Broadband Initatives Application Package and Reporting Burdens

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Overview

RBI - Acknowledgment
RBI - Contact Information
Other Project Contacts
Other Project Contacts Editor
RBI - Organization Info
RBI - Co-Applicants
RBI - Co-Applicant Editor
RBI - Authorization
RBI - Project Info
RBI - Comm. Anchor Summary
RBI - Project Map
BIP Service Area Details
RBI-BIP Svc Area Details Editor
RBI - Technology Type
RBI - Project Budget Infrastr
RBI - Self-Scoring
RBI - Uploads

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Sheet 1: RBI - Acknowledgment

I acknowledge this statement above

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Sheet 2: RBI - Contact Information

Summary of information requested and task status.

Program:

Broadband Infrastructure Programs

Funding Opportunity:

BIP

Funding Cycle:

Winter 2010

Name*

<Select>

▼

Prefix

Doug

Jones

First*

Middle

Last*

<Select>

Suffix

Title

Primary

Type

E-mail Address

Options

Yes

Business

doug.jones@company.com

Primary

Type

Number

Options

Yes

Business

17035551234

No

Fax

17035554321

Primary

Type

Address

City

State/Province

Zip/Postal Code

Country

Options

No

Business

123 Main Street

Davenport

IA

12344

USA

Configuration Details

1

Task Name:

Submit Application - BIP

2

Page Name:

Contact Information

3

Navigation Name:

Contact Information

4

Page Level Validation:

5

First Name is required.

6

Last Name is required.

6

At least one Phone number of type Fax is required.

7

Submission Level Validation:

8

First Name is required.

9

Last Name is required.

10

One primary address is required.

11

One primary phone is required.

12

One primary e-mail address is required.

13

Functionality:

14

Clicking Save will a) run page-level validation; and b) save the data (if there are no page-level validation items missing).

15

In the Address section, clicking Add will a) run page-level validation; b) save the page; and c) redirect the user to a new Address Editor page (see the Login Module configuration document).

16

In the Address section, clicking Edit will a) run page-level validation; b) save the page; and c) redirect the user to the Address Editor page to edit the current address.

17

In the Address section, clicking Delete will pop up a confirmation message (see pop-up message 2). Clicking OK will a) delete the entry; and b) direct user to the current page. Clicking Cancel will direct the user back to the current page.

18

In the Phone and Fax section, clicking Add will a) run page-level validation; b) save the page; and c) redirect the user to the Phone Editor page (see the Login Module configuration document).

19

In the Phone and Fax section, clicking Edit will a) run page-level validation; b) save the page; and c) redirect the user to the Phone Editor page to edit the current entry.

20

In the Phone and Fax section, clicking Delete will pop up a confirmation message (see pop-up message 2). Clicking OK will a) delete the entry; and b) direct the user back to the current page. Clicking Cancel will direct the user back to the current page

21

In the E-mail section, clicking Add will a) run page-level validation; b) save the page; and c) redirect the user to the E-mail Editor page (see the Login Module configuration document).

22

In the E-mail section, clicking Edit will a) run page-level validation; b) save the page; and c) redirect the user to the E-mail Editor page.

23

In the E-mail section, clicking Delete will pop up a confirmation message (see pop-up message 2). Clicking OK will a) delete the entry; and b) direct the user back to the current page. Clicking Cancel will direct the user back to the current page.

24

Clicking Continue will a) run page-level validation; b) save the data (if there are no page-level validation items missing); and c) redirect the user to the Project Information page.

25

Look up Values:

26

Prefix = Mr.; Ms.; Dr.; Professor; Reverend; Rabbi; The Honorable; Other; <Select>. The default is "<Select>". The top item should be <Select>. List is sorted in alpha order. Drop down values are managed through the Lookup Table Manager in Administration (Table = c_PREFIX).

27

Suffix = Jr.; Sr.; II; III; <Select>. The default is "<Select>". The top item should be <Select>. List is sorted in alpha order. Drop down values are managed through the Lookup Table Manager in Administration (Table = c_SUFFIX).

28

Events:

29

N/A

30

Upload Details:

31

N/A

32

Development Notes:

33

N/A

34

Database Notes:

35

N/A

36

Custom Notes:

37

N/A

Pop-up Details

38

Pop-up Message 1:

Easygrants

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Sheet 3: Other Project Contacts

Program Name:

Program 1

Funding Opportunity:

Funding Opportunity No. 1

Funding Cycle:

Cycle 2003

Project Role

Name

Organization

E-mail Address

Secondary Point of Contact

James, Patrick

ABC Organization

pjames@abc.org

Other Contact

Daniels, Kelly

University

kelly.daniels@university.edu

s

Use current form / no development

Configuration Details

1

Task Name:

Submit Proposal

2

Page Name:

Other Grant Project Contacts

3

Navigation Name:

Other Contacts

4

Page level Validation:

5

N/A

6

Submission Level Validation:

7

At least one secondary point of contact is required.

8

Functionality:

9

Clicking Add in the Other Grant Project Contacts will redirect the user to the Other Grant Project Contacts Editor page.

10

Clicking Edit in the Other Grant Project Contacts will redirect the user to the Other Grant Project Contacts Editor page.

11

Clicking Delete in the Other Grant Project Contacts pop-ups a message (see Pop Up 1 below). Clicking OK deletes the selected item. Clicking Cancel returns user to this page.

12

Clicking the Continue button will redirect the user to the next page in the task.

13

Look up Values:

14

N/A

15

Events:

16

N/A

17

Upload Details:

18

N/A

19

Development Notes:

20

N/A

21

Database Notes:

22

N/A

23

Custom Notes:

24

N/A

Pop-up Details

25

Name: Pop-Up 1

Easygrants

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Sheet 4: Other Project Contacts Editor

Program Name:

Program 1

Funding Opportunity:

Funding Opportunity No. 1

Funding Cycle:

Cycle 2003

Name

<None>

Prefix

Jane

Smith

First *

Middle

Last *

<None>

Suffix

Project Role *

<Select>

Phone *

Enter numbers only.

Extension

E-mail *

no development

Configuration Details

1

Task Name:

Submit Proposal

2

Page Name:

Other Grant Project Contacts Editor

3

Navigation Name:

Other Contacts

4

Page Level Validation:

5

First name is required.

6

Last name is required.

7

Project Role is required.

8

Phone is required.

9

E-mail Address is required.

10

E-mail address is incorrectly formatted. Use the following format to enter the e-mail address: test@test.org or test@test.org.uk.

11

Submission Level Validation:

12

N/A

13

Functionality:

14

Clicking the Save button will a) trigger page level validation b) save the data on the page and c) keep the user on the current page.

15

Clicking the Save and Close button will a) trigger page level validation b) save the data on the page and c) redirect the user to the calling page.

16

Clicking the Close button will a) not save the data on the page and b) redirect the user to the calling page.

17

Look up Values:

18

Prefix = Mr.; Ms.; Dr.; Professor; Reverend; Rabbi; The Honorable; Other; <Select>. The default is "<Select>". The top item should be <Select>. List is sorted in alpha order. Drop down values are managed through the Lookup Table Manager in Administrati

19

Suffix = Jr.; Sr.; II; III; <Select>. The default is "<Select>". The top item should be <Select>. List is sorted in alpha order. Drop down values are managed through the Lookup Table Manager in Administration (Table = c_SUFFIX).

20

Project Role = The default is <Select>. The top item should be <Select>. List is ssorted in ascending alpha/numeric order. Drop down values are managed through the Lookup Table Manager in Administration (Table = TBD).

21

Events:

22

N/A

23

Upload Details:

24

N/A

25

Development Notes:

26

N/A

27

Database Notes:

28

N/A

29

Custom Notes:

30

N/A

Pop-Up Details

31

N/A

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Sheet 5: RBI - Organization Info

Summary of information requested and task status.

Program:

Broadband Infrastructure Programs

Funding Opportunity:

BIP

Funding Cycle:

Winter 2010

DUNS Number *

* Data from CCR may take up to three (3) days to display.

CCR Lookup Status

Request complete

DUNS

1234567890

CAGE Number

3E3H5

Legal Business Name

ALLCITY WIRELESS, LLC

Point of Contact (POC)

Philip McQuade

443-951-1392

philip@allcity-wireless.com

Alternate POC

Jane Smith

443-555-1212

jane.smith@allcity-wireless.com

Electronic Business POC

Philip McQuade

443-951-1392

philip@allcity-wireless.com

Alternate Electronic Business POC

Jane Smith

443-555-1212

jane.smith@allcity-wireless.com

Primary

Name

Title

Number

Options

Yes

Jones, Doug A.

Director

703-555-1234

No

Brown, Jane

Assistant Director

703-555-1111

We are comfortable limiting it to 2 contacts.

no develoment needed

RUS requires at least one primary environmental contact

Type of Organization *

<Select>

Add For-profit Corporation and Limited Liability Company, and strike "For-Profit Entity"

NON-CONFIDENTIAL: Summary of Organization

NON-CONFIDENTIAL: Applicant Contributions

Is the organization also a small business? *

<Select>

Does the organization meet the definition

<Select>

[Required]

of a socially and economically

disadvantaged small business concern as defined under section 8(a) of the SBA? *

Congressional District of Applicant Headquarters*

▼

[Need drop-down list of congressional districts; moved here from Congressional Districts tab b/c that tab not used] Instructional text: choose congressional district where applicant is physically headquartered, not where applicant is incorporated

[Required]

If the applicant is a subsidiary, provide parent legal name

[Optional]

100 char

If the applicant is a startup, name of entity with controlling interest

[Optional]

100 char

Is the applicant delinquent on any federal debt?

[New field]

Yes

No

If YES, please explain.

[New field]

Is the applicant a current or former RUS borrower participant?*

[new field]

Is the applicant a current or former RUS Title II borrower?*

[new field]

Configuration Details

1

Task Name:

Submit Application - BIP

2

Page Name:

Organization Information

3

Navigation Name:

Organization Information

4

Page Level Validation:

5

DUNS number lookup required.

6

You selected Yes for small business question, type of organization must be For-profit Entity.

7

You selected Yes for dsadvantaged small business question, small business question must be yes.

8

9

Submission Level Validation:

10

Organization confirmation is required.

11

Type of Organization is required.

12

Small Business question is required.

13

Disadvantaged Small Business question is required.

14

15

Functionality:

16

Clicking the Lookup button will a) send a request to CCR for data, and b) display the status message

17

Clicking the Confirm Organization button will a) display a pop-up message 1 to the user (see below), b) Clicking OK will disable the DUNS number field, Lookup button, Refresh button, and Confirm Organization button.

18

Confirm button should be greyed out (unavailable) until valid CCR information is pulled and has filled in the organization

19

Refresh button refreshes the organization page to display Organization information if it has been returned

20

Look up Values:

21

Type of Organization: <Select> (default), State or State Agency, County Government, City or Township Government, District of Columbia, US Territory, Indian Tribe, For-profit Corporation, Limited Liability Company, Non-profit Corporation, Non-profit Foundation, Non-profit Institution, Non-profit Association, Cooperative or Mutual, Native Hawaiian Organization, For-profit Entity, Other

22

Is the organization a small business?: <Select> (default); No, Yes

Does the organization meet the definintion of a socially and economically disadvantaged small business concern?: <Select> (default), No, Yes

23

Events:

24

N/A

25

Upload Details:

26

N/A

27

Development Notes:

28

N/A

29

Database Notes:

30

N/A

31

Custom Notes:

32

N/A

Pop-up Details

33

Pop-up Message 1:

Easygrants

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Sheet 6: RBI - Co-Applicants

Program Name:

Broadband Infrastructure Programs

Funding Opportunity:

BIP

Funding Cycle:

Winter 2010

NON-CONFIDENTIAL - Are you partnering applying with any other key institutions, organizations, or other entities for this project?

Yes

No

If YES, a letter of commitment from all key partner(s) will be required. Upload all letters of commitment in the "Uploads" section of the application.

NON-CONFIDENTIAL: If YES, please add your key partners co-applicants below and provide the requested informaiton.

Remove

Project Role

Name

Organization

E-mail Address

Options

Co-Applicant

James, Patrick

ABC Organization

pjames@abc.org

Configuration Details

1

Task Name:

Submit Application - BIP

2

Page Name:

Partners

3

Navigation Name:

Partners

4

Page level Validation:

5

N/A

6

Submission Level Validation:

7

N/A

8

Functionality:

9

Clicking Add in the Partners section will redirect the user to the Partners Editor page.

10

Clicking Edit in the Partner will redirect the user to the Partners Editor page.

11

Clicking Delete in the Partners section will pop-ups a message (see Pop Up 1 below). Clicking OK deletes the selected item. Clicking Cancel returns user to this page.

12

Clicking the Save button will save the data and keep the user on the page.

12

Clicking the Save and Continue button will save the data and redirect the user to the next page in the task.

13

Look up Values:

14

N/A

15

Events:

16

N/A

17

Upload Details:

18

N/A

19

Development Notes:

20

N/A

21

Database Notes:

22

N/A

23

Custom Notes:

24

N/A

Pop-up Details

25

Name: Pop-Up 1

Easygrants

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Sheet 7: RBI - Co-Applicant Editor

Summary of information requested and task status.

Program:

Broadband Non-Infrastructure Programs

Funding Opportunity:

BIP

Funding Cycle:

Winter 2010

Prefix

<Select>

▼

First *

Jane

Middle

Last *

Smith

Suffix

<Select>

Title

Director

Organization *

Project Role *

<Select>

Co-Applicant

(this is the only entry -- the reason is for accurate reporting)

Address 1 *

Address 2

Address 3

City *

State/Province *

Zip/Postal Code *

Region

Country *

Canada

Phone (Business) *

Extension

Enter numbers only

E-mail (Business) *

Is this co-applicant your key partner(s) a small business?

Does the organization(s) meet the definition of a socially and economically disadvantaged small business concern as defined under section 8(a) of the SBA? <drop down: yes/no>

Type of Organization *

<Select>

Add For-profit Corporation and Limited Liability Company, and strike "For-Profit Entity"

Is this co-applicant delinquent on any federal debt?

[New field]

This question applies to the co-applicant being viewed at this time.

Categories of debt include delinquent audit disallowances, loans and taxes.

Yes

No

If YES, please explain.

[New field]

Is this co-applicant a current or former RUS borrower participant?*

[new field]

Is this co-applicant a current or former RUS Title II borrower?*

[new field]

Configuration Details

1

Task Name:

See Easygrants Implementation Document

2

Page Name:

See Easygrants Implementation Document

3

Navigation Name:

See Easygrants Implementation Document

4

Page Level Validation:

5

First Name is required.

6

Last Name is required.

8

Organization is required.

9

Project Role is required.

10

Address Line 1 is required.

11

City is required.

12

State/Province is required.

13

Zip/Postal Code is required.

14

Country is required.

15

Phone is required.

16

E-mail is required.

17

Submission Level Validation:

18

N/A

19

Functionality:

20

Clicking Select… redirects the user to the Organization Selector (this opens in a new window) where they can search for and select their Organization (see the Organization Selector configuration document).

21

Clicking the Save button triggers page level validation, saves the data, and keeps the user on the page.

22

Clicking the Save and Close button triggers page level validation, saves the data, and redirects theuser to the calling page.

23

Clicking the Close button does not save the data and redirects the user to the calling page.

24

Look up Values:

25

Prefix = Mr.; Ms.; Dr.; Professor; Reverend; Rabbi; The Honorable; Other; <Select>. The default is "<Select>". The top item should be <Select>. List is sorted in alpha order. Drop down values are managed through the Lookup Table Manager in Administration (Table = c_PREFIX).

26

Suffix = Jr.; Sr.; II; III; <Select>. The default is "<Select>". The top item should be <Select>. List is sorted in alpha order. Drop down values are managed through the Lookup Table Manager in Administration (Table = c_SUFFIX).

27

Project Role = <Select>. The default is "<Select>". The top item should be <Select>. List is sorted in alpha order. Drop down values are managed through the Lookup Table Manager in Administration (Table = TBD).

28

Events:

29

N/A

30

Upload Details:

31

N/A

32

Development Notes:

33

N/A

34

Database Notes:

35

N/A

36

Custom Notes:

37

Custom form for MSSC.

Pop-up Details

38

Pop-up Message 1:

See the Organization Selector configuration document for details regarding the Organization Selector.

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Sheet 8: RBI - Authorization

Program Name:

Broadband Infrastructure Programs

Funding Opportunity:

BIP

Funding Cycle:

Winter 2010

AOR*

Jane Smith, Alternate Electronic Business POC

Name

Organization

E-mail Address

Status

Outcome

Result

Options

Jane Smith

ALLCITY WIRELESS, LLC

jane.smith@allcity-wireless.com

Notify

Complete

Applicant Authorized

no development

s

Configuration Details

1

Task Name:

Submit Application - BIP

2

Page Name:

Authorization

3

Navigation Name:

Authorization

4

Page level Validation:

5

When clicking Select button and Authorization By field is <Select>: Authorization By is required.

6

Submission Level Validation:

7

Authorization Point of Contact is required.

8

Authorization Point of Contact task must be completed before submission.

9

Functionality:

10

Clicking Select will a) check if the POC is an Easygrants user, if not then create the user, b) add a record to the datalist, c) create the task for the user and set the task status as inactive.

11

Clicking Notify will a) change the task status to incomplete, b) send an e-mail to the e-mail address listed, and c) disable the Authorization By field and Select button.

12

Clicking Re-Notify will send an e-mail to the e-mail address listed.

13

Clicking the Continue button will redirect the user to the next page in the workflow.

14

Look up Values:

15

N/A

16

Events:

17

N/A

18

Upload Details:

19

N/A

20

Development Notes:

21

N/A

22

Database Notes:

23

N/A

24

Custom Notes:

25

N/A

Pop-up Details

26

Name: Pop-Up 1

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Sheet 9: RBI - Project Info

Program Name:

Broadband Infrastructure Programs

Funding Opportunity:

BIP

Funding Cycle:

Winter 2010

NON-CONFIDENTIAL Project Title *

NON-CONFIDENTIAL Project Description *

Limit: 900 400 characters

NON-CONFIDENTIAL How many jobs will be created or saved from this project?

I understand and agree to comply with all of the following eligibility factors. Please indicate your acceptance by checking the boxes below.

Applicant has submitted a completed application and provided all supporting documentation required for the application as described in the Application Guide.

Project will be substantially complete within two years from the award date, and the project will be fully complete by the end of the third year from the award date.

Applicant has submitted a technically feasible project. For projects seeking more than $1 million funding, the Applicant agrees to submit a certification from a

Professional Engineer attesting that (a) the system will work as described in the System Design and Network Diagram sections; (b) the system can deliver the

proposed services outlined in the Service Offerings section; (c) the Applicant can meet the proposed build-out timeframe and will substantially complete the project

within two years, and fully complete it within three years; and (d) that the projected budget is a fair representation of the total infrastructure costs.

Applicant will provide two-way data transmission with advertised speeds of at least 768 kbps downstream and 200 kbps upstream.

Applicant understands and agrees to comply with the nondiscrimination and interconnection obligations outlined in the NOFA.

Applicant has proposed service areas that meet the eligibility requirements described in the NOFA and Application Guide.

After approval of the proposed BIP award, all Project costs will be fully funded.

The Project meets the Program's requirements for financially feasibility and sustainability, as described in the NOFA and Application Guide.

For Last Mile projects only: Applicant understands that costs may not exceed $10,000 per premises passed unless a waiver is requested from the Administrator, and

that this waiver may or may not be granted.

Projects must provide the proposed broadband service for the composite economic life of the facilities starting from the date of project completion.

RUS, please confirm that the above Applicant Eligibility checklist is acceptable.

Please choose the type of project for which the applicant is seeking funding.

Last Mile

Middle Mile (Applicant must be a current or former RUS borrower to apply)

Is this application submitted jointly with a BIP application?

Have you also applied for BTOP funding for this same project?

Yes

remove section

No

If yes, please provide the Project Title and Easygrants ID number:

Title of BTOP Application

Easygrants ID

Are you or your co-applicants submitting any other applications during this round? Is this application being submitted in coordination with any other application being submitted during this round of funding?

Yes

No

Easygrants ID

Project Title

Options

22334

This is the project title for EGID 22334

If YES, please explain any synergies and/or dependencies between this

project and any other applications.

new field

NON-CONFIDENTIAL - Click "Add" to enter the Executive Summary of the proposed project

NON-CONFIDENTIAL - Click "Add" to enter the description of the Project Purpose

Is the applicant cooperating with any other Recovery Act Awards? [Y/N]

new field

NON-CONFIDENTIAL - If YES, click "Add" to enter the description of Cooperation with other

Recovery Act Awards.

new field

Click "Add" to enter the Enhanced Services for Health Care Delivery Education and Children

NON-CONFIDENTIAL - Click "Add" to enter the Small and Disadvantaged Business Involvement

Is the applicant seeking a waiver of the Buy American provision?

Yes

No

If YES, click "Add" to provide your legal justification for the waiver.

new field

No

Configuration Details

1

Task Name:

Submit Application - BIP

2

Page Name:

Project Information

3

Navigation Name:

Project Information

4

Page Level Validation:

5

Project Title is required.

6

Project Description is required.

6

Easygrants ID must be a whole number.

10

Submission Level Validation:

8

BIP Infrastructure Category is required.

8

Joint Application response is required.

8

Joint Application response is YES, Title of joint BIP application is required.

9

Joint Application response is YES, Easygrants ID is required.

8

Buy American provision response is required.

9

Delinquent on federal debt response is required.

11

Buy American response is YES, add legal justification for the waiver.

12

Federal debt response is YES, add justification for delinqency.

13

Buy American or Federal Debt response is YES, Waiver upload is required.

All eligibility checkboxes must be checked.

14

Functionality:

15

Clicking on the Save button will save the data and keep the user on the current page.

16

Clicking on Save and Continue button will save the data and direct the user to Demographics

17

Look up Values:

18

N/A

19

Events:

20

N/A

21

Upload Details:

22

N/A

23

Development Notes:

24

N/A

25

Database Notes:

26

N/A

27

Custom Notes:

28

N/A

Pop-up Details

25

Name: Pop-Up 1

Easygrants

---

Sheet 10: RBI - Comm. Anchor Summary

Enter the number of institutions of each type

that will be passed and/or involved in the proposed project.

Program:

Broadband Non-Infrastructure Programs

Funding Opportunity:

BIP

Funding Cycle:

Winter 2010

Schools (k-12)

Libraries

Medical and Healthcare Providers

Public Safety Entities

New form (different from NTIA

Public Housing

separate lookup table

Institituions of Higher Education

Community Support Organization

Government Facilities

Critical Community Facilities and Public Safety Entities

<calc>

Configuration Details

December 31, 1899

Task Name:

Submit Application - Sustainable Broadband Adoption

January 1, 1900

Page Name:

Community Anchors

January 2, 1900

Navigation Name:

Community Anchors

January 3, 1900

Page Level Validation:

January 7, 1900

January 8, 1900

January 9, 1900

January 10, 1900

January 11, 1900

January 12, 1900

January 13, 1900

January 16, 1900

Submission Level Validation:

January 17, 1900

N/A

January 18, 1900

Functionality:

January 20, 1900

Clicking the Save button triggers page level validation, saves the data, and keeps the user on the page.

January 21, 1900

Clicking the Save and Close button triggers page level validation, saves the data, and redirects theuser to the calling page.

January 22, 1900

Clicking the Close button does not save the data and redirects the user to the calling page.

January 23, 1900

Look up Values:

January 26, 1900

January 27, 1900

Events:

January 28, 1900

N/A

January 29, 1900

Upload Details:

January 30, 1900

N/A

January 31, 1900

Development Notes:

February 1, 1900

N/A

February 2, 1900

Database Notes:

February 3, 1900

N/A

February 4, 1900

Custom Notes:

February 5, 1900

Pop-up Details

February 6, 1900

Pop-up Message 1:

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Sheet 11: RBI - Project Map

Program Name:

Program Name

Funding Opportunity:

Funding Opportunity No. 1

Funding Cycle:

Cycle 2009

Project Map (Reference Number) *

Click here to map your service area(s). After creating the map, you will be provided a reference number

to be entered in this box.

Is the applicant is seeking a waiver for providing less than 100% coverage of a census block.

Need validation to ensure format

Yes

No

XXXX-XXXX-XXXX-XXXX

If YES, you will be required to provide supporting documentation.

Configuration Details

1

Task Name:

Submit Application

2

Page Name:

Service Area

3

Navigation Name:

Service Area

4

Page Level Validation:

5

Service Area Map Reference Number is required

6

Census Block Waiver response is required

7

Submission Level Validation:

8

If Census Block Waiver is YES, upload required for "Census Block Waiver"

9

Functionality:

10

Clicking on the Save button will save the data and keep the user on the current page.

11

Clicking on Save and Continue button will save the data and direct the user to Congressional Districts page.

12

Look up Values:

13

N/A

14

Events:

15

N/A

16

Upload Details:

17

N/A

18

Development Notes:

19

Reference Number must be the format XXXX-XXXX-XXXX-XXXX (hexadecimal digits only 0-9 and a-f)

20

Database Notes:

21

N/A

22

Custom Notes:

23

N/A

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Sheet 12: BIP Service Area Details

Program Name:

Program Name

Funding Opportunity:

Funding Opportunity No. 1

Funding Cycle:

Cycle 2009

Funded / Non-Funded

Total Population

Total Households

Total Businesses

Total Critical Community Facilities

Service Area

Community Name

Service Status

Total Population

Washington County

Funded

Apple Blossom Estates

Unserved

11000

Lincoln County

Funded

Log Cabin Acres

Unserved

2000

Adams County

Non-Funded

Martha's Village

Served

19000

[Please see next tab for proposed edits to this screen.]

Configuration Details

1

Task Name:

Submit Application

2

Page Name:

Service Area Details

3

Navigation Name:

Service Area Details

4

Page Level Validation:

5

N/A

6

Submission Level Validation:

7

At least one entry required

8

Functionality:

9

Clicking on the Edit button in the Service Area Details section will redirect the user to the Service Area Details Editor page.

10

Clicking on the Add button in the Service Area Details section will redirect the user to the Service Area Details Editor page.

11

Clicking on the Edit button in the Service Area Detailssection will redirect the user to the Service Area Details Editor page to edit the selected information.

12

Clicking Delete in the Service Area Details page will pop-up a confirmation message (see pop-up message 1). Clicking OK will a) delete the entry and b) direct user to the current page.

13

Clicking on Continue button will direct the user to the ?? page.

14

Look up Values:

15

N/A

16

Events:

17

N/A

18

Upload Details:

19

N/A

20

Development Notes:

21

N/A

22

Database Notes:

23

Custom Notes:

24

N/A

---

Sheet 13: RBI-BIP Svc Area Details Editor

Summary of information requested and task status.

Program:

Funding Opportunity:

Funding Cycle:

Is this a PFSA or non-funded service area *

[Funded, Non-Funded]

Name of Proposed Funded Service Area

Total Square Miles in Proposed Funded Service Area*

Total Square Miles in Proposed Last Mile Service Area *

Total Population in Proposed Last Mile Funded Service Area *

Total Households in Last Mile Proposed Funded Service Area *

****

Total Businesses in Last Mile Proposed Funded Service Area *

****

Total Critical Community Facilities

****

Community Anchor Institutions and Public Safety Entities

in the Proposed Funded Service Area *

Please note that the information provided for the following questions should be based on the information that is confirmed through the mapping tool.

Number of Unserved Households to be served in this Service Area

Total premises within the rural service area, not previously designated unserved, without access to 5 Mb service

Census Blocks in Proposed Funded Service Area

Total square miles are within this service area

Total rural square miles within this service area

Shortest number of miles from non-rural area

Methodology used to determine the number of premises without access to 5 MB service

Configuration Details

1

Task Name:

Submit Application

2

Page Name:

Service Area Details Editor

3

Navigation Name:

Service Area Details Editor

4

Page Level Validation:

Service Area is required

Community Name is required

Census Blocks is required

5

Rural Classification is required

Service Status is required

Total Square Miles is required

Total Population is required

Total Number of Households is required

Total Number of Businesses is required

Total Number of Critical Community Facilities, Community Anchor Institutions and Public Safety Entities is required

6

Submission Level Validation:

7

Census Blocks entry is properly formatted

If Service Status is Underserved, at least one checkbox is required

Remove

8

Functionality:

9

Clicking the Save button will a) trigger page level validation b) save the data on the page and c) keep the user on the current page.

10

Clicking the Save and Close button will a) trigger page level validation b) save the data on the page and c) redirect the user to the BIP Last Mile Service Area Details page.

11

Clicking the Close button will a) not save the data on the page and b) redirect the user to the BIP Last Mile Service Area Details page.

14

Look up Values:

15

N/A

16

Events:

17

N/A

18

Upload Details:

19

N/A

20

Development Notes:

21

Service Area max characters is ?

Community Name max characters is ?

Census Blocks format is numeric with dash (-) or comma (,) between numbers

Total Square Miles is numeric, whole number only

Total Population is numeric, whole numbers only

Total Number of Households is numeric, whole numbers only

Total Number of Businesses is numeric, whole numbers only

Total Number of Critical Community Facilities, Community Anchor Institutions and Public Safety Entities is numeric, whole numbers only

22

Database Notes:

23

Custom Notes:

24

N/A

---

Sheet 14: RBI - Technology Type

Program Name:

Broadband Infrastructure Programs

Funding Opportunity:

BIP

Funding Cycle:

Winter 2010

Indicate the technology that will be used to deliver last mile services (check all that apply)

Wireline - Coaxial Cable

Wireline - Fiber-optic Cable

Wireline - Broadband Over Power Line

Wireline - Hybrid System

Wireless - Terrestrial Fixed

Wireless - Terrestrial Mobile

Wireless - Satellite

[remove (separate workflow)]

Other

Other:

If Other or Hybrid system, enter text

Methodology for Area Status

Remove

Middle Mile Benefits

Remove

Delete "BIP or BTOP" from text box below, so that it applies to both.

Description of Network Openess

Number of Towers

Need reportable number field

Number of Miles

Need reportable number field

Affordability

[moving to a different location]

System Design

Remove the Cost per HH text box shown below. Will be explained in App Guide.

Move to an upload

Configuration Details

1

Task Name:

Submit Application - BIP

2

Page Name:

Technology Types

3

Navigation Name:

Technology Types

4

Page Level Validation:

5

At least one checkbox required

If Other is selected, Other is required

If Wireline Hybrid is selected, Other is required

Buy American Waiver is required

10

Submission Level Validation:

11

If Buy American Waiver is YES, upload required for "Buy American Waiver"

12

Functionality:

13

Clicking on the Save button will save the data and keep the user on the current page.

14

Clicking on Save and Continue button will save the data and direct the user to Project Budget

15

Look up Values:

N/A

20

Events:

21

N/A

22

Upload Details:

23

N/A

24

Development Notes:

25

"Other" max value is 100 characters

26

Database Notes:

27

N/A

28

Custom Notes:

29

N/A

---

Sheet 15: RBI - Project Budget Infrastr

Program Name:

Program Name

Funding Opportunity:

Funding Opportunity No. 1

Funding Cycle:

Cycle 2009

Yes

Note: check with Rajesh if we can change the column header from Debt to Non-RUS Debt

Yes

Note: check if we can change the TOTAL BROADBAND SYSTEM to TOTAL

Loan Request

Grant Request

Equity

Non-RUS Debt

Bond

Other

Network and Access Equipment

$

100

Outside Plant

200

Buildings and Land

Customer Premise Equipment

Billing and Operational System Support

Operating Equipment

Professional Services

Testing

Site Preparation

Other

TOTAL BROADBAND SYSTEM

$

300

$

300

$

300

$

300

$

300

$

300

TOTAL CAPITAL PROJECT BUDGET

$ <CALC TOTAL>

Should add all the subtotals together

TOTAL REQUESTED AWARD

$ <CALC TOTAL> Total loan request (subtotal) + total grant request (subtotal)

GRANT PERCENTAGE OF TOTAL AWARD

$ <CALC TOTAL> Total grant request (subtotal)/ total requested award

Submission validation is: this cannot be more than 75% without the waiver request below being Yes AND the text area for the waiver is populated

Is the applicant seeking a waiver of the 75-25 grant-to-loan ratio?

Yes

No

If YES, click "Add" to provide your legal justification for the waiver.

Dev note: Grant Percentage greater than 75%, you must answer YES

Premesis Passed (from Service Areas)

$ <CALC TOTAL> Sum of all HH, Biz, Critical Community Facilities for ALL FUNDED Service Areas

see * on Svc Area Details Editor page

Cost per Premesis Passed

$ <CALC TOTAL> Total Requested Award / Premesis Passed

Is the applicant seeking a waiver of the $10,000 per premise passed requirement? (Last Mile only)

Yes

No

If YES, click "Add" to provide your legal justification for the waiver.

Dev note: great than $10,000 Cost per Premises Passed AND Last Mile = True, you must answer YES

Configuration Details

1

Task Name:

Submit Application

2

Page Name:

Project Budget

3

Navigation Name:

Project Budget

4

Page level Validation:

5

Christine Smith: Should we indicate currency? Budget line items require a valid number

6

Submission Level Validation:

7

Current Budget Total must be greater than $0.

8

Functionality:

9

Clicking Save and Calculate will save and calculate a total for each column (loan request, grant request, equity, debt, bond, other) calculate a Total Budget which is the sum of all column totals

10

Clicking Continue button will a) trigger page-level validation; b) saves the data on the page; and c) redirects the user to the next page in the task.

11

Look up Values:

12

N/A

13

Events:

14

N/A

15

Upload Details:

16

N/A

17

Development Notes:

18

All entries must be numeric; whole numbers only

19

Total Broadband System row is a calculated sum of entries from the corresponding column

20

Total Budget is a calculated sum of each Total Broadband System calculated value.

21

Database Notes:

22

N/A

23

Custom Notes:

24

N/A

Pop-up Details

26

N/A

---

Sheet 16: RBI - Self-Scoring

Program:

Program Name

Funding Opportunity:

Funding Opportunity No. 1

Funding Cycle:

Cycle 2009

I understand and agree to comply with all of the following eligibility factors. Please indicate acceptance by checking the boxes below.*

At least 75 percent of the proposed funded service area qualifies as unserved and underserved areas in accordance with the NOFA

Applicant understands and agrees that the project will be fully funded in accordance with the requirements of the NOFA.

Applicant understands and agrees that only projects that RUS determines to be financially feasible and/or economically sustainable will be eligible under this NOFA

Criteria

Method

Allowable Points

Self Score

Proportion of Rural Residents Served in Unserved Areas

One point will be awarded for every 10 percent of unserved households compared to the total households to be served that will receive broadband service, up to a maximum of ten points. For MM projects, this will be based on the location of the interconnection points.

0 - 10

Rural Area Targeting

Points will be awarded for exceeding the 75 percent rural area service requirement. For every five percent increase in the total proposed funded service area that is above the 75% rural requirement, 2 points will be awarded up to a maximum of ten points. For MM projects, this will be based on the location of the interconnection points.

0, 2, 4, 6, 8, 10

Distance from Non-Rural Areas

One point for each additional 10 miles that at least one proposed funded service area is located away from the closest non-rural area, up to a total of five points. For applicants with multiple service areas, this calculation will be based on the service area closest to the non-rural area. For MM projects, this will be based on the location of the interconnection points.

0 - 5

Title II Borrowers

Eight points will be awarded to applications which are submitted by entities which have borrowed under Title II of the RE Act.

0 or 8

Other Recovery Act Awards

Five points will be awarded for any cooperation with a Recovery Act award.

0 or 5

Performance of the offered service

For Last Mile Projects: For wireline projects that are constructed to deliver a minimum of 5 Mbps service to the premise (upstream and downstream combined), 5 points will be awarded. For wireline projects that are constructed to deliver a minimum of 20 Mbps service to the premise (upstream and downstream combined), 10 points will be awarded. For wireless projects that are constructed to deliver a minimum of 3 Mbps service to the end user (upstream and downstream combined), 8 points will be awarded. For mobile wireless projects that are constructed to deliver a minimum of 3 Mbps service to the end user (upstream and downstream combined), 10 points will be awarded. Scoring will be based on the predominant technology used for combination systems. For Middle Mile Projects: For middle mile projects that are constructed to deliver 100 Mbps service to all interconnection points in their network, 10 points will be awarded.

0, 5, 8, or 10

Services to Critical Community Facilities and Small Disadvantaged Businesses

Points will be awarded to applications that are proposing to offer discounted rate packages to all critical community facilities in the proposed funded service area(s) that are at least 25 percent lower than the proposed base rate packages for at least three years, 4 points wil be awarded. for Critical Community Facilities. For applications that are proposing to offer discounted rate packages to disadvantaged small businesses under section 8(a) of the SBA, 2 points will be awarded.

0,2, 4, or 6

Christine Smith: Dropdown values: 0,1,2,3,4,5

Applicant’s organizational capability

Up to ten points will be awarded based on the strength of the project’s management team. RUS will evaluate past performance and accomplishments and award points accordingly. Details of these requirements will be in the Application Guide.

0 - 10

Small Disadvantaged Businesses

Three points will be awarded to applicants that meet the definition of a socially and economically disadvantaged small business concern under section 8(a) of the SBA.

0 or 3

Leverage of outside resources

Up to 10 points will be awarded based on the amount of outside resources contributed to the total financing provided under BIP: a. 10 points if this ratio is greater than 100%. b. 7 points if this ratio is between 99% and 75%. c. 5 points if this ratio is between 74% and 50%. d. 3 points if this ratio is between 49% and 25%. e. 0 points if the ratio is less than 25%. Outside resources are limited to new investments that are proposed to support the project and do not include any existing assets that the Applicant already owns or has rights to or any revenues generating from the operations.

0, 3, 5, 7, 10

Christine Smith: Dropdown values: 0,1,2,3,4,5

Extent of grant funding

Up to 15 points will be awarded based on the amount of grants funds requested in relation to the total amount of the award requested. a. 0 points if requesting a grant greater than 75%. b. 5 point if requesting a grant between 75 and 51%. c. 10 points if requesting a grant between 50 and 16%. d. 15 points if requesting a grant between 15 and 0%.

0, 5, 10, and 15

Cost Effectiveness

For Last Mile projects only, up to 8 points will be awarded for projects that promote cost effectiveness of federal assistance, based on cost per premise passed. To calculate the cost per premise passed, the applicant shall divide the total award requested in the application by the total number of premises passed. a. 2 points if cost per premise passed is less than $8,000. b. 4 points if cost per premise passed is less than $7,000. c. 6 points if cost per premise passed is less than $6,000. d. 8 points if cost per premise passed is less than $5,000.

0, 2, 4, 6, and 8

Total

<calc>

Configuration Details

1

Task Name:

Submit Application

2

Page Name:

BIP-Only Information

3

Navigation Name:

BIP-Only Information

4

Page Level Validation:

5

BIP-Only Eligibility Criteria all checkboxes are required

6

Self-Scoring Worksheet each criterion is required.

7

Submission Level Validation:

8

If funding is BIP, applicant must complete both sections

9

Functionality:

10

Clicking on the Save and Calculate button will save the data, calculate and display the "Total Self-Score" and keep the user on the current page.

11

Clicking on Save and Continue button will save the data and direct the user to Uploads page.

12

Look up Values:

13

14

Events:

15

N/A

16

Upload Details:

17

N/A

18

Development Notes:

19

Ttotal Points is a calculated value based on dropdown values selected

20

Database Notes:

21

N/A

22

Custom Notes:

23

N/A

---

Sheet 17: RBI - Uploads

Program Name:

Program Name

Funding Opportunity:

Funding Opportunity No. 1

Funding Cycle:

Cycle 2009

Type

Required

Template

Format

●

Broadband Service Offerings

Yes

[Include Template]

Excel

●

Other Service Offerings

Yes

[Include Template]

Excel

●

Existing Broadband Service Providers and Services Offered

Yes

[Include Template]

Excel

●

Management Team Resumes

Yes

[Include Template]

●

Infrastructure Build-Out Timeline

Yes

[Include Template]

Excel

●

Project Timeline

Yes

[Include Template]

●

Historical Financial Statements - Applicant

Yes

[Include Template]

Excel

●

Historical Financial Statements - Parent Organization

Yes

[Include Template]

Excel

●

Subscriber Estimates (up to 5 docs)

Yes

[Include Template]

Excel

●

Pro Forma 5-Year Financial Forecast

Yes

[Include Template]

Excel

●

Pro-Forma Accounting Assumptions

Yes

[Include Template]

●

Consolidated Pro Forma 5-Year Financial Forecast for ALL applications submitted by the Applicant

Yes

[Include Template]

Excel

●

Consolidated Pro Forma Accounting Assumptions for ALL applications submitted by the Applicant

Yes

[Include Template]

●

Consolidated Financials Reconciliation Schedule

Yes

[Include Template]

Excel

●

Proof of SDB Status

Yes

[Include Template]

●

Organization Chart

Yes

[Include Template]

●

Organizational Readiness

Yes

[Include Template]

●

Legal Opinion

Yes

[Include Template]

●

Recovery Act Collaboration

Yes

[Include Template]

●

Proof of Entity Type

Yes

[Include Template]

●

Statement of Detailed Project Costs

Yes

[Include Template]

Excel

●

Source Documentation Supporting the Availability of All Project Capital and Work

Yes

[Include Template]

●

Schedule of Useful Life and Depreciation

Yes

[Include Template]

Excel

●

Schedule of Spectrum and Cost

Yes

[Include Template]

Excel

●

Source Documentation of Spectrum and Cost

Yes

[Include Template]

●

Schedule of Backhaul and Interconnection

Yes

[Include Template]

Excel

●

Source Documentation of Backhaul and Interconnection

Yes

[Include Template]

●

Disclosure Schedule and Statement for Existing Obligations

Yes

[Include Template]

●

Schedule of Additional Funding Required

Yes

[Include Template]

Excel

●

Letters of Commitment

Yes

[Include Template]

Breakout of Middle Mile and End User Revenues

Yes

[Include Template]

Excel

Schedule of Revenue Assumptions and Calculation for Pro Forma Financial Statements

Yes

[Include Template]

Excel

Historical Financials Reconciliation Schedule

Yes

[Include Template]

Excel

Pro-Forma Capital Budget Summary and Detailed Project Cost Schedule for Applicant's Capital Budget

Yes

[Include Template]

Excel

Disclosure of Outside Distributions

Yes

[Include Template]

Excel

Preparer's Certification

Yes

[Include Template]

Technical Parameters

Yes

[Include Template]

Excel

Quantitative System Design

Yes

[Include Template]

Excel

Itemized Bill of Materials

Yes

[Include Template]

Excel

Critical Facilities Data

Yes

[Include Template]

Excel

Wireless Provider Supplemental Information

Yes

[Include Template]

Excel

Description of Technology

Yes

[Include Template]

Construction Schedule

Yes

[Include Template]

Excel

Network Management Disclosure

Yes

[Include Template]

Non-discrimination, Interconnection and Network Management Plans

Yes

[Include Template]

Professional Engineer Certification

Yes

[Include Template]

System Design Strategy

Yes

[Include Template]

Network (System) Diagram

Yes

[Include Template]

Licenses and Agreements

Yes

[Include Template]

List the communities within each PFSA

Yes

[Include Template]

CD-511, Certification Regarding Lobbying

Yes

[Include Template]

Equal Opportunity and Nondiscrimination Certification

Yes

[Include Template]

Certification Regarding Architectural Barriers

Yes

[Include Template]

Uniform Relocation Assistance and Real Property Acquisition Policies Act of 1970 Certification

Yes

[Include Template]

Certification Regarding Debarment, Suspension, and Other Responsibility Matters – Primary Covered Transactions

Yes

[Include Template]

Affordability

Yes

[Include Template]

Environmental Questionnaire

Yes

[Include Template]

Service metrics

Yes

[Include Template]

Excel

Supplemental Document

No

Type*

▼

Type

File/Document Name

Uploaded By

Uploaded Date

Options

Supporting Document

support.doc

Smith, John

7/1/2009

Configuration Details

1

Task Name:

Submit Application

2

Page Name:

Uploads

3

Navigation Name:

Uploads

4

Page level Validation:

5

(if the user clicks Upload without selecting a Type): Upload Type is required.

6

Submission Level Validation:

7

Christine to determine which uploads are required based on previous responses…implement logic in BRM

8

Functionality:

9

Clicking Upload redirects the user to the Uploads Editor page.

10

Clicking View launches a new window to display the selected file.

11

Clicking Edit redirects the user to the Uploads Editor page.

12

Clicking Delete pops up a confirmation message (see Pop Up Message 1 below). Clicking OK deletes the uploaded file. Clicking Cancel cancels the deletion and retains the uploaded file.

13

Clicking Save and Continue will retain page changes and redirect the user to the Review and Submit page.

14

Look up Values:

15

Type: <Select> (default), Supporting Document. List in alpha order.

16

Events:

17

N/A

18

Upload Details:

19

File types allowed: .doc, .xls, .pdf, .rtf, .mht, .tif, .gif, .jpeg, .pub, .ppt, .mpp

20

Development Notes:

21

N/A

22

Database Notes:

23

N/A

24

Custom Notes:

25

N/A

Pop-up Details

25

Pop-up Message 1:

Easygrants