20131015Syringa Wireless ETC and FCC 481.pdf

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Ms. Jean Jewell
Commission Secretary
ldaho Public Utilities Commission
47 2 W esl Wash ington Street
Boise, ldaho 837 10-047 4
Re: 2013 ldaho Public Utilities Commission Annual ETC Reporting
Requirements
FileNo.: GNR-T-13-01
Dear Ms. Jewell:
Syringa Wireless LLC ("Company") hereby files a state affidavit pursuant to
Order 29841 of the ldaho Public Utilities Commission (the "Commission"), and a
copy of the annual reports that were filed with the Federal Communications
Commission (FCC) on the 14th day of October,2013 in compliance with 47 CFR
S 54.313 and 47 CFR S 54.422. Section 54.313 applies to an eligible
telecommunications carrier (ETC) receiving high-cost federal USF support, and
Section U.422 applies to ETCs receiving low-income support. Both sections
require the Company to file the annual report with the FCC, the Universal Service
Administrative Company (USAC), and the Commission. This year the FCC
extended the filing due date from July 1 to October 15. (See Public Notice DA 13-
1707, released August 6, 2013, "Wireline Competition Bureau Announces Filing
Deadline of October 15, 2013 for Eligible Telecommunications Carriers to File
High-Cost and Low-lncome Annual Reports, and Announces Filing Deadline of
December 16,2A13 for States and ETCs to File Annual Use Certifications.")
Company further requests the Commission to file the annual certification
regarding federal high-cost support with the Universal Service Administrative
Company (USAC) and the FCC, pursuant to 47 CFR 54.314(a).
lf you have any questions or need any additional information, please feel
free to contact me.
Sincerely,
Scott Dike
www.SyringaWireless.com
State of I Oa,IIo ) CERTIFICATIoN BY ELIGIBLE TELECOMMUNICATIONS CARRIER
) ss OF COMPLIANCE WITH SERVICE QUALITY AND CUSTOMER
counry ot &D* ) PRoTEcTtoN, ABTLTTY TO REMAIN FUNCTTONAL lN EMERGENCTES
AND USE OF FEDERAL HIGH.COST SUPPORT.
AFFIDAVIT OF BUSINESS OR CORPORATE OFFICER
The ldaho Public Utilities Commission Order No. 29841requires that Eligible Telecommunications Carriers 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:
1. I am an officer ol Sviga Wireless LLC , an eligible telecommunications carrier for receiving federal
universal service support under section 214(e) of the Telecommunications Act of 1996 in the slate of
ldaho.
2. I am familiar with the Company's day-to-day 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. Svrinsa Wireless LLC is complying with applicable service quality standards and consumer
protection rules of the Federal Communications Commission and the ldaho Public Utilities Commission.
4. I certify 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. S 5a.201(aX2).
5. I also certity that all federal universal service support funds receivedby Svrinoa Wireless LLC during
the current calendar year will be used in a manner consistent with section 254(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 l, L" tY , through December 31,2o l* , to be
eligible for federal universal service fund support.
6. 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 carriers in the state will be
used in a manner consistent with Section 254(e) of the Telecommunications Act.5..-zr- Dt)ce-, &\
NameiTitle
to/tv/rs
Date t (
Page 1
479008<010> Studv Area Code
Syringa Wireless, LLC<015> Studv Area Name
2014<020> Prosram Year
<030> Contact Name: Person USAC should contact
with questions about this data
Scott Dike
<035> Contact Telephone Number:
Number ot the oerson identitied in data llne <030>2042296tOO
<039> Contact Email Address:
Email ot the person identitied in data line <030>
[e-mail]. com
<100> Service Quality lmprovement Reporting
<200> Outage Reporting (voice)
<210>
<300>
<310>
<320>
<330>
<400>
<410>
<420>
<440>
<450>
Fixed
Mobile
( c o m pl ete o tt o ch ed wotksh e et )
I com pl ete o ft o ch ed w o tk sh eet)t_L______l
Detail on Attempts (broadband) l-l bttoch descriptive document)
Number of Complaints per 1,000 customers (volce)
Fixed
Mobile
<430> Number of Complaints per 1,000 customers (broadband)
Unfulfilled Service Requests (voice)
Detail on Attempts (voice)
Unfulfilled Service Requests (broadband)
t-']
l- Fftoch desctiptive docunent)i-]
=ffill-T-ll
[-'lffi
<500> Service Quality Standards & Consumer Protection Rules Compliance.SfOrffi
<500> Functionality in Emergency Situations<616>@
<700> Company Price Offerings (voice)
<710> Company Price Offerings (broadband)
<800> Operating Companies and Affiliates^ A.<900> rribal Land Offerings (Y/N)? e/ (J
<1000> Voice Services Rate Comparability.tororF^.A.
<1100> Terrestrial Eackhaul (Y/N)? (9 U<1110>
<1200> Terms and Condition for Lifeline Customers
(check to indicote certilicotion)
( o fr o ch ed de sc il pti ve d o.u m ent )
(check to indicate cettilicotion)
( o tto ch e d desc il pti ve d o cu m e nt )
( c om pl ete o tt d ch ed wotk sh e et )
( com p I ete o ft o ch ed wotk sheet )
( c om p I ete o ttoch ed w otk sh eet )
(if yes, complete oftoched worksheet)
(check to indicote cettilication)
( dtto ch d es c i ptiye doc u m en t)
(il not, check to indicote cettilication)
( co m pl ete oft o ch e d w o rks h eet)
( com pl ete oft o ch e d w orks h eet)
I ll.- check box if no outages to report
<2000>
<2005>
<3000>
<3005>
Price Cap Carriers, Proceed to Price cap Additional Documentation wo,ksheet
lncluding Rote-of-Return Corriers offilioted with Price Cop Locol Exchonge Corriers
(check to indicote ce.tificotion)
( c om pl ete o ft och ed wotk sh eet)
Rate of Return Carriers, Proceed to RoR Additional Documentation worksheet
(check to indicote certificotion)
(complete oftoched wotktheet)
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<o1o> study Area code 41gooa
<015> StudvAreaName Syringa wireless, LLC
<020> Prorram Year 20L4
<O3O> Contact Name - Person USAC should contact resardins this data scott Dike
<035> ContactTelephoneNumber-Numberofpersonidentifiedindataline<O3O> 2082296Lo0
<039> contactEmailAddress-EmailAddressofpersonidentifiedindataline<o3o> sdike@s)Eingawileless com
Certification of Officer as to the Accuracy of the Data Reported for the Annual Reporting for CAF or u Recipients
c€rtlty that I am an ofllcer ofthe reportint carrier; my responsibiliti€s includ€ ensurint the accuracy ofthe annual repo.ting r€qulr€ments for unive.el serulce support
'€cipi€nts; and, to the best of my knowledge, the lnformation reported on this form and in any attachments is accurate.
{ame of Reoortins carrier: sy!inga wile1ess, LLC
;irnature of Authorized officer: CERTTFTED omrM Date
,rinted name of Authorized Officer: scott Dike
litle or oosition of Authorrzed officer: ucrrerda drrdeer
leleohone number of Authorized Officer: 208 229 6t00
itudv Area Code of ReDortinq Carrier: 4?9008 Filinr Due Datefo.thisform: l0/15/2073
under Title 18 of the United States Code, 18 U.s.C. 5 1001.
TO BE COMPLETED BY THE REPORTING CARRIER, IF THE REPORTING CARRIER IS FITING ANNUAT REPORTING ON ITS OWN BEHALF:
'tot14no13 Page 12
Page 13
479008<010> StudvArea Code
<015> StudvArea Name Syringa wireless, LLC
<020> P.offam Year
<O3O> ContactName-PersonIJSACshouldcontactresardinEthisdata scott Dike
<O3S> Contact T€lebh6n. Number - Number of Dersoh identified in data lin. <O3O> 2082296700
<039> Contact Email Address - Email Address of person identifled in data lin. <O3O> [e-mail] . com
TO BE COMPTETED BY THE REPORTING CARRIER, IF AN AGENT IS FITING ANNUAL REPORTS ON THE CARRIER'S BEHAIF:
TO BE COMPTETED BYTHE AUTHORIZED AGENT:
Certification of Officer to Authorize an Agent to File Annual Reports for CAF or Ll Recipients on Behalf of Reporting Carrier
certlty t rat (Nam of AEentl
-
lr authodzed to submlt lha ln omdon rcported on b€halt ot tha rcportng Bnier. I
rgent; .nd, to the be3t of flry knowlodge, trs Epo]t3 and dati provldGd to ihs ruthorlzed agent ls accunta.
lame of Authorized
lame of ReoortinE Carrier:
ilnature of Authorized Officer:Date:
'rinted name ofAuthorized Officcri
'itle or !ofI I Officer:
'eleohone number of Authorized Officer:
,tudv Area Code of Rercrtins Carricr:FilinI Due Date for this form:
PeEons willfully making f.lse statements on this fo.m can be punished by fne or forfeiture under the Communicatiohs Act of 1934, 47 U.S.C. 59 502, 503(b), or line or imprisonment
underTitle 18 ofthe Urited States Codg 18 U.S.C. I 1001.
Certification of Agent Authorized to File Annual Reports for CAF or Ll Recipients on Behaff of Reporting Carriel
he data report€d h€rein based on data provided by the reporiing carier; and, to the bett of my lnowledte, the lnfomatlon rcported herein b am6te.
lame of
lame ofAuthorized Asent or EmDlovee ofAEent:
irnature ofAuthorized Acent or EmDlovee ofArent:Date:
ofA d A.ent ofA
litle or Dosition ofI I Arent or Emolovee of AEent
leleDhone number of Authorized Asent or Emolovee ofAsent:
itudvArea Code of Remrtim Carricr:FilinE Due Date for this form:
18 ofthe United States Code, 18 U.S.C. 5 1001.
10t14t2013
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