20180716Custer Telephone Broadband Services LLC Form 481.pdf

CTCI
Custer Telephone Broadband Services Ll-,C.
Challis Headquarters
P.O.Box 324
I 101 E. Main Ave.
Challis,lD 83226
208-879-4000
Salmon Office
400 Shoup Street
Salmon,lD 83467
208-756-4r 11
Toll Free: 1 -866-87 9-2281
July 16, 2018 ldaho Public Utilities Commission
Oflice ol the Secratary
RECEIVED
JUL I 6 2018Ms. Diane Hanian
Commission Secretary
ldaho Public Utilities Commission
472 West Washington Street
Boise, ldaho 83720
Diane. hanian@puc. idaho.gov
Boise, ldaho
RE: 2018 Eligible Telecommunications Carrier (ETC) Annual Reporting
Requirements with the IPUC - Case number GNR-T-N-01
l8
Dear Ms. Diane,
Custer Telephone Brcadband Services LLC ("the Company") hereby
provides copies to the ldaho Public Utilities Commission ('Commission") of the
filing to the Federal Communications Commission ("FCC") and the Universa!
Service Admlnistrative Corporation ("USAC') for designation as an Eligible
Telecommunications Canier, 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 is an Eligible Telecommunications Canier (ETC) providing Life
Line service and receives universal service low-income support only, therefore
further requests the Commission disregard item 5 of the Affidavit.
lf you have any questions, do not hesitate to contact me directly
Sincerely,
Dennis L Thornock
President and General Manager
MX
stateofEbNt)-)
County ot$.t*eL r
)ss
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.
J Chnt -\"tNotary Public id
Commission expires
t-
AFFIDAVIT OF BUSINESS OR CORPORATE OFFICER
The ldaho Public Utilities Commission Order No. 29841requires that Eligible Telecommunications Carriers
(ECT) 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 Custer Telephone Broadband 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.
2.1 am familiar with the Company's day-today 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 Broadband 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 Custer Telephone Broadband
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 1,2019, through December 31, 2019, 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.
Dennis President
Date:
SUBSCRIBED AND SWORN to before me this IUIOry ot {u\-r
ts
-la
B4oF
What is a telephone assistance program?
Financial assistance is available in Idaho to help qualifred low-income individuals pay
for telephone or internet service. The Idaho Telephone Service Assistance Program
QTSAP) offers a discount of $2.50 on monthly telephone bills. A separate program -
the Federal Communication Commission's Lifeline program (Lifeline) - offers a
discount of $9.25 on monthly telephone or internet bills. These programs provide a
communication "lifeline" to those who might not otherwise be able to afford telephone
or internet service. It also enhances the value of service for everyone by increasing the number of people who can be
reached 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 may apply. To find out if you are
eligible call 866-255-7081 .
The assistance provides the following discounts:
Landline phone:
o Idaho Telephone Service Assistance Credit - $2.50
o Lifeline Network Access Fee Credit - $6.50o Federal Lifeline Credit - $2.15
Internet:o Federal Lifeline Credit - S9.25
Note: Custer Telephone Broadband does not provide credits on bundled service packages at this time.
How Do I Apply For Assistance?
. Apply by calling 866-255-7081.. If you are eligible, your name, address and telephone number will be forwarded to Custer Telephone.o The monthly discount will begin on your next billing statement if you are eligible and your name, address and
number match the telephone company's records.
Lifeline and ITSAP are goverrment assistance programs. The credits are non-transferable, only eligible consumers may
enroll in the program, and the programs are limited to one discount per household.
CTCI
6alo
Do I Need To Apply Every Year?
Yes. Your eligibility must be renewed each year.
Lifeline Service Terms
Custer Telephone Broadband Services LLC is a quality telecommunications service provider which provides basic and enhanced
services at reasonable rates within its service territory. Basic residential telephone service is offered at the following rate:
Monthly Non-Recurring
Rates & Charges Charge
Single Party Residential Telephone Service
The following fees apply in addition to the above monthly rates:
o Network Access Fee
o Idaho Telephone Service Assistance Program (ITSAP)
. Idaho Universal Service Fund (ID USF)
o Lemhi County 9l I Feeo Federal Excise Taxo Federal Universal Service Fund
Single Party Residential Telephone Service Total
Federal Lifeline Credit
Network Access Fee Credit
Idaho Telephone Assistance Program Credit
Idaho Telephone Service Assistance Program (ITSAP) Credit
Federal Excise Tax Credit
Federal Universal Service Fund Credit
$ 18.00 $ 18.00
$6.50
$0.00
$0.2s
$ 1.2s
$0.77
$ 1.20
$27.97
($2.75)
($6.50)
($2.s0)
($o.oo)
($0.77)
($ 1.20)
Single Party Universal Lifeline Telephone Service Monthly Rate*$14.25 $18.00
*Discounted basic service rates and free Toll-Blocking are available to those that qualifu for Universal Lifeline telephone service.
The above rates include the following:o Unlimited Local Callingo Touch Tone Capability
o Access to Operator Services
o Directory Assistance and Inter-Change Service Providers. Voice Grade Access to the Public Switched Networko Free Access to 800 and 800-like Toll Free Services
. One Free Directory Listing
o Free Access to a Business Office and Free Access to the Idaho Relay Service by Dialing 7l I
Emergency 911 Service............Surcharge for 91 I services is assessed according to government regulations.
Long Distance is not included. Long Distance rate is ten cents ($0.10) per minute or flat-rate plans are available.
Custer Telephone Broadband Services LLC offers basic services to all customers within its service territory
Lifeline broadband only service: ** 1O/lMb internet plan $69.95 - $9.25 Federal Lifeline credit: $60.95 Lifeline broadband only
monthly total
**FCC mandate requires at least 10/l Mb download/upload speeds unless not available in your area in which case the plan must be at
least a 4/1Mb plan.
For additional details on any of these services, please contact our business office at208.756.41I I or toll-free 866.879.2281
<010> Study Area Code 47901,9
<015> Studv Area Name Custer Telephone Broadband Services LLC
<020> Program Year 2079
<030> Contact Name: Person USAC should contact
wlth ouestions about this data Dennis Thornock
<035> ContactTelephoneNumber:
Number ot the person identitied in data line <030>
2088335200 ext
<039> Contact Email Address:
Email ot the Derson identitied in data line <o3o> dennis@cuEEertel . net
Form Type 54 .422
FCC Fom 481
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:ontact Name - Person USAC should contact regarding this data Dennis Thornock
:ontact Telephone Number - Number of person identified in data line
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:ontact Email Address - Email Address of person identified in data line
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dennis@custertel . net
-.lect from the drop-down list to indicate how you would like to report
cice complaints (zero or greater) for voice telephony service in the prior
llendar year for each service area in which you are designated an ETC for
ny facilities you own, operate, lease, or otherwise utilize.
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Contact Email Address - Email Address of person identified in data line <030>
the drop down menu or check the boxes below to note compliance with 54.313(f)(1). Privately held carriers must ensure compliance
orting requirements set forth in 47 CFR 54.313(fX2). I further certify that the information reported on this form and in the documer
ow is accurate.
Progress Report on 5 Year Plan
Carrier certifies to 54.313(fx l)(iii)
Certification of Public lnterest Obligations {47 CFR $
s4.313(f)(1)(i))
Please Provide Attachment Name of Attached Document Listing Required
lnformation
Community Anchor lnstitutions {47 CFR $
s4.313(fXlXii))
Please Provide Attachment Name of Attached Document Listing Required
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 g 54.313(f)(2) 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(f)(2), contains:
Either a copy of their audited financial statemenu 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 submission on line
3026 pursuant to 5 54.313(f)(2), contains:
Copy of their financial statement which has been
subject to review by an independent certified public
accountan! 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
Underlying information subjected to an officer
certification.
Name of Attached Document Listing Required
lnformation
(Yes/No)oo
lnformation
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troadband Experiment
lural Broadband Experiment (RBE) recipients must address the certification for public interest obligations and provide a
served community anchor institutions.
lst Obligations - FCC 14-98 (paragraphs 26-29, 78)
lss Line 4001 regarding compliance with the Commission's public interest obligations. All RBE participants must provide a
Line 4001.
ent certifies that it is offering broadband meeting the requisite public interest obligations consistent with the category for
vere selected, including broadband speed, latency, usage capacity, and rates that are reasonably comparable to rates for
offerings in urban areas.
Anchor lnstitutions - FCC 14-98 (paragraph 79)
rarticipants must provide the number, names, and addresses of community anchor institutions to
rewly deployed broadband service in the preceding calendaryear. On this line, please respond
I new community anchors, no - no new anchors) to indicate whether this list will be provided.
,3A, please provide a response for 40038.
de the number, names and addresses Name of Attached Document Listing Required lnformation
ty anchor institutions to which the
ruly began providing access to
ervice in the preceding calendar year.
a Plan
Do you participate in the Alaska plan?
Please indicate whether any terrestrial backhaul or other satellite backhaul became
commercially available in the previous calendar year in areas previously served
exclusively by performa nce-limiting satellite backha ul.
lf the filing carrier identified in its approved perfomance plans that it relies exclusively on
satellite backhaulfor a certain poriton of the population in its service area, indicate whether
any terrestrial backhaul or other satellite backhaul became commercially available in the
previoius calendar year in areas that were previoiusly served exclusively by satellite backhaul.
(Yes/No)
(Yes/No)
(Yes/No)
Description Of Backhaul Technology Date Backhaul Available Newly Served Locations or Population
<b><c>
Page 17
<010> Study Area Code 479019
<015> Study Area Name Custer Telephone Broadband Services LLC
<020> Program Year 2 019
<030> Contact Name - Person USAC should contact regarding this data Dennis Thornock
<035> ContactTelephoneNumber-Numberofpersonidentifiedindataline<030> 2088335200 ext
<039> Contact Email Address - Email Address of person identified in data line <030> dennis@cusrerLef . net
TO BE COMPTETED BY THE REPORTING CARRIER, IF THE REPORTING CARRIER IS FILING ANNUAI. REPORTING ON ITS OWN BEHAIF:
Certification of Officer as to the Accuracy of the Data Reported for the Annual Reporting for CAF or tl Recipients
I certify that I am an officer ofthe reportint carrier; my responsibilities include ensurinS the accuracy of the annual reportint requirements for universal seruice support
recipients; and, to the best of my knowledgc, the information reported on this form and ln any attachments is accurate.
NameOfReDortineCarrier. Custer Telephone Broadbaod Services LLC
SignatureofAuthorizedofficer: CERTTFTED oNLTNE Date 0'7 /).3/2078
Printed name ofAuthorized officer: Dennis Thornock
Title or Dosition ofAuthorized Officer: President
Telephone number of Authorized officer' 2088335200 ext
Study Area Code of Reporting Carrier: 4'79019 Filing Due Date for t his fotm' 07 / 1'6 / 201'8
Persns willfully mrking fal* statcments on thir ,orm an be punished by finc or forfeiture under the Communiotions Act ef 1934, 47 U.S.C. SS 502, 503(b), or fine or imprisnment
under Tltle 18 qfthe Unitrd Stltes Codc, 18 U.S.C. S 1001.
Page L7
OMB Control t{o. :Xl6ll-0!185/OMB Control No. 305(N)8tg
Page 18
Collection Form OiiE Cortn, No. 3O6O-0986/OMB Goorrol No. 3060.{ts19
fom
<010> StLqy Area Code 4790!9
<015> Study Area Name Custer TeLephone Broadband servj.ces LLC
<020> Program Year
<030> ContactName-PersonUSACshouldcontactregardingthisdata Dennis Thornock
<035> contactTelephoneNumber-Numberofpersonidentifiedindataline<o3o> 2088335200 ext'
<039> ContactEmailAddress-EmailAddressofpersonidentifiedindataline<030> dennis@custertel net
TO BE COMPTETED BY THE REPORTING CARRIER, IF AN AGENT IS FILING ANNUAT REPORTS ON THE CARRIER'S BEHATF:
TO BE COMPLETED BY THE AUTHORIZED AGENT:
2 019
Certification of Officer to Authorize an Atent to File Annual Reports for CAF or Ll Recipients on Behalf of Reporting Carrier
I certify thal (Name of is authorized to submit the information reported on behalf of the reporting carier. I
agent; and, to the best of my knowledge, the reports and dala provided to lhe authorized agent is accurate.
Name of Authorized Agent:
Name of Reporting Carrier:
Signature of Authorized Officer:Date:
Printed name of Authorized Officer:
Title or position of Authorized officer:
Teleohone number of Authorized Officer:
Study Area Code of Reporting Carrier:Filing Due Date for this form
Pcrsns willfully making f"lse strtcmonts on thiJ iorm an b. punishcd by fine or forfeiturc under the Communiqtioni Ad of 1934, 47 U.S.C. 95 502, 503(b), or flne or imprisonmcnt
und€rTitle 18 ofthe Unitld Strtes 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 herein based on data provided by the reportlng carrier; and, to the best of my knowledge, the lnformation reported herein ls accurate.
Name of Reporting Carrier:
Name of Authorized Asent Firm:
sienature of Authorized Asent or Emplovee of Agent:Date:
Name ofAuthorized AEent EmDlovee
Title or oosition of Authorized Asent or EmDlovee of Asent
Telephone number of Authorized Agent or Employee of Agenti
Filing Due Date for this formStudy Area Code of Reporting Carrier:
18 of the Unitcd st.tss Codc, 18 U.S.C. 5 1001.
Page 18