20190701Columbine Telephone Affidavit.pdf

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Diane Hanian, Secretary
ldaho Public Utilities Commission
472W. Washington
PO Box 83720
Boise, lD 83720-0074
Re 2019 Elieible Telecommunications Carrier (ETCIAnnua! Report Filing (Program
year 2020); Docket No. GNR-T-19-01
Colum bine Telephone Company, lnc. 1a72295l.
Dear Ms. Hanian:
Columbine Telephone Company, lnc. ("the Company") hereby notifies the Commission
that it has filed its FCC Form 481 with the Universal Service Administration Company ("USAC")
and files with the Commission its Affidavit and Certification by Eligible Telecommunications
Carrier of Compliance.
Request is hereby made that the Commission notify the Federal Communications
Commission and USAC, prior to October L,2OL9, that the Company is eligible to receive federal
high-cost support for the year 2020.
Questions regarding this filing should be directed to my attention as shown below.
Sin
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REC E IVED
2019 JUL : I Pll 3: h I
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July 1, 2019
Michelle Motzkus
Legal & Regulatory Administrator
ph:307-883-6690
email : [e-mail]
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Enclosure
SilverStar.com PO Box 226,Freedom, WY 83120 877.883.2471
State of \Afoming
County of Lincoln
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.
AFFIDAVIT OF BUSINESS OR CORPORATE OFFICER
The ldaho Public Utilities Commission Order No. 2984'l 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 Columbine Teleohone Comoanv. lnc. an eligible telecommunications carrier for
receiving federal universal service support under section 214(el 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. Columbine Telephone Comoanv. lnc. 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. 29841and in 47 C.F.R. S 54.201(aX2).
5. I also certify that all federal universal service support funds received by Columbine Teleohone
Companv. lnc. during the current calendar year will be used in a manner consistent with section 254(el;
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.
L ?
Date
SUBSCRIBED AND SWORN to before me this of
Notary Public for V[oming, fincoln County
My Commission expires 4 7' >l
- Notary Public
Srate ol Wyoming
Counly Ol Lrncoln
Cornmrssion Exoiles
MICHELLE MOTZKUS
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