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CPF Application Questions

BEAM Capital Projects Fund (“CPF”) Sample Application Questions

DATED: June 7, 2023

Organization Profile

Organization Name

Contact Name

Contact Email

Contact Phone Number

Organization Website

Please indicate the type of organization submitting this application.

FCC Registration Number (FRN)

Please provide the UEI number associated with the applying organization on SAM.gov.

Please provide your MAGIC Vendor ID number of the applying organization.

Please provide proof of documentation/registration with the Mississippi Secretary of State's Office

Is the applying entity currently delinquent on any federal debt?

Please confirm the applying entity is aware that equipment from prohibited manufacturers under 2 CFR § 200.216 is ineligible for grant funding.

Does the applying entity have broadband operations experience?

Has there been any turnover in key personnel who will be responsible for the program or oversight of the program in the past 3 years?

Has the applicant entered markets lacking access to broadband?

Describe the applicant's customer installation and customer service operations

Has the applicant ever been disqualified from receiving federal, state, or local broadband grants for failure to meet deployment milestones or otherwise failure to satisfy funding obligations?

Describe the applicant’s current service area.

Upload the applicant’s existing network diagram.

Describe the applicant's existing network.

Does the applicant use internal or external teams to build and operate your networks?

Size of existing construction and operations team

Expected size of team managing grant requirements and project if grant is awarded

Historical Financial Statements (Previous 3 Years)

Project Area

Applicant will be required to define on a map the area impacted by the project. Applicants can either manually draw (circle), upload a shapefile, or select the region.

High Level Design

Applicant will be required to upload high level design documentation based on a supplied template. Sufficient detail for high level designs include, but are not limited to, the following information: (1) where the backhaul originates; (2) specified fiber count; (3) identification of backhaul/wholesale provider (including name and speed if available); (4) location of hub/feeder for the proposed project; and (5) fiber counts for all fiber routes.

Project Scope

Please specify what part of the network will be constructed in the proposed project.

Please specify what type of broadband construction is being proposed for the applicant’s project.

Please provide a brief executive summary of your project. Include an explanation of why grant funding is necessary for the project.

Please provide a description of the proposed project’s geographical coverage.

Please provide a description of the major infrastructure to be deployed in the proposed project.

Please upload any budgetary engineering designs, diagrams, and maps that demonstrate the viability of the proposed project.

What type of entity will own the network?

What type of entity will operate the network?

Have all permits required by the plan been secured?

(IF NO TO 35 this question will pop up) Describe the plan for obtaining all necessary permits identified in response to question 35.

Please describe how the proposed project will promote job growth or retention, expand the property tax base or improve the overall economic vitality of the municipality or region

Will this project bring reliable 100 Mbps symmetrical (download & upload) to the entire area in the plan?

Please indicate the maximum upload and download speeds available at each location upon project completion.

Will the plan meet a service level of 100 Mbps download and 20 Mbps upload to the areas where 100/100 Mbps is not achievable?

Please upload documentation justifying why 100 Mbps symmetrical would not be practical to the entire area in the plan.

Please upload a Gantt chart for the proposed project.

Please upload the Network Design PE Certification OR Certification from an in-house engineer who designs and oversees the implementation of network designs in the regular course of business. Should an in-house engineer provide certification, please also provide details of such individual's expertise.

Please upload the proposed network diagram for the proposed project.

Please provide a detailed description of the proposed network.

Bill of Materials

Insert Chart Template Based on HLD Upload (Ready to create template)

Project Budget

TOTAL PROJECT BUDGET
Budget Description	Amount
Administrative and Legal Expenses	$0.00
Land, structures, rights-of-way, appraisals, etc.	$0.00
Relocation expenses and payments	$0.00
Architectural and engineering fees	$0.00
Other architectural and engineering fees	$0.00
Project inspection fees	$0.00
Site work	$0.00
Demolition and removal	$0.00
Construction	$0.00
Equipment	$0.00
Miscellaneous	$0.00
Total	$0.00

FUNDING SOURCE CHART
Funding Type	Amount	Source of Funding
Capital Projects Fund Funding	$0.00
Match Funding	$0.00
Other Federal Funding	$0.00
Total	$0.00

Please explain the estimated total project cost.

Is any portion of the applicant's match funds being provided by a local government's ARPA allocation?

IF YES TO 49 then populate Question 49a. Please upload the board resolution passed specifically allowing for the local government's contribution identified in question 49.

Please upload the proposed pricing structure (by associated download and upload speeds) for all broadband services to be offered in association with the project.

Please upload financial metrics with grant funding and financial metrics without grant funding.

Please explain in detail the additional public benefit and justification for using Capital Projects Funds in addition to previously secured federal funds to complete this project.

Have costs been incurred by the applicant prior to submission of this application for this project?

Is the applicant in a public-private partnership?

Has the applicant ever been awarded a federal or state grant that requires awardee to use federal and state procurement guidelines?

Provide evidence of experience with federal or state procurement guidelines.

Upload evidence of experience with federal or state procurement guidelines.

Has the applicant withdrawn or been removed from a federally funded program following the execution of a grant agreement?

Has the applicant been issued a corrective action plan or notice of noncompliance under a past/current federal award?

Has the applicant incurred delays under the environmental assessment process on past/current federal funded projects?

Has the applicant missed any relevant deadlines pertaining to past or current federal awards provided to you?

Question not used.

Upload any Single Audit reports or Program Specific Audits the applicant has engaged an Independent Auditor to perform in the past three years.

Were any findings documented in the Single Audits or Program Specific Audits?

Describe the actions taken in response to the documented findings from the Single Audits or Program Specific Audits.

How much match capital is the applicant providing for this project?

How much match funding has the applicant secured for this project?

What type of financing is the applicant looking to obtain for your match funding?

Pricing Structure

Does the applicant participate in the Affordable Connectivity Program or Lifeline Program?

How many ACP accounts does the applicant currently service?

Upload any marketing materials that demonstrate the applicant's commitment to providing affordable services.

Please provide a list of applicant's service offerings and price points that meet unique needs of economically disadvantaged households and their affordability levels.

Does the applicant provide special rates and discounts for devices that enable remote learning?

Project Scalability

Describe how the proposed project could scale and improve the broadband services delivered. This description may also include a discussion of possible growth potential that is outside the commitment made by the applicant as part of the grant application

Does the applicant commit to sustain the project for at least five years?

Have all necessary rights of way and easements been acquired?

Please provide documentation that is sufficient to substantiate this has been achieved.

Does the proposed project require any of the following permit types (or others) ?

Please list the "Other" permit types.

Please provide the status of each permit selected in response to question 81.

Have all environmental review requirements been identified that are necessary for the proposed project to begin construction?

Community Engagement Impact

Please describe how this project supports the program objectives and previous broadband planning efforts in the proposed project area.

Please describe how this project fits into an existing community strategic plan.

Please provide recent survey data that covers broad spectrum of community with statistically meaningful results regarding level of need and gaps.

Please upload evidence of any community support. This may include, but is not limited to, “personalized” letters of support, attendance at events/meetings demonstrating community engagement at-large, and planning/organizing events for community members.

Please describe the applicant's engagement with stakeholders outside of the project team, which may include residents, businesses, community leaders, project partners, elected officials, community broadband task force, etc.

Please describe the plan to include local hires and provide opportunities for local hires such as apprenticeship programs, job fairs, and training programs.

Please describe the workforce development efforts that have been recently undertaken as well as those efforts planned for the future.

Indicate the number of residences that will have service available as a result of the project.

Indicate the number of businesses that will have service available as a result of the project.

Indicate the number of farmers or agricultural use customers that will have service available as a result of the project.

Indicate the number of community anchor institutions that will have service available as a result of the project.

Please describe the proposed project's impact on public safety, workforce training and development, employment search, and other economic advances.