20131018Silver Star ETC and FCC 481.pdf

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Enclosures
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October L6,2OL3
VIA FEDERAL EXPRESS
Jean Jewell, Commission Secretary
ldaho Public Utilities Commission
472W. Washington
PO Box 83720
Boise, lD 8372O-OO74
Re: 2013 Eligible Telecommunications Carrier (ETC)Annual Report Filing; Docket No. GNR-T-13-01
Silver Star Telephone Company/Columbine Telephone Company (4722951
Dear Ms. Jewell:
Silver Star Telephone Company, lnc. and Columbine Telephone Company, lnc. ("Silver Star") hereby
submits for filing the 2013 ETC Annual Report(s) with confidential portions. The confidential information is
marked as such and printed on yellow paper, and such information is exempt from public viewing pursuant
to Commission Rule 67.
Questions regarding this filing should be directed to my attention as shown below.
,',t . l
ji;: ., f,i,-i i ;r j,: i ii,: [i I
Thank you,4"#/
Legal & Regulatory Administrator
307-883-6690
ma motzkus@silversta r.net
State of Wyoming
County of Lincoln
)
)ss
)
CERTIFICATION BY ELIGIBLE TELECOMMUNICATIONS CARRIER
OF COMPLIANCE WITH SERVICE QUALITY AND CUSTOMER
PROTECTION, ABILITY TO REMAIN FUNCTIONAL IN EMERGENCIES,
AND USE OF FEDERAL HIGH-COST SUPPORT.
AFFIDAVIT OF BUSINESS OR CORPORATE OFFICER
Notary Public for Wyoming,
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 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:
I am an officer of Silver Star Telephone Company, lnc. (dba Silver Stdr Communications), 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.
I am familiar with the Company's dayto-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.
Silver Star Telephone Company, lnc. is complying with applicable service quality standards and consumer
protection rules of the Federal Communications Commission and the ldaho Public Utilities Commission.
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 54.201(aX2).
I also certify that all federal universal service support funds received by Silver Star Telephone Company,
lnc. during the current calendar year will be used in a manner consistent with section 25a@); that is, for
the provision, maintenance, and upgrading of facilities and services for which the support is intended.
The company will continue to comply for the period of January '1, 2014, through December 31 , 2014, to be
eligible for federal universal service fund support.
This verification and affidavit is provided to be the ldaho Public Utilities Commission to enable the IPUC to
certify to the FCC that federal universal service support received by the eligible carriers in the state will be
used in a manner consistent with Section 254(e) of the Telecommunications Act.
trA
me this /2 a^V of October, 2013.
')!I;,M
1.
2.
3.
4.
5.
6.
Vice President and Chief Financial Officer
MIC}IETIE MOIZKUs
NolorY Publlc
Stole ot WYoming
CounlY ot tincoln
Mv Commlsslon ExPlles' Morch 15.20I7
SUBSCRIBED AND SWORN to before
My Commission expires
Page 1
FCC Fom '181
FCC Form 481 - Carrler Annual Reportlng oMBcontrclNo.306(xr985/oMBcontrolNo.soan0srg
Data Collectlon Form ruty2o13
<010> Study Area Code 47 2295
SILVER STAR TELEPHONE CO INC<015> StudvArea Name
20t4<020> Prosram Year
<030> Contact Name: Person USAC should contact
with questions about this data
Michelle Motzkus
<035> Contact Telephone Number:307 8a3-6590
Number ot the identitied in data line <030>
<039> Contact Email Address:mamot zkus@s i lversEar. net
Email ot the identitied in data line <030>
s4.313 I 54,422
Completion I Completlon
ANNUAL REPORT]NG FOR ALL CARRIERS
<100> Service Quallty lmprovement Reporting
<200> Outage Reporting (voice)
<270>
( c o m pl ete o tto c h e d wot k sh eet)
( c ompl e te o tt o ch e d wot ksh eet )t_!_l____!__)
ll-/-T / Il
II-IM
<300> Unfulfilled Service Requests (voice)
<310>Detail on Attempts (voice)
<320> Unfulfilled Service Requests (broadband)
DetailonAttempts(broadband)|-Jbfto.hde5clipnvedocument)
<430> Number of Complaints per 1,000 customers (broadband)
I / ll<-- check box if no outages to report
Number of Complaints per 1,000 customers (voice)
Fixed
Mobile
Fixed
Mobile
l-l
(ottach desct iptive doc ument)
(check to indicote cettilicotion)
I ot to ch e d d etc ti p tive d oc u m e n t)
(check to indicote cettilicotion)
(ottoch ed des.i ptive document)
( c ompl ete o tto ch e d wot ksh e et )
( c ompl ete o tt o ch e d wot ksh eet )
( c om pl e ?e o tto ch ed wor k sh eet )
(if yes, complete ottoched wotksheet)
(check to indico?e cettilicotion)
( o t to ch desc i p tiv e d oc u men t )
(il not, check to indicote cettificotion)
( c o m pl ete o tto c h ed wot ks h eet )
( c ompl ete o tt o c h e d wor ks h e et )
<330>
<400>
<410>
<420>
<4/'0>
<450>
<500> Service Quality Standards & Consumer Protection Rules Compliance
<510> 47229sidsroa
<600> Functionality in Emergency Situations
<610> 4f2295Ld6i-oa
<700> Company Price Offerings (voice)
<710> Company Price Offerings (broadband)
<800> Operating Companies and Affiliates . ,^.<900> Tribal Land Offerings (Y/N)? t (9
<1000> Voice Services Rate Comparability
<1010>
<1100> Terrestrial Backhaul (Y/N)? O O<1110>
<1200> Terms and Condition for Lifeline Customers
<2000>
<2005>
<3000>
<3005>
Price Cap Carriers, Proceed to Price Cap Additional Documentation Worksheet
lncluding Rote-of-Return Corriers offilioted with Price Cop Locol Exchonge Corriers
(check to indico?e cettiJicotion)
( c o m pl ete ott o c h ed wo rk sh eet )
Rate of Return Carriers, Proceed to ROR Additional Documentation worksheet
(check to indicote certitcotion)
( c om pl ete o tto c h e d wot k s h e et )
10t14t2013 Page 1
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'lcation - Reportlng Carrler FCC Form 481
Collection Form OMB Control No. 3O6O{X,86/OMB Control No. 305Go819
July 2013
41 2295
<015> StudyArea Name STLVER STAR TELEPHoNE co" rNC
<020> Prosram Year 2ot4
<o3o> contactName-PersonusAcshouldcontactrerardincthisdata Michelle Motzkus
<O3S> contactTeleDhoneNumber-Numberofpersonidentifiedindataline<O3O> 307-883-6590
<039> contactEmailAddress-EmailAddressofpersonidentifiedindataline<o3o> mamotzkus@silverstar'net
Certification of Officer as to the Accuracy of the Data Reported for the Annual Reporting for CAF or Ll Recipients
c€rtify that I am an offic€r of the reporting carrier; my responsibilities includ€ ensurlnt the accuracy of the annual reportint requirements ,or univ€.sal service supporl
ecipients; and, to the best of my knowledte, th€ information r€poned on this form and in any attachments is accurat€.
lameofReportingcarrier: srLvER srAR TELEPHoNE co ' rNc
ignatureofAuthorizedofficer: CERTTFTED oNLTNE Date 70 /14 / 2013
,rinted name ofAuthorized officer: Jefferson England
itle or position ofAuthorized officer: chief Financial officer
phone of Authorized officer' 307 883-6624
;tudv Area Code of ReDodinc carrier' 412295 Filinc Due Date for thii form: 1o / 15 / 2013
uhderTitle 18 ofthe United States Code, 18 U.S.C. S 1001.
TO BE COMPLETED BY THE REPORTING CARRIER, IF THE REPORTING CARRIER IS FILING ANNUAT REPORTING ON ITS OWN BEHATF:
10t1412013 Page 12
Page 13
licetlon - Atent/ Carrler fcc Form 481
Collectlon Fo?m OMB Control No. 3O6&0985/OMB Contrcl No. 3060{819
July 2013
472295<010> Studv Area Code
SILVER STAR TELEPHONE CO., INC.
<020> Prosram Year
<O:|O> CdntactNamF-per(onIJSACshouldcontactresardinEthisdata Michelle MoEzkus
<035> ContactTeleohoneNumber-Numberofpersonidentifiedindataline<O3O> 307 883 5690
Add ress - Ema i I Address of person identified i n data li ne <030> mamoE zkus@s i 1ve rst ar ' net
TO BE COMPLETED BY THE REPORTING CARRIER, IF AN AGENT IS FII-ING ANNUAT REPORTS ON THE CARRIER'S BEHALF:
TO BE COMPTETED BY THE AUTHORIZED AGENT:
Certification of Officer to Authorize an Agent to File Annual Reports for CAF or Ll Recipients on Behalf of Reporting Carrier
jfy that (Namo ol is authorizsd to submlt the lnformation reported on behalf of the reporting carrier.
certify that I am an officer of the reponlng carrier; my responsibalitles include ensuring the accuracy of the annual data reporting requirements provided to the authorized
t; and, to the best of my knowledge, the reports and data provided to the authorized agent is accurate.
lame of Authorized Acent
lame of Reoortins Carrier:
isnature of Authori2ed Officeri Date
'rinted name of Authorized Offlcer:
'itla n of Arfh6rire.l Offi..r:
number of Authorized Officer:
tudv Area Code of Reoortinr Ca.rier:Filing Due Date for this form:
under Title 18 ofthe LJnited States Code. 18 U.S.C. E 1001.
Certification of Agent Authorized to File Annual Reports for CAF or U Recipients on Behalf of Reporting Carrier
he data reported h€reln based on data provided by the reponin8 carrier; and, to the best of my knowledSe, the lnformatlon reported hereln is accurate,
{ame of Authorized Aqent of asent:
;isnature ofAuthorized Asent or Emolovee of Acent:Date
,rintpd namc 6f Authd.i,.d A'.ni nr FmhlovpF of
_itle or oosition of Authori2ed Asent or Emolovee of Asent
eleohone number ofAuthori2ed AEent or Emolovee ofAEent:
;tudv Area Code of Reportinq Carrier:F,line Due Date for this form:
18 of the Uniled Stater Code, 18 U.S.C. ! 1001.
10t1412013
Page 13
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Silver Star Telephone Company, lnc.
dba Silver Star Communications ("Silver Star")
Service Quality Standards & Consumer Protection Rules
Statement of Compliance
Silver Star has established operating procedures designed to facilitate compliance with applicable
consumer protection rules; including rules regarding verification of orders for telecommunications
service as required of submitting carriers (i.e., Slamming) {Section 54.1100}, compliance with the FCC's
Truth-in-Billing Requirements {64.2400}, compliance with the FCC's customer proprietary network
information (CPNI) Requirements {54.2009}, consumer protection and service quality rules pursuant to
its state-specific services tariff(s), and all other customer protection rules including employee training
and policy manual development as applicable.
Silver Star Telephone Company, lnc.
dba Silver Star Communications ("Silver Star")
Functionality in Emergency Situations
Statement of Compliance
Silver Star has established operating procedures designed to facilitate compliance with
applicable service quality standards, which may include customer remedies and
improvement plans. Specifically Silver Star complies with Rule 500.01 of the ldaho Public
Utilities Commission rules requiring it to furnish to its customers safe, adequate and
continuous service in accordance with accepted good practice, and to that end,
maintains its entire plant and system in such condition as to enable it to furnish such
service, and inspect its system and facilities in such manner and with such frequency as
may be necessary to obtain knowledge of their current condition and adequacy. Silver
Star is capable of functioning in emergency situations, by maintaining both battery and
generator back-up power, which ensure reasonable functionality of voice services
without an external power source. Additionally, Silver Star can reroute voice traffic
around damaged facilities and is capable of managing traffic spikes resulting from
emerBency situations.
Silver Star Telephone Company, lnc.
dba Silver Star Communications ("Silver Star")
Low-lncome Telephone Assistance Program Terms & Conditions
Silver Star provides unlimited loca! calling for !ifeline-eligible residential
customers, discounted by the federally authorized amount of 59.25, and
state telephone assistance discounts, where applicable. Silver Star's
lifeline-discounted monthly telephone service provides access to
emerge ncy, operator, inte rexcha nge, a nd d irectory assista nce services.
The service does not include enhanced calling features such as voice
mail, caller lD, call forwarding, internet or long distance telephone
service. Tol! Limitation service is provided at no charge for lifeline
customers, upon customer request and pursuant to FCC guidelines.