantity 2
Total Cost $3,540.56
Cost Calculation
Monthly Cost
Monthly Recurring Unit Cost $0.00
Monthly Quantity x 0
Months of Service x 0.00
Total Recurring Costs = $0.00
One-Time Cost
One-Time Unit Cost $1,770.28
One-Time Quantity x 2
Total One-Time Costs = $3,540.56
Summary
Total Cost $3,540.56
Funding Request for FRN #ECF2190024793
Funding Request Nickname Service for Book Van Hotspot
Service Type Services
Agreement (Contract) Type Contract
Service Provider Verizon Business Global LLC
What is the service start date? September 01, 2021
When will the services end? June 30, 2022
Invoicing Method Applicant - FCC Form 472 (BEAR Form)
New Construction or
Self-Provisioned Network Key
Information
No
Narrative Data service to enable WiFi Book Van service supporting Richmond neighborhoods.
FRN Calculation
Total Recurring Charges $3,699.90
Total One-Time Charges + $0.00
Total Charges = $3,699.90
Service Detail - ID # 1
Type of Connection Mobile Broadband
Bandwidth Download 100.000 Mbps
Bandwidth Upload 20.000 Mbps
Firewall Included Yes
Total Quantity 1
Total Cost $3,699.90
Cost Calculation
Monthly Cost
Monthly Recurring Unit Cost $369.99
Monthly Quantity x 1
Months of Service x 10.00
Total Recurring Costs = $3,699.90
One-Time Cost
One-Time Unit Cost $0.00
One-Time Quantity x 0
Total One-Time Costs = $0.00
Summary
Total Cost $3,699.90
Funding Request for FRN #ECF2190024834
Funding Request Nickname Service for Book Van Hotspot
Service Type Services
Agreement (Contract) Type Contract
Service Provider AT&T Corp
What is the service start date? September 01, 2021
When will the services end? June 30, 2022
Invoicing Method Applicant - FCC Form 472 (BEAR Form)
New Construction or
Self-Provisioned Network Key
Information
No
Narrative Service for second hotspot on Book Van, providing redundant service to overcome 'deadzones'.
FRN Calculation
Total Recurring Charges $3,696.60
Total One-Time Charges + $0.00
Total Charges = $3,696.60
Service Detail - ID # 1
Type of Connection Mobile Broadband
Bandwidth Download 100.000 Mbps
Bandwidth Upload 20.000 Mbps
Firewall Included No
Total Quantity 1
Total Cost $3,696.60
Cost Calculation
Monthly Cost
Monthly Recurring Unit Cost $369.66
Monthly Quantity x 1
Months of Service x 10.00
Total Recurring Costs = $3,696.60
One-Time Cost
One-Time Unit Cost $0.00
One-Time Quantity x 0
Total One-Time Costs = $0.00
Summary
Total Cost $3,696.60
Funding Request for FRN #ECF2190024852
Funding Request Nickname WiFi Service for Tablets
Service Type Services
Agreement (Contract) Type Contract
Service Provider Verizon Business Global LLC
What is the service start date? September 01, 2021
When will the services end? June 30, 2022
Invoicing Method Applicant - FCC Form 472 (BEAR Form)
New Construction or
Self-Provisioned Network Key
Information
No
Narrative This will provide internet service for Samsung tablets which are to be used as browsers and e- readers away from the library.
FRN Calculation
Total Recurring Charges $10,000.00
Total One-Time Charges + $0.00
Total Charges = $10,000.00
Service Detail - ID # 1
Type of Connection Mobile Broadband
Bandwidth Download 500.000 Mbps
Bandwidth Upload 100.000 Mbps
Firewall Included Yes
Total Quantity 25
Total Cost $10,000.00
Cost Calculation
Monthly Cost
Monthly Recurring Unit Cost $40.00
Monthly Quantity x 25
Months of Service x 10.00
Total Recurring Costs = $10,000.00
One-Time Cost
One-Time Unit Cost $0.00
One-Time Quantity x 0
Total One-Time Costs = $0.00
Summary
Total Cost $10,000.00
Funding Request for FRN #ECF2190024911
Funding Request Nickname Tablets for Richmond
Service Type Equipment
Agreement (Contract) Type Non-Contracted
Service Provider TechSoup
What is the service start date? September 01, 2021
When will the services end? June 30, 2022
Invoicing Method Applicant - FCC Form 472 (BEAR Form)
Narrative Refurbished internet-connected Samsung tablets will provide Richmond library patrons with access to the Internet as well as the Library's e-resources, including its extensive OverDrive e- book and e-audiobook collection.
FRN Calculation
Total Recurring Charges $0.00
Total One-Time Charges + $7,475.00
Total Charges = $7,475.00
Equipment Detail - ID # 1
Type of Product Tablets
Make Samsung
Model Galaxy Tab S3
Total Quantity 25
Total Cost $7,475.00
Cost Calculation
Monthly Cost
Monthly Recurring Unit Cost $0.00
Monthly Quantity x 0
Months of Service x 0.00
Total Recurring Costs = $0.00
One-Time Cost
One-Time Unit Cost $299.00
One-Time Quantity x 25
Total One-Time Costs = $7,475.00
Summary
Total Cost $7,475.00
Funding Request for FRN #ECF2190024936
Funding Request Nickname Expanding hotspot access
Service Type Equipment
Agreement (Contract) Type Non-Contracted
Service Provider TechSoup
What is the service start date? September 01, 2021
When will the services end? June 30, 2022
Invoicing Method Applicant - FCC Form 472 (BEAR Form)
Narrative Additional hotspots to expand the Library's hotspot lending service, allowing Library patrons to connect Library-provided or own devices to the internet. CIPA filter will be included.
FRN Calculation
Total Recurring Charges $0.00
Total One-Time Charges + $220.00
Total Charges = $220.00
Equipment Detail - ID # 1
Type of Product Wi-Fi hotspots
Make Franklin
Model T9
Total Quantity 11
Total Cost $220.00
Cost Calculation
Monthly Cost
Monthly Recurring Unit Cost $0.00
Monthly Quantity x 0
Months of Service x 0.00
Total Recurring Costs = $0.00
One-Time Cost
One-Time Unit Cost $20.00
One-Time Quantity x 11
Total One-Time Costs = $220.00
Summary
Total Cost $220.00
Funding Request for FRN #ECF2190024955
Funding Request Nickname Service for Hotspots
Service Type Services
Agreement (Contract) Type Contract
Service Provider Mobile Beacon
What is the service start date? September 01, 2021
When will the services end? September 01, 2022
Invoicing Method Applicant - FCC Form 472 (BEAR Form)
New Construction or
Self-Provisioned Network Key
Information
No
Narrative Mobile service for mobile hotspots for use by individual library patrons away from the Library.
FRN Calculation
Total Recurring Charges $1,320.00
Total One-Time Charges + $0.00
Total Charges = $1,320.00
Service Detail - ID # 1
Type of Connection Mobile Broadband
Bandwidth Download 100.000 Mbps
Bandwidth Upload 20.000 Mbps
Firewall Included Yes
Total Quantity 11
Total Cost $1,320.00
Cost Calculation
Monthly Cost
Monthly Recurring Unit Cost $10.00
Monthly Quantity x 11
Months of Service x 12.00
Total Recurring Costs = $1,320.00
One-Time Cost
One-Time Unit Cost $0.00
One-Time Quantity x 0
Total One-Time Costs = $0.00
Summary
Total Cost $1,320.00
Certifications
Total funding commitment request amount on this FCC Form 471 $42,447.06 I am authorized to submit this application on behalf of the above-named applicant and that based on information known to me or provided to me by employees responsible for the data being submitted, I hereby certify that the data set forth in this application has been examined and is true, accurate and complete. I acknowledge that any false statement on this application or on other documents submitted by this applicant can 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), or can lead to liability under the False Claims Act (31 U.S.C. §§ 3729 – 3733).
In addition to the foregoing, this applicant is in compliance with the rules and orders governing the Emergency Connectivity Fund Program, and I acknowledge that failure to be in compliance and remain in compliance with those rules and orders may result in the denial of funding, cancellation of funding commitments, and/or recoupment of past disbursements. I acknowledge that failure to comply with the rules and orders governing the Emergency Connectivity Fund Program could result in civil or criminal prosecution by law enforcement authorities.
By signing this application, I certify that the information contained in this application is true, complete, and accurate, and the projected expenditures, disbursements and cash receipts are for the purposes and objectives set forth in the terms and conditions of the Federal award. I am aware that any false, fictitious, or fraudulent information, or the omission of any material fact, may subject me to criminal, civil or administrative penalties for fraud, false statements, false claims or otherwise. (U.S. Code Title 18, sections 1001, 286-287 and 1341 and Title 31, sections 3729–3730 and 3801–3812).
The library or library consortia eligible for assistance from a State library administrative agency under the Library Services and Technology Act, does not operate as for-profit businesses, and their budgets are completely separate from any school (including, but not limited to, elementary and secondary schools, colleges, and universities).
The school, library, or consortia listed on the FCC Form 471 application has complied with all applicable state, local, or Tribal local laws regarding procurement of services for which support is being sought.
The library or library consortium listed on the FCC Form 471 application is only seeking support for eligible equipment and/or services provided to library patrons who have signed and returned a statement that the library patron would otherwise lack access to equipment or services sufficient to meet the patron’s educational needs if not for the use of the equipment or service being provided by the library.
The school, library, or consortia is not seeking Emergency Connectivity Fund support or reimbursement for eligible equipment or services that have been purchased and reimbursed in full with other federal pandemic-relief funding, targeted state funding, other external sources of targeted funding or targeted gifts, or eligible for discounts from the schools and libraries universal service support mechanism or other universal service support mechanism.
The applicant or the relevant student, school staff member, or library patron has received, or the applicant has ordered or will order, the equipment and services for which funding is sought
The equipment and services the school, library, or consortium purchases or will purchase using Emergency Connectivity Fund support will be used primarily for educational purposes and will not be sold, resold, or transferred in consideration for money or any other thing of value, except as allowed by ## 54.1713.
The school, library, or consortium has created and will maintain an equipment and service inventory as required by § 54.1715.
The school, library, or consortium has complied with all program rules and acknowledge that failure to do so may result in denial of discount funding and/or recovery of funding.
The applicant recognizes that it may be audited pursuant to its application, that it will retain for ten years any and all records related to its application, and that, if audited, it shall produce such records at the request of any representative (including any auditor) appointed by a state education department, the Administrator, the Commission and its Office of Inspector General, or any local, state, or federal agency with jurisdiction over the entity.
No kickbacks, as defined in 41 U.S.C. § 8701 and/or 42 U.S.C. § 1320a-7b, were paid or received by the applicant to anyone in connection with the Emergency Connectivity Fund.
Have you already certified your status of compliance with the Children’s Internet Protection Act (CIPA) on an FCC Form 486 or FCC Form 479 for the relevant funding year?
No
CIPA Certifications
I certify that as of the date of the start of Emergency Connectivity Fund program supported services:
The recipient(s) of service represented in the Funding Request Number(s) on this Form 471 is (are) undertaking such actions, including any necessary procurement procedures, to comply with the requirements of CIPA for the next funding year, but has (have) not completed all requirements of CIPA for this funding year.
Notice
Section 54.1710 of the Federal Communications Commission's rules requires all schools and libraries ordering services that are eligible for and seeking support through the Emergency Connectivity Fund Program to submit an application for such support by filing this Emergency Connectivity Fund Services Ordered and Certification Form (ECF FCC Form 471) with the Universal Service Administrator. 47 C.F.R. § 54.1710. The collection of information stems from the Commission's authority under sections 1, 4(i), 4(j), 201-205, 214, 254, and 403 of the Communications Act of 1934, as amended, 47 U.S.C. § 151-154, 201-205, 218-220, 254, 303(r), 403 and 405 and section 7402, title VII of the American Rescue Plan Act, 2021, Pub. L. No. 117-2, 135 Stat. 4 (American Rescue Plan Act). The data in the report will be used to ensure that schools and libraries comply with the application requirements for universal service discounts contained in 47 C.F.R. § 54.1710.
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 and section 7402 of the American Rescue Plan Act, to collect the information we request in this form. We will use the information you provide to determine whether approving your application for Emergency Connectivity Fund Program support is in the public interest. If we believe there may be a violation or a potential violation of any applicable statute, regulation, rule or order, your application 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 in your application for Emergency Connectivity Fund program support 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, consistent with the Communications Act of 1934, American Rescue Plan Act, FCC regulations and orders, the Freedom of Information Act, 5 U.S.C. § 552, or other applicable law, information provided in or submitted with this form or in response to subsequent inquiries may be disclosed to the public. If you owe a past due debt to the Federal government, the information you provide 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 the Universal Service Administrator may delay processing of your application for Emergency Connectivity Fund Program support or may return your application without action. 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 4.5 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 [email protected]. DO NOT SEND COMPLETED WORKSHEETS TO THESE ADDRESSES.
Authorized Person
Title: Adult Reference Librarian Name: Christopher P Larsen Phone: 510-620-5524 Email: [email protected] Address: 325 CIVIC CENTER ST RICHMOND CA 94804 - 1701 Employer: RICHMOND PUBLIC LIBRARY Certified Timestamp
13-August-2021 20:21:08 EDT