20140701CTC Telecom FCC Form 481.pdf

July 1 ,2014
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UT lLll iIS C0i,ii.i i jj:ir;iMs. Jean Jewell
Commission Secretary
ldaho Public Utilities Commission
472 West Washington Street
Boise, ldaho 83720
jean.jewell@puc. idaho. gov ('; /"tR *T- l4 - C I
RE: 2013 Eligible Telecommunications Carrier (ETC) Annual Reporting Requirements
with the IPUC
Dear Ms. Jewell:
CTC Telecom, dba, CTC Wireless, ("the Company") hereby provides copies to the ldaho
Public Utilities Commission ("Commission") of the filing to the Federal Communications
Commission ("FCC") and the Universal Service Administrative Corporation ("USAC") for
designation as an Eligible Telecommunications Carrier, in accordance with 47 U.S.C. 54.313
and 54.422. ! have also included the signed Affidavit pursuant to Commission Order 29841.
Company, Study Area Code 479009, is a Competitive local exchange carrier (CLEC) as
designated by the FCC, and is eligible to receive federal universal service high-cost support
pursuant to the Code of Federal Regulations ("CFR"), Tltle 47, Sections 54.301, 54.305, and
Part 36, sub-part F.
Please review the attached filing and include Company in your Annual Use Certification
Letter to USAC and the FCC.
Please note the enclosed document contains confidential trade secret information that is
exempt from public disclosure pursuant to Section 9-340D(1), ldaho Code. Pursuant to Rule 67
of the Rules of Procedure of the ldaho Public Utilities Commission, the enclosed trade secret
information has been submitted on yellow paper and has been separated from the
non-confidential portion of the document.
lf you have any questions, do not hesitate to contact me directly.
Sincerely,WRRichard Wig
CTC Telecom, lnc.
President
State of ldaho )
)ss
County of Washington)
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
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:
1. lam an officer of CTC Telecom,l dba, CTC Wireless 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 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.
3. CTC Telecom, dba, CTC Wireless 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. $ 54.201(a)(2).
5. I also certify that all federal universal service support funds received by CTC Telecom, dba, CTC
Wireless, during the current calendar year will be used in a manner consistent with section 254(e); that is,
for the provision, maintenance, and upgrading of facilities and services for which the support is intended.
The company will continue to comply for the period of January 1,2015, through December 31, 2015, to
be eligible for federal universal service fund support.
6. This verification and affidavit is provided to be the ldaho Public Utilities Commission to enable the
IPUC to certify to the FCC that federal universal service support received by the eligible carriers in the
statewill be used in a mannerconsistentwith Section 254(e) of theTelecommunicationsAct.
SUBSCRIBED AND SWORN to before me this 30 day of .I^.n V-
U)c-csiur, J:-d-
Date: June 30,2014
DANA LYNNE MUNDEN
Notary Public
State of ldaho
CTC Telecom
POBox69
Cambridge ldaho 83610
June 19,2014
VIA ECFS
Marlene H. Dortch, Secretary
Federal Commu nications Commission
Office of the Secretary
445 l2tnStreet, S.W.
Washington, D.C.20554
RE: WC Docket Nos, 10-90 and 11-42
Annual Report Pursuant to 47 C.F.R. SS 54.313 and 54.422
Dear Ms. Dortch:
CTC Telecom lnc., dba CTC Wireless, Study Area Code 479009 by its authorized
representative, files its FCC Form 481 - Carrier Annual Reporting Data Collection Form
in compliance with 47 C.F.R. SS 54.313 and 54.422.
The FCC Form 481 has been completed, certified, and submitted to the Universal
Service Administrative Company.
A copy of the FCC Form 481 is also being submitted to the state regulatory commission
pursuant to $S 54.313(i) and 54.a22@). Please contact me if you have any questions.
Sincerely, a
R,, t-*1ul b'?7'*'
Richard Wiggins
CTC Telecom
President
Page 1
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ihrdy ArEa Cod€ of Reoortln[ Carrlpr: 4?9009 ftllnd DuE Orte fort1r1, 1o-. 06/30/201i1
Fccon! wllllulh ml(trg hke ltllemnl! on ihls form 6n b€ puntshed !y lXro or bddt[]e rtrds rte Comutrloilonr AEt of 1914, 47 U"lC 55 50f. 50!tbl, o. nne 6 trFLonrunt
undffTilr 18 olrhe UdrEd StrrEcod!,18 us.c I !00L
PaBe 12
Prtr 13
<010, StudvAr€a Code
<0r5> StudvAreaNrm CllC Telecm. Inc
<t l0> ProeramYear ?015
<03D Contlct Nnme - PErlon USACshould conhct resardlnr thls data Plchatd l.llsslng
<[Il5> CorldttTElEDhnrNumher-NmhErofErsonldEillllEdlndatallne<030> 2082573]1,1 e)at.
<4[l9, ContactEmillAddr$r-EmillAddessofDarslnldentlfedlrdaldllne.(E0, illoqloEoctcEBle.cots
TO SE COMPTETED 8Y THE REPORTING CARRIER, IF AN AGENT IS FITING ANNUAT REPORTS ON THE CARRIER'S EEHATF;
TO BE COMPTETED BY THE AUTHORTZED AGENT:
C€rtlflsdtlon of Offlcer to Authorhe an A8ent to Flle Annual Rcports for CAF o, Ll Reclplents on Behalt of ReportlnB Carler
c6rrl,y thli (Nom! s,l! sulhodtod lo aubmlt lho lnrornllllon rlForlod on behall ot lho r[porllnE clrdEr. I
qenli End, to lhE bGl of my lrnowledgE, lllo rspErt! Bf,d dlto ptovkhd tG lho EulhsdzEd !E!nl ls lcEurato.
'ltme olAuihodred Aenh
{ime of Reponlnn Earrlor:
ilEnrture of Aulhorlz€d omEsr:Oiiei
rrlnl,ed name of AlrthorhEd olll.Er
llle oroEltlon of Authorhsd c]IllcEr:
EleEftone number of Authorlrad oflker:
tudv Area Code o[ neDortbrE CarrlEr:Fllln! Due Drte forthb tor.n:
PoEonr slllluiv mlln8 fDbE ltatEmlntr 6 thlr tom 6tr be purhhed by llr! tr lor,illrs snder thE Cdmmtrkrtlotr Afi ot 1934, 47 U.s.c 19 5ff. 50!lbl, tr line or lmpaliomElt
udlr1lrl. lE otrh€ Unlted SlllE Cods, 18 Ul,C I 100L
Certlflcatlon of Atent Authorlzed to Fllc Annurl Reports for CAF or Ll RedplrnB on Behal, of Raportlng Carrler
hE datn replrtrd hlnln b.sEd on data provldEd bythB rcportlf,g Erle4 ilrd, to thn b6itof my hnourledgE, ]h! lntoroatlon rcportld hrruh lt lcEuEta,
lome oI R€ErtlnE Carler:
{tmE dtAdhdlrEd AE.nt Arent!
il[niltuE of Authdrlr€d A@nt or EmdlouEs olA!.nt:O!tq:
rrlnted name ol AuthorlrEd AEcnt or Emrlovee ofAftnt:
'itle tr Dosluon ofAuthor[sd AEent or EmDhv8e ofAamt
lbleohone number of Authorlrdd ArEnt dr Ehalme ol A{Ent:
itudv Ar6a Coda ofnEEortlf,E carler:RIn[ 0uE Dnto for thh lorm:
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lg olrh! lJnhcd sr.is C!d!. tB tlJ.C !.oL
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