20131015Silver Star ETC and FCC 481.pdf

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October 15, 2013
VIA ELECTRONIC SUBMIS5ION
Jean Jewell, Commission Secretary
ldaho Public Utilities Commission
472W. Washington
PO Box 83720
Boise,lD 8372A-OO74
Re: 2013 Eligible Telecommunications Carrier (ETC) Annual Report Filing; Docket No. GNR-T-13-01
Silver Star Telephone Company/Columbine Telephone Company (4722951
Dear Ms. Jewell:
Silver Star Telephone Company, lnc. and Columbine Telephone Company, lnc. ("Silver Star") hereby file
with the Commission the 2013 ETC Annual Report Filing{s), as follows:
A copy of the Silver Star Telephone Company, lnc.-472295 FCC Form 481- Carrier Annual Reporting
Collection Form and a copy of the Columbine Telephone Company,lnc.-472295 FCC Form 481 -
Carrier Annual Reporting Collection Form, each form completed pursuantto 47 CFR S$ 54.313 and
54.422, as applicable, redacted for public viewing to protect confidential and proprietary financial
information. The non-redacted, confidential information is submitted to the Commission separately
via express delivery.
Request is hereby made that the Commission notify the Federal Communications Commission and the
Universal Service Administration Company, prior to December 16,20L3, that Silver Star is eligible to receive
federal high-cost support for the year 2A74.
Questions regarding this filing should be directed to my attention as shown below.
tegal & Regulatory Administrator
307-883-5590
mamot*us@sitrrersta r"net
Enclosures f'vx ",.\',
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Page 1
412295<010> Study Area Code
SIL\€R STAR TELEPHONE CO.. INC<015> Studv Area Name
<020> Prosram Year 20t4
<030> Contact Name: Person USAC should contact
with questions about this data
Michelle Motzkus
<035> Contact Telephone Number:
Number ot the person identitled ln data line <030>
307-883-6690
<039> Contact Email Address:
Emall ot the oerson identitied in data line <030>mamotzkus@silve!star. net
<100> Service Quality lmprovement Reporting
<200> Outage Reporting (voice)
( com p I ete oto ch ed w o rksh eet)
I com p I ete o ft o ch ed w o tksh eet)
(check box when complete)_E
l_!_ll ! l
<210>
<300> Unfulfllled Service Requests (voice)
<310>Detail on Attempts (voice)l-J kftoch desctiptive do.ument)
<320> Unfulfilled Service Requests (broadband)
<330> Detail on Attempts (broadband) I | @ftochdesuiptivedo.umen?)
<400> Number of Complaints per 1,000 customers (voice)
I-l-ll.- check box if no outages to report
Fixed
Mobile
Fixed
Mobile
t
ll /I/l
II-IE<430> Number of Complaints per 1,000 customers (broadband)
<410>
<420>
<440>
<450>
<500> Service Quality Standards & Consumer Protection Rules Compliance.51Orm
<600> Functionality in Emergency Situations
a5161 @
<700> Company Price Offerings (voice)
<710> Company Price Offerings (broadband)
<800> OperatingCompaniesandAffiliates^ A<900> Tribal Land Offerings (Y/N)? L, t9
<1000> Voice Services Rate Comparability.rororF ^.A.<1100> Terrestrial Backhaul (Y/N)? t!,| t<1110>
<1200> Terms and Condition for Lifeline Customers
(check to indicote cettificotion)
( o ft dch ed desc ti p tive docum en t)
(check to indicote cettifrcation)
( o ft o ch ed desc i ptive docu ment)
( c om pl ete o ft och ed w o tksh eet)
(conplete ofioched wotksheet)
( c ompl ete ofr o ch ed wotk she et )
( il yes, c o m pl ete o fr o.h ed wotk sh e et )
(.heck to indicdte ceftifrcotion)
( o tto ch des cri pti ve docu m.nt)
(il not, check to indicote certificotion)
(compl ete aft o ched work sh eet)
( com pl ete oft o ch ed wotksh eet)
<2000>
<2005>
<3000>
<3005>
Price Cap Caffie6, Proceed to Price Cap Additional Documentation worksheet
lncluding Rote-of-Return Corriers offilioted with Price Cop Locol Exchonge Corriers
(check to indicote cettifrcotion)
(complete ofroched worksheet)
Rate of Return Carriers, Proceed to ROR Additional Documentation Worksheet
(check to indicote certificotion)
( com pl ete o tto ch ed w o.kth eet)
10t14DO13 Page 1
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Page 72
472295<010> Studv Area Code
<015> StudvAreaName SILVER STAR TELEPHONE CO., INC
<020> Prorram Year
<030> Contact Name - Person UsAc should contact regarding this data
<035> contactTelephoneNumber-Numberofpersonidentifiedindataline<o3o> 307-883-6690
<039> contact Email Address - Email Address of Derson identified in data line <o3o> ma6otzkus@si1velstar'neE
Certification of Officer as to the Accuracy of the Oata Reported for the Annual Reporting for CAF or Ll Recipients
c€rtlfy that I am an offic€r of the reporting carrier; my responsibilities include ensuring the accuracy ofthe annual reportint requirements for universal s€ryice support
€cipients; and, to the best of my knowledge, the information reported on this form and in any.ttachments ls accurat€.
,lameofReDortinscarrie.: srLvER srAR TELEPHOM co'INC
iisnatureofAuthorizedofficer: CERTTFTED oNLTNE Date 70/74/2011
,rinted name of authori2ed officer: Jef f erson Eng1ed
'itle or r of Authorized officer. chief Financial of f ice
eleohone number of Authori2ed officer' 3 07 - 88 3 - 662 I
itudvArea code of Reoortins carrier: 472295 Filinc Due Date for this form: )'o/ls/2013
Personswillfullym.kingfilseltatementsonthisfo.mcanbepunishedbyfneorforfeitureundertheCommunication5Actof1934,4TU.S.C.SSS02,503(b),orfneorimprisonment
underTitle 18 ofthe United States Code, 18 U.S.C. S 1001.
TO 8E COMPTETED BY THE REPORTING CARRIER, IF THE REPORTING CARRIER 15 FITING ANNUAL REPORTING ON ITS OWN BEHALF:
10114DO13 Page 72
Page 13
412293<010> StudyArea Code
<015> StudvArea Name SIIJVER STAR TELEPHONE CO., INC.
<020> Program Year 2014
<030> Contact Name - Person USAC should contact .eia.dinr this data Michelle Motzkus
<035> ContactT.lcphoneNumber-Numberofpersonidentifiedindataline<O3O> 307-883-6690
<039> Contad Email Address - Email Address of oerson identified in data line <O3O> [e-mail]. net
TO BE COMPLETED BY THE REPORTING CARRIER, IF AN AGENT IS fItING ANNUAT REPORTS ON THE CARRIER'S BEII,AIF:
TO BE COMPTETED BY THE AUTHORIZED AGENT:
Certification of Officer to Authorize an Agent to File Annual Reports for CAF or Ll Recipients on Behalf of Reporting Carrier
emfy tlllt (Nam d Agentl 13 authodzad to aubmlt lhs lnfomfion mpoisd on bshaf of lhe rcpo.tng e[ler
lboGe]tifyth.tl.m.nolfl*,oft'"accuEGyoflh.annuildataEpoItngEqulEmntrprcvldedtothe.uthodzed
rgcnt; .nd, to the b.3i ot my knowledge, lhe Fports .nd datr providod to lhe .uthodEd rgant 13 accunis.
I
lame of ,/i A.ent:
lame of Reoortinr Carrieri
irnature of Authorizcd Officer Datei
of Authoriz.d officer:
'itle or Dosition ofAuthorized Officer:
elephone number of Authorized Officer:
tudvArea Code of Rercrtim Carrier:FilinE Due Date for this form:
PeEons willtully maling false *atements on this form can be punished by tine or forfeiture under th€ Communications Act of 1934, 47 U.5.C. $5 502, 503(b), o. fine or impri$nment
underTitle 18 ofthe Lrnited States Code, 18 U.S.C. 5 1001.
Certification of Atent Authorized to File Annual Reports for CAF or Ll Recipients on Behalf of Reportin8 Carriel
he data reported hereln based on data provided by the reportlng carler; and, to the best of my knowledg€, the lntormatlon reported heaein is accurat€,
lame of Reoortinr Car
lame of Authorized Arent o. Emolovee ofA.ent:
ilnature of Authorized Alent or EmDlovee ofAsent:Datel
name of Autho.i2ed Arant a of Araht:
itle or Dosition ofAuthoriz.d A.ent or ofArent
elephone number ofAirthorized Acent or Emolovee of Asent:
tudy Area Codc of Rcporting Carrier:Filinr Due Date for this form:
18 ofthe LJnlted States Code, 18 U.S.C. 5 1001.
10114DO13
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Silver Star Telephone Company, Inc.
dba Silver Star Communications ("Silver Star")
Service Quality Standards & Consumer Protection Rules
Statement of Compliance
Silver Star has established operating procedures designed to facilitate compliance with applicable
consumer protection rules; including rules regarding verification of orders for telecommunications
service as required of submitting carriers (i.e., Slamming) {Section 54.1100}, compliance with the FCC's
Truth-in-Billing Requirements {54.2400}, compliance with the FCC's customer proprietary network
information (CPNI) Requirements {64.2009}, consumer protection and service quality rules pursuant to
its state-specific services tariff(s), and all other customer protection rules including employee training
and policy manual development as applicable.
Silver Star Telephone Company, lnc.
dba Silver Star Communications ("Silver Star")
Functionality in Emergency Situations
Statement of Compliance
Silver Star has established operating procedures designed to facilitate compliance with
applicable service quality standards, which may include customer remedies and
improvement plans. Specifically Silver Star complies with Rule 500.01 of the ldaho Public
Utilities Commission rules requiring it to furnish to its customers safe, adequate and
continuous service in accordance with accepted good practice, and to that end,
maintains its entire plant and system in such condition as to enable it to furnish such
service, and inspect its system and facilities in such manner and with such frequency as
may be necessary to obtain knowledge of their current condition and adequacy. Silver
Star is capable of functioning in emergency situations, by maintaining both battery and
generator back-up power, which ensure reasonable functionality of voice services
without an external power source. Additionally, Silver Star can reroute voice traffic
around damaged facilities and is capable of managing traffic spikes resulting from
emergency situations.
Silver Star Telephone Company, !nc.
dba Silver Star Communications ("Silver Star")
Low-lncome Telephone Assistance Program Terms & Conditions
Silver Star provides unlimited loca! calling for Iifeline-eligible residential
customers, discounted by the federally authorized amount of 59.25, and
state telephone assistance discounts, where applicable. Silver Star's
lifeline-discounted monthly telephone service provides access to
emergency, operator, interexcha nge, a nd d irectory assista nce services.
The service does not include enhanced calling features such as voice
mail, caller lD, callforwarding, internet or long distance telephone
service. Toll Limitation service is provided at no charge for lifeline
customers, upon customer request and pursuant to FCC guidelines.
Silver Star Telephone Company, lnc.
dba Silver Star Communications ("Silver Sta/')
Line 3017 (s4.313(f)(2) Compliance)
This section, consisting of three (3) pages, is redacted in its entirety.
State of Wpming
County of Lincoln
1.
2.
3.
4.
5.
6^
CERTIFICATION BY ELIGIBLE TELECOMMUNICATIONS CARR]ERss OF COMPLIANCE WITH SERVICE QUAL:TY AND CUSTOMER
PROTECTION, ABILITYTO REMAIN FUNCTIONAL IN EMERGENCIES,
AND USE OF FEDERAL HIGH.COST SUPPORT.
AFFIDAVIT OF BUSINESS OR CORPORATE OFFICER
The ldaho Public Utilities Commission Order No. 29841 requires that Eligible Telecommunications Caniers certify
that it is compliant with applicable service quality standards and consumer protection rules; and ETCs must
demonstrate the ability to remain functional in emergencies. ln addition, the Commission must file an annual
certification with the USAC and the FCC that allfederal high-cost support provided to ETCs within the State of
ldaho will be used only for the provision, maintenance, and upgrading of facilities and services for which the
support is intended. Accordingly, the undersigned states and verifies under oath the following:
I am an officer of Silver Star Telephone Company, lnc. (dba Silver Star Communications), an eligible
telecommunications canier for receiving federal universal service supporl under section 214(e) of the
Telecommunications Act of 1996 in the state of ldaho.
I am familiar with the Company's day-today operations in the state of ldaho and with the State's service
quality strandards and consumer protection rules as set forth in Commission Order No. 29841.
Silver Star Telephone Company, lnc. is complying with applicable service quality standards and consumer
prot€ction rules of the Federal Communications Commission and the ldaho Public Utilities Commission.
I certify to the Commission lhat the Company is able to remain functional in emergencies as set forth in
Commission Order No. 29841and in 47 C.F.R, $ 54.201(aXz).
I also certify that all federal universal service support funds received by Silver Star Telephone Company,
lnc. during the cunent calendar year will be used in a manner consistent with section 2*{e}; that is, for
the provision, maintenance, and upgrading of facilities and services for which the support is intended.
The company will continue to comply for the period of January 1, 2014, through December 31, 2014, to be
eligible for federal universal service fund support.
This verificstion and affidavit is provided to be the ldaho Public Utilities Commission to enable the IPUC to
certfy to the FCC that federal universal service support received by the eligible carriers in the state will be
used in a manner consistent with Section 254(e) of the Telecommunications Act.
Vice President and Chief Financial Officer,tro/rs/r1
uate
SUBScRlBEDANDswoRNtobeforemethisffiofoctober,2013.
H:t:r r*3Tt(USNc!6rY ?ubilr:
Stott o! w?afill,\,J
CoualY;l L!ncoli
My Cornt*a5slc.t ExPilt;
Morcn ! 3, ?Ol i
<*
Page 1
412294<010> Study Area Code
COLWBINE TELEPHONE CO., INC. DBA TETON TELECOM<015> Studv Area Name
<020> ProPram Year 2074
<030> Contact Name: Person USAC should contact
with questions about this data
Michelle Motzkus
<035> Contact Telephone Number: 307-883-66eo
Number ot the person identitied in data line <030>
<039> Contact Email Address:
Email oi the oerson identitied in data line <030>mamotzkus@silverstar - net
<100> Service Quality lmprovement Reporting
<200> Outage Reporting (roic.L
<210> I ll.- check box if no outages to report
!-l
l- kftoch descriptive document)
( c om pl ete o ft o c h ed w o tksh eet)
( com pl ete oft o ched w o rksh eet)
(che.k to indicote cettifrcotion)
(otroched dactiptive docufr ent)
(check to indicote certificotion)
( aft o ch ed d esci pti ve d oc um e nt )
( co m pl ete a tt a ch ed w otk sh e et )
( co m pl ete d fr o ch ed w ork sh eet )
( co m pl ete d d o ch ed w ork sh eet )
( iJ yes, complete odoched worksheet)
(check to indicote cettilicotion)
( ottoch desc i ptive docu m en t)
(il not, che.k to indicote cettificdtion)
( com pl ete otto ch ed wotk s h eet)
( com pl e te o tto ch ed w orks h e et)
-iill_!_ll ,! __J
=ffi[ / il-ll
fl-lsEt
<300> Unfulfilled Service Requests (voice)
<310>Detail on Attempts (voice)
<320> Unfulfilled Service Requests (broadband)
Service Quality Standards & Consumer Protection Rules Compliance
Functionality in Emergency Situations@
Company Price Offerings (voice)
Company Price Offerings (broadband)
ffijiil"'.T[j:.,ff liif, ln* ""9 6
Voice Services Rate Comparability
T"nrestri.l 8..kh.,l1 (YA)? O O
Terms and Condition for Lifeline Customers
Detail on Attempts (broadband) l-.1 @ttoch desctipilve document)
Number of Complaints per 1,0O0 customers (voice)
Fixed l-'" I
Mobile
Number of Complaints per 1,000 customers (broadband)
Mobile
<330>
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<2005>
<3000>
<3005>
Price Cap Carriers, Proceed to Price Cap Additional Documentation worksheet
lncluding Rote-of-Retum Corriers offilioted with Price Cop Locol Exchonge Corriers
(check to indicote certilicotion)
( c om p I ete o to ch ed w o tksh eet)
(check to indicote cettilication)
( c o m p I ete o tt o c h ed w ork s h eet)
Rate of Return carrie6, Proceed to
1011412013 Page 1
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<o1o> study Area code 41229s
<015> StudyAreaName coLt'MBINE TBLEPHoNE Co , INC' DBA EToN TEECoM
<020> Program Year
<o3o> contactName-PersonUsAcshouldcontactresardinqthisdata Michelle Motzkus
<035> ContactTelephoneNumber-Numberofpersonidentifiedindataline<O3o> 307-883-6590
<039> contactEmailAddress-EmailAddressofpersonidentifiedindataline<o3o> [e-mail]
Certlfication of Officer as to the Accuracy of the Oata Reported for the Annual Reporting for CAF or Ll Recipients
certify that I am an ofllcer of the reportlnt carri€r; my responslbilitles lnclude €nsuring the accuracy of the annual reporting requirlm€nts for univcrsal scruice support
ecipients; and, to th€ b€st of my knowledge, th€ information reported on this form and in any attachments is accurat€.
,lameofReoortinsCarrier: COLWBINE TELEPHONE CO., INC. DBA TETON TELECOM
iignatureofAuthorizedofficer: CERTTFTED oNLTNE Date 70/74/2013
of Authorized offi.er.'leffetson England
'itle or ofA rrizedOfficer: Chief Finucial Officer
elephone of Authorized Officer. 307-883-6521
itudy Area code of ReportinE Carrier: 41229s Filinf Due Dateforthisform: t'o/7s/2013
underTitle 18 ofthe United States Code, 18 U.S.C. 5 1001.
TO BE COMPI.ETEO BY THE REPORTING CARRIER, IF THE REPORTING CARRIER IS FILING ANNUAT REPORTING ON ITS OWN BEHATF:
10t14t2013 PaEe 72
Page 13
472295
<015> StudvA.ea Name COLI'MBTNE TELEPHONE CO., INC. DBA TETON TELECOM
<o3o> contactName_p.rsonusAcshouldcontactreEardinEthisdata MiehelIe Mot.zkus
<035> ContactTelephoneNumber-Numberofpersonidentifiedindataline<o3O> 30?-883-6590
Certification of Officer to Authorize an Agent to File Annual Reports for CAF or Ll Recipients on Behalf of Reporting Carrier
Ge,tryth8t(NamolA$ntl.ltltho7lzadtotuDmltthelnfom.tlonrcponedonDehalfoftiercpoftingGarler.
ll3ocedltyth.tl.m"nofil"",ofd,"iliffi-9"",,|o.,,',y."pon"lbil|t"slncludeemurln9ih€aGcu6cyofthernnualdet.rcpodngmqulrcmntsprvldedtothoauthorlzed
rg6nt; rnd, to ths b€lt of rry knowledgs, tho repo7ts and data provided to the autlrorlzed .ge[t ls rccunte.
lama of
lame of Rcoortin! Carrier:
,isnature of Authorizld Offi cer:Date:
rrinted namc of Authorized Officer:
'itl. or r of ,I offic.r:
'eleohone numberof Authorized officer:
tudv Area Code of Re@rtinE Carriar:Filim Due Date for this form:
PeMns willtully makint falre satements on this form can be punished by fine or forfeiture under the Communications Act of 1934, 47 U.S.C. 55 502, 5031b), or line or imprisonrent
underTitle 18 ofthe United States Code. l8 U.S.C. 5 1001.
<039> ContactEmailAddres!-EmailAddressofoersonidentifiedindataline<O3O> [e-mail].
TO BE COMPTETED 8Y THE REPORTING CARRIER, IF AN AGENT IS FITING ANNUAT REPORTS ON THE CARRIER'S EETIATF:
TO BE COMPTETED BY THE AUTHORIZED AGENT:
Certification of ASent Authorized to File Annual Reports for CAF or Ll Recipients on Behaff of Reporting Carrier
h€ data reported hereln bas€d on data provld€d by the r€porting carier; and, to the best of my knowl€dg€, the information reported h€rein is accurate.
lame of R Carrl
lame of Authori2ed Acent ofArent:
irnatur! of Autho.ized AEent or Emolovee ofAsent Date:
'rinted name ofAuthorizrd Arcnt or Emplovee of Asent:
'itle or E olA iz.d Ar.nt e ofArent
'eleohone number of Authorired Arent or EmDlovee ofAsent;
tudv Area Coda of ReDortinr Carrier:Filinc Due Date for this form:
)deitureuhdertheCommunicationsAdoflg34,4TU.S.C.SSS02,SOSttt,.;fi*..i;p.i*nmentunderTitle
18 ofthe United states code, 18 U.s.c. 5 1001.
10114t2013
Page 13
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Columbine Telephone Company, !nc.
dba Silver Star Communications ("Silver Star")
Service Quality Standards & Consumer Protection Rules
Statement of Compliance
Silver Star has established operating procedures designed to facilitate compliance with applicable
consumer protection rules; including rules regarding verification of orders for telecommunications
service as required of submitting carriers (i.e., Slamming) {Section 64.1100}, compliance with the FCC's
Truth-in-Billing Requirements {54.2400}, compliance with the FCC's customer proprietary network
information (CPNI) Requirements t6a.2009), consumer protection and service quality rules pursuant to
its state-specific services tariff(s), and all other customer protection rules including employee training
and policy manual development as applicable.
Columbine Telephone Company, lnc.
dba Silver Star Communications ("Silver Star")
Functionality in Emergency Situations
Statement of Compliance
Silver Star has established operating procedures designed to facilitate compliance with
applicable service quality standards, which may include customer remedies and
improvement plans. Specifically Silver Star complies with Rule 500.01 of the ldaho Public
Utilities Commission rules requiring it to furnish to its customers safe, adequate and
continuous service in accordance with accepted good practice, and to that end,
maintains its entire plant and system in such condition as to enable it to furnish such
service, and inspect its system and facilities in such manner and with such frequency as
may be necessary to obtain knowledge of their current condition and adequacy. Silver
Star is capable of functioning in emergency situations, by maintaining both battery and
generator back-up power, which ensure reasonable functionality of voice services
without an external power source. Additionally, Silver Star can reroute voice traffic
around damaged facilities and is capable of managing traffic spikes resulting from
emergency situations.
Columbine Telephone Company, lnc.
dba Silver Star Communications ("Silver Star")
Low-lncome Telephone Assistance Program Terms & Conditions
Silver Star provides unlimited local calling for lifeline-eligible residential
customers, discounted by the federally authorized amount of 59.25, and state
telephone assistance discounts, where applicable. Silver Star's !ifeline-discounted
monthly telephone service provides access to emergency, operator,
interexchange, and directory assistance services. The service does not include
enhanced calling features such as voice mail, caller lD, call forwarding, internet or
long distance telephone service. Toll Limitation service is provided at no charge
for lifeline customers, upon customer request and pursuant to FCC guidelines.
Columbine Telephone Company, lnc.
dba Silver Star Communications ("Silver Sta/')
Line 3017 (54.313(f)(21 Compliance)
This section, consisting of five (5) pages, is redacted in its entirety.
State of Wyoming
County of Lincoln
- -:>*- MICHEITE MO|2(USi?]ir fioroly ?ublicSlo:e 0i !V../cmiagCounly cl !incoil1My Co(}:.cisrion Expi,6aMerci 15. 2017
CERTIFICATION BY ELIGIBLE TELECOMMUNICATIONS CARRI ER
OF COMPL]ANCE WITH SERVICE QUALIW AND CUSTOMER
PROTECTION, ABILIryTO REMAIN FUNCTIONAL IN EMERGENCIES,
AND USE OF FEDEML HIGH.COST SUPPORT.
AFFIDAVIT OF BUSINESS OR CORPORATE OFFICER
The ldaho Public Utilities Commission Order No. 29841 requires that Eligible Telecommunications Carriers certify
that lt is compliant with applicable service quality standards and consumer protection rules; and ETCs must
demonstrate the ability to remain functional in emergencies. ln addition, the Commission must file an annual
certification with the USAC and the FCC that all federal high+ost support provided to ETCs wiihin the State of
ldaho will be used only for the provision, maintenance, and upgrading of facilities and services for which the
support is intended. Accordingly, the undersigned states and verifies under oath the following:
1. I am an ofFrcer of Columbine Telephone Company, lnc. (dba Silver Star Communications), an eligible
telecommunications canier for receiving federal universal service support under section 214(e) of ihe
Telecommunlcations Act of 1996 in the state of ldaho.
2. I am familiar with the Company's day-teday operations in the state of ldaho and with the State's service
quality standards and consumer protection rules as set forth in Commission Order No. 29841.
3. Columbine Telephone Company, lnc. is complying with applicable service quality standards and
consumer protection rules of the Federal Communications Commission and the ldaho Public Utilities
Commission.
4. I cerlify to the Commission that the Company is able to remain functional in emergencies as set forth in
Commission Order No. 29841 and in 47 C.F.R. $ 54.201(aX2).
I also certify that all federal universal service support funds received by Columbine Telephone Company,
lnc. during the cunent ca,endar year will be used in a manner consistent with section 25a@); that is, for
the provision, maintenance, and upgrading of facilities and services for which the support is intended.
The company will continue to comply for the period of January 1,2014, through December 31, 2014, to be
eligible for lederal universal service fund support.
This verification and affidavit is provided to be the ldaho Public Utilities Commission to enable the IPUC to
certify to the FCC that federal universal service support received by the eligible caniers in the state will be
used in a manner consistent with Section 2il(el of the Telecommunicalions Act.
5.
6.
Chief Financial Officer
Notary Public for Wpm ing, residingffi_ Lincgln County
SUBSCRIBED AND SWORN to before me this
r#/ ) day of October, 2013.