20170821Inland Cellular Form 481.pdf

fr{IAND CE,LI'IAT?j,"rll ff{13:i0
June 26,2017 GNs-T-t7^ol
Via email in .pd.f format to jeanjewell(dltuc.idaho.gou
Idaho Public Utilities Commission
Commission Secretary
472 W. Washington
P.O. Box 83720
Boise, lD 8372O-OO74
Re: FCC Form 48l-Carrier Annual Report and Report and Certification
Pursuant to IPUC Order No. 29841
Dear Ms. Jewel:
Enclosed is a copy of the Federal Communications Commission ("FCC"), Form
481 that was electronically completed and submitted to the Universal Service
Administrative Company fUSAC"). This submission is for Inland Cellular LLC
(f/k/a Washington RSA No. 8 Limited Partnership), Study Area Code 479OO7
and includes all attachments that were submitted to USAC and the FCC.
Please review the attached filing and include Inland Cellular LLC in your Annual
Use Certification Letter to USAC and the FCC. If you should have any questions,
please call me at [phone].
Sincerely,
#ruPtu*^
Nathan Weis, President
Inland Cellular LLC
tssror,l
AFFIDAVIT OF BUSINESS OR CORPORATE OFFICER
The ldaho Public Utilities Commission Order No. 29841 requires that Eligible Telecommunications Carrierc
(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 allfederal high+ost 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 verffies under oath the following:
1. I am an officer of lnland Cellular 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 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. lnland Cellular 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 func-tional in emergencies as set forth in
Commission Order No. 29841 and in 47 C.F.R. S 54.201(a)(2).
5. I also certifo that all federal universal service support funds received by lnland Cellular LLC during the
current calendar year will be used in a manner consistent with section 254G): thauS-foilhe-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 supporl.
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 caniers in the state
will be used in a manner consistent with Section 254(e) of the Telecommunications Act.
R. Weis,
6 - JG - t7
Date
State of Washington )
)ss
County of Klttitas)
SUBSCRIBED AND SWORN to before me this
w o
ON Notary Public for
Sl0TAQy
CERTIFICATION BY ELIGIBLE TELECOMMUNICATIONS CARRIER
OF COMPLIANCE WTH SERVICE QUALITY AND CUSTOMER
PROTECTION, ABILITY TO REMAIN FUNCTIONAL IN EMERGENCIES,
AND USE OF FEDERAL HIGH-COST SUPPORT.
&brt{of
@ Puaurc
R 1O
-{
tVAS
CD
My Commission
Page 1
<010>Area
<015: Study Area Narnq
4't900'7
WASHINGTON RSA NO. 8 LIMTIED PARilERSEIP DBA IIILAND CEILUINR
<020> Program Year 2 018
<030> Contact Name: Person USAC should contact
with questions about this data Mike B1y
<035> Contact Telephone Number:208't980245 ett.1222
Number ot the in data line <030>
<039> Contact Email Address:
Email of the person identified in data line <030>nlkeb@iDlaDdcell.. com
Form Type 54.3L3 and s4.422
Page 1
fCC fom a8l
Oial Cntrcl t{o. 36o{r85y'oftt.cootioa r,o.3060fit9
Page 2
(2m) S€rylc€ Out.gc Reporting (voice)
Oata CollEtion fom
FCC Form ,|81
OMB Control No. 3060{986/OMB Cor*El ilo. 3O6G@19
July 2013
<016 Study Area Code 419@1
<015> StudyArea Name O IIMIED PARNERSHIP D8A ININD CEIIUIN
<02G ProSram Year 2018
<o3b ContadName-PersonUSACshouldcontadre8ardingthisdata Mit.Bly
<035> Contad Telephon" Nr.b.r - N
<039> Contad €mail Address - Email Addr€ss
For the prior calendar year, were there any reportable voice seruice outages?<210>
<22D <b2><b3><c2>
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Urltumlcd SciYlc R€qu"d FCC Fom 481
oM8 Cont.ol l{o. 3060-0986/OMB Contrcl t{o. 305GOtl9
,uh 2013
CdldldFom
<01O> study Area Code 419 @7
<015> Study Area Name MXIXGrcN RSA NO. 8 IIU]ED !&DERSHI! DAA ININD CE!'UiA
<020> Pro8ram Year 2018
<03O> Contad N.mc - Pcrcn USAC should @tad resardin8lhis data Mrt. Brv
<03$ cdtadTalaphoneNumber-Numbcrofp.rsnldlntifiedlndatalinc<o3D 2081980245 '\t'1222
<039>Contad id.ntiltedindatalin.<03D ill.bCiD1aldc.11.coh
<3m> [Jnfulfilled seruiae request (voice)
<310, Detail on afrempts (voice)
<320> Unfulfilled service request (broadband)
<330> Oetail on aftempts (broadband)
Name ofAtached Dcument
Page 3
Name of Anached Document
p.rl,0Offi rcC fom a&
OM8 ontrol No. mffi/m hrd ilo. :10600319
l'ry 2013
<010> Study Area Code
<015> Study Area Name BSHIIGU RSA ilO. 3 LIfrIE! PARilEASHIP DBA II1ND CEIIUIM
<020> Program Year
<030> Contact Name - Person USAC should contact regarding this data
<035>Contact Telephone Number - Number of person identified in data line
<030>?trr930245 exr.122l
<039>Contact Email Address - Email Address of person identified in data line
<030>
hlk.belnlandc. LI. coh
<400>
Select from the drop-down list to indicate how you would like to report
voicecomplaints(zeroorgreater) forvoicetelephonyserviceintheprior offered on'ly mobite voice
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 voice
Complaints per 1OOO customers for mobile voice 0 ' 0
<410>
<420>
<430>
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, operete, lease, or otherwise utilize.
<440>
<450>
Complaints per 1000 customers for fixed broadband
Complaints per 1000 customers for mobile broadband
Page 5
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<016 SndAr.:a#. r :
.nd Cd$mr Pdactlo Rul6 rcC Fom 4&
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47900?_ID_Ce rti fica tions_500& 6 00. pdf
<316 kriptire deum.ntfdkflic.OualitySt.d:rds &consmer Protdbn Rulei6mpli.ne
<515> Cenify comoliencc wih eppli.able minimum *Mc€ standards
Pate 5
P.te 6
Data Collcctlon torm
FCC Fom rl81
oMg control No. 3060-09E6/oM8 @nrrel ilo. 306(Hlt19
July 20ri,
<O1D Study Area Code
<015> Study Area Name
<02D qlggram Year
<o3o> contadNadc-Pe6dusAcshould@ntadreSardin8thisdata :{rNesi!
<035> contadTelephoneNumbar-l{umberolpe6onidentifiedindataline<o3o> :cl--3!'r(: "'r'ri::
<039> Conlad €mail Addrcss - Email hikebeinland.ell.ce
<600> Certifycompliance reSardinS abilityto fundion in emerSency situations
<510> Dcsriptivc documed tor Fundionaliiy in Emcrgency Situdions 4?900?_ID_Ce!tificatlotrs_500&5 0O.pdf
P.t.6
Page 7
(7001 Price Offerings including Volcc R.te Data
Data Collection Form
FCC Form 481
OMB Control No. 3050-0985/OMB Control No. 3060{819
July 2013
<010> Studv Area code 47 9001
<015>Area Name WHINGbX SA NO. 8 IITIED PMNERSHIP DBA ININD CEIlliA
<020>Year 2018
<O3O> ContadName-p.r(anllqAa(h.uld.onbdFsardinsthisdata Mrr. 3Iv
<035> contactTelephoneNumber-Numberofpersonidentifiedindataline<o3o> 2o819ao245cxt722?
<039>Contact Email Address - Email Address of identified in data line <030> di.bci! raldc.11 . c oe
<70D Residential Lfial Seilice Charge Effective Date
<70> SinSle State-wide Reridential Loaal Service Charge
<703>
1 / 7 /2071
29.99
State Erch.m. (ltICl sAc (cETcl Rat.T@
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Page 8
<01D Study Area Code 419007
<01S> Study Area Name TEHIXGDN R$ XO. 8 IIEIED PMMAsffIP DBA ININD CEIIUIM
<02D ProSram Year 2018
.n?n) aMr.dN,h.-p..6nrl(Aa<h^,ild.^ht.dr.s..dinoihi<dat, Urt.Blv
<035> cdiadTelcphoneNumbcr-Numterofpersnidentmediodataline.o3ot 2081980245 '\t 7222
<03$ CmtadEmailAddress-EmailAddressofpeMnidentifiedindataline<030> dk.bcinraDdc.ll.cor
<711>
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FCC Form /l81
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July 2013
Iot.l R.t..nd Fe!
PaSe 9
<010> Study Area Code { ?9@7
<015> Study Area Name
<020> ProSram Year 20r8
<030> Contact Name - Person USAC should contact regardinSthis data trit. Blv
<035> contactTelephoneNumber-Numberofperonklentifi€dindataline<03D 2o8?eso24s 'xt'1222
<039> ContactEmailAddress-€mailAddressofpersonidentifiedindataline<03D mri.bcrbr.hdc.rr.con
<810> Reporting Carrier IDhnd c.IIuIa! llc
<811> HoldingCompahv IlIaDd c.lh1at ftl.pho!. Coq.Dy
<812> OperatingCompany hrand celtular rrc
<813>
Affiliat6 sAc
rchedwork5hl
Dolng Euiln€$ As Company or Brand D6ignation
PaSe 9
(A0lOD.rd.l! Cmpillct
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FCC Fom 'ttl
OMB ContDl t{o. :1060-O985/OMB Conkol t{o. 306O{t19
July 20ljl
PaSe 10
<01D Study Aree Cod€419 @1
<015> Study Area Name WSIXG&N R$ NO. S IIMIED PNNEFSBIP DBA INND CEIIUIA
<02D ProSram Y€ar 2018
<O3o> bntacl Name . Per3on USAC should contad rc8ardi4 this dat. xr r' B l v
<035> cont.ctT€{ephoneNumber-Numbcrorptrenidentifiedindataline<o3o) 2oB1eaa245 e'r'7222
<03$ contact Email Addr€ss' tmail Addr.ss of rren idstified in data line <030>dt.b0i!Iardc.11. coi
<900> Does the filing entity offertribal land services? (Y/N)
<910> Tribal Land(s) on which ETC Serves
479OO7_ID_r!iba t bgag.mDt_92O.pdf 479OOr_ID_NPT IOV_92O.pdf
<920> TribalGovernmentEngagementObligation
Nahe of Attached Document
lf your company *ry.s Tribal lands, gllese selld (Y!s,No, NA) for each these boxes
to confi.m tha status d.lcrib.d on tha rtt.chcd PDF, on lin. 920,
demonstrates @ordination whh the Tribal tovernment puriuant to
I 54.313(.X9) lnclud€s:
Select
Yes or No or
Nol Appli€ble
<921>No€ds affiment and doployrenl planning with a focus on Tribal
mmunity anchor in8titutions.
Fcasiblllty and sustainabllity pl.nnlnS;
Marketing s€rulc€s in a culturally sensitlve manner;
Compliane with Rlghts of way prficascs
Compliane with Land Usc pcrmitting rcquircmcnts
Compliane wlth Facllltlls Slting rulcs
compliance with Environmcntal Rrvirw proccsscs
Compllance with Culturel Prescruatlon rcviaw prccesses
Compllancc with Trlbal Businrss and Llccnslng raquirements.
<922>
<923>
<924>
€25>
<926>
<927>
<928>
<929>
Pe3r ro
l9O0) ItlbC lflrds *.po.drx
Dfi ColGctloo Fm
FCC Fdn 481
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July 2013
<nlo> Stil.{v Ar.. a^d. alonn?
<015> StudyArea Name rsslilGbN Rsa No. s rrMrEp pNNERsHrp pBA rNrNp cErrurM
PaSe 11
<O?O> Protram Y.er ,o.B
.O3O ",r. rr,
<035> ContactTelephoneNumber-Numberofpersonidentifiedindataline<030> 2oe'e80245 "*t.1222<039> Contact Email Add ress - Email Add ress of person identified in data li ne <030> di.b ci"r ""d..1r ..".
< 1000>Voice seryices rate compa6bility certification Not Applicable
<1010>Aftach detailed description for voice seryices rate
comparability compliance
Name of Attached Dcument
<1020>Broadband comparability certif ication
<1030>Attach detailed description for broadband
comparability compliance
Name of Attached Document
Page 11
FCC Fom 481
OMB Control No. 3060-0986/0MB Control No, 3060-0819
Page 12
<010> Studv Area Code a79@l
<015> Studv Area Name roA IO. I IIUED PADrcffTP DBA ININD CEI1UIM
<020>Year
<03D Contact Name - Person USAC contact
<035> Contact Telephone Number -
data
person identified in data lin. <o30>
2018
<039> ContactEmailAddress-EmailAddressofperonidlntifiedandatalinr<03D drcbliDr.ndc.rr-cd
<1100> Ccrtify wh?thrr trr.strial backhaul options exist (Y/N)
<ll3o> Pleag gl€ct the apprcpriato rasponse (Yes, No, Not Appli@bl€) to @nlim th€
reporting eriar ofleE brcdband sryiE of at l6ast 'l Mbps downstrem and 256 kbps
upGtream within the supportod araa puBuant to S 54.313(g).
Yes
Prsc l;l
FCC torm 481
oMBControl No. 306G0986/OMB Control No. 3060-0819
2@r99@15 .rt.1222
Peje 13
<01D StudyArea Code t? r@,
<015> Study AEa Name G'IXGd RSA XO. 8 LIiI-D PMUEBIP DIA IIND C4!ON
<020> PrcgEm Year
<030> contact Name - Pcen UsAc should contact rcgarding this dat.
<035> contastTclaphoneNumbcr-Numbcrofpersonidcntifiadindatalinc<o30> 2a?e8@.s ",t.1222<039> Contact Email Addross - Email Addrcss of pcmn i&ntifi.d in data linc <O30> urorriarraaccrr..*
<1210> T.rms & Conditions of Voice Tclcphony Lifelinc Plans
<1220>
"Pl6sc chsl thee boxes balow to @,rfirm that th. .ttrch.d dcum!nt(s), gn line 1210,
o, th. w.brh. listc4 on lin. 1220, @nt lns th. r.quiEd inform.tion po6utnt to
5 54,422(aX2) annual r.porting for ETC5 rrelving low-in@me ,upport, 6rhB mu3t
.nnully report:
<L221> lnfomation de$ribing the terms and conditionc of .ny Eie
telephony seruice plans offered to Lifeline subsatibeB,
Nama Documcnt
HTIP Iw. tDl$dc.lluI.r.cor/I1f.1h.
<1222> Det ils on thc number of minut.s prcvided as part of thc pl.n,
<1223> Additional charge for toll ells, and ntes for each such dan.E
h3c 13
FCC Form 481
OMB Control No. 3060{985/OMB Control t{o. 30600819
PI! 14
479 aa1
Ataa
Mit. B1y
data line <030>
Select the appropdate respons€s below (Yes, No, ilot Applicable) to note compliance as a recipient of lncremental HiSh Cost support, High Co6t support to oftet access dnrSe
lncr€mental C'onncct Amerlca Phase I reportlng
<2011>
<2022>
<2023>
<2024A>
<20248>
<2025A>
<20258>
3rd Year certification 47 cFR 554.313(bxlxii) - Note that for the
July 2017 certification, this applies to Round 2 recipients of
lncremental Support.
Recipient certifies, representing year three 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 lnltlathrcs
Program or the Broadband Technology Opportunides Profam for
projects that will provide broadband with speeds ofat hast tl
Mbps/1Mbps - 54.313(bX2XD. Round 2 rcdpients onv.
The attachment on line 2024 includes a statement ofthe total amount of
capital funding expended in the previous year ln mcctlnt Connect
Amerlca Phase I deployment obligations,.cao.npanhd by a llst of
census blocks indicating where funding was spent. Thls covers
year three - 54.313(bx2xii). Round 2 redpienB only.
Round 2 Recipient of lncremental Support?
Attach list of census blocks indicating wherc fundlq wes spent ln year
three - 54.313(b)(2Xli). Round 2 reclpients mV.
Round 2 Reclplent of lncremental Support?
Name ofAttadled Doorment tlstlng
Requlrcd lnformatlon
Name ofAttadred Doorment tlstl.B
Requhed lnfonnatbn
Attach geocoded lnformation for Phase I mllestone rcports (Round 2 ior
year three) - Connect America Fund , WC Oocket 1G90, Report and
Order, FCC 13-73, paragraph 35 (May 22,20131.
<2015> 2016 and future Frozen Support CertlflcationtuCFR 9 r0.313(cx4)
PIi ra
[2m5] PrlcC Cap Crrrler Addttional ocumlntrtlon
Dlt. Colllctlon Form
FCC Form 481
OMB Control No. 3o6G0986/OMBControl No. 306$0819
July 2013
Pa8€ 15
Pric€ C-ap Carrier Connect America ICC Support {47 CFR 5 54.313(d)}
<2016> Certification support used to build broadband
Connect Amerlca Phase ll Reportint {47 CFR I 54.313(e)}
<20L7 A> Connect America Fund Phase ll recipient?
<2017C> Total amount of Phase ll support, if any, the price cap carrier used for
capital expenditures in 2016.
<2018>Attach the number, names, and addresses of community anchor
institutions to which the carrier newly began providing access to
broadband service in the preceding calendar year - 5a.313(eX1)(iiXA)
Name of Attached Document Listing
Required lnformation
<2019>Reclpient certifies that it bid on category one telecommunications and
lnternet access services in response to all FCC Form 470 postings seeking
broadband service that meets the connectivity targets for the schools and
libraries universal service support program for eligible schools and
libraries located within any area in a census block where the carrier is
receiving Phase ll model-based support, and that such bids were at rates
reasonably comparable to rates charged to eligible schools and libraries in
urban areas for comparable offerings - 5a.313(eXlXiiXC)
Page 15
l2o5l Prt C.p t rrlf, Addtlon l Documot do.t
Ir.t Co{ccddFm
FCC fm il81
OMB Cetrol lio. vl60<85/OMg Cdtrol Io. 30600819
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llm51 ie Ot idum C.nLr Addd@l D@ffib$on
Di. Olldbn Fom
tCC f6m 481
OMBcontrol No. 3ms/OMoMrd k. 3ffi19
July 263
<010> Study Area Code
<015> Study Area Name BHINGrcf, RsA NO, 8 II{IED PNBERSEI! DIA INND CEIIUN
<020> Pro8ram Year 20tB
<030> contact Name - Person USAC should contact regarding this data Mike B1y
<035> ContactTelephoneNumber-Numberofpersonidentifiedindataline<030> 2081980245 eXL.7222
<039> contact Ema il Address - Emait Address of person identified in data tine <o3o> mi k gb G i n l- a n d c e I l- ' c om
Select from the drop down menu or check the boxes below to note compliance with 54.313(fX1). Privately held carriers must ensure compliance with the
financial reportingrequirementssetforthin4TCFRS4.3l3(fx2). lfurthercertifythattheinformationreportedonthisformandinthedocuments
attached below is accurate.
(300s)
(3010A)
(3010B)
(3012A)
(30128)
(3013)
(3014)
Progress Report on 5 Year Plan
Carrier certifies to 54.313(f XlXiii)
Name of Attached Document Listing Required
lnformation
(301s)
(3016)
(3017)
(3018)
(301e)
(3020)
(3021)
(3022 )
(3023)
(3024)Underlying information subjected to an officer
certifi@tion.
(302s)Document(s) with Balance sheet, lncome Statement
and Statement of Cash Flows
Name of Attached Document Listing Required
lnformation
(Yes/No)oo
Name of Attached Oocument Listing Requir.d
lnfomation
Certification of Public lnterest Obligations (47 CFR 5
s4.313(fX1Xi))
Please Provide Attachment
Community Anchor lnstitutions {47 cFR 5
s4.313(fXlXii))
Please Provide Attachment
ls your company a Privately Held ROR Carrier (47 CFR
5 s4.313(fX2))
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:
Elecronic copy of their annual RUS reports
(OpeEting 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 submi$ion on line
3026 pursuant to 5 54.313(fX2), contains:
Either a copy of their audited financial statement; or
(2) a financial report in a format comparable to RUS
Operating Report for Telecommunications Borrowers
Document(s) for Balance Sheet, lncome Statement
and Statement of cash Flows
Management letter and/or audit opinion issued by
the independent certified public accountant that
performed the company's financial audit.
lf the response is no on line 3018, please check the
boxes below to confirm your submi$ion on line
3026 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 Repon for
Telecommunications Borrowers
Underlying information subjected to a review by an
independent certified public accountant
Name of Attached Document Listing Required'"',iP"J.i O O
(Yes/No) o o
(3026) Attach the worksheet listinS required information
page 16
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Page 17
hr6.n*.,q.* 479001
dB Mlgtrm WHINGDI EA !O. I 1IHIED EMNERSIIP DBA ININD cElluN
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oD ffiEdffi-mEEd@ffih&hos dt.ioi"1r"d..1t-.o-
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(3027)RmM
(30281 Op"ntlnt Erp.G
(3029) Nlt lncomc
(303O) Talcphonc Plant ln SlrvlclffPE)
(3031) ToblA3lcts
(:n321Tot lDrbt
(30331 Total Eqult"y
(3034) Dividends
Page 17
ls) hdr6m6frTHlhlMldnd)
hb6[6ntom
FCCFom€1
oMScontrclxo. 3o@s/oMtMdM. m$
July 2013
-
Pa8. 18
<010>Studv Area Code
<015>Area Name
<020>Program Year ? ol3
<030>Contact Name - PeEon USAC should contact this data
<035>Cootact - Number of <030>
<039>Contact Address - Email Address of person identifled in data line <030>
4005 Rural Broadband Experlment
Authori?ed Rural Eroadband 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 14-9E {paratraphs 26-29, 78)
PleaseaddressLine40OlregardingcompliancewiththeCommission'spublicinterestobligations. AllRBEparticipantsmustprovidearesponsetoLine400l.
4m1. Recipient certifies that it is offering broadband to the identified lcations meeting the requisite public
interest obligations consistent with the category for which they were selected, including broadband speed,
latency, usge capacity, and rates that are reasonably comparable to rates for comparable offerings in urban
areas?
Communlty Anchd lnstltuuons - FCC 1+9t (paraSraph 79)
4003a. RBE participants must provide the number, names, and addresses of community anchor institutions to
whichtheynewlydeployedbroadbandseruiceintheprecedingcalendaryear. Onthisline,pleaserespond
(yes - attach nil community anchors, no - no new anchors) to indicate whether this list will be provided.
lf yes to /(D3A, please provlde a response fq rt003B.
it003b. Provide the number, names and addresses
of community anchor institutions to which the
recipient newly began providing access to
broadband seruice in the preceding calendar year.
Name of Attached Document Listing Required lnformation
Bredband Deployment Locations - FCC 14-9E (pangraph E0)
4{n4a. Attach a list of g@coded locations to
which broadband has been deployed as ofthe
June 1st immediately preceding the July 1st filing
deadline for the FCC Form 481.
Name of Attached Document Listing Required lnformation
{D4b. Attach evidence demonstrating that the
recipient is meeting the relevant public service
obligations for the identified lcations. Materials
must at least detail the pricing, offered broadband
speed and data usage allowances available in the
relevant geographic area.
Name of Attached DGument Listing Required lnformation
pag. 18
(406, iw.l trodbild Exp.rlmnt Addltbntl Ooolmtrilon
D.t. Callftllon fm
FCC Fm /|E1
oMB Cnud No. l05o{xt6/oMB conrrol No. a060s19
July 2013
Page 19
<010> Study Area Code 4'7 900'l
<015> Study Area Name WASEINGTON RSA NO. 8 IIMITED PARTNERSIIIP DBA INIAND CEIIULAR
<020> Program Year 20r8
<030> Contact Name - Person USAC should contact regardins this data Mike Bly
<035> contactTelephoneNumber-Numberofpersonidentifiedindataline<030> 208'798a245 e{t.1222
<039> ContactEmailAddress-EmailAddressofpersonidentifiedindataline<030> mikeb.rnfandcell.com
TO BE COMPLETED BY THE REPORTING CARRIER, IF THE REPORTING CARRIER IS FITING ANNUAT REPORTING ON ITS OWN BEHALF:
Certification of Officer as to the Accuracy of the Data Reported for the Annual Reporting for CAF or Ll Recipients
I c€rtlfy that I am an offlcer of the reporting carrier; my responsibilities include ensurint the accuracy ot the annual reportlnt requlrements for untueEal seruice supporl
recipients; and, to the best of my knowledge, the information reported on this form and in any attachments is accurate.
NamcofReportingCarllsl. WASIIINGTOIT1 RSA NO' 8 IIMIlED PARTNERSHIP DBA INIAND CELIUIm
signature of Authorized officer: cERTT FrED oNl TNE Date 06/26/2Al'7
Printed name ofAuthorized officer: NathaD weis
fitle or position of Authorized Officer: P t e side nt
relephone number ofAuthorized officer' 5096492500 e't
study Area code of Reporting Crrrier: 4'7900'7 Filing Due Date forthis form' 07l03'/2017
Persons willfully making talse daterents on this form can be punished by fine or forfeitur under the Communi€tions Act of 1934, 47 U.S.C. 99 502, 503(b), or fne or imprisonment
underTitle 18 ofthe United States Code, 18 U.S.C. I 1001.
Page L9
C.dfic.tlon - n pordtt C.tr{.r
D.t CdLctionFo'lrl
FCC Form 481
OMg Control No. 3O6GO985/OMB Control tlo. 306G0819
July 2013
Page 20
FCC Form 481
OMB Control No. 3O6O-0986/OMB Control No. 305GO819
carJ.|€J
2013
Collection Form
- Agent
41 9041<010> Study Area Code
<015> Study Area Name WASIIINGTON RSA NO. 8 II},II'IED PARIWERSHIP DBA INLAND CEILUIAR
<020> Protram Year
<030> ContactName-PersonUSACshouldcontactregardingthisdata Mike BIy
<035> contactrelephoneNumber-Numberofpersonidentifiedindataline<o3o> 2081980245 ext'1222
<039> Contact Email Address - Email Address of person identifled in data line <O3O> mikebGi!1a!dce.Il . com
2Ar8
TO BE COMPLETED BY THE REPORTING CARRIER, IF AN AGENT IS FITING ANNUAT REPORTS ON THE CARRIER'S BEHATF:
TO BE COMPLETED BY THE AUTHORIZED AGENT:
Certification of Officer to Authorize an ASent to File Annual Reports for CAF or Ll Recipients on Behalf of Reporting carrier
G6rtl'ythat(Nrmo'Aoent}l!8uthorlzedtosubmlttholnfomtlonrcpoiledonbehalfofthempordngcarler.l
rt3o cerllty that I am "n om"", ot tn"ffi-runn *t .-, *"ronaiuililn3 lnclude ensurlng th€ accuncy ol the annuar drta Eporing Equrremnts provrded to the authorrzed
igent; and, to th€ best of nry knowlodge, the Epoit! and data provided to the authodzed agont 13 accuiate.
\ame of Authorized Acent:
\,lame of Reporting Carrier:
iiSnature of Authorized Officer:Date:
)rinted name ofAuthorized Officer:
l'itle or position of Authorized Officer:
Telephone number of Authorized Officer:
Studv Area Code of Reportint Carrier:Filing Due Date for this form:
Pe.sns willfully makinS fals statements on this form can be punished by line or forfeiture under the Communi6tion! Act of 1934, 47 U.S.C. 55 502, 503(b), or fine or imprienment
under Title 18 ofthe United States Code, 18 U.S.C 5 1001.
Certification of Agent Authorized to File Annual Reports for CAF or Ll Recipients on Behalf of Reporting Carrier
the data reported hereln based on data provlded by the reportlnt carrler; and, to the best of my knowledge, the lnfomatlon reported h€reln ls accurat€.
Name of Reporting Carrier:
Name of Authorized Acent Firm:
Signature of Authorized Atent or Emplovee of Acent:Date:
Name of Authorized Acent Emplovee:
Title or position of Authorized ASent or Employee of ASent
Telephone number of Authorized Acent or Emplovee of Agent:
Studv Area Code of Reporting Carrier:Filing Due Oate for this form:
18 ofthe United States Code, 18 U.S.C. 5 1001.
Page 20
Form 481 Certifications
For Filing Due July 1,2017
l, Nathan Weis, being of lawful age, state that ! am President and CEO of lnland Cellular
LLC (t/l</a Washington RSA No. 8 Limited PartnershipXsAC 4790071("Company''), that I
am authorized to execute this certification on behalf of the Company, and that the facts
set forth in this certification are true to the best of my knowledge, information and belief.
Compliance with Service Quality Standards
The Company certifies that it is in compliance with applicable service quality standards
Gompliance with Consumer Protection Rules
The Company certifies, pursuantlo 47 C.F.R. S 64.2009(e), that the Company's operating
procedures are adequate to ensure compliance with the Customer Proprietary Network
lnformation rules and regulations as set forth in 47 C.F.R. SS 64.2001 through 64.2009
and the Cellular Communications and lnternet Association's Consumer Protection Code
for Wireless Service.
Ability to Remain Functional in Emergencies Gertification $54.313(aX6)
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), as such standards relate to functionality
of wireless carriers in emergency situations. The Company further certifies that it
maintains back-up power to ensure functionality without an external power source in the
forms of auxiliary generators and batteries in its central office and auxiliary generators
and/or batteries at its cellular tower locations. The Company also certifies that it
constantly monitors traffic on its tower locations and that it's switching capability is more
than adequate to manage the traffic of its subscribers.
The Company further certifies, depending upon the circumstances of the outage, that it
is able to re-route traffic around damaged facilities. All lnland Cellular subscribers are
defaulted to roam on competitors should an lnland Cellular signal not be obtained.
I certify under penalty of perjury under the laws of the State of Washington that the
foregoing is true and correct.
Dated this 20th day of June, 2017 at Roslyn, Washington.
By:{fure@
Nathan Weis
President and CEO
lnland Cellular LLC
<010> Study Area Code 419 001
<015>8 IIII ED PKNERSHIP DBA ININD CEIIUIM
<o20>2014
<030> Conbct Name - Person USAC sh@ld contad reaardin!this data
<o39>Conted Fmail Addrc.< , Fmail Addresr 6f mBon id.ntifipd in data linp <O3O>
<810> ReportingCarrier IulaDd c.IIu1a! ,Ic
<811>Holdinc comDanv h]ald c.lIuI.! tl.Pbob. coryely
<81 )>OF.etinr a^hmhv IDlud c.lIuIat ilc
<813>
Afffllat6 sAc
529001 lnI
529004
Dolng Eusln6s As Company or B,and Desltnation
FCC Fom it81
OM8 Coitrcl No. 3060{986/OMB Cont ol ilo. 3O6O{t19
<03S> ContadT.l.bhoncil,,mbr_ilumb.rofmrsnllentiriedindataline<030> 2oa19ea245.xt-t222