Page 220 - E-Rate 2020-21 Workbook
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BEN Name: Perfect Vision School District   FCC Form 471: 201017081 BEN:
                              140233                                    Wave: 4







                FRN                            Service Type                   Status
                2099032154                     Internal Connections           Funded



                Dollars Committed


                Monthly Cost                                   One-time Cost
                Months of Service                12


                Total Eligible Recurring Charges  $0.00        Total Eligible One Time Charges  $6,740.00

                                      Total Pre-discount Charges  $6,740.00

                                                Discount Rate  85.00%

                                            Committed Amount   $5,729.00



                Dates                                           Service Provider and Contract Information
                Service Start Date                  7/1/2020    Service Provider        Super Sight Technology

                Contract Expiration Date            9/30/2021   SPIN (498ID)            143030999

                Contract Award Date                 2/28/2020   Contract Number         000800
                Service Delivery Deadline           9/30/2021   Account Number

                Expiration Date (All Extensions)                Establishing FCC Form 470  200005471


                Consultant Information
                Consultant Name

                Consultant's Employer   Kellogg & Sovereign Consulting, LLC
                CRN                     16024809


                Funding Commitment Decision Comments
               MR1: Approved as submitted.
















               May 16, 2020                                                                                 5
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