20180827Mud Lake Form 481.pdf

State of
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:,ii I :l oFBTl?c4/tp8EzELrGrBLE TELECoMMUNTCAfloNS CARRTER..,... OFCOITTPIIANCE WITH SERVICE QUALITYAND CUSTOMER
PROTECTION,IABILIT TO REMAIN FUNCTIONAL lN EMERGENCIES,
AND USE ffit'Hfrm+ HrcH-cosr suPPoRr.
county ,(k/ h//-]SS
AFFIDAVIT OF BUSINESS OR CORPORATE OFFICER
The ldaho Public Utilities Commission Order No. 29841 requires that Eligible Telecommunications Caniers
(ETC) certify that it is compliant with applicable service quality standards and consumer protection rules; and
ETCs must demonstrale the ability lo remain functional in emergencies. ln addition, the Commission must file
an annualcertification with the USAC and the FCC that all federal high-cost support provided to ETCs within
lhe 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:
I am an olficer ol Mud Lake Telephorrc Cooqerative , an eligible telecommunications carrier for
receiving federal universal service support under section 214(e) of the Telecommunications Acl 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. Mud Lake Telephone Cooperative is complying with applicable service quality slandards 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 54.201(aX2).
5. I also cerliff that all federal universal service support funds received by Mud Lake Telephone
Cooperative 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 caniers in the state
will be used in a manner consistent with Section 254(e) of the Telecommunications Act.
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SUBSCRIBED AND SWORN to before me thi$ / / day otlrl,+,t*W
Notdry Pubtictor ,,4 irr 4Ip.= *residingii K)tt i.fl r a
My Commission expires / 0/ ) t/ zzCARRIE ITAY
T'I()IARYPUBTIC
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