20180717Columbine Telephone Form 481 - Redacted.pdf

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ldaho Public Utilities Commission
Otfice of the SecretarvRECEIVED
JUL I 7 20t8
Boise,ldaho July L7,2OL8
Diane Hanian, Secretary
ldaho Public Utilities Commission
472W. Washington
PO Box 83720
Boise, lD 83720-0074
2018 Eligible Telecommunications Carrier (ETC)Annual Report Filing (Program
year 2019); Docket No. GNR-T-18-01
Columbine Telephone Company, lnc. (4722951
Dear Ms. Hanian:
Columbine Telephone Company, lnc. ("the Company") hereby files with the Commission
its 2018 ETC Annual Report Filing (program year 2018), as follows:
A copy of the FCC Form 481 - Carrier Annual Reporting Collection Form filed with the
Universal Service Administrative Company ("USAC"), completed pursuant to 47 CFR 95
54.313 and 54.422, as applicable, and redacted for public viewing to protect confidential
and proprietary financial information, along with the Officer Affidavit per Commission
Order 29841.
The non-redacted, confidential information is submitted to the Commission separately via
express delivery, pursuant to Rule 57 of the ldaho Public Utilities Commission Rules of
Procedure and ldaho Code 5 9-340D(1).
Request is hereby made that the Commission notify the Federal Communications
Commission and the Universal Service Administration Company, prior to October 1, 2018, that
the Company is eligible to receive federal high-cost support for the year 2019.
Questions regarding this filing should be direc\ed to my attention as
\
Sincggely,
Re
(lLw
Michelle Motzkus
Legal & Regulatory Administrator
ph: 307-883-5590
email: [e-mail]
Enclosures
SilverStar.com PO Box 226,Freedorn, WY 83120 877.883.24L1
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No
State of Wyoming ) CERTIFICATION BY ELIGIBLE TELECOMMUNICATIONS CARRIER
: ss. OF COMPLIANCE WITH SERVICE QUALITY AND CUSTOMER
County of Lincoln ) PROTECTION, ABILITY IO REMAIN FUNCTIONAL lN
EMERGENCIES, AND U5E 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. lamanofficerofColumbineTelephoneCompany,lnc.(dbaSilverStarCommunications)("theCompany")
an eligible telecommunications carrier 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. The Company is complying with applicable service quality standards and consumer protection rules of the
Federal Communications Commission and the ldaho Public Utilities Commission.
4. I certifiT to the Commission that the Company is able to remain functional in emergencies as set forth in
Commission Order No. 29841and in 47 C.F.R. 5 5a.201.(aX2).
5. I also certify that all federal universal service support funds received by the Company 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 1,20\9, through December 31, 2019, to be eligible for federal
universal service fund support.
6. This verification and affidavit is provided to the ldaho Public Utilities Commission to enable the IPUC to
certify to the FCC that federal universal service support received by the eligible carriers in the state will be
used in a manner consistent with Section 25a(e) of the Telecommunications Act.
Jefferso CFO
Date
SUBSCRIBED AND SWORN to before me this F Ory of July, 2018.
ry Public ng, residing at Lincoln County
7' )o 'r 7.-
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State of My Commission expiresLincoln
Page 1
<010> Study Area Code 472295
<015> Study Area Name COLUMBINE TELEPHONE CO., INC
<020> Program Year 2 019
<030> Contact Name: Person USAC should contact
with questions about this data MicheIle Motzkus
<035> Contact Telephone Number:
Number ot the person identitied in data line <030>
3078836690 ext
<039> Contact Email Address:
Email ot the person identitied in data line <030>mamotzkuB@ai lve16tar. net
Form Type 54.313 and 54.422
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<035>Contact Telephone Number - Number of person identified in data line
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any facilities you own, operate, lease, or otherwise utilize.
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<010> Study Area Code 47 ^24\
<015> Study Area Name COLIJMBINE TELEPHONE CO., INC.
<020> ProBram Year 2079
<030> Contact Name - Person USAC should contact reSarding thas data Michelle Motzkus
<035> ContactTelephoneNumber-Numberofpersonidentifiedindataline<030> 3078835690 ext
<039> Contact Email Address - Email Address of person identified in data line <030>mamotzkus@si lverstar . net
Select from the drop down menu or check the boxes below to note compliance with 54.313(0(1). Privately held carriers must ensure compliance with the
financialreportingrequirementssetforthin4TCFR54.3l3(f)(2). lfurthercertifythattheinformationreportedonthisformandinthedocuments
attached below is accurate.
Progress Report on 5 Year Plan
carrier certifies to 54.313(f )(lxiii)
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(300s)
(3010A)
(30108)
(3012A)
(30128)
(3013)
(3014)
(301s)
(3015)
(3017)
(3018)
(3019)
(3020)
(3021)
Certification of Public lnterest Obligations (47 CFR 5
54.313(0(1Xi))
Please Provide Attachment
Community Anchor lnstitutions (47 CFR 5
s4.313(fx1)(ii))
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 rcport
Plcase check these boxes to confirm that thc
attached PDF, on line 3017, contains the required
information pursuant to 5 54.313(f)(2) compliance
requires:
Electronic copy of their annual RUs reports
(Operating Report for Telecommunications
Borrowers)
Document(s) with Ealance Sheet, lncome Statement
and Statemcnt of Cash Flows
lf the responsc i5 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 linc 3018, please check the
boxes below to confirm your submission on line
3026 pursuant to S 54.313(fX2), contains:
Either a copy of their auditcd financial statement; or
(2) a financial report in a format comparable to RUS
operating Report for Tclccommunications Borrowcrs
Oocument(s) for Ealance sheet, lncome statement
and Statement of cash Flows
Management lettcr and/or audit opinion issucd 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 6 54.313(f)(2), contains:
Copy of their financial statcment which has been
subject to review by an independent cenified public
accountant; or 2) a financial rcport in a format
comparable to RUS OperatinS Report for
Telecommunications Borrowers
Underlving information subjccted to a review by an
independent certified public accountant
Ye6 - Attach Certifi.atlon
Name of Attached Document Usting Required
lnformation
No - No New Community hchora
472295id3010b. pdf
472299id3O25 .pdf
Name of Attached Document Listing Required
'"ti'S"J:T O O
(Yes/No) O O
Name of Attached Document Listing Required
lnformation
(Yes/No) O O
(3022)
(3023)
(3024)Underlying information subjected to an officer
ccrtification.
(302s)Document(s) with Balance Sheet, lncome Statement
and Statement of cash Flows
(3026) Attach the worksheet listing required information Name of Attached Document Listing Required
lnformation
P.8. 13
13005) R.t. Of Rdum GricrAddhion.l Dcuh.nt.tion
0a!. Colledion Form
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<010>Study Area Code
<015>Area Name
<030>Conta€t Name - Person USAC
<039>Contact Email Address -
contact
- Number identified in data line <030>
tn <030> **."r..n"r1v.r.t.!.,.tperson
4005 Rural Broadband Experlment
Authorized Rural Broadband Experiment (RBE) recipients must address the certification for public interest obligations and provide a
list of newly serued community anchor institutions.
Public lnterest Obllgatlons - FCC 14-98 (paragraphs 25-29,78)
Please address Line 4001 regardinS compliance with the commission'5 public interest obligations. All RBE participants must provide a
response to Line 4001.
4001. Recipient certifie5 that it is offering broadband 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 offerings in urban areas.
Community Anchor lnstitutlons - FCC 14-98 (paratraph 79)
4003a. RBE participants must provide the number, names, and addresses of community anchor institutions to
whichtheynewlydeployedbroadbandseruiceintheprecedingcalendaryear. Onthisline,pleaserespond
(yes - attach new community anchors, no - no new anchors) to indicate whether this list will be provided.
lf yes to 4003A, please provlde a response for 40038.
4003b. Provide the number, names and addresses
of community anchor institutions to which the
recipient newly began providing access to
broadband service in the preceding calendar year.
Name ofAttached Document Listing Required lnformation
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Pat. 15
Pagc 16
<010>Study Area Code
<015>Study Area Name
<020>Program Year
<030>Contact Name - Person L,SAC should contact this data
<035>Contact Number of identified in data line <030>
<039>Contact €mail Address - Email Address of person identified in data line <030> m.mo.,ru.c.r!ve,.tar.n.t
5OO5 Alaska Plan
(5010) 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 performance-limiting satellite backhaul.
(s012)
lf the filing carrier identified in its approved perfomance plans that it relies exclusively on
satellite backhaul for a certain poriton ofthe 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.
(s011)
(Yes/No)
(Yes/No)
(Yes/No)
il.w|ys.fr.d Loc.tlon! or Pop!l.tlon
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<5013>
D.i.rlptlon Of B.cth.ul T..hnoloay
P.re 16
OMB Control No. 3050-0985/OMB Control No. 3060{8r.9Oata Collectlon Form
Page 77
<010> Study Area Code 472295
<015> Study Area Name COLUMBINE TELEPHONE CO., INC.
<020> Program Year 2 019
<030> Contact Name - Person USAC should contact regarding this data Michelle Motzkus
<035> ContactTelephoncNumbcr.Numberofpersonidcntifiedindataline<030> 3078836690 ext
<039> ContactEmailAddress-EmailAddressofpersonidentifiedindataline<030> [e-mail]
TO BE COMPTETED BY THE REPORTING CARRIER, IF THE REPORTING CARRIER IS FITING ANNUAT REPORTING ON ITS OWN BEHALF:
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Certification of Officer as to the Accuracy of the Data Reported for the Annual Reporting for CAF or Ll Recipients
I cenlfy that I am an officer of the reportint carrier; my responsibilltlcs includ€ cnsurlng the accuracy of the annual rcportlnS requlrements for universal s€rulce support
recipients; and, to the best of my knowledg€, the lnformation reported on thls torm and ln any attachm€nts is accurate.
Name of Reportin! Carrier: CoLWBINE TELEPHoNE co' ' INc
signatureof Authorizedofficer: CERTIFTED oNLTNE Date 0't /L2/2018
printed name of Authorized officer:'lefferaon England
Title or position of Authorized Officer: CFo
Telephone number of Authorized officer' 30788355?5 ext
study Area Code of Reporting carrier; 412295 Filing Due Date for this lorm' o7 /LG / 20ta
und.r Titl. 18 of thr Unit.d Statrs Codr, 18 U.S.C. I 1001.
Page 77
Page 18
<010> Studv Area Code 472295
<015>Studv Area Name COLUUBINE TELEPHONE CO.. INC
<020> Program Ycar 20L9
<030> Contact Namc - Person LJSAC should contact reEardinr this data Michelle Motzku6
<035> contactTelephoneNumber-Numberofpersonidentifiedindataline<030> 30?8836690 ext
<039> Contact Emall Address - Email Address of person identified in data li ne <O3O> mamot zku6@s i lverat ar . net
TO BE COMPLETED BY THE REPORTING CARRIER, IF AN AGENT IS FITING ANNUAL REPORTS ON THE CARRIER'S BEHALF:
Certification of Officer to Authorize an Agent to File Annual Reports for CAF o. Ll Recipients on Eehalf of Reporting Carrier
lcertifythat(NamoofAgent)i8authoriz9dtosubmilthoinformationreport6donbehalfo'thersportingcanior.l
agent; and, to tho bost of my knowledge, the report8 and dala providod to the authorized agont is accuralo.
Llame of Authorized Arent:
Namc of Reporting Carricr:
iirnature of Authorized Officer:Date:
)rinted namc of Authorized Offic.r:
Title or position of Authorized Offlcer:
Telephone numbcr of Authoriz.d Olflcer:
Study Area Code of Reoortinc Carrierl Filins Due Date for this form:
underTitle 18 ofthe United Srates Code, 18 U.s.C. 5 1001.
TO BE COMPLETED BY THE AUTHORIZED AGENT:
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Certification of Agent Authorized to File Annual Reports for CAF or u Recipients on Behalf of Reporting Carriel
the dat. ,eported hcrsln based on data provlded by the reporting carrier; and, to the b€st of my knowledte, the lnformatlon r€ported hereln ls accurate.
Name of Reoortins Carrier:
Name of Authorized Agent Firm
Signature of Authorized Agent or Employee of AEent:Date:
Name of Authorized Arent Emolovee:
Title or position ot Authorized Agent or Emplovec of Ageht
Telephone number of Authorized Agent or Employee of Agent:
Studv Area Code of Reoortinr Carrier:FilinE Oue Date for this form:
18 ofthe United States Code, 18 U.S.C. 5 1001.
Page 18
OMB Control No. 30@{986/OMB Control No, 3060{819
FCC Fom 481
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Columbine Telephone Company, lnc.
dba Silver Star Communications ("Silver Star")
SAC 472295 - ldaho
Functionality in Emergency Situations
Statement of Compliance
(FCC Form 481 - tine 510)
Silver Star has established operating procedures designed to facilitate compliance with
applicable service quality standards, which may include customer remedies and
improvement plans. Specifically Silver Star complies with Rule 500.01 of the ldaho Public
Utilities Commission rules requiring it to furnish to its customers safe, adequate and
continuous service in accordance with accepted good practice, and to that end,
maintains its entire plant and system in such condition as to enable it to furnish such
service, and inspect its system and facilities in such manner and with such frequency as
may be necessary to obtain knowledge of their current condition and adequacy. Silver
Star is capable of functioning in emergency situations, by maintaining both battery and
generator back-up power, which ensure reasonable functionality of voice services
without an external power source. Additionally, Silver Star can reroute voice and
broadband traffic around damaged facilities and is capable of managing traffic spikes
resulting from emergency situations.
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Columbine Telephone Company, lnc.
dba Silver Star Communications ("Silver Star")
SAC 472295 - ldaho
Fixed Voice Services Rate Comparability
Statement of Compliance
(FCC Form 481 - tine 1010)
Silver Star's monthly retail residential localservice rates do not exceed 537.75.
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Columbine Telephone Company, lnc.
dba Silver Star Communications ("Silver Star")
SAC 472295 - ldaho
Low-!ncome Telephone Assistance Program Terms & Conditions
Statement of Compliance
(FCC Form 481 - Line 1210)
Silver Star provides unlimited local ca!ling for !ifeline-eligible residential
customers, discounted by the federally authorized amount of 59.25, and
state telephone assistance discounts, where applicable. Silver Star's
lifeline-discounted monthly telephone service provides access to
e me rgen cy, operator, i nte rexcha nge, a nd d i rectory assista nce services.
The service does not include enhanced calling features such as voice
mail, caller lD, callforwarding, internet or long distance telephone
service. Toll Limitation service is provided at no charge for lifeline
customers, upon customer request and pursuant to FCC guidelines.
,,,," ',, ,, ' ', $!17IFI\
Columbine Telephone Company, lnc.
dba Silver Star Communications ("Silver Star")
SAC 472295 - ldaho
Certification of Public Interest Obligations
(FCC Form 481 - Line 3010b)
Marlene H. Dortch, Secretary
Office of the Secretary
Federal Communications Commission
445 tzth Street SW
Washington, DC 20554
Dear Ms. Dortch:
ln accordance with 47 CFR 5 54.313(f[1)(i), Columbine Telephone Company, lnc. dba Silver Star
Communications, SAC 472295, herby certifies that it is taking reasonable steps to provide upon
reasonable request broadband service at actualspeeds of at least 10 Mbps downstream/l
Mbps upstream, with latency suitable for real-time applications, including Voice over lnternet
Protocol, and usage capacity that is reasonably comparable to comparable offerings in urban
areas and that requests for such service are met within a reasonable amount of time.
Sincerely,
V"V
Barbara Sessions
Chief Operating Officer
Dated: May 31, 2018
Silver5tar.com 1 PO Box226,Freedom, WY 83120 I 877.883.24L1
CONFIDENTIAL I NFORMATION -SUBJECT TO
PROTECTIVE ORDER BEFORE THE FEDERAL
COI\XMUNICATIONS COMMISSION and pursuant to
47 CFR $ 0.459(a)
COLUMBINE TELEPHONE COMPANY, INC.
dba Silver Star Communications ("Silver Star")
SAC 472295 - ldaho
Annual Report of Company Financial Conditions and Operations
Line 3025 (54.313(f)(2) Compliance)
(FCC Form 481)
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