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entities, is convicted of a criminal violation or held civilly liable for acts arising from their participation in the Schools and Libraries support mechanism. 9.I certify that, to the best of my knowledge, the service provider will not pay the non-discount portion of the costs for eligible services. I acknowledge that the provision,by the provider of a supported service, of free services or products unrelated to thesupported service or product constitutes a rebate of some or all of the cost of thesupported services.10.I certify that I am authorized to sign this Letter of Agency and, to the best of myknowledge, information, and belief, all information provided to CENIC for E-ratesubmission is true and correct.11.I understand that because CENIC must prepare its statewide application in advance,CENIC relies on data that is reported by participating schools and libraries in the E-rate Productivity Center of the Universal Service Administrative Company. Wetherefore agree in advance that whatever NSLP data CENIC uses and can verify tothe satisfaction of Universal Service Administrative Company/ Schools and LibrariesDivision (USAC/SLD) shall be the correct NSLP data for CENIC’s consortiumapplication for our entity.12.I authorize CENIC, as the consortium lead, to have rights under the Universal ServiceAdministrative Company’s E-rate Productivity Center, or any future iterations of E-rate application processing, to act on behalf of my entity in activities related to theconsortium, including but not limited, to filing, submitting and certifying forms.I understand that persons willfully making false statements on the E-rate forms or through this LOA can be punished by fine or forfeiture, under 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. <br />____________________________________________________________ 1.Printed Name of Library/Library System or Jurisdiction –should match how it appears in USAC’s system (Required) <br />____________________________________________________________ 2. Library/Library System FCC Registration Number (Required) <br />____________________________________________________________ 3.USAC/E-rate Entity # (Required) <br />San Leandro Community Library/ City of San Leandro <br />0014340020 <br />144220 <br />0