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HomeMy WebLinkAbout20170628 New Cingular Wireless ETC.pdfAT&T j:i i: rl f l\/ [ i] ; 'i 23 .r1li g:lJ AT&T Services, Inc. I 62 Roseheart San Antonio, TX 78259 T: 210--545-3519 M:214-202-5076 John.sisenrore @ att.com VIA Overnieht Mail and Email June27,2Ol7 Diane Hanian, Commission Secretary Idaho Public Utilities Commission 472W. Washington Boise, Idaho 83720-0074 RE: Annual ETC Report of New Cingular Wireless PCS, LLC ('AT&T Mobility") IGNR.T-17-011 Dear Ms. Hanian: Enclosed please find the Annual Eligible Telecommunications Carrier Recertification Report ("Report") of New Cingular Wireless PCS, LLC ("AT&T Mobility") which is due on July 1, 2017. Also included is the original signed Corporate Officer Affidavit (signed by Amanda Harris, Vice President - General Manager, Rocky Mountain Region). AT&T Mobility's complete Report contains a confidential section and therefore it is submitting under separate cover the following Confidential Report: 4790061D200 (Service Outages). This document contain confidential and trade secret information and is exempt from public disclosure If there are any questions, please do not hesitate to contact me Sincerely, )t- -. 5 raa*{-- Uir .11Jq) e John Sisemore Enclosure State of Colorado ) )ss County of Arapahoe ) SUBSCRIBED AND SWORN to before me Notary Public for CERTI FICATION BY ELIGIBLE TELECOMMUNICATIONS CARRI ER OF COMPLIANCE WTH SERVICE QUALIry 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. 29841 requires that Eligible Telecommunications Carriers (ETC) 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. I am an officer of AT&T Mobility Services LLC_, 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. AT&T Mobility Services LLC 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 AT&T Mobilitv Services LLC 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, 2018, through December 31, 2018, 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@) of the Telecommunications Act. (/ of lun.z- Sotr <-).>p cULBa aaaaaa $oTAa aI My Commrssron exprres at (entr<nrrr.i ,Co Tbl,t) I '.ilv.trtr .r",t t ,r t.: tj I - ,/. lnr:l :a $r aoll rt Page 1 <010>Area 419006 <015> StudvAreaName New Cingula! wiretess, pCS, LLC <020> Program Year 2018 <030> Contact Name: Person USAC should contact wlth questions about this data Mary Henze (ID) <035> Contact Telephone Number: Number ot the person identitied in data line <030> 2024512041 ext <039> Contact Email Address: Email ot the person identitied In data line <030>ntr3375@att - com Form Type 54.3L3 and 54,422 Page 1 o .Ep6t?E E8&d oP"EO6Es3'Ep I Ee;Ei;.i5< cEegoE,I;F- o-glEi!.Y OEl ..E-35"c! o-.E!O = 9Z rE 6id<>o obe90EEfozagooF ! 5 U U t) l) II o 0)caY !o b#b<4eEOrFzd lI II c B !c oc CE Io !c oBs6cd o ro u.=6Fao o o!s:6s-o o Eoqyg E-OlG, E o ! o ! o ! o @@6 loo-o o.9o o !@tsoao coo aE oo3 !:oo o!co6 .oooE oL O N Eo9 E oo ,E ! ,E !o 'Fcop co o o o !! E !! E co oo oo oc o .g! 'FCopco oa o o E z o!E z o Ets o o o5 c E ! E ! .! 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(rD) <035>Contact Telephone Number - Number of person identified in data line <030> <039> Contact Email Address - Email Address of person identified in data line <400> Select from the drop-down list to indicate how you would like to report voicecomplaints(zeroorgreater)forvoicetelephonyserviceintheprior offered only mobile voice calendar year for each service area in which you are desiSnated an ETC for any facilities you own, operate, lease, or otherwise utilize. Complaints per 1000 customers for fixed voice Complaints per 1O0o customers for mobile voice o ' L236 Select from the drop-down list to indicate how you would like to report end-user customer complaints (zero or greater) for broadband service in the prior calendar year for each service area in which you are designated an ETC for any facilities you own, operate, lease, or otherwise utilize. Complaints per 1000 customers for fixed broadband Complaints per 1000 customers for mobile broadband <410> <420> <430> <440> <450> P@5 <O1O StudyAr!. Cod.4,9006 rtr.1..., ES, !K <OD Conbd N.m. - P.mn USAC *eld conbd rc8.rdin8ihl6 dau r.tv epze lrD, <035> conbd T.bphoh. xumbcr - Numb.r of Een ld.ntffi.d ln dda line <@ 2o2'5?2otr '*' <039 Conbd Em.llAddms-Em.llAddro$of FBn ld.ntrd hdeline@ dr3'6att'cd S> Odfy @mpll.m wlth.ppll6bl. tHIe qDlfty n.nd.di.nd oEumerpddlon rul6 yes 479oo5rD51o.pdf <51O knpttu docum.nt fors.Nie Qu.llty Sbd.rd & 6rsume. 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Privately held carriers must ensure compliance with the financial reportingrequirementssetforthin4TCFR54.313(fX2). lfurthercertifythattheinformationreportedonthisformandinthedocuments attached below is accurate. (3ooe) (3o1oA) (30108) (3012A) (30128) (3013) (3014) Progress Report on 5 Year Plan Carrier certifies to 54.313(f XlXiii) Name of Attached Document Listing Required Name of Attached Document Listing Required (Yes/No) lnformation lnformation (Yes/No) (3022l- (3023) (3024)Underlying information subjected to an officer certification. (3025) Document(s) with Balance Sheet, lncome Statement and Statement of Cash Flows Certification of Public lnterest obligations (47 cFR 5 s4,313{f)(1){i)} Please Provide Attachment Community Anchor lnstitutions {47 CFR S s4.313(fxl)(iiD Please Provide Attachment ls your company a Privately Held RoR carrier {47 cFR 5 s4.313(0(2)) 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 5 54.313(fX2) compliance requires: Electronic copy of their annual RUS reports (Operating Report for Telecommunications Borrowers) Document(s) with Balance Sheet, lncome Statement and Statement of cash Flows lf the response is yes on line 3014, attach your company's RUs annual report and all required documentation 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 3026 pursuant to 5 54.313(fX2), contains: Either a copy of their audited financial statement; or (2) a financial report in a format comparable to RUS Opereting Report for Telecommunications Borrowers Document(s) for Balance Sheet, lncome Statement and Statement of cash Flows 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(fX2), contains: 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 Underlying information subjected to a review by an independent certified public accountant Name of Attached Document Listing Requlred lnformation (Yes/No)OO Name of Attached Document Listing Required lnformation o o oo (301s) (3016) (3017) (3018) (301e) (3020) (3021) (3026) Attach the worksheet listing required information pag€ 16 N o@6d .9 E =.g ,E 3 E o I E2 6oboo't o6oOE6- oqOGE,Iode>EuEq6xEE g.E 9 b B ! EE ='-H-E. <oub oYotioggg=Eso*1ePPP'5otsoO!lOdNmsl'GNN!mmmmrnrcto:?oooooqmmllfmmmmm iI o do E ;.9 z :9 3 ! E E o a 9 o E 4 r o@oL Page 18 <010>study Area code <015>Study Area Name N.! cin*la! ,ileless, Pcs, Lr <020> <030> <035> Year Contact Name - Person USAC should contact this Contact <030> <039>Contact Email Address - Email Address of person identified in data line <030> ln 4005 Rural Broadband Experiment Authorized Rural Broadband Experiment (RBE) recipients must address the certification for public interest obligations, provide a list of newly serued community anchor institutions, and provide a list of locations where broadband has been deployed. Public lnterest Oblltatlons - FCC t4-98 (paratraphs 2629, 78) Please address Line 4001 regarding compliance with the Commission's public interest obligations. All RBE participants must provide a response to Line 4001. 4{101. Recipient certifies that it is offering broadband to the identified locations meeting the requisite public interest obligations consistent with the category for which they were selected, including broadband speed, latency, usage capacity, and rates that are reasonably comparable to rates for comparable olferings in urban areas? Communlty Ancho, lnstltutions - FCC 14-98 (paragraph 79) 4003a. RBE participants must provide the number, names, and addresses of community anchor institutions to which they newly deployed broadband service in the preceding calendar year. On this line, please respond (yes - attach nil community anchors, no - no new anchors) to indicate whether this list will be provided. lf y6 to 4O03A, please provide a r6ponse for 40038. rl{103b. Provide the number, names and addresses Name ofAttached Document Listing Required lnformation of community anchor institutions to which the recipient newly began providing access to broadband service in the preceding calendar year Broadband Deployment Ltrations - FCC 14-98 (paratraph 80) 4fi)4a. Attach a list ofgeocoded locations to which broadband has been deployed as ofthe June 1st immediately preceding the July 1st filing Name ofAttached Document Listing Required lnformation deadline for the FCC Form 481. tll[4b. Attach evidence demonstrating that the recipient is meeting the relevant public seruice obligations for the identified locations. Materials must at least detail the pricing, offered broadband speed and data usage allowances available in the relevant geographic area. Name of Attached Document Listing Required lnformation page 18 Page 19 <010> StudyArea code 479006 <015> StudvArea Name New Cinguld liireless, PCS, LLC <020> ProcEm Year 2 018 <o3o> Contact Name - PeEon USAC should contact regarding this data Uary Henze (ID) <035> contact Telephone Number - Number of person identified in data line <o3o> 2024572041 ext. <039> Contact Email Address - Emall Address of person identified in data line <030> nh33?6oarr.cm TO BE COMP1ETED BY THE REPORTING CARRIER, IF THE REPORNNG CARRIER IS FILING ANNUAL REPORTING ON ITS OWN BEHATF: Certification of Offlcer as to the Accuracy of the Data Reported for the Annual Reporting for CAF or u Recipientg certlfy that I am an offlcer ofth€ repodnt carrle]; my recponslbllltl€s lndude ensudnt the accuracy of the annual ,epordnt requlrements for unhrcrsal serulc support 'eclplents; and, to the best of my knowledSe, the lnformatlon reported on thts torm and ln any attadrments ls accurate. {ameofRemrtinECarrier: New Cingulil Wireleas, PCS, LLC ;iqnature of Authorized officer: cEmrFrm mrm Date 06/20/21r'l ,rlnted name ofAuthorized officer: scott Mair nth or Dosition of Authorized officer: svP ?echnology Plauing & Engineerlng lelephone number of Authorized officer' 21475?1s10 exE Study Area code of Reportinc carrler: 419006 Filinr Due Date for thls iotmi 07 / 03 /20t1 PersonswillfullymakingfalsestatementsonthisformcnbepunishedbyfineorforfeltureundertheCommuni@tionsActof1934,47U.S.C.55502,503(b),orfineor'imprisnment under Title 1E ofthe United States Code, 18 u.S.C. I 1001. Page 19 Page 20 FCC Form rl81 OMB Contrcl No. 3O50-0985/OMB Con$ol No. 306O{8X.9 July 2013 Dab Collection Form Atent / C.rriet 479006<010> Studv Area Code <015> Studv Area Name New Cingular Wirefess, PCS, LLC <020> Program Year 2018 <030> Contact Name - Person USAC should contact regardin8 this data Mary Henze (ID) <035> contactlelephoneNumber-Numberofpersonidentifiedindataline<o3o> 20245?2041 exL <039> contactEmailAddress-EmailAddressofpersonidentifiedindataline<o3o> mh3376iatt com TO BE COMPLETED BY THE REPORTING CARRIER, IF AN AGENT IS FII-ING ANNUAL REPORTS ON THE CARRIER'S BEHALF: Certifi€ation 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 reported on behalf of the reporting carrier. I lgent; and, to the best of my knowledge, the reports and data provided to the authorized agent is accurate. \Jame of AuthoriTed Asentl ,lame of ReDortins Carrier: iignature of Authorized Officerl Datel )rinted name of Authori2ed Officer: fitle or positron of Authonzed Officerl leleohone number of Authori2ed Officerl ;tudv Area Code of Reoortine Carrier:Filinq Due Date for this form: under Title 18 ofthe United States Code. 18 U.S.C. 6 1001. TO BE COMPLETED BYTHE AUTHORIZED AGENT: Certification of Agent Authorized to File Annual Reports for CAF or Ll Recipients on Behalf of Reporting Carrier :he data reported herein based on data provided by the reponing carrie.; and, to the best of my knwled8e, the information reported herein is accurate, !ame of Reoortins carriPr: !ame of Authorized Aeent Farm Date:iienature of Authorized Asent or Emplovee of Agenti ',lame of Authorized Asent Emolovee: fitle or position of Authorized Aeent or Emplovee of Agent teleohone number of Authorized Aeent or Emolovee of Asent: ;tudv Area Code of Reoortinp Carrier:Filine Due Date for this form: 18 of the United States Code, 18 U.S.C. 5 1001. Page 20 REDACTED _ FOR PUBLIC DISLOSURE (200) Service Outage Voice Reporting Data Collection Form RE,DACTED FOR PUBLIC DISCLOSURE Exhibit 4790061P510 - CTIA Seal CTIO' , .); Everything Wireless Meredith Attwell Boker August 8,2016 Mr. Glenn Lurie President & Chief Executive Officer AT&T Mobility 1025 Lenox Pork Boulevord Suite 8567 Atlonlo, GA 30319 Deorq\g^/tf \ Congrolulotionsl This letter is to notify you thot AT&T Mobility ("AT&T") hos completed lhe recertificotion process for the CTIA Consumer Code for Wireless Service ("Voluntory Consumer Code") for the period Jonuory 1,2016 - December 31, 2016, ond is deemed compliont with the principles, disclosures ond proctices set forth in the Voluntory Consumer Code. Accordingly, AT&T is outhorized to use ond disploy the CTIA Seol of Wireless Quolity/Consumer lnformotion, subject to the terms ond conditions set forth in the otloched License Agreemenl. Pleose ensure thot the relevont employees of AT&T review the License Agreement before using the Seol. Use of the Seol constitules occeptonce of these terms ond conditions. Upon request. we will provide two specimens (color ond block/white) of the Seol for AT&T's use on its website or colloterol moteriols. lf you should hove ony questions concerning the recertificotion process or use of the Seol, pleose contoct Kothryn Doll'Asto, CTIA's Associote Counsel, ol QA\ 736-3677 or kdollosto@ctio.oro. CTIA commends AT&T for its ongoing leodership ond porticipotion in the CTIA Voluntory Consumer Code, ond we look forword lo continuing to work with AT&T on this importont industry initiotive, Sincerely, /l,4;F--- \ Meredith Attwell Boker cc: Timolhy G. Johnson, GenerolAttorney 1400 l6lh Sireci. NW Suiie 600 wo3hington. DC 20036 rvum.ctio.org Atlochmenl Exhibit 479006 CTIA Sea!lPrl o - Tlo-C ,L:' & iF Everything Wireless SEAt OF WIRETESS QUATITY/CONSUMER INFORMATTON TICENSE AGREEMENT Compony is hereby gronted o non-exclusive. world-wide, royolty-free license lo use CTIA's Seol of Wireless Quolity/Consumer lnformotion ("Seol") to represent thot Compony voluntorily odopts ond follows the CI/A Consumer Code for Wreless Service ond hos certified such io CTIA. CTIA permits the use of oppropriote references lo CTIA ond the Seol solely in connection with the CI/A Consumer Code for Wreless Service Progrom. References to the Seol sholl not be misleoding os to lhe extent of Compony's voluntory support ond porticipolion in the CTIA Voluntory Code for Consumer lnformotion progrom. The Seol moy oppeor in Compony's odvertising, promotionol moteriol or olher literoture to indicole its voluntory ond consislenl opplicotion of the CIIA Consumer Code for W'reless Service. Upon CTIA's ocknowledgement of Compony's certificotion, CTIA sholl supply Compony with o specimen of the Seol. Compony sholl nol modify or olter ihe Seol without prior written permission from CTIA, ond such permission sholl not be unreosonobly withheld. Compony ogrees lo omend or discontinue the use of the Seol upon written request of CTIA. Compony sholl immediotely ceose use of the seol upon receipt of CTIA's writlen notice lo do so. Compony ossumes full ond complete responsibility for its use of the Seol, ond ogrees thol its use of the Seol constitutes o declorotion lhot Compony voluntorily odopts ond follows the principles sel forlh in the CI/A Consumer Code for Wireless Service. Use of the Seol for olher purposes thon those sloted in this License Agreement is on unouthorized use of the Seol ond is strictly prohibited. This license moy be renewed onnuolly subject to Compony's successful completion of the certificolion process. Use of the Seol constilutes occeptonce of these legol terms ond condilions 1400 l6th Sireet. NW Suiie 600 Wcrshinglon, DC 20036 ww.cticr.org Exhibit 479006!D610 - Emergency Preparedness Functionalitv in Emereencv Situations Certification Section 54.313(aX6) requires an ETC to certify it is able to function in emergency situations as set forth in C.F.R. Section 5a.202(al(2). The standards set forth in Section 5a.202(al(21include a reasonable amount of back-up power to ensure functionality without an external power source, an ability to reroute traffic around damaged facilities, and a capability to manage traffic spikes resulting from emergency situations. AT&T Mobility LLC, dba AT&T Mobility, has in place emergency operation procedures so that it can function in an emergency. Backup power is provided at switch locations through a combination of batteries and portable and/or permanent generators. Similarly, backup power is generally provided at cell sites through a combination of batteries and portable and/or permanent generators. AT&T Mobility LLC, dba AT&T Mobility, also has portable COWs (Cells on Wheels) and COLTs (Cells on Light Trucks) that it can deploy in the event of an emergency. Based on the foregoing, AT&T Mobility LLC, dba AT&T Mobility, certifies it is able to function in emergency situations as forth in C.F.R. Section 5a.202(al(21. Exhibit 4790061D610 - C f ryergency Preparedness Tro-..4;@&@ Everything Wireless Meredith Attwell Boker August I I,2016 Mr. Glenn Lurie President ond Chief Executive Officer AT&T Mobility'1025 Lenox Pork Boulevord, Suite C667 Atlqnto. GA 30319 (\ Con This letter is to notify you thot AT&T Mobility hos completed the recertificotion process for the CTIA Business Continuity/Disoster Recovery Progrom ("Progrom") for the period July 1,2016- June 30,2012. CTIA deems AT&T Mobility is compliont with the principles ond objectives of the Progrom ond confirms AT&T Mobility hos recertified thot it hos implemenled ond mointoined the requirements set forth in the Progrom. Pleose ensure ihot the relevont employees of AT&T Mobility ore owore of your recerlificolion stotus. lf you should hove ony questions concerning the certificotion process, pleose contoct Kothryn Doll'Asto, CTIA's Associqte Counsel, of (202) 736-3677 or kdollosto@ctio.oro. CTIA commends AT&T Mobility for its ongoing leodership ond porticipotion in the CTIA Business Continuity/Disoster Recovery Progrom, ond we look forword to continuing to work with AT&T Mobility on this importont industry initiotive.'fib ht. Meredith AttwellBoker Bruce Lundeen, MBCP. MBCI BCP Stondords & Proctices Business Continuity Plonning cc: I 400 16th Street, NW Suite 600 woshington. 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F:trldHB d JDU HU E Erlz (, UA (natrl F: rI]dHB & j Do HU BE] o6= @ UzH Eo o o oE F F c o Eo @c oo a iI I oE F F CooEo .EpoI @ I - .9 {c oo o€ E ? e oo o .= E .= !oE,F cop Co o o oE! E o!! E co oo O o o.s E ._c !o -Dcop co oo o o! Elz n E-z CotoI F co O o: E 6 ! r @ -E! o Co p:o fco c o Ez co o O o Eo o o o a ,; ! A o Ez o !l o oEoU 6o -l Oo Exhabit479006lD920 - !D Tribal Contact AT&T services, lnc. T: 913-685-7581 1142swest146thstreet F 281-664-9722 olathe, Kansas 66062 c: 913-48'1-4119 wbrowne@att.com AT&T April14,2017 Fort Hall (Shoshone-Bannock Tribes of the Fort Hall Reservation) Chairman Blaine Edmo PO Box 306 Fort Hall, ID 83203-0306 Dear Chairman Edmo: AT&T Mobility LLC ("AT&T Mobility") has been designated as an eligible telecommunications carrier ("ETC") for the purpose of receiving federal high-cost universal service support ("USF") in certain geographic locations in Idaho, including all or part of the lands in the Fort Hall (Shoshone-Bannock Tribes of the Fort Hall Reservation). As an ETC, AT&T Mobility is subject to the rules and requirements of the Federal Communications Commission ("FCC"), including 47 C.F.R. $ 54.313(a)(9), which requires high-cost USF recipients that serve Tribal lands to have discussions with Tribal governments.l This rule became effective August 5, 2013.2 You are receiving this letter because in 2016 AT&T Mobility received federal high-cost support in ldaho. AT&T is available for discussions with you and your colleagues about AT&T's service and the topics set forth in 47 C.F.R. $ 54.313(a)(9), such as planning, sustainability, and land use issues. I am available to talk with you at your earliest convenience about these and other issues. Sincerely. t/,,,^,* Wauneta Browne Regional Vice President - External Affairs I See Connect America Fund, WC Docket No. I 0-90 et al." 26 FCC Rcd l'7663 (2011) (*USF/ICC Transformation Ordei') ;47 C. F. R. $ 5a.313(a)(9). See also Olfice ofNatite Alfairs and Polic1,. llireless Telecommunications Bureau. and Wireline Competition Bureau lssue Further Guidance on Tribal Govemment Engagement Obligation Provisions of the Connect Americq Fund. Public Notice, DA I 2- I I 665 (rel. Julyl9.20l2).alailableathttos://apps.llc.eov/edocs oublic/attachmatch/DA-12-ll65Al.pdf: See 78 Fed. Reg. 4721I (Aug. 5. 20 I 3 ). This rule is the sub.ject of numerous petitions lbr reconsideration. which, to date. the FCC has neglected to address. Sea Petition tbr Reconsideration ofUSTelecom, WC Docket No. l0-90 et al. (filed Dec.29,201 l), Rural Incumbent Local Exchange Carriers Serving Tribal Lands Petition fbr Reconsrderation. WC Docket No. 10-90 et al. (filed Dec. 29, 201 I )g Petition tbr Reconsideration and Clarification of USTelecom. WC Docket No. l0-90 et al.,4-16 (filed Aug. 20,2012); USTelecom's Petition fbr Reconsideration and Clariflcation and Comments rn Response to Paperwork Reduction Act, WC Docket No. 10-90 et al. (tiled April 4.2013). Exhibit 4790061D920 - ID Tribal Contact 30.49 the Reservation) Edmo (Chairman) O Box 306 Hall, lD 83203-0306 Fort ..oru ".or trl COtlm trttrltrttrI trtt\.m -!r-ltrIrr ..\ H6r€ Postmark O U.S. Postal Service C ERTIFI ED MAIL(,' R ECEI PT Dotneslic l,'lail Only t3.35 E tutr.n Rqtp! (d€lD.rlc) E Cf,dnrd lrd R6t lqrod oriivry EAddr thmr@ R.ql&!d -.10.00 --+h'90-Sbott/E Rdticled Ddtu ry For riclivcry rnlornralrorl, visit our \ycbsrtc al wwt/ tlsps.conl PS Form 3800, Aprll 201 5 PSIJ 7!130 02 000 !017 Scc ncvL'rsc lor lnslruclions