20150706Custer Telephone ETC.pdf

Custer Telephone Cooperative Inc.
P0 Box 324 . 1l 0l t. Main Ave. Challis, lD. 83226 . Telephone: [phone] , Fax: (208] 879 521 1
July 1,2015
Ms. Jean Jewell
Commission Secretary
Idaho Public Utilities Commission
47 2 W est Washington Sheet
Boise,ldaho 83720
j ean j ewell@puc. idaho. gov 0 N R-T-t s-0 I
RE:2015 Eligible Telecommunications Carrier (ETC) Annual Reporting Requirements with the IPUC
Dear Ms. Jewell:
Custer Telephone Cooperative, Inc. ("the Company") hereby provides copies to the Idaho 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. Section 54.313 applies to eligible
telecommunications carriers ("ETCs") receiving high cost federal USF support and Section 54.422 applies to
ETCs receiving low-income support. Both sections require the Company to file the annual report with the FCC,
USAC and the Commission. I have also included the signed Affidavit pursuant to Commission Order 29841.
Company further requests the Commission to file the annual certification regarding federal high-cost
support with USAC and the FCC pursuant to 47 CFR 54.314(a).
Please note the enclosed document contains confidential trade secret information that is exempt from
public disclosure pursuant to Section 9-340D(1), Idaho Code. Pursuant to Rule 67 of the Rules of Procedure of
the Idaho 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,fr*fuil"'*/'
Dennis L Thornock
CEO / General Manager
state o(fu\J- ) cERTrFrcATroN By ELTGTBLE TELECoMMUNTcAToNS cARRTER
co u n ty or 0, ) \:\e/ )
) s s 353r"#?i$ ?E il Ti,i"= [I'fi^=' S E0'^llY, AL?."u
sr o M E R
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 allfederal high-cost support provided to ETCs
within the State of ldaho will be used only for the provision, maintenance, and upgrading of facilities and
services for which the support is intended. Accordingly, the undersigned states and verifies under oath the
following:
1 . I am an officer of Custer Telephone Cooperative, lnc., 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. Custer Telephone Cooperative, lnc. is complying with applicable service quality standards and consumer
protection rules of the Federal Communications Commission and the ldaho Public Utilities Commission.
4. I certify to the Commission that the Company is able to remain functional in emergencies as set forth in
Commission Order No.29841 and in 47 C.F.R. S 5a.201(aX2).
5. I also certify that all federal universal service support funds received by Custer Telephone Cooperative,
lnc. 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
companywill continue to complyfor the period of January 1,2016, through December 31,2016, to be
eligible for federal universal service fund support.
6. This verification and affidavit is provided to be the ldaho Public Utilities Commission to enable the IPUC
to certify to the FCC that federal universal service support received by the eligible carriers in the state will
be used in a manner consistent with Section 25a(e) of the Telecommunications Act.
SUBSCRIBED AND SWORN to before me this g day of
Notary Public forC
My Commission expires
Form 481 - Carrler Annual Reportlng
tCCFmtlll
ori! coltrel t{o. x60a!lt oiar cilnd l{a it60Bl9
xI!20t,
<010> Studv Area Code 412218
Page 1
<015> Studv Area Name CUSTER TEL COOP
<020> Program Year
<030> Contact Name: Person USAC should contact
with questions about this data Demis L Thornock
<035> ContactTelephone Number: 2o887e228). exl.t1
Number oi the person identitied in data line <030>
<039> Contact Email Address:
Email of the oerson identitied in data line <030> demis@cusEerEel 'net
(ch.ck box whd conplel2)
<100>
<200>
<210>to report
<300> Unfulfilled Service Requests
<310> Detail on Attempts (voice)
<320> Unfulfilled Service Requests (broadband)
<330> Detail on Attempts (broadband
Number of Complaints per
Fixed
Mobile
Number of Complaints per 1,000 customers (broadband)
Fixed
Mobile
Service Quality Standards & Consumer Protection Rules Compliance
472218IDs10.pdf
Situations
Service Quality lmprovement Reporting
Outage Reporting (voice)
l7I.-.heckboxif nol-J
( con pl ete o lto ched ||orksh eet )
I com pl ete oft och e d wo rk sh e et )
descriptive document)
( co m pl ete o tt o ch ed work sh eet )
(compl ete ottoched wo.ksheet)
( compl ete o no ch ed workth e e t)
(il yes, complete ottoched woiltheet)lY.r I
desciptive docum.nt)
( o tto.h d e$ i ptiv e d oc um en t)
<400>
<410>
<420>
<430>
<440>
<450>
<500>
<510>
<500>
<610>
<700>
<710>
<800>
<900>
<1000>
<1010>
<1100>
<1110>
<1200>
pany
0.0
o-0
( o tto ch d e sc ri ptiv e d oc u m en t )
(if not, check to indicote cettilicotion)
( compl ele o ?toched worksheel)
( c o m pl ete o tto ch e d wo tk sh ee t)
77
77
I / ll / I
t--lIffi
Company Price Offerings (broadband)
Operating Companies and Affiliates
Tribal Land Offerings (Y/N)? O OVoice Services Rate Comparability Certification
r
t--[ffi
<2000>
<2005>
<3000>
<3005>
Certify whether terrestrial backhaul options exist (Yes or No)
Terms and Condition for Lifeline Customers
Price Cap Carriers, Proceed to Price Cap Additional Documentation Worksheet
lncluding Rote-of-Return Corriers offilioted with Price Cop Locol Exchonge Corriers
(check to indicote certifr.otion)
( c om pl e te o lta ch ed w o tk th e e t )
Rate of Return Carriers, Proceed to ROR Additional Documentation Worksheet
(check to indicote cettiJicotion)
(compl ete o tto ched worksh eet)
Page 2
<010> Studv Area Code t122LE
<015> StudvArea Namr @sEi r& mP
<020> Prorram Ylar 2016
<030> Contlct Name - Parson USAC should @ntact regardinS thls data D.ui! L tbruck
<035> contactTelephon!Numbcr-Numberofpersonidentifiedindataline<o3O> 20467e2281 'xE'17
<039> Contact Em.il Addrcss - Email Address of Oerson ldentlfied in data lire <030> &ml.h't.'Ecl.n.r
<110> HasyourcompanvrcciveditsETCcrrtifietionfromtheFCC? tv".lnot O O
lf your answrr to Une <110> is yes, do you have an exirtin8 S54.202(a) '5 /^ /^<111> vear plan" filed with the FCC? (ves / no l lvf \J
lfyour.nswer to Line <111> is yes, then you are required to file a progress
repoG on llnr <112> dcllneating the status ofyour company's existing 5
54.202(a) "5 year plan' on file with thc FCg .s it relates to your provision of
voie telephony srvie.
<U2> Attach Five-Ycar seruice Ouality lmprovement Plan or, ln subsequent years,
yourannualprogrcssreportfiledpursuantto4TCF.R.S54.313(aXU. lfyour@mpanyisa
cETc which only recelvas frozcn suppoG your progress report is only
requlred to address voice telephony service.
<113>
<114>
<L15>
<116>
<LL7>
<118>
Please select thr appropriate rasponse3 below (Yes, Nq NotApplicable) to confirm
that the attached deumcnt(e), on lina 112. contains a progre55 report on its ltue-yea.
servic. quality improv.ment pl.n pursuant to 554.202(a). The inform.tion shall be
submltted at the wl16 c.ntcr l€vel or ccnsus block as appropriate.
Maps detailint progrlss towards meetlng plan targets
Report how much universal servlce (USF) support wa5 received
How much (USF) was us6d to imprcvo ssilicE quality and hil support was used h imprwe wice qualty
How mrch (USF) ms us€d b impoe sryi@ @vsEgo and hil $pport was used b imprws srui6 woEg6
Hw much (USFI was usd b impms srui€ Epacity and hw support ms usod to imprfle $Ni6 mpacig
Provlde an explanatlon of network improvement targets not met
in the prior calendar year.
Page 2
<O10> Studv Ar.a Code
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Page 7
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<015> StudyArea Namc @sEn B mp
<020> ProSBm Ycar
<030> Contdct Namc - Pcrson USAC should contact Egarding thls data EEl. L turcct
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<039> Contact Emall Addrcss - Email in data lln. <030>&ml.hrts.rt.I-n ts
<910> Tribal Land(s) on whlch ETCS€rucs
<920> Tribal Govemment Engagcmcnt Obligation
lfyour €ompany scdes Trib.l l.ndt plc.sc sqllct (Y.1No, NA) for G.ch these boxes
to conflrm th! status de$rlbcd on tha attachqd docum.nt(s), on llne 920,
dlmonitntes c@rdination wlth thr Trlbal tovarnmant pursuant to
5 54.31!(.X9) lnclud$:
<921> Nsds assessment and daployment planning with a frus on Tribal
mmunity anchor institulions.
<92> Frasibility and sustalnability planning;
<923> Markating srvices in a culturally scnsitivc manncr;
<924> compliance with Rights of my prccsses
<925> Compliance wlth Land Usc prrmitting requlrcments
<926> Compliancc with Facitltlcs Siting rulcs
<927> Compliance with Envlrcnmantal Rcvlcw proccsses
<928> Compliance with Cultural Prcs!ruation rcvirw prtresses
<929> compliance with Trlbal Buslness and Licensing r.quiremcnts.
S6l.ct
Y6r or No or
tlot Applhable
Page 7
Pag. E
<)l(> Study Arca CodG a722La
<015> StudyArce Nemc @am@@p
<)20> Proer.mYrer
<)3D Cont ct il.mc - P.rson USAC ahould cont ct rcgarding this dat ht L&ffik
<)35> ContactTclaphoneNumbcr-Numbrrof prBonldentifi"dindetalina<030> 2o!.zrt2!r G.1,
<)3D Cont ct Email Addrass - Em.il Addrcss of pcrson idcntmcd in d.ta linc <r!X>
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<l13o> Plcaso s€lecd ths apfloprlaia rrsponso (Ygs, No, Not Applicablo) b confm the
rrporthg canior ofiors bloedbard rowlce of at least I Mbps dowNb.arn and 256 kbp3
upst m within th€ rupportBd ar€a pursuant b S 54.313(9).
Pa8r 9
<01D StudvAroaCod.17aara
<015> StudvAruNrme
<O20> Prmnm Yarr
<1210> Tcrm3 & @nditlons of VoicrTclcphony Lifelinc Phns
<122D Linkto public wlbsitr
<030> Contrct N.mc - PlBon USAC rhould cont.ct r.l.rdinE this dat hml. L turt4l
<035> ContactTclcohon.Numb.r-Numbcrof ocrcnldcntifi.dind.talinc@30> zort?razlr Gr.u
<039> Contrct Emrll Addross - Emall Addrcs of pamn identified in drte lim 43O> a*rot..c.r.-.
a1221ttDtat0.
N.m. ofAtt ch.d llodm.nt
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or th. u.bslta lld.d, on lina 1220, contalns th. Equl[d lniormtlor puEunt to
t 5{./f22(al(2}.nnurl nportlnt ior ETcr ncaMna btr-locom. rupport ertitE m6t
rnnulv nport:
<1221> lnformrtlondcrcdbintth.t rms.nd@nditionsofrnyrcic |@tclephony *ruicc pl.ns offrrcd to Lifclinc subccribcrs,
<1222> Dctrils on the numbcr of minutct prcvidd .s p.rt ofth. drn,
<1223> Addition.l chr6csfortoll calls, rnd ratasforcach such plu.
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Prlc. c.p c.nlr Rtcclylr{ Fror.n suppon C.ftlrlotlon (a7 clR t tL312(.)}
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Page 13
. Raporfirg flCfom4Sl '
OMB Co{trol N,o. 306GO985/OMB Control tlo. 3OGGOE19
Juk 201:l
ColLc{on For?r
<010> Study Area Code 4722L8
<015> StudyArea Name CUSTER TEL COOP
<020> Prosram Year 2 016
<030> Contact Name - Person USAC should contact recardinc this data Demis L Tholnock
<035> ContactTelephoneNumber-Numberofpersonidentifiedindataline<030> 208879228a exE.t7
<039> Contact Email Address - Email Address of person identified in data line <030> demis@custertel . ner
TO BE COMPTETED BY THE REPORTING CARRIER, IF THE REPORTING CARRIER IS FILING ANNUAT REPORTING ON ITS OWN BEHAIF:
Certirication of Officer as to the Accuracy of the Data Reported for the Annual Reporting for CAF or Ll Recipients
certify that I am an officer of the reportint carrier; my responsibilities include €nsuring the accuracy of the annual reporting requlrements for universal seruice support
ecipients; and, to the best of my knowledte, thr information reported on this form and in any attachments ls accurate.
lame of Remrtins carrier cusrER TEL cooP
iisnature of Authorized Officer:Date
'rinted name of Authorized officer:
'itle or r of Authorized Officer:
re number of Authorized Officer:
;tudv Area Code of ReportinE Carrier: 472218 Filinc Due Date for this form' 0?/0rl20Is
underTitle 18 oIth. United States Code, 18 U.S.C. 5 1001,
Page 13
Page 14
Carrier FCC Form 481
OMB Control No. 3050{966/OMB Conkol t{o. :10600819
tuly 2011
Fom
<010> StudvArea Code 412218
> StudvArea Name CUSTER TEL COOP
<020> Program Year 2 015
<030> ContactName-PersonUSACshouldcontactresardincthisdata Demis L Thornock
<035> ContactTeleohoneNumber-Numberofpersonidentifiedindataline<030> 2088792281 exE.17
<039> Contact Email Address - Email Address of person identified in data line <030> demis@custertel . net
TO BE COMPTETED BY THE REPORTING CARRIER, IF AN AGENT IS FILING ANNUAL REPORTS ON THE CARRIER'S BEHALF:
TO BE COMPTETED BYTHE AUTHORIZED AGENT:
Certification of Officer to Authorize an Agent to File Annual Reports for CAF or Ll Recipients on Behalf of Reporting Carrier
certify that (Name of is authorized to submit the information rcpoded on behalf ot the roporting carier.I
lso certify that I am an ofiicer of th6 reporting carieG my rosponsibilities includo cnsuring tho accsracy of ths annual data repoiing rsquiraments providod to tho aulhorlzsd
gent; and, to the best ot my knowlqdgo, tha reports and data provided to tha authorized agent is accurate.
,lame of Authorized Apeht:
,lame of ReDortins Carrier:
iicnature of Authorized Officer:0atei
)rinted name of Authorized officpr:
'itle or oo of Ar I Officer:
'elephone number of Authorized Officer:
;tudv A.ea Code of Reoortinq Carrier:Filins Oue Date for this form:
Perrcnswillfullymakin8falsestatementsonthisformenbepunishedbyfineorforfeitureundertheCommunicationsActofl934.4TU.S.C.SSSoe503(b),orfineorimprisonment
underTitle 18 ofthe United States Code, 18 U.S.C. 6 1001.
Certification of Agent Authorized to File Annual Reports for CAF o. Ll Recipients on Behalf of Reporting Carrier
h€ data reported herein based on data provided by the reportlng 6rrler; and, to the be5t of my knowledte, the information report€d hereln ls accurate.
,lame of ReDortinr Carrier:
lame ofAuthorized Aqent or E of Asent:
;ignature ofAuthorized Asent or EmDlovee ofAcent:Date:
d name ofAuthorized Asent or Emplovee ofAsenti
Itle or r of Authori2ed Areht or e ofAEent
e number ofAuthorized Aeent or Emolovee of Acent:
;tudv Area Code of ReDortine Carrier:Filinq Due Date for this formi
18 ofthe United States Code, 18 U.5.C. 5 1001.
Page 14