20131016Inland Cellular ETC and FCC 481.pdf

INLAND CELLULAR TELEPHONE COMPANY : .
Corporate Offices
103 S.Znd St.
P.O. Box 688
Floslyn, WA9894l
Telephone: [phone]
Fax: [phone]
October 15, 2013
;i.. :::'T
0 luR-T. tB-D I
Via email itt .PDF format to [e-mail]
Idaho Public Utilities Commission
Commission Secretary
472 W. Washington
P.O. Box 83724
Boise, ID 8372O-OO74
Re: WC Docket No. 1O-9O - FCC Form 48l-Carrler Annuai Report and
Report and Certification Pursuant to IPUC Order No. 29841
Dear Ms. Jewei:
Enclosed is a copy of the Federal Communications Commission ("FCC"),
Form 481 that was electronically completed and submitted to the Universal
Service Administrative Company ("USAC"). This submission is for Inland
Cellular LLC (f/k/a Washington RSA No. 8 Limited Partnershipl(d/b/a Inland
Cellular), Shrdy Area Code 479OO7 and includes all attachments that lrere
submitted to USAC and vrill be submitted to the FCC; the Idaho Public Utilities
Commission Certi{icalions, Reports and Afhdavit are included.
Since the Company serves a portion of the Nez Perce Reservation and/or
tribal members thereof, tl:ese documents have also been sent to the Tribal
Chairman. If you should have any questions, plea.se call me at (509) 649-250A
or contact me by email at [e-mail].
ames K. Brooks
Treasurer/Controller
Enclosures
Jean Jewel
September 15, 2OL3
Page 2 of 2
CERTIFICATE Of,' SERVICE
I, James K. Brooks, hereby certiff that I have, on this 15*'day of
October, 2013, served the foregoing ELIGIBLE TELECOMMUNICATIONS
CARRIER (ETC) ANNUAL RE-CERTIFICATION upon all parties believed to be of
interest in this proceeding. A copy of the foregoing ELIGIBLE
TELECOMMUNICATIONS CARRIER {ETC) ANNUAL RE-CERTIFICATION filed
today was placed in the United States mail, first-class postage pre-paid,
overnight delivery service or electronically, as applicable, to the following:
Ms. Jean Jewel, Executive Secretary
Idaho Public Utilities Commission
472 W . Washington Street
Post Office Box 83720
Boise, Idaho 8372O-OOT 4
Electronically to: [e-mail]?n. gou
Marlene H. Dortch
Office of the Secretar5r
Federal Communications Commission
9300 East Hampton Drive
Capital Heights, MD 24743
Electronically (when available) to: apps.fcc.gou/ ecfs/
Nez Perce Tribal Executive Committee
Silas C. Whitman, Chairman
Post Office Box 305
Lapwai, ID 83540
Via USPS
Page 1
419001<010> Studv Area Code
WASHINGTON RSA NO. 8 LIMITED PARTNERSHIP DBA TNTAND CEIJI]ULAR<015> Studv Area Name
2074<020> Prosram Year
<030> Contact Name: Person USAC should contact
with questions about this data
James K. Brooks
<035> Contact Telephone Number:
Number ot the oerson identitied in data line <030>
[phone]
<039> Contact Email Address:
Emall otthe person identitied in data line <030>
j brooks@inlddneE . com
<10O> Service Quality lmprovement Reporting
<200> Outage Reporting (voice)
<zto> l7''i.-- cnecK oox rT no ourages ro reporr
( c o m plete oft och ed worksh eet)
( com p I ete dfr o ch ed worksh e e t)
<300>
<310>
<320>
<330>
<430>
<440>
<450>
l_!_ll____!___J
ll/Irc
(check to indicote cettilcotion)
( d fr o ch ed desc il pti ve d o c um e n t)
(chec* to ihdicote certifrcotion)
( o ft o ch ed d scri pti ee d oc um en t)
( com pl ete oft o ched w otksh eet)
(cofr plete oftoched wotksheet)
( co fr pl ete oft d ched w o tksh eet)
(il yes, complete oftoched worksheet)
(check to indicote cettilicotion)
( otto ch desc ri ptive docu ment )
(il not, check to indicote ceftilicotion)
( com pl ete otto c h e d w o rk sh eet )
( com pl ete o ttoc h ed w otkh e et )
Unfulfilled service Requests (voice) ]'T-']
Detail on Attempts (voice) l-J @noch desctiptive document)
Unfulfilled Service Requests (broadband) I o I
=ilxI/il/ll
Detail on Attempts (broadband) l-J (atto.h des.tiptive document)
Number of Complaints per 1,000 cu$grngrs$Iggg$@l
Fixed
Mobile
<400> Number of Complaints per 1,000 customers (voice)
<410> Frxed
<42O> Mobile 1." I
<500> Service Quality Standards & Consumer Protection Rules Compliance
.SfOr@
<500> Functionality in Emergency Situations
<610>-
<700> Company Price offerings (voice)
<710> Company Price Offerings (broadband)
<800> Operating Companies and Affiliates \ .A.<900> Tribal Land Offerings (Y/N)? e, (J
<1000> Voice Services Rate Comparability.rororF^.A.
<1100> Terrestrial Backhaul (Y/N)? (9 U
<1 110>
<1200> Terms and Condition for Lifeline Customers
<2000>
<2005>
<3000>
<3005>
Price Cap Carriers, Proceed to
lncluding Rote-of-Return corriers allilioted with Price Cop Locol Exchonge Corriers
(check to indicote cettification)
( c o m pl ete dft o ch ed works h eetl
Rate of Return Cariers, Proceed to@
(check to indicote certilicdtion)
( co m pl ete dft o ch ed wo tks h eet)
10t10Do13 Page 1
No@
c
o
o
-oc.:oq3EEg
o Q--:66EI t'c-.ifEE>eooP=q= E .= 6f,q€ U trE6; E IHsx s* ScF: g; Ef EF E-t , -IEljs TEcHEEEaE* fi:aA s:
ESEF E5g g g Eo--oEIqo0Jor;!#f {;!!!i:O.6o;OOO?3 SEx =; E E b- EPqH:;E:EEbhes+!!y.=P-959; H8 E F : E E E EE{ocE dE, f r 6F! 6 7 6 6 O ^:EcH: 5: sEs rgiEE; f;:gagEgIga; lx3e=EiI r E H s' # : E A E!o d o 6 Z G I I - a.!
NNNAA m<tn@N@didddHHiidHHVVVVVV
Eq
co
Ea
ooEoE
6
oo
E@zdql
il fl @
l.l--=-i
ls I gHE ;5.
ElgliEi:IE
;l!lgiiEit,
f;lilrtis$rE
EllEI iiI-ggiI
El; ;l ilt I l $; *
fl:Flia*siiErolrlNdlJldrlrl v
Eo
9
d!
@
oop
omo
o
.E
G
oE
.cEo.Fco
=co
oo
o
oE!
G
EU
aEE
o
EU
o
Co(J
o
o
a
I
omo
o
,E
o
E
.c
!o
{=Eop
co
oo
o
o!
Eaz
o!
EfzocoEooEF
oco(J
4mo
oo
x
E
@6!
cEouo
o
Eo
!aot
U
lco
oL
o
Eoz
oGco
o
o
Eo
Uoo
oNO
I!Ho
B
E
o
tr
3
a
F
E
o
zoFI
E
aB
oE6zoo
!l
4o
oEoUoo
El
oo
o)d6o6(oom
c;z
o
co()
co
o(r'6
C'ToorOom
dz
6('$!ccE8rco(J<B6
BEEo
CLoE
t!,
Eo
oc
EEEEeoE
.gE>os36sqEgo
6
oN
ooI
(
@
oo!
oo
o
E
,EEoE
o:
o
o
oEE
G
Eu
!!
6
E
G
c
U
9
o
o
E
oE;@E
=co
o
o
oo
Ez
Efzo
aEogoF
o
oo
o
.:
E
o!
E
.=!
ao
=foE
lco
d
Ez
o
G
EG
o
d
Ezo@
EJ
!
I
!
oo?o(oo
Ciz6
()o
o
6€oo
6om
oz60$!E Eoovor6N(Js>xo:
?Jio;cEoa(,coFEE60gEXc
E€>g38
=GHg
o
o
.2 '=
s9
ez
,9E>,G8e.OEOB_a
a:
oorr
Eo
9
oadc
q
@
oo
A
o
o
!;g
c
=o
oo
o
!!
E
!E
E
E
o
o
o
a
9
o
o
E
!;g
cop
o
oo
o
o
Elz
!
E
zocoEo
6F
o
o
oo
g
E
!
.9E
E
C
E
=o
fco
d
E
2
o
E
oo
o
j5
I
oz
3z
a
E
zF
aEF
E
J
o
oFo
t
E
z
o
!
o
!
!
o
o@
d
o@6d
oNo
o
Hsit e-9EE<.ot-.F6Fse3E.;<.E
o
EGt9A<goB63
s-E'tE,;=t3:Eio:
6:
QE!ot9g6-a
-o c
EgE
!:
E86
oo
!E6o
Gc
Eo
!o
!
=6{oEEoo
Ec
-ccft+
(\
((
-(
o
oc
E
Eo!
oG
u
U.
I
q
a
E
o
oI
octA
@
oo!
o
o
.E
6o
:o,E
EoPeo
oo
o
o!p
oE
o!!
G
Er
o
oU
o
o
oo
@
.a
o!;o
Eco;o
o
o
o!E,z
o!e,zoco
o
-goF
GcoU
o
oo!
v
oe
6
z
E
o
co
E
o
I
:)
a
or
o
Ez
co
o
o
Eo
qoe
oNo
bIJEU
eaI
qa
a
e
aHH
=I
d
zIU2
B
o
E6zGo
!
o
o!o
oo
o
6
.g
o6t
6
.o
o
coa
EoU
oc
f6u
'5o
oqo
o
c
oEoU
._c6ooo
@
d
Eo
o
F
U
!q
E
c
o
EoU
.E!oI
6
o
cEooot
@
Eo9
€tr
E
@
oo
!
o
oc
6!
.=!o
'ucap
co
oo
o
o!!
E
o!!
E
6
coU
oo
a
3
Oo
o.s
6
E
.E!oEcop
Co
oq
o
o!
E
=z
o!
Efzocoto
6F
coU
oo
.;
E
6
.9E
.E!
o@o
o
!
fot
fco
oL
oEoz
o
coU
oo
(n
6Io6om
dzE
co(J
ca
=o
@@Id@om
C'
dzSE
FCEOOUIeo-4O
o!o
o
f
oo
ao@
d
o
o
d
o!6'ic
H !O
o oou ol
o o!
NO ' OFots 6 dzal o o
!H O O O
,!E! !N!.d o o o-4 a.a az3rq a
'.i
.a I
>r tr o.i
o od.e
a > cx{,9THo .Oo 330 !l.O!o o o€ 6
o o5,
dc!oo'io u! uEi o ! rtro! od d
ioorc.E EE3000.! d= bdoc
dico o ooae cl!o bd g6 6d O6! d.i o E
EO>oo oooo6 >H O ! O
C O!!-i
do 6!!;k r OO
deca
d.d o o ! oc 3.a ! o E6OAA?E
Ei q, o o
Glt
FcGO!oc-c,o 3ee *g6 :- 6 O '=f q. P E EEB}b E E HO-HE E g gAH
EE ,Eui iqEe'- u E 4 oo -.0 c 5
EEHiEETEEEEE6=3EPEE39rIEgE=EPE-r-S'=E{pr;EL3:EE::535TTEEEciu=.=EPISgBgEEEEE6?.9cssEEEcu>!eh EE==;E;;oG:loooqJoo@uo9u99qICEEEcEErc=EGGGGGG
E=JCLCLCLCLCLCLgI *EEEEEEEz J>888888
AAnn^nnnndN(nsfn(l)N€o)NNNNNNNNNo) cD or cD cD (n (n o, o!VVVVVVVVV
Xrdtu
5EaoE="z.oF;€ oo _=!L!+o_!gEr@.-Fe6-.L==c o;.YEo6qJtEE !-E € o:!=^! uic 9 Go !;3;;.; hP:rHo-=FiE XsPd
-s^'-!'66H FE E os 6gE;ua^oJ:E 1;:-iE AT q 9E EqrEF,i 8E:E: =t 6 E€ eE s HF=OLM
oNo
oeo
UFU
.9
=co
E'
G)
6lt
t-
o
ot
GE'+
co
E
=oo
E'
OJ
G
o
AJ
EGz
poE
a
F
-dqJ--<
@ {,2,'>,1,o o o o o o o
oI
o
E6
c
I
oo
!
omo
o
EE
GE'
.=T'o
.E
Eo
=co
qJcr
o
o
EE
G
Er
o
!,E'
G
Eu
oo
co(J
Otmo
a
I
o(no
o
.E
o
GE'
.=
!,o,u
Elu
=co
(u
CL
o
qJ.cI
Ez
qJlt
E
=z
qJco
CLooF6G
coU
rnmo
oo!tr
v
oE6
G
GE
.9E
OI.gT'
Gb(o
EcoI
E'
fo
(-,,
lco
oL
o
EGz
UG
EoU
omo
Go
EG
Uo
C
oNo
4
IItrU
Ba
2
Ea
Ezts
aEF
EJ
dz
zotso
E
o
EEzoo
E'
6do
r
oEoU
Go
E
oo
@o@oo-
N
o
u
;i 8-\Z rrmJ^d!r@(9c'l a'n;-<t :tNd
=n icEd?G@gE+E ^ o clntE 'EE-
Gt66^o:eqriiE H pf;rEA E:EE E [: A;i P."oECU E>EEE Ear.=o-=-o+o+6P59 53Eeq -e63's6
€ = 8 sg.2=. .9'; c.E>-CL'=P>Po!!!vo.9.!29r4-gd 2*;e 6 ei5 Ag 3 gE E3E 39EcL o ar l
66NffidiHdvv
Eo,.1
dE
I
@
ook!
o(no
U
=G
oE'
;OJ
EC
OJ
=o
oo.
o
0,'tE'
G
EU
0,
EE
6
EU
q6coU
o)mo
omo
o
=G
G!
.=Eo,
F
qJp
co
oCL
o
OJ-oEz
ott
E
zoco
CLoot-
IG
o(J
r,.)c')o
oo!@
v
o
G
ot,
.9s
o!EE
Gb!o
E6
oq
E'
=o
U
f
o
oCL
c,
Eoz
IGcoU
omo
60,
EG
h!o
CL
oNo
BjjqU
eeT
Eo
E
E
e
auF
Ei
si
@
2ots0z
B
OJ
EGzoo
15
6Ho
r
OJEorJ
Go
t,
=
oHo
oNd
!,+
o
EfIo'ct EE8o.
G=
G=1exodOJFErc.:z
BijHUzo
4U
ts
EU
H
dE
I
u
Eoo
otECL
6
!,op
o
CL
o3
E
o
otl
E
o
o:6oo
u
dooc.9E , 9P'€ E -3E E f 5- E F Egc o > 6-F i _a c'-E ts:E €+=-;\;.f'>eoE eli:6 3E? E8EE oqf E;Eur E;E, ^ 9 OF U-* e;';iS E#P EgEg; E;g #EE5: E3i n if EE= i;E E EESE* {iE , :6EEb 6E5 = EciaE EE* e I5.E*t' EEE : HEESa cE i tE5+9F:0O1116
AAAPRSNNNdddvvv
o-
Er
Es
CL
f
IG
OJ
o
o
G
!)cG
!
EI
o
o
ooo
G
I
Gco
EE
mNN
NNN
eoi.i
o
€t
(
o
oo!!
ottlo
OJ
E
6
G!,
;o,Fcop
co
oo
o
o
!,!,
6
EU
oE!t
G
Eu
IGco(J
o)mo
a
I
omo
oc
@
G!t
;o
.E
Eo
=co
oCL
o
o-ctEfz
o-clE3zo
o
CLooF
qG
coU
nrno
oo
o
V
oe
@
GE'
o!trE
Go0qJ
IG
EoIE
=o=()
6f
o
OJd
oEoz
UG
o(J
omo
Go
EGUo
o-
oNo
4
!IEU
az4z
trn
Eztss
oEts:
I
c;z
zotsoz
B
qJ
EGz
Go
!,
utdo
o!oU
Go
!,3
6
o
o
o@6q
o
o
c
.9
Eo
;
.g-6
@c
=
oE,
o6Eos
o
to
Ez
<!@c'=$ G.=ooE aE
= ,;BPg Fe9!N O 'e! 9HN:O-d! oEo S+ C ^E OB E ;*E.HE6v-9@r d -m I cU d! qiF=
N q Q"-1 E.=tor+c<6E6.-=E ;_ 6' -E-E1 2.=(e= E s PE H E:EE, €-55 F E 9H fi.. IE;: E
ESI E===E E= p+E EiEE*E
EEEEEEEEEigEiCEfEEEEE*E p[[iE f E =EEg.s:+bduEtf EEEii Eg {fiFiEiEgF
E:f; EHHH$ gE 5;;E$EEE;E
oooEE.E':3
=rG9
AA AAAAAAAAAoH N6S6 @ N@OO ddddHddHdddNNoo oooo o oooo oNNNNNNNNdNdNVVVVVVVVVVVV
=0
!E6
oE
EoctoI!Co
Eo
Ef?!t
s;G9!G
3';@a9E
iu!
;E;obEatgE
e^i8;-o.!9 t-Et!gEEE;b
3.cOE
gb
-!coOPEi
Oo
d=AE;eo'-toG5.:g0iF!<=u-tab9
6s
SoCEEU9F:ci.=PEc?.96eE
EsoE
oqPA.EaE
Eo
o
oCo]IoI
oxo3c
YI@Ig
I
o
6
@
ooh!
oo
!
;@!Ecop
co
o
o
o
!!
Eu
oE!
E
E6
C
I
o
o
m [fI-] u ml-l
a
o
,E
o
;o
Ecop
co
o
o
E,z
@!
Ezo
o
oo6F
E6a
U
o
oo
F
v
oe
!.2
q
€
Guo
E
co
=Jo
f
co
od
Ez
EocoU
oo
JDIttrU
eaJ2
@o
E
P?
aEF
=J
c;2
oFI
T
-
o
Ezo
o
oEoUGo
=
oo
o
o
Go
oNo
o
.9
E
c.;
.E
2
6
z
g
E
o
o
E
z
.E rE : E.3E :i;l;E ui=;s ;f f ; 3= HE= ; re {rs E E
a t?*tF is; * iE iEE ' *f
EigIIEEE{i=EEEEEg;itE E f .: H+ !sE f[E EH EEi" E 5 gE
*, f ;EifE Eit Et r: ;EE i 'u =
EE ! f !: t; !i! EE:E fiE5 E "l i g
iE ruii aE igt Ei ic EEi Ecs, {
Fit r :Ei l€ iIE eE iE€;e:gggg E i
HHBH HgH H HHHH
uu E!!E EtE
I
I
I
II
II
I
II
I
I
II
I
I
It__
12 z
m
E
i
&
P
.9iI
to
f
tq
2
{q
= mE
: 5:^€ *=
FIge+;.Ei:;
dLjcYdIta9; !:ozEast: i si3;gEE !E c E
ETFEE
IoUE=
EEEE;:i€!EEsdH!dr=aU
gsE33S
!
E€
E
=Ei
E
E
*
H
s3
E
!tg
cE
?
t
E
o!Ei
-aEClir!E}"!9-al
8EuiEN
Prridf
!=
E€!9
!Ci;
.!EcB
€.e
5t
=tRtrEoBCEsE5!OE
g;
-eE
=E..t
E9
ir:6
':q
C!
Eo
cotoa!
-8
: : E-='913;; =Eg_E =! o
6.9.EFq.
r ! F! i6 ;;E!ciE.99
=i iiif
=i -:-M
=T EEEf;r a o= 9; k aE.* ihf .t.E I@; oPL+E 5E E ET;L N 6 : !:.9!:; E;EE6 o r ! 6:-s;3.1f EE
- E.9 i: E !b E€ EA 3*E'gI ;;i:, a€ ; ! o oo:.i,=o96n E* E.sgBE =# EE*H
93
t
F
<o1o> study Area code 419oo1
<015> StudyAreaName WASHINGTON RSA NO. I LIMITED PARTNERSHIP DBA INLAND CELLULAR
<020> Pro8ram Year
<O3O> ContactName-PersonUSACshouldcontactregardingthisdata irames K Brooks
<035> contactTelephoneNumber-NumberofDersonidentifiedindataline<030> [phone]
jbrooks@inlandnet. com
Certification of Officer as to the Accuracy of the Data Reported for the Annual Reporting tor CAF or Ll Recipients
certily that I am an offlcer of the reporting carrier; my responsibilities include ensurint the accuracy of th€ annual reporting requirements tff universal s€ryice support
ecipients; and, to the best of my knowl€dge, ihe lnformation reported on this form and in any attachments ls accurate.
{ameofReDoftinscarriEr: WASHINGTON RSA NO. 8 LTMTTED PNTNERSHIP DBA INLAT{D CELTULAR
iirnatureofAuthorizedOfficer: CERTTFTED oNLIM Date
)rinted name of Authorized Officer: James Brooks
itle or position of Authorized Officer: treasurer/controller
elephone number of Authorized officer' [phone]
;tudy Area code of Reportinc carrier: 419001 Filins Due Dateforthisform: l0/ls/20\3
underTitle 18 ofthe United States Code, 18 U.S.C. $ 1001.
<039> Contact Email Address - Email Address of person identified in data line <030>
TO BE COMPTETED BY THE REPORTING CARRIER, IF THE REPORTING CARRIER IS FITING ANNUAT REPORTING ON ITS OWN BEHALF:
10110t2013 PaEe 72
419001
<015> StudvArea Name WNHINGTON RSA NO. 8 LIMITED PARII{ERSHIP DBA IW CELLM
<020> Program Year 20L4
<030> ContadNam.-PersonusACshouldcontactre.ardinrthisdata ilames K. Brooks
<035> contactTclephoneNumber-Numberofpersonidentifiedindataline<O3O> [phone]
Certification of Officer to Authorlze an Agent to File Annual Reports fo. CAF or Ll Recipients on Behalf of Reportint Car.ier
ceftity lhat (N.m of ls authorlzed to 3ubmlt tha lnfomtion Epo]ted on behaf of ihe nportng errier
lro ertlly lhai I .m an oftlcer of l,|e mportng €rler; my B.pomlbililies lncluds ensudng tfie .ccuncy ot lhe .nnurl dati Eportng requlremnts prvldod to tlro aulhorlzed
gent; rnd, to the bsrt ot my knowlsdge, thc Bpor$ .nd d.t provld.d to lfie eulhorlad .gsnt l! .ccunte.
,lame of Authorized Ar.htl
,lame of ReDortinE Carriel
iisnature of Authorizcd Offi cer:Date:
name of,I officer:
'itle or Dosition ofAuthoriued Officer:
clcphone number of Authorized Offlcer:
itudv Ar.a CodE of Filinr Oue Date for this form:
Persns willfully makinS false fiatements on this form can be punished by tine or forfeiture under the Communications Ad of 1934 47 U.s.c. 55 502, S03(b), or fine or impdsohment
underTitle 18 ofthe United States Code, 18 U.S.C. 5 1001.
of oe.son identifi.d in data linc <O3O> jbrooks@inlandnet. . com
TO BE COMPTETED BY THE REPORTING CARRIE& IF AT{ AGENT IS FII-ING ANNUAT REPORTS ON THE CARRIER'S BETI,AIF:
TO BE COMPLETED BY THE AUTHORIZED AGENT:
Certification of Agent Authorized to File Annual Reports for CAF or Ll Recipients on Behalf of ReportinS Carrier
he data reported hercln ba3ed on data provlded by the reportlng 6rie.; and, to the best of my knowlcdge, the informadon r€ported hereln is accuBte,
,lame of I Carrier:
,Jame ofAutho.ized Arent or Emolovee ofAqcnti
iirnature of Authorized Arent or Emplovec ofArent:Date:
name ofAdhori2.d Arent of Arent:
'itle or Dosition ofAuthori2ed AEent or Emolovee ofAsent
eleohone number ofAuthorized AEent or Emglovee ofAEenti
itudv Ar.a CodE df REb6.tinr aarrie.:Filinr Due Date for this form:
18 ofthe united States Code, 18 U.S.C. I 1001.
10110Do13
co
o
.go
oo
!g6o
o
oo
Eo(J
o
f6u
'6o
tr
rd-t)-.]-.]
0)U
.d
tr(6
--l
H
trd.-l)
-l-tc)U
.d
trrd
-l
H
o
go3.lJo2
d
6-l
H
tro
B
.l-)
0)
tr(U
-l
H
o
b
o
a.d
o!o
!6
to
E.ij
a
!)a
!o
dtr
6
v
Ujj
!d4,
4oU
E
d
6
a
d
!o
Ei
o2
o
otr
E
6
3
j
I
!
a
oO
dd;(
rsoEoU
OJ
o
oor-loF
o
rdr-l
H
dI
oU
OJ
o
a()
o
.go
@
0.)F
Ec
16
--JcH
T
!
7
!c
E
c
o
Eo{c
ooo
a
EoU
Eo
F
)
6
c
o
EoUu.=!o-
€
a
!0E
!
E
dz
Eo
q
3
U
!
a
!(
E
,9
o(J
ucEoood
@
Eo9
o
i
oo
!
O
O
os
!
.=!o.Fcop
co
o
o
o
!!
oE
a
!!
o
EU
6
co
o
o
I
O
O
o
.=
o!
.=
!oE'u
Cop
co
oo
o
o!
E)z
o!Efzoc
EoooF
coU
O
oo
E
6!
.9E
.g!
uo
co
!
fot
U
=co
od
o
Ez
6
coU
O
O
6o
E6uo
d
oo
S
Ij
o
a,J2
a
a2F
oEF
E
ci
oFU
B
oEoz
Go
!f
o
ddzSE
FCtroOUr6U=so
o!oUoo
!
=
oo
STATE OF IDAHO
EL|G|BLE TELECOMMUNTCATIONS CARRTER (ETC) ANNUAL
RE.cERTIFICATION
Section 1:
Section 2:
Section 3:
Section 4:
Section 5:
Section 6:
Section 7:
Section 8:
Section 9:
Section 10:
Section 1 1:
CONTENTS
Carrier lnformation
Description of Local Usage Plan
Detailed Outage lnformation
Unfulfi lled Service Requests
Customer Complaints
Service Quality and Consumer Protection Certification
Ability to Remain Functional in an Emergency
Voice Telephony and Broadband Service Price Offerings
Additional Voice Rate Data
Federal USF High-Cost Support Certification
Five-Year Network lmprovement Plan and Progress Report
08/1 3lD Annual ETC ceri-modified JB Page 1 of 11
Section { : Eligible Telecommunication Carrier lnformation
Date of ETC Annual Report: August 27,2013
Company Name; lnland Cellular LLC (t/l</a Washington RSA No. 8 Limited Partnership)(dtb/a
lnland Cellular)
Address: 103 S 2nd Street
P.O. Box 688
Roslyn, WA 98941
Company Contact Personffitle: James K. Brooks, Treasurer/Controller
Telephone Number: [phone]
Email Address: [e-mail]
Service Area Code (SAC): 479007
Number of ldaho Telephone Service Assistance Program (ITSAP) recipients: 168 (712A13)
(Use numberfrcm last repoft submitted to the ITSAP Adminisilator)
lD Annual ETC cert-modified JB Page2of11 08/13
Section 2: Description of Carrier's Local Usage Plan*
Competitive Eligible Telecommunications Carrier (CETC) Only
EICs musf submit information describing the terms and conditions of any voice telephony seruice plans offered to
Lifeline and ITSAP subscnbers, including details on the number of minutes provided as part of the plan, additional
charges, if any, for toll calls, and rates for each such plan. To the extent the ETC offers plans to Lifeline
subscribers that are genarally available to the public, it may provide summary information regarding such plans,
such as a link to a public website outlining the terms and conditions of such plan. C.F.R. $ 54.202(a)(5).
Description: A 'local usaoe plan" that is comoarable to an ILEC is difficult for a cellular
provider since the ILEC customer qenerall)Ldoes not have toll included in their callinq plan.
does not have the vast territorv providinglocal service and cannot take their phone on the
road. With that said, lnland Cellular's least cost post-pay plan is $29.99 per month. This
callinq plan includes unlimited incominq and outooing calls in the Home Network and
voicemail. Nationwide lons distance on the Home Network is no additional charge: Nationwide
roaming is at $0.35 per mitute. Nationwide text messaqinq is $0.20 per messaqe and
Nationwide data service is at $1.99/MB. The voice callino plan is similar to a wireline customer
that can call his neiqhbor within the same exchanqe except an lnland Cellular customer has
the abilitv to call another lnland Cellular customer in a much larqer callinq area (within
Washinqton RSA5 G2XWA). Washinqton RSA 8 (B)(WA), South ldaho RSA 1 82XlD) and
ldaho RSA 2 (B2X|D) - the Home Network).
lD Annual ETC cert-modified JB Page 3 of 11 08/13
Section 3: Detailed Outage lnformation 554.3{3(aX2)
Provide detailed information on any outage, as tfial term is defined in 47 C.F.R. $ 4.5, of af least thirty (30)
minutes in duntian for each seruice area in which an EfC is designated for any facilities it owns, operafes, /eases
or otherutise uses and that potentially affect (a) at least ten percent of the end users seryed in a designated
service area; or (b) a 9-1-l specialfacility, as defined in 47 C.F.R. $ a.5@). Specifically, the annual repoft must
include information detailing: (a) the date and time of onset of the outage; (b) a briet description of the outage and
its resolutian; (c) the sfeps taken to prevent a similar situatian in the future; and fi the number of cusfomers
affected. Repofting period is January-December 2012. See Order No. 29841, page 18.
Number of outages: zero (0)
Additional outage information: The Companv had no outaqes of a duration of thirtv (30)
minutes and potentiallv affecfing at least ten percent of its end users or a 9-1-1 special facilifu
for the vear ended December 31. 2012.
Section 4: Unfulfilled Service Requests 554.3{3(aX3)
Provide the number of reguesfs for seruice from potential cusfomers within the EIC'S seruice area(s) that were
unfulfilled in the previous year (January-December 2012). The ETC sha// a/so detail how it attempted to provide
seruice fo those patential customers. See Order No. 29841, page 19.
Voice
The number of unfulfilled service requests from potential customers within the ETC's service
There were zero (0) unfulfilled service requests
Additional information :
Broadband
The number of unfulfilled service requests from potential customers within the ETC's service
area: There were zero (0) unfulfilled service requests
Additional
lD Annual ETC cert-modified JB Page4of11 08/1 3
Section 5: Customer Gomplaints 554.313(aX4)
Provide the number of complaints per 1,000 handsefs or lines for the previous year (January-December 2012).
The number of customer complaints per 1,000 handset or working access lines: zero (0)
Additional information: Durinq the 2012 calendar fear. the Companv received no customer
complaints throuqh the Federal Communications Commission. the Consumer Protection
Division of the Office of the Attomev Generalfor the State of ldaho or the Consumer
Assistance Section of the ldaho Public Utilities Commission ("lPUC). aqainst the Companv
concerning the services provided to its customers bv the Companv that are either subiect to
the requlatorv iurisdiction of the IPUC or amonq the services supported by the federal hiqh-
cost fund" The Companv had 25.090 customers in the State of ldaho as of December 31,
2012.
08/1 3ID Annual ETC cert-modified JB Page 5 of 1't
Section 5: Service Quality and Consumer Protection Certification
S54.313(aX5)
Provide ceftification that the canier is complying with applicable seruice qualtg standards and consumer
protection rules.
Section 7: Ability to Remain Functional in Emergencies Gertification
S54.313(aXo)
EfCs musf demonstrate that it has a reasonable amount of back-up power to ensure functionality without an
extemal power source, is able to re-route traffic arcund damaged facilities, and is capable of managing traffic
sptkes resulting from emergency situations.
l, James K. Brooks, being of lawful age, state that I am Treasurer/Controller of lnland
Cellular LLC (tlkla Washington RSA No. I Limited PartnershipXdlb/a lnland
Cellular)("Company"), that I am authorized to execute this certification on behalf of the
Company, and that the facts set forth in this certification are true to the best of my knowledge,
information and belief.
On this basis, the Company certifies to the ldaho Public Utilities Commission, pursuant
to 47 C.F.R. S 64.2009(e), that the Company's operating procedures are adequate to ensure
compliance with the Customer Proprietary Network lnformation rules and regulations as set
forth in 47 C.F.R. SS 64.2001 through 64.2009 and the Cellular Communications and lnternet
Association's Consumer Code for Wireless Service.
The Company further certifies that it maintains back-up power to ensure functionality
without an external power source in the forms of auxiliary generators and batteries in its central
office and at cellular tower locations. The Company also certifies that it constantly monitors
traffic on its tower locations and that it's switching capability is more than adequate to manage
the traffic of its subscribers; purchased a new switch in 2010.
The Company further certifies, depending upon the circumstances of the outage, that it
is able to re-route traffic around damaged facilities. All lnland Cellular subscribers are
defaulted to roam on competitors if an lnland Cellular signal cannot be obtained.
I certify under penalty of periury under the laws of the State of ldaho that the foregoing
is true and correct.
day ofAug 2013 at Roslyn, Washington.
K.
reasurer/Controller
lnland Cellular Tetephone Company
Dated this
lD Annual ETC cert-modified JB Page6of11 08/1 3
Section 8: Voice Telephony and Broadband Price Offerings $54.3{3(aX7)
Caniers shall report rates in effect as of January 1. (This dafa rc not rcquired for the 2013 ftling.)
INTENTIONALLY LEFT BLANK
Section 9: Additional Voice Rate Data S54.3{3(h)
All incumbent local exchange canier recipients of high-cost suppoft must report all of their flat rates far residential
localseruice,aswell assfafefeesas definedpursuantto$54.318(e) offhis subpart Caniers musta/so reportall
ntes that are below the local urban rate floor as defrnes in 554.318 of this subpart, and the number of lines for
each rate specified. Caniers shall repoft lines and rates rh effect as of June 1.
Not applicable since lnland Cellular LLC (flUa Washington RSA No. 8 Limited Partnership)
(d/b/a lnland Cellular) is a Competitive Eligible Telecommunications Carrier.
lD Annual ETC cert-modified JB Page7of11 08/13
Section 10: Federal USF High-Gost Support Certification 554.313, 554.314
Pursuant to FCC regulations, in order for ETCs to continue to receive federal USF, the Commission "mustfile an
annual certification with the Administrator IUSAC] and the Commission FCCI stating that allfederal high-cost
support provided to such caniers within that State will be used only for the provision, maintenance, and upgrading
of facilities and seruices for which the support is intended."
State of WASHINGTON) CERTIFICATION BY ELIGIBLE TELECOMMUNICATIONS CARRIER)ss OF COMPLIANCE WITH SERVICE QUALITY AND CUSTOMER
County of KITTITAS ) PROTECTION, ABILITY TO REMAIN FUNCTIONAL lN EMERGENCIES,
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 appticable 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-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 of lnland Cellular LLC (f/Ua Washington RSA No. 8 Limited Partnership)(d/b/a lnland
Cellular), an eligible telecommunications carrier for receiving federal universal service support under
section 214(e) of the Telecommunications Act of 1996 in the state 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. lnland Cellular LLC (f/Ua Washington RSA No. 8 Limited Partnership)(d/b/a Inland Cellular) 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(a)(2).
5. I also certify that all federal universal service support funds received by lnland Cellular LLC (f/Ua
Washington RSA No. 8 Limited Partnership)(d/b/a lnland Cellular) during the cunent 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 1,2014, through December 31, 2014, to be etigible 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 Telecommun Act.
SUESCRI
PAi,ELA R. NELSON
I{OTARY PUELIC
STITE OF WASHINGTOTI
coifiillsstotr ExPlREs
9.20'w------rqrlB!I!i3l}9
lD Annual ETC cert-modified JB
Notary Public for
My Commission expires
Page8of11
, residing
08/13
Section 11: Five-Year Network lmprovement Plan and Progress Report
The annual report must include a progress report on the caniels five-year seruice quality improvement plan,
including maps detailing its progrcss toward meeting the plan targets, an explanation of how much universal
service support was received and how it was used to improve signal quality, coverage, or capacity, and an
explanation regarding any networ? improvemenf fargefs that have not been fulfilled. This information shall be
submitted at the wirc center level. The annual rcport must also lnclude an updated five-year network
improvement plan indicating plans for future investment.
lnland Cellular has made substantial investments over the years, having approximately
29 cellular sites, four customer service olfices, and eight agent locations in its ldaho service
area, which allows lnland Cellular to provide quality telecommunications services to its
customers in its designated ETC service area. lnland Cellular had previously listed the
following projects for 2A12 and 2013:
Deary - New cell site including Microwave and EVDO (Est. $350,000)
Kamiah - Upgrade data (Est. $75,000)
Kooskia - Upgrade data (Est. $75,000)
Mason Butte - Upgrade data (Est. $75,000)
West Twin - Upgrade microwave and data (Est. $200,000)
Pre-pay System - New (Est. $200,000)
Switch - Upgrades (Est. $500,000)
Budgeted operating expenses for tdaho operations for January 1,2012 through
December 31,2012 and January 1,2013 through December 13,2013, excluding Toll,
Roaming and Cost of Goods Sold are approximately $10,521,000 and $10,627,000,
respectively.
For the year ended December 31, 2012,lnland Cellular completed the following projects
(attributable to ldaho operations):
Mason Butte - $43,960
WestTwin - $100,760
EVDO Data Upgrade (multiple sites) - $197,780
Switch (Voice/Data upgrade) - $550,190
New Voicemail system - $114,900
Expenses for ldaho operations for January 1, 2012 through December 31 ,2012,
excluding Toll, Roaming and Cost of Goods Sold are approximately $10,637,000.
The following is an approximate Network lmprovement budget for the five-years,
January 1,2013 through December 31, 2017 , along with projected expenses attributable to
ldaho operations:
2013
Pre-Pay System - New (Est. $150,000)
Upgrade for ldaho County E911 - $4,000
lD Annual ETC cert-modified JB Page9of11 0811 3
Culdesac - New site (co-location with NPT)(Est. $100,000)
Winchester- New Site (co-location with NPT)(Est. $100,000)
Teakean Butte/Stoney Point - Upgrade microwave (Est. $70,000)
Lewiston (McGregor) - Upgrade microwave (Est. $35,000)
Lewiston (Orchards) - Upgrade microwave (Est. $35,000)
Estimated expenses for ldaho operations for January 1,2A13 through December 31,
2013, excluding Toll, Roaming and Cost of Goods Sold are approximately $10,400,000.
2014
Deary - New cell site including microwave and EVDO (Est. $300,000)
Lewiston (LCSC) - Upgrade microwave (Est. $35,000)
Lewiston (6th Street) - Upgrade microwave (Est. $35,000)
Nuxoll/Grangeville - Upgrade microwave (Est. $70,000)
Grangeville/Mt. ldaho - Upgrade microwave (Est. $70,000)
Mt, ldaho/Rocky Butte - Upgrade microwave (Est. $70,000)
West Twin/Moscow WT - Upgrade microwave (Est. $70,000)
Estimated expenses for ldaho operations for January 1 , 2014 through December 31,
2A14, excluding Toll, Roaming and Cost of Goods Sold are approximately $10,527,000.
2015
West Twin/Stoney Point - Upgrade microwave (Est. $70,000)
Lewiston (Orchards)/Spalding - Upgrade microwave (Est. $70,000)
LTE - Core and 30 sites (Est. $2,400,000)
Estimated expenses for ldaho operations for January 1,2015 through December 31,
2A15, excluding Toll, Roaming and Cost of Goods Sold are approximately $10,650,000.
2016
Network investments are unknown at this time, however, sites will require LTE upgrade.
Estimated expenses for ldaho operations for January 1, 2016 through December 31,
2016, excluding Toll, Roaming and Cost of Goods Sold are approximately $10,800,000.
2017
Network investments are unknown at this time, however, sites will require LTE upgrade.
Estimated expenses for ldaho operations for January 1,2017 through December 31,
2017, excluding Toll, Roaming and Cost of Goods Sold are approximately $10,930,000
These projects represent what has been contingently approved in the budget process
however, since lnland Cellular attempts to operate on a cash flow basis and sites/upgrades are
dependent upon need, suitability, negotiation and cash flow, some of these projects may not
be completed within the budgeted period or the budgeted funds may be re-directed to other
lD Annual ETC cert-modifted JB Page 10 of 1 1 08/13
sites where need is waranted. An actual capital budget for the following year is not developed
until the month of November of the previous year, however, lnland Cellular will continue to
place investments and incur expenses related to the provisioning, maintenance and upgrading
facilities for the services supported by USF into these areas as it has done in the past.
Through the expenditure of these funds as well as past investments, the Company is
able to continue to provide services at a level that the Company believes meets the intent set
forth in 47 U.S.C. S 254 of providing quality telecommunications services to customers in the
service area for which the Company is designated as an ETC.
The Company reports that it has not received any lnterstate Access or High Cost
Universal Service Support for SAC 479OA7. lnland Cellular maintains ETC status for Lifeline
and possible future mobility funds.
lD AnnualETC cert-modified JB Page11ot11 08/13
INLAND CELLULAB TELEPHONE COMPANY
Corparale Offies
103 S. Znd St.
P.O. Box 688
Roslyn, WA9894l
Telephone : [phone]A
Fa:<: (50e) ofgffCIgry zs, zots
Via Federal Express ouerniatrt deliuent
Marlene H. Dortch
OfEce of the Secretary
Federal Communications Commission
445 12rh SEeet SW
Suite TW-A325
Washington, DC 20554
With a delivery address of:
9300 East Hampton Drive
Capital Heights, MD 20743
(20214r8-03o0
Re: EB Docket No. O6-36
Annual Section 6a.2009(e) Certification
As required by sectior 64.2QO9{e} of the Commission's rules, enclosed
are an original and four copies of the Customer Proprietary Network
Information Compliance Certification executed by Inland Cellular Telephone
Company/Inland Cellular LLC on behalf of Washington RSA No. 8 Limited
Partnership and Eastern Sub-RSA Limited Partnership (collectively Tnland
Cellular"), Form 499 Filer ID Numbere 8O1744 and 801741, respectively.
Also enclosed is the Statement Regarding Operating Procedures for Inland
Cellular.
If you should have any questions, I can be contacted at (509) 6a9-
2504.
Enclosures
Cc: Best Copy and Printing (via email to FCCTCIBCPIWEB.COM)
FCC Enforcement Bureau
ames I(. Brooks
ANDIITAL SECTION 6a.2009(e) CERTIFICATION
EB Docket No. 0G36
Annual $ 5a.2009(e) CPNI Certilicationfor 2012
Dated: February 22, 2013
Company: lilashington RSA No. 8 Limited Partnership (rl/b/a Inland Cellular)
Form 499 f iler ID Number:801744
Name of Signatory: James I( Brooks
Title of Signatory: Treasurer/Controller
I, James K. Brooks, certiff that I am a duly authorized olficer of Inland Cellular
Telephone Company/lnland Cellular LlCAilashington RSANo. I Limited Parhership (hereafter
"WA-8 LP") and, acting as an agent of WA-8 LP and in accordance with the underlying
parhrership agreement that I have personal knowledge that $[A-8 LP has established operating
procedures that are adequate to ensure compliance with flre Customer Proprietary Network
Information ("CPN[) rules of the Federal Communications Commission ('Commission'),
codified at 47 C.F.R Part 64 Subpart U, implementing Section 222 of the Communicatious Act
of 1934, as amended.
Affached to tlds certification is an accompanying statement explaining how the
company's procedures ensure that the company is in compliance with the requiremeflts set forth
in sections 64-2001 et seq. of the Commission's rules.
WA-8 LP has not taken any actions (proceedings instituted or petitiors filed by WA-8 LP
at either state commissions, the court system, or at the Commission against data bmkers) against
data brokers in the past year. During the calendar year ended December 3L,2072, WA-8 LP did
not acquire first-hand any information flrat it has identified as being information with respect to
the processes pretexters are using to attempt to access CPNI.
WA-8 LP has uot received any customer complaints in the past year conceming the
mauthorized release of CPNI.
Inland Cellular Telephone Company
Inland Cellular LLC
Washington RSA No. 8 Limited Partnership
ANNUAL SECTTON 64.2009(E) CERTTETCATTON
EB Docket No. 06-36
Annual $ 64.2009(e) CPltII Certification for 2012
Dated: February25,2013
Company: Emtern Sub-RSA Limited Partnership (dtb/alalolord Cellular)
Form 499 Filer ID Number: 801741
Name of Signatory: Jnmes IC Brooks
Title of Sigultory: Treasurer/Controller
I, James IC Brooks, certiff that I anr a duly authorized oflicar of Inland Cellular
Telephone Companyllnland Cellular LlClEastern Sub-R.SA Limited Parhrership (hereafter
"ESRLP') and, acting as an agent of ESRLP and in accordance with the underlying partrrership
agre€ment, that I have personal knowledge that ESRLP lras established operating procedures that
are adequate to ensure compliance with the Customer Proprietary Network Information
("CPNI') rules of the Federal Communications Commission ('nCommission"), codified at 47
C.F.R. Pai' 64 Subpart U, implementing Section 222 of the Communications Act of 1934, as
amended.
Attached to this certification is an accompauying statement explaining how the
company's procedures ensure that the company is in compliance with the requirements set forth
in sections 64.2001 et seq. of the Commission's rules.
ESRLP has not taken any actions (proceedings hstituted or petitions filed by ESRLP at
either state commissions, the court systenr, or at the Commission against data brokers) against
data brokers in the past year. During the calendar year ended December 31,2012, ESRLP did
not acquire first-hand any information flrat it has identified as beiug information with respect to
flre processes pretexters are using to attempt to access CPM.
ESRLP has not received any customer complaints in the past year concerning the
unauthorized release of CPM.
Inland Cellular Telephone Company
Inland CellularLLC
Eastern Sub-RSA Limited Parhrership
STATEMENT REGARDING OPERATING PROCEDT'RES
IMPLEMENTING 47 C.F.R" PART 64 ST,BPART U
GOVER}{ING USE OF'
cusToMER PROPBIETARY NETWORK rI\FORMATTON (CpNr)
MARCII l,2013
The following statement explains how the operating procedures of lVashiugton RSA No.
I Limited Partrrership and Eastern Sub-RSA Limited Partnership (collectively "Inlard Cellular"
or "Co-pant') ensure that it is in compliance with the Commission's CPNI rules, as codified at
47 C.F.R Part 64 Subpart U ($$ 641001-64.2011) and is rolevant to calendar year 2011. Except
as otherwise indicated, the following applies with respect to the Commission's rules in effect
botlr before and afrer the December 8, 2007 effective date of the Commission's April?,2007
Report and Order in CC Docket No. 96-115. See FCC 07-Tl (rel. Nr.2,2007); Public Noticc,
DA 074915 (rel. Dec. 6,20A7). This statement covers calendar yeu20l2.
I. Use of customerproprietary network information without customer approval
A. Inland Cellular may use, disclose, or permit access to @M for the purpose of
providing or marketing service offerings among the categories of sewice to which &e customer
alrcady subscribes from Inland Cellular, without customerapproval.
Inland Celhilar presently offers CMRS to its custoners.
B. Inland Cellular may not use, disclose, or permit access to CPM to marlct to a
customer, service offering;s that are within a category of service to which the subscriber does not
already subscribe from Inland Cellular, unless hland Cellular has customer appmval to do so,
except as described in Section I.C.
O) Inland Cellular may use, disclose or permit access to CPM derived from
their pmvision of wireless seryice, without customer approval, for the provision of CPE
and information services.
(2) krland Cellular may not usg disclose or permit access to CPNI to identiff
or taok customers that call competiug service providers.
C. Inland Cellular may use, disclosg or permit access to CPM, without customer
approval, as follows:
(1) Inland Cellular may use, disclose, or permit access to CPNI, in its
provision of installation, maintenance, and repair services.
(Z) Inland Cellular may use, disclose, or permit access to CPNI for the
purpose of conducting research on the health effects of commetrial mobile radio senices
(*CMRS',).
(3) [rland Cellular may use CPNI to market seryices formerly known as
adjunct-to-basic services, such as, but not limited to, speed dialing, computer-provided
directory assistance, call monitoring call tracing, eall blockiag, call return, repeat dialing,
call backing, call waiting, caller I.D., call forwarding and certain Cenkex fEatures.
D. Inland Cellular may use, disclose, or permit sccess to CPM to protect krland
Cellular's righs or property; to protect its users and other sarriers from fraudulent abusive, or
unlawful use o{, or subscription to, hland Cellular's services: and to render, provision, bill or
collect for services.
Inkud Cellnlnr's operaling procedures conryly fltlth thse requirements afid itrclude,
but are not lirtrlted to, the provisious descrlbed below. The Company daes ,rol eilgage in any
orttbotrrrd telenrcrketing. Outbound print mar*dlug, lf auy, thm nury be distibuted by the
Coaryony by null is addressed to all subscrlbers or cu#ourcrs witldn the applicable geographtc
area, aip code(s) and/or telephane nunfier preftx(es), without regatd to the speclfic services
that the subscrlber or a.stonw recelves, or does not recetve, frou the Conpany and/or the
Contpauy's offtllates. Under Couryany paliqt, none of the Conrpaay's afilliates ls pennltted to
,tse dily CPIff of the Conryanyfor afiy otrthotrrd telemarketlng or outbonrtd print anrketing.
Moreove4 the Conryany does uot use oily CPNI lor auy inbowrd nrurketlng of senlces
that are not withil a c$tegory of senice (La, local, iuterexchange, aad CMRS) to tphich the
cttstoffer alreody subscribes frou the Conryany snd/or oile ot ntore of the Contpaay's
afiIiates. The Contpany does not sell, or provfule cccess to sny thtrd pafi to, any of the
Contpany's CPNI for piltposes of markaing the services af lhe Conryary or of any of i*
affilintes, other than ns pemitled vithottt prior custonter appraval with respect to the
Contpany's aJftliates. Ercept far CPNI msde available to other telecommanicatiorts carrlerc
puramnt to tarffid or detarffid hilling and collealon drraflgentents ortd btlling and
collection seruiees provided purxrant lherelo, aud pursuant to reciprocal roandng ogreerrrcilts,
the Contpaay does not provlde CPNI to aay tlfird-party for ony parposa
The Conpnny, i* employees and agents ntay woke such other uses and dtsclosures of,
and peradt access to, CPNI rfithout custofier opproval as aru pen rttted by appltcable statrte,
rulq regnldtlon or orden Such ases, dlsclosnres or access mqt lnclude those authorized by
Seaion 222(c) onel (d) of the Conmuuicatiaus Act of 1934, os anrcuded, by Sectlou 64.2005 of
the Coamtissiaa's niles and by orders of tfte Commission,
Exeept as set tarth above, the Conryany does not provide any CPNI to aily
govenntentol entl$t, or to any other lhird pafil, oth$ tlrcu: ptrsuant to subpoeua or other
lmtfiil process or wlth the suhscriber's prior wrilten coil$eut, or in accordafice wlth the
afihefiieatlon and ather ruquireatent described below a*fi in the FCC's rules, as o result of a
persol represerting himself or hercelf to be the subscrlber (or the subscrlber's duly awhortzed
agent) aud havlug coufrned his or her ldentity or authorl$t by providing to the Conryauy
approprtate ideutifying infonnatlort (such as Soclal Securily Number, driver's ltcense nilwher,
mother's malden ndnte, user uoure or possword, os appropriate) or docnutentation, or
othen$tse beilry recogrttzed by the Conryany as behry the subseriber or llrc subscriber's duly
aathorltcd agent
U. Approval required for use of customer proprietary network informatiou.
A. Inland Cellular may obtain customff approval tluough vnittq oral or electronic
methods.
(1) Inland Cellular does not seek or obtain oral approval, and therefore does
not bear the brrden of demousbating that such approval has been given in compliance
with the FCC's nrles.
(2) A customer's approval or disapproval obtained by Inland Cellular to use,
disclose, or permit access to the customer's GM, the use of CPM outside of thc
customer's total seryice relationship with lnland Cellular must remain in effect until the
customer revokes or limits such approval or disapproval.
(3) Inland Cellular must maintain records of notification and approval,
whether oral, written or elecfoonic, for at least one year.
B. Use of Opt-Out and Opt-In Approval Processes.
(1) Except where use, disclosurc, or acce$s to C?M is othenvise permitted
without prior customer approval (as described above), Inland Cellular only uses,
discloses or permits access to CPM upon opt-out or opt-in approval, consistent with
Section 64.2007 of the Commission's rules and, by December 8, 2007, with the
Commission's amended rules.
(2) Except for use and disclosure of CPM that is permitted without customer
approval under Section I, or that is described Section II.B, or as othenvise provided in
section 222 of the Communications Act of 1934, as amende4 hland Cellular may only
use, disclose, or permit access to its customer's individually identifiable CPM subject to
opt-in approval.
The Compauy currerilIy does nol use CPM ln a manner thot requlres prior atstouer
approval. Shoald this Coatpany policy change, however, the foregoittg policies will be
appllcable and pollcles will be lnplemented to eusure thu the FCC'I ndes arc complied wilh.
Notlce required for use of eustomer proprietary network information.
A. Notification, Generally.
(1) Prior to any solicitation for customer approval, Inland Cellular must
provide notification to the customer of the customer's right to restrict use o{, disclosure
of, and access to flrat customer's CPM.
III.
@ hrland Cellular must maintain records of notificatioq whether oral, written
or elecbonic, for at least one year.
B. Individual notice to customers must be provided when soliciting approval to usg
disclose, or permit acsess to customers' CPM.
C. Content of Notice.
Customer notification must provide sufEcient information to enable the customer to make
an informed decision as to whether to permit hland Cellular to use, disclose, or permit access to,
the customer's CPM.
O) The notification must state that the customer has a right, and Inland
Cellularhas a duty, under federal law, to protectthe confidentiality of CPM.
(Z) The notification must speciff the tlpes of information that constitute
CPM and the specific entities that will receive the CPIIII, describe the purposes forwhich
CPM will be used, and inform the customer of his or her right to disappmve those uses,
and deny or withdraw access to CPNI at any time.
(3) The notification must advise the customer of the precise steps the
customer must take in order to grant or deny access to CPM, and must clearly state that a
denial of approval will not affect the provision of any services to which the customer
subscribes. Howerrer, Inland Cellulu may provide a brief statement in clear and neuhal
language, describing consequences directly resulting from the lack of access to CPM.
(4) The notification nrust be comprehensible and must not be misleading.
(5) If written notification is provided, the notice must be clearly legible, use
srrfficientty large tlpe, and be placed in an area so as to be readily apparent to a customer.
(O If any portion of a notification is hauslated into uroflrer language, then all
portions of the notification must be hanslated into that language,
(7) Inland Cellular may state in the notification that the customer's approval
to use CPM may enhance hland Ccllular's ability to offerproducts and services tailored
to the customer's needs. krland Cellular also may state in the notification that it may be
compelled to disclose CPNI to any person upon affirmative written request by the
customer.
(8) Inland Cellular may not inolude in the notification any statement
attempting to encourage a custorner to freeze third-party access to CPM.
(9) The notification must state that any approval or deniai of approval for the
use of CPNI outside of the service to which the customer already subscribes from Inland
Cellular is valid until the customer afHrmatively revokes or limits such approval or
denial.
4
O0) Inland Cellular's solicitation for approval must be proximate to the
notification of a customer's CPM rights.
D. Notice Requirements Specilic to Opt-OuL
Inland Cellular must provide notification to obtain opt-out approval through elechonic or
written methods, but not by oral communication (except as provided in paragraph F of this
section). The contents of any such notification must comply with ttre requirements of paragraph
C of this section.
O) Arhnd Cellular must wait a 3Gday minimum period of time after giving
customers notice and an opportunity to ophout before assuming customer approval to
use, disclose, or permit access to CPM. krland Cellular may, in its discretion, provide for
a longer period. Inland Cellulu must notify customffs as to the applicable waiting period
for a response before approval is assumed.
(r) h the case of an electonic fonn of notiEcation, the waiting period
shall begin to nrn from the date ou which the notification was sent; and
(ii) In the case of notification by mail, the waiting period shall begin to
run on the third day following the date tlrat ttre notification was mailed.
@ Insofar as Inland Cellular is using the opt-out mechanism, it must provide
a Notice to its customeni every two years.
(3) If Inland Cellular uses e-mail to provide opt-out notices, it must comply
with the following requirements in addition to the requirements generally applicable to
notification:
(i) Inlaud Cellular must obtain express, verifiable, prior approval from
consumers to send notices via e-mail regarding its service in general, or CPM in
particular;
(ir) Inland Cellular must allow customers to reply directly to e-mails
containing CPNI notices in order to opt-out;
(lii) Opt-out e-mail notices that are retumed to Inland Cellular as
undeliverable must be sent to the customer in another form before Inland Cellular
may consider the customer to have received notice;
(iv) krland Cellular must ensure that tbe subject line of the message
clearly and accurately identifies the subject matter of the e-mail; and
(v) Inland Cellular must make available to every customer a method to
opt-out that is of no additional cost to the customer and that is available 24 hours
a day, seven days a week. Inland Cellular may satisfy this requirement through a
combination of methods, so long as all customers have the ability to opt-out at no
cost and are able to effectuate that choice whenever they choose.
E. Notice Requirements Specilic to Opt-In.
Inland Cellular may provide notification to obtain opt-in approval through oral, written,
or elecEonic methods. The contents of any such notification must comply with the requiremeuts
of paragraph C of this section.
F. Notice Requirements Specilic to OneTime Use of CPM.
O) Inland Cellul$ may use oral notice to obtain limited, one-time use of
CPM for inbound and outbound customer telephone contacts for the duration of the call,
regardless of whether hland Cellular uses opt-out or opt-in approval based on the nature
of the contact.
@ The contents of any such notification must comply with thE requirements
of paragraph C of this section, except that Inland Cellular may omit any of the following
notice provisions ifnot relevant to the limited use for which Inland Cellular seeks CPM:
0) Inland Cellular need not advise customers that if they have opted-
out previously, no action is needed to maintain the opt-out election;
(iD Inland Cellular need not advise customers that they may share
CPNI with their affiliates or third parties and need not name those entities, if the
limited CPM usage will not result in use by, or disclosure to, an alEliate or third
part)r;
(iil) Inland Cellular need not disclose the means by which a customer
can deny or withdraw futuro access to CPM, so long as Inland Cellular explains
to customers that the scope of the approval Inland Cellular seeks is limited to one-
time use; and
(w) krland Cellular may omit disclosure of the precise steps a sustomer
must take in order to grant or deny acc€ss to C?M as long as Inland Cellular
clearly communisales that the customer caa deny access to his CPM for the call.
The Contpouy carrently does nat use CPNI ht a mouter that requires prior custouer
opprovnl. Should thls Company policy changq howev*, the foregoing pollcles will be
opplicahle and fnhud Cellulor wlll huplement polleies to errs$re thmt the FCC'I rules ore
contplted wtth.
IV. Safeguards required for use and disclosure of customer proprietery network
informatlon,
A- Inland Cellular must implemant a slatem by which the status of a customer's
CPNI approval can be clearly established prior to the use of CPM.
B. Effective December 8, 2007, krland Cellular may release call detail information
during a customer initiated telephone contact only if reasonable authentication procedures are
complied with and (1) the customer provides Inland Cellularwith a pre+stablished password, (2)
Inland Cellular, at the customer's request, sends the call detail information to the customer's
address of record pmvided the address of record has been associated with the account for at least
thirty (30) days, or (3) when Inland Cellular calls the telephone number of record to disclose the
call detail information. Inland Cellular is permitted to create a back-up customer autheutication
method for lost or forgotten passwords. Inland Cellular is also prohibited from releasing call
detail information during a retril visit without the appropriate password or valid photo
identification.
However, if the during a customer-initiated telephone contact, the customer is able to
provide without assistance from lnland Cellular personnel all of the call detail information
necessary to address a customer service issue (i.e., the telephoue number called, when it was
called, and if applicable the amount charged for the call), then krlaod Cellular personnel ue
permitted to proceed with its routine customer care procedures wiflr respect to such call detail
information.
C. Not later than June 8, 2008, Iuland Cellular must authenticate a customer wiflrout
leadily available biographical or accouut information prior to allowing the customer on-line
access to CPM related telecommunication service account. Ouce authenticated, the customer
may only obtain on-line access to CPM related telecommunications service account thmugh a
password.
D. Effective December 8, 2007, hland Cellular is requircd to notiff customers
immediately when a password or back-up means of authentication for Iost or forgotten
passwords, on-line accouflt, or address ofrecord is created or changed. Such notification is not
required when the customer initiates service, including the selection of a password.
E. Business oustonrers are exempt from the password requirements which became
effective December 8, 2W7, if: the customer is contractually bound to Inland Cellular, is
serviced by a dedicated Inland Cellular account representative as the primary contact, and within
the contract Inland Cellulu is responsible to address its CPM obligations. I{, at ary point the
business customer must go through a call center to reach a customer service representative, then
the exemption does not apply.
F. hrland Cellular hains its personuel as to when they are and are not authorized to
use CPNI, and krland Cellular must has an express disciplinaryprocess in place.
G. Inland Cellular must maintain a record, elecEonically or in some other manner, of
its own and its affiliates' sales and marketing campaigus that use its customers' CPNI. Inland
Cellular shall maintain a record of all instances where CPM was disolosed or provided to third
parties, or where third parties were allowed access to CPM. The record must include a
description of each campaign, the specific CPM that was used in the campaign, and what
products aud services were offered as a part of the campaign. Inland Cellular shall retain the
record for a minimum of one year.
E. Inland Cellular must establish a supervisory review process regardhg its compliance
with the FCC's CPM rules for outbound marketing situations and maintain records of its
compliance for a minimum period of one year. Specifically, sales personnel must obtain
supervisory approval of any proposed outbound marketing request for customer approval.
I. Effective December 8, 20A7, krland Cellular must take reasonable measures to
discover and protect against attempts to gain unauthorized access to CPNI which may inolude
encrlption of its databases. hland Cellular must pmperly authenticate a customer prior to
disclosing CPNI based on a customer-initiated telephone contact onJine account acc€ss, or an
in-store visit. hrland Cellular must take measures to pmtect CPM stored in its internal databsses
from potential unauthorized access, and evaluate and increase its security measures should it
discover an increase in attempts to gain access to unauthorized infornration.
J. Inland Cellular must provide written notice within five business days to theFCC of
any instance where the opt-out mechanisms do not work properly, to such a degree that
consumers' inability to opt-out is more than an anomaly.
(1) The notice shall be in the form of a letter, and shall include Inland
Cellular's narne, a description of the opt-out mechanism(s) used, the problem(s)
experienced, the remedy proposed and when it will belwas implemented, whether the
relevant state commission(s) has been notified and whether it has taken any action, a
copy of the notice provided to customers, and contact information.
@ Such notice must be submitted even if hland Cellular offers other
methods by which consumers may opt-out.
K Effective December 8,2007, krland Cellular has a general duty to first inform
federal Iaw enforcement agenoies, followed up by notification to affected customers, after
reasonable determination of a breach of its customers' CPM.
(l) Inland Cellular must file an elechonic notification to the United States Secret
Service (USSS) urd the Federal Bureau of Investigation (EBI) within seven (7) business
days ttnough the central reporting facility fumished by the Commissiou.
(2) Inland Cellular is prohibited from notiffing customers or the general public of
the breach until seven (7) business days have passed aftcr notification to the USSS and
FBI unless under certain specified circumstances: (a) Inland Cellular identifies an
"extraordinary nced to notiff customers" before that period or (b) fur ongoing or
potential investigation or national security requires customer disclosure to be potentially
delayed for up to thirfy (30) days. Inland Cellular must notiff the affected customer(s)
after the applicable period.
(3) Inland Cellular must maintain a record, whether electronically or in some other
manner of any breaches discovered, notifications made to the USSS or FBI and
notifications made to custome$. The record must include, if availablg dates of discovery
and notification, a detailed description of the CPM that was the subject of the breaoh, and
the circumstanccs of the breach. Records must be maintained for a two (2) year period.
Inland Cellular's opertlng procedures conryly with all of lhe obove reguiremeuts,
ittclrtding those that becanrc effecttve December 8, 2007. With rcsped to ottllue autheuticatiort
in partlculor, Inland Cellular lrcs intplearcnted n easures to errsilre contpllonee by the
applicable Jane 8, 2006 deadlina Conryany penonnel are trotrcd as lo nthert they are and ore
not aathorized lo use CPNL
V. Supplementrl Informrtion
Effective December 8,2A07, the FCC's rules require that the gnnual certification filed
pursuant to 47 C.F.R $ 64.2009(e) disclose any actions taken against data brokers and a
summary of all consumer complaints received in the previous calendar year regarding the
unauthorized release of CPM. Inland Cellular is not aware of any consumer complaints
regarding the unauthorized release of CPM and has not taken action against any data brokers.
Approved by OMB
306G0819
FCC Form 555
November 2012
Annual Lifeline Eligible Telecommunications Carrier Certifi cation Form
All cariers must complete Sections l, 3, and 3. Caniers must comptete Section 4, if applicabla
Deddllne: Jonaary 3 li(Aunuolly)
ldaho
State
(An Ellglble Teleconntnications Carrier (ETC) must prot'ide a cerlltlcatlonformfor each stale in which il
provldes L{ellne s en ice).
479007 Washington RSA No. 8 Limlted Partnershlp
Study tuea Code(s) (SAC)
lnland Cellular Telephone Company
ETC Name(s)
lnland Cellular
Holding Company Name(s)DBA, Marketing or Other Branding Name(s)
Affiliated ETCs(include names and SACs,Additional Sheet Attachedulach addlllotal slgett
Section l: All ETCs (Inltlal the certificalion lhat applles to your ETC. Depending on the state, both
cer t ifi c at i orc nlo;, qpp Iy).
I certifr that the company listed above has certification procedurcs in place to review income and program-based
eligibility documentation prior to enrolling I cuslomer in the Lifeline prugram, and thaL to the best of my
knowledge, the company rvas prcsented with documentation of each consumer's household income and/or
program-based eligibility prior to his or her enrollment in Lifeline. I am an officer ofjlp company named above.
I am authorized to malie this ccrtification for the Study Area(s) listed above. lnitial
tiltich)/ou arc certltlcatlon tf lt is not applicable to all oJyour study
areas wilhin the stote- Atlach addittonal sheets if necessary).
AND/OR
I certifr that the company listed above confirms consumer eligibility by relying s1 oAPAotldoho
prior to enrolling a customer in the Lifeline program. (Please list the program eligibilily daa sources, such as
ETC dccess to a stdte datdbase and/or notice of eltgtbtliryfrom tle swe Llfelhrc adubtistrator ond indlcaefor
which qualilyirry progranrs (e.9., SNAP, SSI) these sotn'ces are used to v*ify couswner eligibility). I am an
officer of the named above. I am authorired to malie this certification for the Study Area(s) listed
above. Inltlal
(List the specific SAC(s)certification if it ls rut
479007
Notice of eligibllity ls received via email from the Community Actlon Parhershlp Associatlon (GAPA) of ldaho
areas withln the Etale. Anach addlttonal sheets lf necessary).
to all oflnur
Approved by OMB
3060-08 I 9
FCC Form 555
November 2012
Section 2: All ETCs(hrilial tlu certification that applles to 1tsv, 67a, md if applicable, coruplete colmnns A
tlu'ough L lhe lobles below. Allach additlonal sheets if necessa4).
I certi$ tlrat the company listed above has procedures in place to r+'certify the continued eligibility of all of its
Lifeline customerc, and that, to the best of my knowledge, the company obtained signed certifications from all
consumers attesting to their continuing eligibility for Lifeline, except those subscribers whose eligibility was
verified by the company through the use of other sources of eligibility information as well as those subscribers
who werc re-certified by the slate Liftline administrator. Resulb ue provided in the clurt below. I arn an officer
;j,ff,rry, named above. I arn authorized to make this certification for the Study Area(s) listed above.
A B
Numbcr of
Subrcribcrs
Clolmed on
Mry FCC
Form(s) 497
Nuobcr of
Llncs
Claimed on
May FCC
Form(g) 497
PrsYldcd lo
l?lrelloc
Rescllcrs
g3 0
C D E=C-D F G = TE+F)H
Numhcr of
Subrcribcrg ETC
Conlaclcd Dlrcctly
ao Rlcertify
Ellglbillty Through
Attestslion
Numbcr of
Subscrlbors
Rcspondlng to
ETC Contact
Numbcr ofNon-
Rcrpondlry
Subscribcrs
Numbcr of
Subscrlbcrs
Rcsponding Tlct
Thcy Arc No
Loogcr Eligible
Numbcr of
Subscrlberr De-
Enrollcd or
Schcdulcd to be
DeEorolled ls a
Rosult ofNon-
Rcrponsc or
Inallolbllilv
Numbcr of
Suhscrlbcrs lYho
DeEnrotled Prlor
to Rcccrtiticolioo
Attcmpl
I J K L
Numbe r of Sublcribcrt
lVhosc Ellglblllty wns
Revlcrvcd By Stlto
Arlministralor or By
ETC Acccsr lo Etigibility
Da|l
Numbcr o[
Subscrlbcru IYhorc
Ellglbillty lVls
Errmincd by Slalo
Admhlstrotor or By
ETC Acccse to
Ellglblllty Drtl anrl
Found to bc
lnollolhlc
Number of Customcm lls-
cnrolled or Schedulod to bc Dc-
Enrolled lr n Rcsult ofn Findlng
oflneligiblllty
Number of Subscribers lYho Da-Enrollod
Prior to Rccertiticotion Attcmpt
89 0 0 4
Approved by OMB
3060-0819
FCC Form 555
November 2012
OR
I certif, that my company did not claim federal Low Income support for any Lifeline customers prior toJune_
(iwert aot ent yesr). I am an officer of the company named above. I am authorized to malce this certification for
the Study Area(s) listed above. Initial _
areas wl thh tlv s tate Attach addttlonal sheets lf necessary).
Seetion 3: AII ET& (Ittittal the certfuatlon below).
I certify that the compBny listed above is in compliance with all federal Lifeline ccrtification procedures. I am an
officer of the coffiy named above. I am auttrorized to make this certification for the Study Area(s) listed
above. Initial(f/-T-
Section 4: Non-Usoge Appllcable to Certaln Pre-Pnld ETCI {the E-IC does not assess or collect a nonthlyfee
fron its Ltfeline subscriberc)(Record the ntmber of subseiben de-enrolledfor non-aEage by nrcnth ln column N
belou).
James K. Brooks
PrintedName of 0fficer
January 31,2013
Date
(509) 64e-2500
M N
Month Subscribers Ds'Enrolled for Non-Usage
January
Februarv
March
April
May
June
July
Aueust
September
October
November
December
James K. Brooks
Person Completing this Certification Form Contact Phone Number
ApprovedbyOMB
3060-0819
Affiliated ETCs
SAC Name
5?a{?5 lnl.nd T€lsphon€ Company (dlb/a lnland Nohrolltsl
529003 Wglhhoton REA No. I Llm[6d Parlnalrhlp (dJb/a ldand Callular)
52901'4 Easl€m Sub.RSA Umltad FarlnErshh {drDra lnland Celulad
4724A lnlEnd Tlkphons Company (dftr'a lnlard Nahro*s)
Approved by OMB
3060-08r 9
FCC Form 555
November 2012
ETC ldentification
sAc ETCName
412123 lnland TeloDhone Compsny
5U1B lnland Tglephona Company
479007 Washlngton RSANU. I Llrnlhd Partprhh
529003 Warhlnoton RSA No. I Umllsd PatlnarlhlD
529004 Esslom Sub-RSA Umll6d Parlnerslilp
Hol
sAc Holdine Comoanv Name
4721?3 WaslErn Elll6 lncorporaled sEMca8
6u{21 Wasl€m E$ts lncorporatrd S€Mces
478007 lnland C€[uler Talophono Company
529003 lnhod CdlulErTolaohona Compgry
5290M lnland Cellular Toleohone Comoanv
or Other s
sAc Narne
4?242t lnbnd Netisort!
szuzx lnland t{etwod.r
47S007 lnland calhdsr
529{103 lnlsnd CEllular
52S004 lnland CelMar
EE
E
E
E
E
Federal Public Housing Assistance (FPHA) or
Section 8
Supplemental Nutrition Assistance Program
(SNAP)(Food Stamps)
Low lncome Home Energy Assistance Program
Federal Public Housing Assistance (FPHA) or
Section 8
(SNAP)(Food Stamps)
Low lncome Home Energy Assistance Program
(LIHEAP)
National School Lunch Program's free lunch program
Head Start (lncome eligible)
Medicaid
one or more of the programs listed that I have checked below.
Medicaid
Temporary Assistance for Needy Families (TANF)
Supplemental Security lncome (SSl)
Bureau of lndian Affairs General Assistance
Tribal Administered Temporary Assistance for Needy Families
(TTANF)
Temporary Assistance for Needy Families (TANF)
Food Distribution Program on lndian Reservations
Supplemental Security lncome (SSl)
lncome Eligibility (See lncome Eligibility)
E
EtlE
SUBSCRIBER CERTIFICATION
It is understood that by participating in the Lifeline program, the support that I receive is not actual payment to me but a discount on my monthly
billed service. Participating in Lifeline does not protect me from collection procedures if I do not pay my phone bill. I fully understand that this
discount, as well as the criteria for participation in the Lifeline Program, may change and I may no longer qualify, or the amount of support may
increase or decrease.
As the Certifying Subscriber, I certify that, (i) the service is for me and not a member of the household; (ii) I am not listed as a dependent on
someone else's tax return; and, (iii) the service address is my primary residence. I further certify that the service that I receive from lnland
Telephone Company is my main line of service and neither I nor anyone in my household receives Lifeline Support for any other
telecommunications service. Further, I understand that Lifeline is a federal benefit program that provides a monthly discount on either home or
mobile telephone service and ONLY ONE Lifeline discount is allowed per household. Members of a household are not permitted to receive Lifeline
Supportfrommultipletelecommunicationscompanies. lunderstandthatviolationoftheone-per-householdrequirementwill resultinde-
enrollment from the program and possible fines and imprisonment. As the Certifying Subscriber claiming income eligibility, I certify that the
documentation I have provided accurately represents: (i) my household income and the number of persons in my household; or, (ii) proof of
participation in an eligible program.
E Supplemental Nutrition Assistance Program
E
E
E
EEE
INLAND CELLULAR
1332 G Street
Lewiston, ID 83501
Poal 7e8-o24s; (8oo\ 2a8-8822
Fax [phone]
CERTIFICATION BY CUSTOMER IN ORDER TO RECEII'E FEDERAL LIFELINE SUPPORT
STATE ELIGIBILITY (Subscriber signature not required)
I certify that I am qualified through the:
Community Action Partnership Association of ldaho (CAPAI) (See email confirmation)
Washington Department of Social and Health Services (DSHS) - Case S
INCOME ELIGIBILITY
I certify that my household income is at or below 135% of the federal poverty guidelines and therefore I qualify for Lifeline Support
under the federal income requirements and have provided proof of my qualifications.
FEDERAL ELIGIBILITY
I certify that I qualify for Lifeline Support and am currently participating inE
E
E
(LIHEAP)
National School Lunch Program's free lunch program
TRIBAL LIFELINE ELIGIBILITY Tribal ldentification Number
I certify that I qualify for tribal Lifeline Support, as I reside on land that meets the Bureau of lndian Affairs definition of "reservation" (any federally
recognized lndian tribe's reservation, Pueblo, or Colony including former reservations in Oklahoma, Alaska Native regions, and lndian Allotments)
AND participate in one of the following programs:
Filename: 130219 LIFELINE CERT|FlCATlON.xlsx LIFELINE CERTIFICATION Page 1 of 3
INLAND CELLULAR
1332 G Street
Lewiston, ID 83501
(2081 798-o24s; (aool 248-8822
Fax [phone]
I certify that I will notify lnland Cellular within 30 days,(i) if for any reason I should no longer participate in any of the eligible programs or qualify by income,
and or (ii) if I move from the address provided on this form. lf my address listed above is temporary, I certify that I will verify my address to lnland Cellular
every 90 days. I understand that if I fail to respond to an attempt to verify my address within 30 days, my Lifeline support may be terminated. I understand
that if I fail to give notice as required, I am subject to penalties, including de-enrollment, being barred from the program and fines and imprisonment.
I understand that Lifeline Support is not transferrable and that I may not transfer my service to any individual, including another eligible Lifeline Support
recipient. lfurtherunderstandthatifmyservicegoesunusedfor60days,myservicewillbesuspendedsubjecttoa30dayperiodinwhichlmayusethe
service or contact lnland Cellular to confirm that I want to continue receiving the service.
Further, I fully understand that in order to continue to receive this support, I must annually, or more often, certify my eligibility and provide proof of eli8ibility.
I understand that my failure to timely re-certify will result in de-enrollment and termination of my Lifeline benefits.
I fully understand that the Lifeline Program is administered by the Universal Service Administration Company (USAC) under the guidance and
authority of the Federal Communications Commission (FCC)and that all of the information that I have supplied pertaining to my eligibility will be
shared with USAC and the FCC and I give my consent to do so.
I certify that the information provided on this form is true and correct to the best of my knowledge under penalty of perjury and if I have provded
any misleading statements in order to receive support, I will be liable for any support received, my service may be discontinued, it may result in de-
enrollment and my being barred from the program and I would be subject to state and federal fines and imprisonment.
SIGNATURE OF APPLICANT
APPLICANT (PRINTED)
SOCIALSECURIW NUMSER
SERVICE ADDRESS
DATE
xxx-xx-DATE OF BIRTH
BILLING ADDRESS
and CellularfIE
- customers serving area
EASTERN SUB.RSA, WA
WASHINGTON RSA NO.8, WA
E
trI
IDAHO RSA 1-82
IDAHO RSA 2-82
IURE OF CUSTOMER SERVICE REPRESENTATIVE
NAME OF CUSTOMER SERVICE REPRESENTATIVE
Federol o ltst ol occeDtoble documentdtlon fil lncme
TELEPHONE NUMBER NUMBER OF PERSONS IN FAMILY OR HOUSEHOLD
lnland Cellular will keep the information contained in this form confidential, except as required by federal or state law. ALL INFORMATION COMPLETED ON
THiS FORM IS SUBJECT TO STATE AND FEDERAL PERJURY PENATTIES.
Filename: 130219 LIFELI NE CERT|F|CAT|ON.xlsx LIFELINE CERTIFICATION Page 2 of 3
INLAND CELLULAR
1332 G Street
kwiston, ID 83501
(2081 798-0245; lSool 2a8-8822
Fax [phone]
LIFELINE HOUSEHOLD WORKSHEET
Your household is everyone who lives together at your address as one economic unit (including children and people who are not related to you).
Theadultsyoulivewitharepartofyoureconomicunitiftheycontributetoandshareintheincomeandexpensesofthehousehold. Anadultis
any person 18 years of age or older, or an emancipated minor (a person under age 18 who is legally considered to be an adult). Household
expenses include food, health care expenses (such as medical bills) and the cost of renting or paying a mortgage on your place of residence (a
houseorapartment,forexample) andutilities(includingwater,heatandelectricity). lncomeincludessalary,publicassistancebenefits,social
security payments, pensions, unemployment compensation, veteran's benefits, inheritances, alimony, child support payments, worker's
compensation benefits, gifts, and lottery winnings
Spousesanddomesticpartnersareconsideredtobepartofthesamehousehold. Childrenundertheageof 18 livingwiththeirparentsor
guardiansareconsideredtobepartofthesamehouseholdastheirparentsorguardians. lfanadulthasnoincome,orminimal income,andlives
with someone who provides financial support to that adult, both people are considered part of the same household.
You hove been osked to complete this Worksheet becouse someone else currently receives o Lifeline-supported service at your oddress. This
other person moy or moy not be o port of your household. Answer the questions below to determine whether there is more thon one
household residing at your oddress.
U Does your spouse or domestic partner (that is, someone you are married to or in a relationship with) already receive a Lifeline-discounted
phone? (check NO ifyou do not have a spouse or partner)
[ves E*o
> lf you checked YES, you may not sign up for Lifeline because someone in your household already receives Lifeline. Only ONE Lifeline discount is
allowed per household.
> lf you checked NO, please answerquestion #2.
2l Other than a spouse or partner, do other adults (people ove
A. A parent
B. An adult son or daughter
C. Another adult relative (such as a sibling, aunt,
cousin, grandparent, grandchild, etc..)
O. An adult roommate
E. Other
YES
YES
YES
NO
NO
NO
3)
age of 18 or emancipated minors) live with you at your address?
EEE
YEs Ero
E*o
> lf you checked NO for each statement above, you do not need to answer the remaining questions. Please initial line B, below, and sign and date the
worksheet.
> lf you checked YES, please answer question #3.
Do you share living expenses (bills, food, etc.) and share income (either your income, the other person's income or both incomes
together) with at least one of the adults listed above in question f2?
Ivrs Ero
>lfyoucheckedNO,thenyouraddressincludesmorethanonehousehold. PleaseinitiallinesAandBbelow,andsignanddatetheworksheet.
> lf you checked YES, then your address includes only one household. You may not sign up for Lifeline because someone in your household already
receives Lifeline.
CERTIFICATION
Pleose initiol the certification below ond sign ond dote this worksheet which must occompony your Lifeline applicotion.
A. I certify thot I live dt on oddress occupied by multiple households.
B. I understond that violation of the one-per-household requirement is ogoinst the Federal Communicdtions Commission's rules ond moy
result in me losing my Lifeline beneJits, dnd potentially, prosecution by the United Stotes Government.
SIGNATURE
r thefIfIE
E
Filename: 130219 LIFELINE CERTlFlCATlON.xlsx LIFELINE CERTIFICATION Page 3 of 3
MEMORANDUM OF UNDERSTANDING
WASHINGTON RSA # I LIMITBD PARTERNSHIP d/b/oINLAND CELLULAR
and NDZ PERCE TRIBE
This Memorandum of Understanding (hereinafter "Agreement") is benveen the Nez
Perce Tribe ("Tribe") and Inland Cellular Telephone Company as general partner of and
on behall'of Washington RSA #8 Linrited Partnership. diblalnland Cellular ("lnland
Cellular"). a mobile communications provider. This Agreement is intended to outline a
mutual understanding that will mutually benefit both the Tribe and Inland Cellular
tluough establishing a process lbr cooperation betr,r'een Inland Cellular and the Tribe to
enlrance the wireless communications across the Nez Perce Tribe's Reservation that is
rvithin the licensed sen'ice area of Inland Cellular.
RECITALS
WHEREAS. Inland Cellular owns. operates and maintains a Federal Communications
Commission licensed mobile communications network: and
WIIEREAS. the Tribe orvns. operates and mainlains a not-tbr-profit fixed rvireless
communications network: and
WHEREAS. the Tribe has need to expand its flxed wireless communications coverage
rvithin the boundaries of the Nez Perce Reservation and desires expansion of mobile
communications within the boundaries of the Nez Perce Reservation: and
WHEREAS. Inland Cellular and the Tribe hereby mutually agree that it is desirable to
collaborate in better utilizing the resources of all parties while providing additional
communications capacit5' within the Nez Perce Reservation; therefore.
IN CONSIDERATION olthe mutual promises contained herein. the parties hereto do
mutually understand as tbllows:
The Tribe:
The Tribe will pursue funding to continue to build-out its lixed wireless equipment
("infrastructure") u'hich includes tower locations ("Sites") to unserved and underserved
areas across the Nez Perce Reservation.
The Tribe shall maintain its existing and any newly constructed fi.xed wireless
infrastnrcture.
The Tribe ma-v resell Inland Cellular's mobile communications services and establish a
retail outlet rvithin the Nez Perce Rescrvation. The term "resell" in this context may
mean either beconring an agent of Inland Cellular or becoming a non-facilities based
reseller of mobile communications service. Either "resell" option will have a contract
governing the respective details.
Inland Cellular
Inland Cellular will pursue funding to continue to build-oul its mobile communications
equipment ("infrastructure") rvhich includes tower locations ("Sites") to unserved and
underserved areas across the Nez Perce Reservation that are within the licensed service
area of Inland Cellular.
lnland Cellular shall nraintain its cxisting and any new'ly constructed mobile
communications infrastructure.
The Tribe and Inland Cellular (singularly. Part,v-: collectively. Parties):
ln the pursuit of funding to continue the build-out of fixed wireless and mobile
comnrunications infrastrucl.ures across the Nez Perce Reservation. the Parties agreB to
mutually support each other's cndeavors with third party financing. Such support shall
be in the form of wrinen encouragement to third parties and shall not bind or encumber
the other Party nronetaril-v": there shall be no monelary support involving third party
financing rvhich includes but is not limited to letters of credit. loaning. co-signing or
rnortgaging,
Wlren funding is established by either Party, the Parties mutually agree to work together
in detennining mutually beneficial Sites tbr placenrent of tixed wireless and mobilc
irrfrastructures. If a Site is established by either Party that has not been agreed to bcing
beneficial to the other Partl'. the other Party shall not be bound to co-locate inlrastructure
at that Site. Acknorvledgement that a Site is mutualll'beneficial or not. must be in
rwiting.
Ownership of any land that is purchased fbr a Site shall alrvays be considered to be
orvned by the purchaser ofrecord. The Parties shall each bear the cost (capital
investntent. installation, maintenance. etc.) of their respective infrastructure. Co-location
of infrastructure benetits both Parties. Mutually agreed upon co-location rares will be
applied to new Sites.
TERM
Tlris Agreement term shall be five years. The Agreement will be reevaluated prior to
additional five year incren:ents unless either party gives notice of its intent to terminate
the Agreement. The renerval evaluation slrall consider all terms and conditions of the
Agreement. The Agreement may only be modified by rvrinen agreement with updated
signatures by both parties.
TERMINATION
This Agreement may be terminated only upon 90 days uritten notice by either party to
the other. and then only because ofa breach of the Agreement or because the recited
pulpose of the contract becomes inapplicable.
PARTIES
Both parties shall carrl' out their responsibilities under this Agreement as independent
agencies and neither. by virtue of this Agreement. shallbe regarded as an agent of the
other.
NOTICES
Any notices under this Agreement shall be in writing and delivered in person or by public
or private courier sen'ice (including the U.S. Postal Service Express Mail) or certified
mail with return receipt requested or by facsirrrile or by email. All notices shall be
addressed to the parties at the following addresses or at such other addresses as the
parties may tionr time to time direct in writing,
For the Tribe:
Nez Perce Tribe Technology Sen'ices
120 Bever Grade
P.O. Box 365
Laprvai" ID 8i540Attn: Danae Wilson
Email: [e-mail]
Phone: [phone]Fax: 208-8.t3-7309
For Inlarrd Cellular:
Inland Cellular Telephone Compan;"
103 South 2no Street
P.O. Bo.x 688
Roslyn. WA 98941
Attn: .larnes K. Brooks
Email: ibrooksrgiinlandnct.conr
Phone: [phone]Fax: 509-&+9-3300
SEVERABILITY
The terms of this Agreement are severablc such that if any term or provision is declared
by a court of competent jurisdiction to be illegal, void, or unenforceable, the remainder of
the provisions shall continue to be valid and enforceable.
IN WITNESS WHEREOF, the parties agree to the pmvisions set forth herein as
evidenced by the signatures of their authorized representatives below:
NEZ PERCE TRIBE::g>-/A-/7lX
Silas Whiunan, Chairman
lL-t1 'lL.
Allen Slickpoo, Jr., Secretary
LLULAR TELEPHONE COMPANY: