20160708Custer Telephone Cooperative Redacted Form 481.pdf

Custer Telephone Cooperative Inc.
July '1 ,2016
Ms. Jean Jewell
Commission Secretary
ldaho Public Utilities Commission
47 2 W est Washington Street
Boise, ldaho 83720
jean.jewell@puc. idaho. gov bNR-T-t6-o1
Sincerely,
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RE:2016 Eligible Telecommunications Carrier (ETC) Annual Reporting Requirements
with the IPUC
Dear Ms. Jewell:
Custer Telephone Cooperative, lnc. ("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. 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), 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.
Ii you have ar,y'questions, do not hesitate to contaci ir,e ,lircctly.
Kfu
Dennis L Thornock
CEO / General Manager
State of 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.
)ss
County of _)
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.
2.1am 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. $ 5a.201(a)(2).
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(el; 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 1,2017, through December 31, 2017, to be
eligible for federal universal service fund support.
6. This verification and affidavit is provided to be the ldaho Public Utilities Commission to enable the IPUC
to certify to the FCC that federal universal service support received by the eligible carriers in the state will
be used in a manner consistent with Section 254(e\ of the Telecommunications Act.
SUBSCRIBED AND SWORN to before me this
Notary Public for C \^r'\\i.- r,-\
My Commission expires
lore+l
-a-
6. .tuat\-1
<010> Studv Area Code
<015> Studv Area Name MSTER TEL COOP
<020> Prosram Year 2011
<030> Contact Name: Person USAC should contact
with ouestions about this data DeMls Thornock
<035> ContactTelephone Number: 20887e2281 ext.17
Number ot the oerson identitied in data line <030>
<039> Contact Email Address:
Email ot the person identitied in data line <030>
Form Type 54 .313 and 54 ,422
Page 1
(1qrl SeMce qua[ty lmprovement Reportint FCC Form 481
Data Collection Form OMB Control No. 3O5O-0986/OMB Control No. 3060-0819
Julv 2013
Area Code
Contad Name - Parron USAC rhould contad
Number - Number ol
Address - Email Address of
received its ETC certification from the FCC?
your answer to Line <110> is yes, do you have an existing 554.202(a) "5
lf your answer to Line <111> is yes, please file a progress report, on line
<112> delineatingthe status of your company's existin8 5 54.202(a) "5 year
plan" on file with the FCC, as it relate5 to your provision of voic. t.lephony
seruice.
<112> Attach Five-Year Service Quality lmprovement Plan or, in subsequent years,
yourannualprogressreportfiledpursuantto4TC.F.R.954.3l3(a)(1). lfyourcompanyisa
CETC which only receives frozen support, your progress report is only
required to address voice telephony seryice.
<113>
<114>
<115>
<116>
<117>
<1 18>
Please ielect the appropriate responses below (Yes, No, Not Applicabl.) to confirm
that the attached document(s), on line 112, cohtaini a protreis report on iti five-year
service quality improvement plan purluant to 554.202(a). The information shall be
submitted at the wire center level or census block as appropraate.
Maps detailing progress towards meeting plan targets
Report how much universal service (UsF) support was received
How much (USF) was u$d to improve seryice quafity and how suppod was used to improve seryice quality
How much (USF) was us€d to improv6 sflico coveEge and how supporlwas us6d to improv€ Eryico @veEg€
How much (USF) was used to imprcve $ryic€ capacity and how supportwas used to imprcve soryice capacity
Provide an explanation of network improvement targets not met
in the prior calendar year.
Page 2
(200) serylce Outage Bppirrll,3 Nolcc)
CollGctlon torm
FCC Form rt81
OMB Control No. 3060-0986/0MB Control No. 3060{819
JulY 2013
41?2\e
<030> Contad ihis data
<o3S> contad of oe6on id€ntified in data tine <o3o> 20!are22ai 'aL l7
<039> Contad Ehail Addr.ss of oerson identified in data line <030> denni!rcurrc!re
<210>
<220>
For the prior calendar yea., were there any reportable voice seryice outa8es?
@MB ML @P
dlo> ftnlrd lhi.dile M. tutIEX
id.ntm.d in d.b lin. d:to>
<o:!9> conbd Eh.ll addrcs - Emrll addrcs of !@n idlntm.d in drt. llru dr3(D h1.B.t.*.1 . ma
<J@ Untufifld $re cqu6t (wrie,
<31D Olt il on .nGml$ (wi@)
<32C> Untumbd sftle Eq@.i (bmdb.rdl
€:r(D Ddrll 6.ttcmdr ([e-mail])
N.m. of AthdEd Documnt
<01D StudyArea Code
<015> StudyArea Name @TE@
<020> Program Year
<030> Contact Namc - Pcrson USAC should contact retarding this data hur. ,hol*cr
<03S> Contact Telephone Number - Number of person identilied in data line
<039> Contact Email Addrcss - Email Address of person identified in data llnc d.Et-4.r.!r.1.n.t
Select from the drop-down list to indicate how you would like to rcport
<400> voicecomplaints(reroorgreaterlforvoicetelephonyservicclnth.prior otfered borh
calendar year for each service area in whlch you ,re desiSnated an ETC for
any facilities you own, oper.te, lease, or otherwise utilirc,
<4!O> Complaints pet 1OOO customers for fixed volce 0 . 0
<420> Complaints per 1OOO customers for mobile voice 0 . 0
Select from thc drop-down list to indicate how you would likr to report
<430> cnd-user customer complaints (zero or greater) for broadband saruicc ln offered bolh
thc prior calendar year for each service area in which you are desltnatcd
an ETC for any facilities you own, operate, lease, or otherwlse utilize.
<440>Complaints per 1000 customers for fixed broadband
Complaints per 1000 customers for mobile broadband
fLxed and moblle volca
fixed and mobLle broadband
0.0
0.0
dt& t& @D
tu*r
olSr onrcte.pmf*u-fmo
d$ ConB €m.llAddi6 - Eilll {B& a.El.e*.!a.l.mr
<5G Clrtlty @6plbB whh $pfiob|r Hle qolfty n.nd.?dt $d @duh.r prctE{on ruld yla
{7221 ArDs10.pdf
<51D o.$rl$lradcuornttorslrvreQlllftyst!rd.r&!co@ndProtrclbniultacompllano
<01O, SiudvArc.Codc
<0:10> c6nt.d N.m.. p.rroa usActhdld @fr.at rcrrdlm thl. d.t.
tul.tut..t.I,rt
c.fiify ffiplLn@ rcfardhi .bilitvto funcrim lo .n.rt nq ituatlffi Yer
<6l(D O.&rlptiv. dqm.n for Rrnation lity ln Erurt nc, Situ*iot
(700) Price Offerlngs lncluding Volce Rate Data
Data Collection Form
FCC Form 481
OMB Contrcl No. 3060-0986/OMB control No..3060-0819
2013
<010> Studv Area Code
<015> Studv Area Name CUSTER TEL COOP
<030>
<035>
Cohtact Name - Person usAc should contact r
Number - Number of person identified in data lihe <030>
<039> Contact Email Address - Email Address of person identified in data line <030> denllsocust.rtel ne!
<701> Residential Local Seruice Charge Effective 0ate
<702> 5in8le State-wide Residenti.l Local Serviae CharSe
<703>
this data Denhis Iholroc*
<03S> contad rdEnrrtiedinder.hne<030> 20337e2231 Ftr r?
<039> Contad Email Addres! - Em:il Address of id.ntilied in data line <
Area Code
Conta.t Name - Person USAC should
<035> contadTpl.ohonpNumber-Numberofbersonid€ntifledindataline<030> 2033?l22ll.xt l?
id.ntified in data line <030>
<810> ReDortinr Cerrier &.r!! Telephon. cooPcr.tlve Inc
Dolni BuslncssAs Company or Erard OcslSnatlon
cusm E[ @P
2017
ddlracurtcrtcl . rct<03$ Cohhd En.il Addr.s - tm.il Addras ol E.Eon ldrntificd in dat. line <030t
<900> Oocs thc filing entity offer trib.l land scrylccs? (Y/N)
<910> Iribal Land(s) on whlch ETC Scrves
<920> TribalGovernmentEngagementobllgation
lfyour comp.[y seryls Tribal lrnds, plcase lcl6ct (Y.s,No, NA) for e.ch thesr boxos
to conflrm the 't.tur dercrlb€d on thG attachcd docufiort(s), on lin€ 920,
demonsthtes coordinatioh with th. Trlbal 8overf,mqnt pursuant to
I 54.313(a)(9) includct:
<921> NoEds assessmBnt and deploymont planning with a forus on Tribsl
community anchor inslilutions.
<922> Feasibllltyand su3tainability planring;
<923> Markitlng rervices in a culturally sensltivc manner;
<924> Compllanc€ with Rights of way processes
<925> Compliahr. with Land Use permittint requlrements
<926> Compllance wlth Facilitiss Sitin8 rulcs
<927> Complianca with Environmcntal Revlew processes
<928> Compliancc with cultuBl Prescruatlon rcview proccsscs
<929> Compliam! with Tribal Business and Llcensing requlrements,
S6lrr,
Yca or No or
Not Applicrblc
PaEc 12
<010> Study Arca Code
<015> studv Arca Name CUSER TEL MP
<030> Contact Name - Person UsAc should contact recardlns this data
<035> contact TeleDhon. Numb.r - Numbcr of ocrson identified in data line <030>20€3?92281 .xE ,17
<039> Contact Email Addrcss - Emall Addrcss of Derson idcntified in data line <030>d.nnlrrcurt.!!.1 .net
Voice scryiccs rate comparability ccrtificatlon
Attach detallcd description for voice seruices Bte
comparabillty compliance
Broadband comparability certification
Attach dctailcd description for broadband
comparability compliancc
Yes
4?22 18ID1010 . pdf
Yesthe
Namc of Attached Oocumcnt
- Pricing i6 no hore than the most recenE applicable bench@rkwireline Competit.ion Bureau
aNounced by
<1020>
<1030>{72218ID1030.pdf
Pagc 12
Pagc 13
<010> Study Area Code
<015> Study Arca Name @SER OL @P
<020> Prorram Yaar
<030> Contact Name - Person LJsAc should contact reEardinc this data
<035> ContactTeleohonE Numb€r - Number ofDerson identified in data line <030> 2o!8?e22Br exi.1?
<039> Contact Email Addrcss - Email Address of person identified in data llne <030> d.Mliocu.rc!!.r.n.r
<1100> Certifywhethcrt€rrestrialbackhauloptionsexist(Y/N)
<1130> Please 86loct the appEpriata responso (Yss, No, Not Appli€ble) to 6nfim th6
reporting canier ollors broadband B6rvics of at least 1 Mbps downstrBam and 256 kbps
upstroam within th6 supported area pursuant to S 54.313(g).
Page 13
<010> Studv Area Code 472215
<015> StudvArea Name
<020> Prorram Year
<030> Contact N.me - Person LrsAc should contact recardins this data
<035> ContactTeleohoneNumber-Numberofoersonidentifiedindataline<030> 20.a?e22s1 e'r.1?
<039> contact Email Address - Email Address of person identified in data line <030> d.Mrsocuer.rrel.ner
<1210> Terms& Conditionsof VoiceTelephonyLifeline Plans
<!22O> Link to public Website
a122 l0
Name of Attachcd Do€ument
HTTP nttp,//"r"t"rLel.net/ima9e6/Llrcline.pdr
"Please check thele boxes below to cohfirm that the attached document(s), on line 1210,
orthe website listed, on line 1220, .ontaios th. requir.d information pursuant to
! 54.422{.)(2) annu.l rcporting for gTCs rccciving low-incomc aupport, caffieB must
annually repon:
<722!> lnformation describing the terms and conditions of any voice [[|telephonv service plans offered to Lifeline subscribers,
<1222> Oetails on the number of minutes provided as part of the plan,
<1223> Additional charges for toll calls, and rates lor cach such plan.
E
E
Page 14
Llephone Number - Number ol
<039> Contad €mail Addres. - Email Address ol ron identified in dala line
and connect America Phase ll support as set forth in a7 CFR 5 54.313(b),(c),(d),(e). The information reported on this form and in the documents attached below is accurate.
lncremental Connect America Phase I reporting
<2010> 2nd Year Certification 47 CFR 5 54.313(bX1)(i) - Note that for the.July 1
2015 certification, this applies to Round 2 recipients of lncremental
Support
<2011> 3rd Year Certification 47 CFR $ 54.313(bx1)(ii) - Note that for the July 1
2015 certlfication, this applies to Round 1 recipients of lncremental
Support
<2022> Recipient certifies, representing year two after filing a notice of
acceptance of funding pursuant to 54.312(c), that the locations in
question are not receiving support under the Broadband lnitiatives
Program or the Broadband Technology Opportunities Pro8ram for
projects that will provide broadband with speeds of at least 4
Mbps/lMbps - 54.313(bX2Xi). Round 2 recipients only.
<2023> The attachment on line 2024 includes a statement of the total amount of
capital funding expended in the previous year in meeting Connect
America Phase I deployment obligations, accompanied by a list of census
blocks indicating where funding was spent. This covers year two -
54.313(bX2)(ii). Round 2 recipients only.
<2024A> Round 2 Recipient of lncremental Support?
<20248> Attach list of census blocks indicating where funding was spent in year
two - 54.313(b)(2)(ii). Round 2 recipients only.
<2025A> Round 1 orRound 2 Recipientof lncrementalSupport?
<20258> Attach geocoded lnformation for Phase I milestone reports (Round 1 for
year three and Round 2 for year two) - Connect America Fund , WC
Docket 10-90, Report and Order, FCC 13-
<2015> 2016 and future Frozen Support Certification 47 CFR 5 54.313(cXa)
Name of Attached Document Listing
Required lnformation
Name of Attached Document Listing
Required lnformation
Price Cap Carrier Connect America ICC Support {47 CFR 5 54.313(d)}
<2016> Certification support used to build broadband
Connect America Phase ll Reporting {47 CFR 5 54.313(e))
<2017A> Connect America Fund Phase ll recipient?
<20178> Attach information for Phase ll - 5a.313(eX1) - list of geocoded locations
already meeting the 54.309 public interest obligations at the end of
calendar year 2015 and total amount of Phase ll support, if any, the price
cap carrier used for capital expenditures in 2015.
<2018> Attach the number, names, and addresses ofcommunity anchor
institutions to which the carrier newly began providing access to
broadband service in the preceding calendar year - 54.313(eX2Xii)
<2019> Recipient certifies that it bid on cateSory one telecommunications and
lnternet access services in response to all FCC Form 470 postinSs seeking
broadband service that meets the connectivity targets for the schools and
libraries universal service support program for eligible schools and
libraries located within any area in a census block where the carrier is
receiving Phase ll model-based support, and that such bids were at rates
reasonably comparable to rates charged to eligible schools and libraries in
urban areas for comparable offerings - 5a.313(e)(2Xv)
<2020> Recipient certifies that it offered broadband meeting the requisite public
interest obligations specified in 954.309 to 40% of its suppofted locations
in the state on December 31, 2017 - 54.313(eX3)
<202L>
<2026>
<2027>
Recipient certifies that it offered broadband meeting the requisite public
interest obligations specified in 954.309 to 60% of its supported locations
in the state on December 31, 2018 - 54.313(eX4)
Recipient certifies that it offered broadband meeting the requisite public
interest obligations specified in 554.309 to 80% of its supported locations
in the state on December 31, 2019 - 54.313(eXS)
Recipient certifies that it offered broadband meeting the requisite public
interest obligations specified in 954.309 to 100% of its supported locations
in the state on December 31, 2020 - 54.313(eX6)
Name ofAttached Document Listing
Required lnformation
Name ofAttached Document Listing
Required lnformation
P.8. 16
<010>Study Area Code
<015> Study Area Name CI'STFIR TF:T, COOP
<020> Program Yeaa 2017
Contact Name - Person USAC should .ontact regardihB this data Dennis Thornock
<035> contact Telephone Number - Number of person identifi€d in data line <030>2088'79228L ext.17
contact Email Address - Email Addr€st of person identified in data llne <030>dennis@custertel . net
Complete the items below to note compliance with five year service quality plan (pursuant to 47 CFR 5 54.202(a)) and, for privately held carriers, ensuring
compliance with the financial reporting requirements set forth in 47 CFR 5 54.313(fX2). I further certify that the information reported on this form and in
the documents attached below is accurate.
Progress Report on 5 Year Plan
(3009) carriercertifiesto54.3l3(f)(1)(iii)
(30104) Milestone certification {a7 cFR S 5a.313(fX1)(i)}
(30108) Please Provide Attachment
(3012A) community Anchor lnstitutions {47 cFR 5
s4.313(f)(1Xii))(30128) Please Provide Attachment
(3013) Is your company a Privately Held ROR Carrier {47 CFR
$ s4.313(f)(2))
(3014) lf yes, does your company file the RUs annual report
Please check these boxes to confirm that the
attached PDF, on line 3017, contains the required
information pursuant to $ 54.313(fX2) compliance
requires:
(3015) Electronic copy of their annual RUs reports
(Operating Report for Telecommunications
Eorrowers)(3016) Document(s) with Balance sheet, lncome Statement
and statement of Cash Flows
(3017)lf the response is yes on line 3014, attach your
company's RUS annual report and all required
documentation(3018) lf the response is no on line 3014, is your company
audited?
lf the response is yes on line 3018, please check the
boxes below to confirm your submission on line
3025 pursuant to 5 54.313(f)(2), contains:
(3019) Either a copy of their audited financial statement; or
(2) a financial report in a format comparable to RUS
operating Report for Telecommunications Borrowers(3020) Document(s) for Balance Sheet, lncome statement
and statement of cash Flows
(3021)Management letter and/or audit opinion issued by
the independent certified public accountant that
performed the company's financial audit.
lf the response is no on line 3018, please check the
boxes below to confirm your submission on line
3025 pursuant to 5 54.313(f)(2), contains:
(3022) Copy of their financial statement which has been
subject to review by an independent certified public
accountant; or 2) a financial report in a format
comparable to RUs operating Report for
Telecommunications Borrowers(3023) Underlying information subjected to a review by an
independent certified public accountant
(3024) Underlying information subjected to an officer
certification.
(3025) Document(s) for Balance Sheet, lncome Statement
and statement of Cash FIows
(3026) Attach the worksheet listing required information
Yes - Attach Certiflcarion
Name of Attached Document Listing Required
lnformation
No - No Nes ConmuniEy Mchors
Name of Attached Document Listing Required
'"',"r'Jii:T O OriD(Yes/No) v \
Etr
Name of Attached Document Listing Required
lnformation
(Yes/No)oo
E
E
E
E
E
Name of Attached Document Listing Required
lnformation
8ID3010,pdt
E
E
Flh.nci.l D.E Suhn.ry
(3027) Revenue
(3028) Operatint Expenses
(3029) Net lncomc
(3030) Telephone Plant ln Service(TPIS)
(3031) Total Assets
(3032) Total Debt
(3033) Total Equity
(3034) Dividends
79343
1 061 630
1 91 067
21737550
i860768
1 3088073
Studv Ar.a Code
study Arca Nsm.<OrO> D?^rr.m Y.r? 2ol,
<O3O> Contaet Name - Pe
<039> Contact Email Address - Email Addrcss of person id€ntmed in data line <030> [e-mail]!
4005 Rur.l Broadbrnd ErpGrlment
Authorilld Rural Broadb.nd Experiment (RBE) recipients must address the ccrtification for public intlr?st obliSations, providc r list ofn€wly served
community anchor instltutions, and provide a list of locations where broadband has bren deployld.
Publlc lntercst Obll!.tlons - FCC !l€8 (pategraphs 26-29, 78)
Pb.sraddressLinr400lregardinScompliancewiththeCommission'rpublicinterrstobligations. AllRBEparticipantsmustprovidearlsponsetoLinc4o0l.
4m1. R.cipicnt ccrtifils that it is offering broadband to the identified locations m4ting the rrquisitc public
irter.st obllgations consist.nt with thc c.tlgory for which th€y wer. sclectcd, including broadband spcrd,
latency, usagc capacity, and rates that arc rcasonably comparable to ratcs for comparable offcrings in urban
areas?
Communlty Ancho, lnsdtutlons - FCC 14-98 (paratr.ph 79)
4003a. RBE participants must providc thc number, names, and iddresscs ofcommunity anchor institutions to
which thcy nswly drployed broadband scrvicc in the prcceding calendar ycar. On this llnc, plcasc respond
(y€s - att.ch ncw community anchors, no - no new anchors) to indicatc whcther this list will be providcd.
lf ycr to trc8A, pl.asc provldc r rcspon3c for lt(x)3B.
4003b. Providc thc numbcr, names and addresses Name ofAttachld Oocumlnt Usting Rcquired lnformation
of community .nchor institutions to which th€
recipient ncwly began providing access to
broadband scruicc in thc prcc.dinS calendary.ar.
Bro.db.nd D.ploymcnt Locatlons - FCC 14-98 (p.raireph t{rl
4(xl4a. Attach . list of gecod.d locations to
which broadbrnd hrs be.n drploycd as ofthr
JunG lst lmmcdiatev prrcrding th. July 1st filing Name ofAttachGd Dcum.nt Listing Rcquircd lnformation
deadlinc for th. FCC Form 481.
4qr4b. Attach evidence dcmonstntlng that the
recipiert is mectint thc ,Gl€vant public seruic.
oblig.tions for the identlfied locations. Materials
must at h.st datail th. pricing, offsred broadband Name ol Attachcd Document Listing Rcquired lnformation
spced and data usag. allowancca available in the
relcwnt gcographic ar€a.
Pagc 20
<010> Study Area Code 412278
<015> StudvAr.e Nam.CI'SEER fE]. COOP
<O2O> Pro(ram Y.ar 20a7
<o3o> contact Namc - Pcrson USAC should contact r.rardinr this det.D.mls Thornock
<035> Contact Tclephon. Numb.r - Numbcr of pcrcon idcntified in dtta linc <030> 2044792247 axE.!7
<039> contact Emril Addr.ss - Email Addrcss of pcrson ldentificd in data linr <030> d€mlsocusrcrtcl.ner
TO BE COMPLETED BY THE REPORNNG CARRIER, IF THE REPORTING CARRIER IS FITING ANNUAT REPORTING ON ITS OWN BEHAIF:
Certificatlon of Offlcer as to the Accuracl of the D.t. Rcported for thc Annual Reportlng for CAF or Ll Reclplents
c.rtlfy th.t l.m .n off,ccr o, the rlportlnt carrler my r.rponslbllltlcs lncludc cnsurlnt thc.ccur.cy otthr.nnual rrportlnt r.qulrcmGnb for unlv.rsal sc.vlcc support
e.lpl.nts; .n4 to the best ol my knowlcdtG, th. lnform.tlon rlportGd on thli lorm rnd ln any rttlchmGnts lr .ccur.tc.
..,,i-,. CUgtER TEl, COOP
.ofAuthorir.doffic.r: CERTTFTED oNLTNE Datr 06129/20!6
of Authdrir.d arffi..r' Demla Thomock
lth or position of Authorized officrr: chlef Executive of f lcer
'elephone number of Authorir.d offi c!r: 20887922 81 ext' 17
udvArca codr oI R.Dortlnr carrilr: 4722L8 Filinr Du. Oatc for this form' 0?/01/2016
Pc6onr wllltully mklnt fal$ statcments on thi5 form en b! punlrh.d by ffna or iorf.ltun und.r thr Communlcrtloru Act of 1934, 47 U.S.C. 15 502, 503(b), or fihr or imprisnmlnt
undrr Titlc 18 ot th. Unit d Strtcs Cod., 18 U.S.C. ! 1001.
Pag. 20
Paee 27
;Agent/ Carrle.
Date Collectloh Forni.
41 2 218
CUSTER TEL COOPArea Name
<020>
<030>Contact Name - Person USAC should contact Dennis Thornocl<
2488192281 ext.11Contact Telephone Number - Number ol identified in data line <030>
<039> cohtact Email Address - Email Address ol identified in data line <O30>
TO BE COMPLETED BY THE REPORTING CARRIER, IF AN AGENT IS FILING ANNUAT REPORTS ON THE CARRIER'S BEHATF:
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
ce.tify that (Name of Agent).is authorized to submit the information reported on behalf of the reporting cader.
gent; and, to the best of my knowledge, the reports and data provided to the authorized agent is accurate.
,Jame of AuthoriTFd ArPht
{ame of Reoortin€ Carrier:
e of Authorized Officerl Date
)rinted name of Authorized Officer
itle or oositioh of Authori:ed Officer:
rne number of Authorized Officer:
;tudv Area Code of Reoortins Carrier Filinq Due Date for this forml
underTatle 18 ofthe Unit€d States Code, 18 U.S.C.5 1001.
Certification of Agent Authorized to File Annual Reports for CAF or Ll Recipients on Behalf of ReportinB Carrier
he data reported herein based on data provided by the reportint carrier; and, to the best of my knowledge, the information reported herein is accurate.
lame of ReDortins Carrier:
Jame of Authorized Asent Firm:
ignature of Authorized AEent or Emplovee of Aqent:Date
Jame of Authorized Agent Fmnlo
itle or \ of Authorized Asent or Emplovee of Asent
elephone number of Authori2ed Aeent or Emplovee of Agent:
tudv Area Code of Re06rtins Carrier:Filine Due Date for this form:
18 ofthe United States Code, 18 U.S.C. 5 1001.
Page 21
!-;"": .', " Oi4gcbntrqltlo."lo6o{t86/OMgcoillolNo.3060{81.9
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<039> Contad Email Addr€ss - Email Address ofoerson identified in data line <030)d6.Rt s r.,r.r.r..
<701>
<702>
<703>
Residential Local Servic€ Charge Effective Date
Siogle St.te-wide Residential Local Seruice Charge
<010> Studv Area Code
<020> ProEram Year
<030> Contact Name - Person USAC should contact
2033?92231 ex!.1?
<039> Conta.t Email Addr.ss - Fmril Address of ron identified in data line<030>d.hhl sd.xsrerr.l ner
olher, Unlimited dala usaqe
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Stale Erchang! (ILEC)n€sid.ntial st.tc R.tul.t.d Total Rates
ahd Fees
gro.dband s.ryke -
oownload sp!.d
roadband Seryice
Jpload Speed (Mbps
Usage Allowance
(cB)
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Action Taken
\lrLa. r ihii D6..hat r<ala.+l
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95 219 9a IO
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oata usage
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:D 9E ocher, Unlimiced data usaqe
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<020> Prolram Yaar 201?
2oBB?922e1 ex!.17
demlrocu.ic!tel,net
dster T.l.pbon. coop.lai1ve In.
<811> Holdin. Comlanv
<812>frsier !.].phon. coopcraElv. Inc
Oolnt Buslnei3 as Comprny or Srand Dcrlgnrtlon
Service Quality Standards and Consumer Protection
Custer Telephone Cooperative, lnc. ("Custer") understands and complies with the ldaho Public
Utilities Commission's Telephone Customer Relotions Rules,lDAPA 3t.4t.OL, adopted under the
general legal authority of the Public Utilities Law, Chapters l through 7, Title 61, ldaho Code, and
the Telecommunications Act of 1988, Chapter 6, Title 62, ldaho Code, with regards to service.
These telephone customer relations rules provide a set of fair, just, reasonable, and non-
discriminatory rules regarding deposits, guarantees, billing, application for service, denial of service,
termination of service, complaints to telephone companies, billing for interrupted service, and
provisions of certain information about customer to authorities.
Custer implements the Telephone Consumer Relotion Rules through the terms and conditions set forth in
its tariff, and through its standard company operating procedures, which is readily available to the
public at their Headquarters office.
Custer also complies with Customer Proprietary Network lnformation (CPNI) and Red Flag rules through
established operating procedures. A description of Custer's CPNI procedures is filed annually with the
FCC.
F :\H om e\Sh a re\ETC Fi I in g CTCI\2015 ETC Fi I i n g\4722 181 D5 10, docx
Functionality in Emergency Situations
Pursuant to 47 C.F.R. S 54.313(a) (6) and/or 47 C.F.R 5 54.422(b) (4) as set forth in 47 C.F.R. $ 5a.202(a)
(2) Custer Telephone Cooperative, lnc. meets the requirements to remain functional in emergency
situations and has the following capabilities: Back-up power is provided to Custer Telephone's central
and or remote office(s) by use of fixed generator and batteries that provide it with 120 hours of
emergency power service, ln addition, Custer Telephone's field electronics have 8 hours of back-up
power by use of fixed/mobile generators and batteries. Custer Telephone also has SONET technology in
its network that allows for self-healing network should a fiber cut occur in its core network and will
automaticallyreroutetraffic. CusterTelephonealsohastwo(2)redundantpathswithinitsnetworkto
provide for the capability to reroute traffic. Custer Telephone has equipped its remote offices/and or
field gear, with Emergency Stand Alone technology that will provide for call completion and access to
911 in emergency situations. Custer Telephone is capable of managing traffic spikes resulting from
emergency situations.
F:\Home\Sha re\ETC Fi I ing CTCI\2016 ETC F il ing\a722 181 D510.docx
Pric€ Offerings lncludlng voice Rate Drta rcC Form 481
OMB Contol No. 3050{986/OMB Control No. 3060-0819
July 20Ll
2077
<030> contad this data
<035> Cont.d - Numb!r oI id€ntified in data line <030>20!8?92291 ex:.17
<039> contad Em.il Addr.ss - Em.il Address of
<70b Residentaal Local seryice Ch.rge €ffedivc Date
<70> Singlc Stetc-wid. Residential Locel Seryice Ch..8e
<703>
Sroadband Price Offerings FCCFolm 481
Collectlon Fom ,"fr.r::l", "r 3o6Gos86/oMB conuol No. 3o6Go81e
<010> studv Area code
this d.ta
<035> Contact Numb€r - Nunber of idehtified in data line
Address - Email Address ol
<711>
5t.t Erch.ng. (ILEC)R€iidenti.l
Rate
strt. R.gul.tcd Total Rates
and Fees
Broadb.nd scdlcc -
Download sp!.d
roadband Sedice
Jpload Speed (Mbp!
Jrage Allowance
GB)
U5ate Allowance
Action Taken
When Limit Reached [!elect]
D chal It 34 .95 3{ ,95 3Ehe., UnIlniEed daLtr :saqe
:D 59-9t athe:, UnIlrlted data :sag.
to 69 95 0.0 95 t99999.0 !n]I-aE.: c.] usag:
chll al 95 39 95 5.0
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:D cb!1i t{r.95 1{e.99 10. o
oihe!, unllrrred daEa usage
:D )9 199 95 50.0 10 ?99999 0
oaca usage
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iD f4 .15 o 0 gntlruted &Ea u3a9€
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:D 69 95 59.95 Othe:, Unlimlcei &ta usag:
:D .95 5.0 5 999999 OLher. Unlimiled daEa usaqe
:D L5 0 99999 other, sn!1hlced aata u3a9e
:o l4 9. 95 !0 9999 Cthe!, UnILilEed data qsaqe
!D 19. 9a 0.0 199 95 50.t0 l 999999.0 Other. Unlimited Cata usaqe
:0 95 219 95 100.0 10.3 999999.0 orher, ualimiLed da:a usag:
:D ,4 .95 1a.95 99 9999 oEher, onllniEed daEa usage
:D 59.95 6.0 999999 Olher, U:l16lled da:a usaqe
D EIk Eenl 69 95 69.95 10 othe!, UnlldEed data usage
Etk Be:d 5 oEhar, tnlldEsc dlra u3ale
D EIN 95 0.0 99.95 LO 999999. O
Brordband Prlce Offdrln8s
CollectlonForm, I'FCCFormrlSl .: i .: :
oMB Control N6.r3O60{985/ONlg Conrol Nb. 306_G0819
July 2013
<035> Contact identifi.d in data line <030>
Contad tmail Addr.ss - Email Addresr of in data
<711>
:. Unll:ftel &ta lsage
Clh.., Unli:lled daia rsase
Othe!, OnlimiEed daEa usage
Other, Uallnlled da:a qsage
Orher, Un1101ted data usaqe
Operating Companies FCC Form 481
colle(tion Form oMB Control No. 3050-0986/OMB Cont.ol No. 3060-0819
July 2013
<010>Area Code
<020>
<03O> Conta.t Neme should contacl this dat.
Telephone Number in data line 24aa792211 exr 17
<039> Contact Email Addres! - Email Address of identified in data line <030>d.M1s tcuste:teI. net
frs:er TeIepho.e
Nahe No: Avallable
tus:e! :elePho:e c.op.raEive :nc
Doing Business As Company or Erand oesignation
Voice Service Com parability Certification
The Company certifies that the pricing of its voice services is no more than two standard
deviations above the national average urban rate for voice service of 541.07,1 as specified in the most
recent public notice issued by the Wireline Competition Bureau and Wireless Telecommunications
Bureau.z
1 See, Line 700, supro.
2 Wireline Competition Bureou Announces Results of20l6lJrbon Rote Survey for Fixed Voice ond
Broodbond Services ond Posting of Survey Doto and Explonatory Notes, Public Notice, WC Docket No. 10-
90, DA L6-362 (rel. April5,2016).
1030
Broad ba nd Service Com parabi lity Certification
The Company certifies that the pricing of a service that meets the Commission's broadband
public interest obligations is no more than the applicable benchmark, as specified in the annual public
notice issued by the Wireline Competition Bureau.l Specifically, the Company's 10 Mbps down/ 1 Mbps
up, unlimited usage broadband service rate is below the relevant reasonable comparability benchmark
of 573.72.2
1 Wireline Competition Bureou Announces Results of2076Urban Rote Survey for Fixed Voice and Broodbond Services
and Posting of Survey Doto ond Explonotory Notes, Public Notice, WC Docket No. 10-90, DA 16-362 (rel. April 5,
2016).
2 ld.
Lifeline
What Is The Telephone Assistance Program?
Financial assistance is available in Idaho to help qualified low-income individuals pay
for telephone service. The Idaho Telephone Service Assistance Program (ITSAP)
offers a $2.50 discount on monthly telephone bills. A separate program - the Federal
Communication Commission's Life line program (Lifeline) offers a monthly discount
of $9.25. ITSAP provides a communication "lifeline" to those who might not otherwise
be able to afford telephone service. It also enhances the value of service for everyone
by increasing the number of people who can be reach by telephone. A small surcharge is applied to every Idaho telephone
line each month to reimburse local telephone companies for the cost of state discounts under ITSAP. The surcharge is
Waived for customers receiving the ITSAP discount. The Idaho Public Utilities Commission (IPUC)
Reviews the surcharge annually and may increase or decrease the surcharge.
Who Is Eligible?
Any residential customer who meets program-based or income-based eligibility criteria. To find out if you are eligible
contact the Regional Idaho Department of Health & Welfare office.
The assistance provides the following discounts:
Landline:. Idaho Telephone Service Assistance Credit - $2.50. Lifeline FCC End User Charge Credit - $6.50o Federal Lifeline Credit - $2.75
Wireless. Wireless Lifeline Credit - $9.25. Wireless ITSAP Credit - $2.50
How Do I Apply For Assistance?
In order to receive benefits, you must apply for these programs with the Regional Idaho Department of Health & Welfare
(IDHW) office. Website link and local address is listed below. IDHW will work with you and Custer Telephone to
recertify you for the program each year; failure to recertify will terminate your eligibility for program benefits.. Apply at the Regional Idaho Department of Health and Welfare office.. If you are eligible, your name and telephone number will be forwarded to Custer Telephone or your local service
provider if different than Custer Telephone.. The monthly discount will begin by your next billing period if your name and number match the telephone
company's records.
Do I Need To Apply Every Year?
Yes. Your eligibility must be renewed each year.
Is Telephone Assistance Available For Cellular Service?
Yes, cellular phone assistance is available in Idaho.
If you have questions regarding ITSAP, please contact Custer Telephone or the Regional Idaho Department of Health &
Welfare.
Lifeline is a government assistance program; the service is non-transferable, only eligible consumers may enroll in the
program, and the program is limited to one discount per household.
Idaho State Health Department, District 7
l30l Main St # 38
Salmon, ID 83467
208.7s6.2985
http://www.healthandwelfare.idaho.sov/FoodCashAssistance/HeatinsTeleohone/tabid/9liDefault.aspx
/,i-A-i/ crcli'.1
€raTrl7lrc€oqrr*q te
Lifeline Service Terms
Custer Telephone Cooperative, Inc. is a quality telecommunications service provider who provides basic and enhanced services
reasonable rates within its service tenitory. Basic Residential service is offered at the following rate :
Single Party Residence Service
The following fees apply in addition to the above monthly rates:o FCC End User Charger Idaho Telephone Service Assistance Program (ITSAP)r Idaho Universal Service Fund (ID USF)r Custer County 911 Feeo Federal Excise Taxr Federal Universal Service Fund
o Residential Access Recovery Charge
o FUSC- Residential ARC
Single Party Residential Service Total
Federal Lifeline Credit
Lifeline FCC End User Charge Credit
Idaho Telephone Assistance Program Credit
Idaho Telephone Service Assistance Program (ITSAP) Credit
Federal Excise Tax Credit
Federal Universal Service Fund Credit
Residential Access Recovery Charge Credit
FUSC- Residential ARC Credit
Single Party Universal Life Line Service Monthly Rate*
Monthly One-Time.
Rates Non-Recurring
Charges
$18.00 $18.00
$6.s0
$0.01
$0.12
$l.25
$0.84
$1.16
$2.00
$0.36
$30.24
($2.75)
($6.50)
($2.s0)
($0.01)
($0.10)
($1. l6)
($2.00)
($0.36)
$14.86 $18.00
*Discounted basic service rates and free Toll-Blocking are available to those that qualify for Universal Life Line Service.
The above rates include the following:o Unlimited Local Callingo Touch Tone Capabilityr Access to Operator Serviceso Directory Assistance and Inter-Change Service Providers
o Voice Grade Access to the Public Switched Networkr Free Access to 800 and 800-like Toll Free Servicesr One Free Directory Listingr Free Access to a Business Office and Free Access to the Idaho Relay Service by Dialing 711
Emergency 91 I Service. . ... ... ... .. ... .. Surcharge for 9 I I services
are assessed according to
Government assessments
Long Distance is not included.
Long Distance rate is ten cents ($0.10) per minute
Cilstci'Tclcpl.ronc Cooperalivc, Inc o1'fers b:sic s,cr','icesr ti lll customcrs ir thc lollou'ing cr.chauges:
838-Clayton / 879-Challis / 876-May / 894-Elk Bend
For additional detail on any of these services, please contact our business office at 208.879.2281 or toll-free 866.879.2281.
Response to Line 3010
Custer Telephone Cooperative, I nc.
Study Area 4722L8
M ilestone Certification
Pursuant to 47 C.F.R. $ 54.202(a) Custer Telephone Cooperative, lnc. ("Custer'') provides this
certification that it is taking reasonable steps to provide upon reasonable request broadband speeds of
at least 10 Mbps downstream/1 Mbps upstream, with latency suitable for real-time applications,
including Voice over lnternet Protocol, and usage capacity that is reasonably comparable to offerings in
urban areas as determined in an annual survey as specified in Public Notice DA 16-362, and that
requests for such service are met within a reasonable amount of time. Details for how Custer is meeting
its obligations for its goals and required obligations are specified within the FCC Form 481 annualfiling.