Page 56 - E-Rate 2020-21 Workbook

Questionnaire Information Page https://www.erate470.com/questionnaireprint.wcs?id=25J20TUM85

115. Data Connections - Dark Fiber Lease

If you are requesting data connections, do you want to consider bids for leased dark fiber? If so, please also explain
in the notes section if you already have the equipment necessary to light the fiber OR if you are going to request
E-rate funding for the modulating equipment.

Yes, No or N/A

116. Data Connections - Self Provision

If you are requesting data connections, do you want to consider bids for self-provisioned data connections? If so,
please also explain in the notes section if you already have the equipment necessary to light the fiber OR if you are
going to request E-rate funding for the modulating equipment.
Yes, No or N/A

130. Libraries Only - Square Footage

Libraries: Please provide the total square footage for your library or library system. Also attach a schedule of your
square footage for each library branch with a separate address.

Qty:

197. Libraries Only - # of patrons

Libraries: Enter the total number of patrons (library card holders) for your library or library system.

Qty:

906. Contact Information for Form 470 and RFP

Please complete the attached form to specify how you want contact information listed on your Form 470(s) and
RFP(s).
Select YES when you are have completed and uploaded the 470-RFP Applicant contact form.
Completed New Form? Already on File?

C1: Cellular Services: Category One - Cellular Services

260. Wireless Internet Access for netbooks/ipads

Enter # of accounts you are requesting for wireless Internet for netbooks/ipads or similar portable devices as follows:
(1) Current number, (2) number of accounts to add, (3) total # of accounts for next year. Conditionally Eligible
Off-site use is NOT ELIGIBLE for E-rate discount. PROVIDE DETAILS OF YOUR REQUEST IN NOTES SECTION.

Current #: # to ADD: Total # Next Yr:

RFP QUESTIONNAIRE - BLANK - Page 2

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