20200629Viasat Carrier FCC Form 481 and Affidavit.pdf

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Diane Hanian, Commission Secretary
ldaho Public Utilities Commission
472W. Washington
Boise, ldaho 83720-OOl 4
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RE: Viasat Carrier Services,lnc. - 202O FCC Form 481- Annual Ellgible
Telecommunications Carrier Certlfication - SAC 479026
Dear Commission Staff,
Pursuant to FCC requirements under 47 C.F.R. 55 54.313 &54.422, enclosed please find
for filing a copy of Viasat Carrier Services, Inc.'s FCC Form 481 - Annual Eligible
Telecomm un ications Ca rrie r Certification for SAC 479026.
As the filing indicates, Viasat has not yet commenced providing high costs or Lifeline service.
lf you have any questions regarding this filing, please contact me at (7031 7t4-t324 or
map@com mplia ncegrou p.com.
Respectfully Submitted,
lualilha-g
Marsha A. Pokorny
Managing Consultant on behalf of Viasat Carrier Services, lnc.
1420 Spring Hill Road, Suite 400
Mclean,Virginia 22102
P 703.714.1302
| 703.563.6222
w www.commpliancegroup.com
t [e-mail]
State of CERTIFICATION BY ELIGIBLE TELECOMMUNICATIONS CARRIER
OF COMPLIANCE WITH SERVICE QUALIW AND CUSTOMER
PROTECTION, ABILITY TO REMAIN FUNCTIONAL IN EMERGENCIES,
AND USE OF FEDERAL HIGH-COST SUPPORT.
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County of )
AFFIDAVIT OF BUSINESS OR CORPORATE OFFICER
The ldaho Public Utilities Commission Order No. 29841 requires that Eligible Telecommunicataons Caniers
(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 annualcertification with the USAC and the FCC that allfederal 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 Viasat Canier Services. lnc. , an eligible telecommunications carrier br receiving
federal universal service support under section 2'l'4(e) of the Telecommunications Act ol 1996 in the
state of ldaho.
2. I am famitiar 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. 29&41.
3. Viasat Canier Services. lnc. is complying with applicable service quality standards and consumer
protection rules of the FederalCommunications Commission and the ldaho Public Utilities Commission.
4. I certiry to the Commission that the Company is able to remain functional in emergencies as set forth in
Commission Order No. 29&41 and in 47 C.F.R. S 54.201(a)(2).
5. I also certiff that allfederal universal service support funds received by Viasat Carrier Services. lnc.
during the current calendar year will be used in a manner consistent withs@!g4-254(gLlhAUs, for the
provision, maintenance, and upgrading of facilities and services for which the suppon is intended. The
company will continue to comply forthe 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 certiff 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 2il(e) of the Telecommunicatbns Act.
+ ryf-
Robert Blair/President & Secretary
Name/Title
f,or.c ?b, 264,
SUBSCRIBED AND SWORN to before me this day of
Date
-hnc ?O2O
Notary Public for residing at
My Commission expires
€ec qllaOtei Noto'J
California Jurat with Affiant Statement
A notary public or other officer completing this certificate verifies only the identity of the
individualwho signed the document to which this certificate is attached, and not the
tMhfulness, accuracy, or validity of that document,
State of California
County of San Diego
Subscribed and sworn to (or affirmed) before me on this aG day of
by RoU.rr+ Bl ai.proved to me on the basis of satisfactory evidence
to be the person(s) who appeared before me.
InmA tYIr{ DOYrt
t{obry ?ublk. Crllfanb
Srn Oqo County(ommhrlon I 22ll56t
Comm. [rpircr ltar It. 2021
Signature of Notary Public
20b_,
Page 1
<010> StudyAreaCode 479026
<01$ StudyArea Name vlaEat
<020> Prorram Year 202L
<030> Contact Name: Pe6on UsAcshould contact Peggy o'CoECIl-Plkcwith ouestion5 atout thls
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Number ot the pe6on ln data line <O:10>
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Email of the oerson ldentified in data llne <O3O> Margdeg.Ocouell-Plkeevlaeat.cd
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any facilities you own, operate, lcasc, or othrrwise utilizc.
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(610) Descriptive document for Functionality in Emergency Situations
Viasat has in place contingency plans for credible emergency situations for each of the major network
facilities that are geographically distributed across the United States. These plans contain activation,
required staffing, escalation, and communication procedures to dealwith such
emergencies. Additionally, allof the company's e ground-based facilities are equipped with
independent power generators and sufficient fuel to operate for several days so as to mitigate power
outages. The design of these facilities contains multiple levels of redundancy and autonomy that also
mitigate the need for dedicated human interaction
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(920) Tribal Government Engagement Obligation
Viasat did not provide supported services in 2019. As Viasat continues to develop its service offers for
2020 and subsequent years, it will comply with all Commission requirements for Tribal Engagement,
including, as applicable, needs assessment and deployment planning with a focus on Tribal community
anchor institutions; (ii) Feasibility and sustainability planning; (iii) Marketing services in a culturally
sensitive manner; (iv) Rights of way processes, land use permitting facilities siting environmenta! and
cultural preservation review processes; and (v) Compliance with Tribal business and licensing
requirements.
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(1010) Detailed Description for Voice Services & Broadband Rate Comparability Gompliance
Viasat did not provide the supported services in 2019. fu Viasat continues to develop its service offers
tor 2020 and subsequent years, it will comply with all Commission requirements, including that voice
service rates are no more than two standard deviations above the applicable nationalaverage urban
rate.
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(1210) Terms & CondiUons of Voice Telephony Lifeline Plans
This Viasat Lifeline Program only applies to customerc who arc qualified to, and are
receiving, Viasat Internet or Voice Service through a federal or state Connect America
Fund program, or other similar program as designated by Viasat, and through a state
or federal Iifeline program flifeline Seruice). For Lifeline Seruice, all terms and
conditions of the Customer Agreement apply, as well as these supplemental terms:
1. As part of your receiving Lifeline Seruice, Viasat will discount your monthly Seruice fee for your
Internet or Voice Seruice the amount of the then current federal or state discount (as
applicable). The Lifeline Seruice discount wil! appear on your bill as a separate line item labeled
"Lifeline Discount."
2. You understand that Lifeline is a government assistance program, that the seruice is non-
transferrable, that only eligible consumers may enroll in the program, and the program is limited
to one discount per household.
3. You are only eligible for Lifeline Seruice if you (or your dependent or other person in your
household) currently get benefits from the government program(s) listed on the Lifeline Program
Application Form (FCC Form 5629) or your annual household income is 135o/o or less than the
Federal Poverty Guidelines (the amount listed in the Federa! Povefi Guidelines table on the
Lifeline Program Application Form (FCC Form 5629)).
4. You understand that your household can only get one Lifeline Service benefit, and, to the best of
your knowledge, your household is not getting more than one Lifeline Seruice benefit. A
"household" is any individual or group of individuals who are living together at the same address
as one economic unit. A household may include related and unrelated persons. An "economic
unit" consists of all adult individuals contributing to and sharing in the income and expenses of a
household. An adult is any person eighteen years or older. If an adult has no or minimal income,
and lives with someone who provides financial support to him/her, both people shall be
considered paft of the same household. Children under the age of eighteen living with their
parents or guardians are considered to be part of the same household as their parents or
guardians.
5. You agree that if you move you will give Viasat your new address within 30 days. You
understand that you must notiff Viasat within 30 days if you do not qualify for Lifeline Service
anymore, including if:
a. You, or the person in your household that qualified, no longer qualiff for any
reason (such as, no longer qualifying through a government program or
based on household income level).
b. Either you or someone in your household gets more than one Lifeline Service
benefit (including, more than one lifeline broadband internet service, more
than one lifeline telephone seruice, or both lifeline telephone and lifeline
broadband internet services).
6. You agree that Viasat can give the Lifeline Service program administrator ('AdministratorJ al! of
the information you provided on the Lifeline Program Application Form (FCC Form 5629). You
understand that this information is meant to help run the Lifeline Seruice program and that if
you do not let Viasat give it to the Administrator, you wil! not be able to receive Lifeline Service
benefits. You can also apply for Lifeline Service directly with the Administrator through the
National Verifier, available at https://www.lifelinesupport.org/nationaFverifier/ .
7. Security. You agree to take reasonable measures to protect the security of any devices you
connect to the internet through the Seruice, including, without limitation, maintaining an up-to-
date version of anti-virus and/or firewall software to protect your devices from malicious code,
programs or other interna! components (such as a computer virus, computer worm, computer
time bomb or similar component). You expressly agree that if your computer or an internet
connected device becomes infected and causes any of the prohibited activities listed in the
Acceptable Use Policy, Viasat may immediately suspend your Seruice unti! such time as your
computer is sufficiently protected to prevent further prohibited activities. You will be fully liable
for all monthly fees and other charges under this Agreement during any period of suspension.
Although Viasat has no obligation to monitor the Seruices or its networ( Viasat and its
authorized suppliers reserve the right to monitor bandwidth, usage, transmissions, and content
from time to time in order to operate the Seruices, identiff violations of this Agreement, or
protect the Viasat networ( the Seruices and other users of the Seruices. In all ctses, you are
solely responsible for the security of any device you choose to connect to the Service, including,
without limitation, the security of any data stored or shared on such device(s). Viasat customer
seruice representatives are available to Lifeline customers who need assistance obtaining access
to free anti-virus software.
8. All the answers and agreements that you provided on Lifeline Program Application Form (FCC
Form 5629) are true and correct to the best of your knowledge. You understand that willingly
giving false or fraudulent information to get Lifeline Service program benefits is punishable by
law and can result in fines, jail time, de-enrollment, or being barred from the program.
9. Viasat or the National Verifier may have to check whether you still qualify at any time. If you
need to recertify (renew) your Lifeline Seruice benefit, you understand that you have to respond
by the applicable deadline communicated to you or you wil! be removed from the Lifeline Seruice
program and your Lifeline Service benefit will stop.
10. You may transfer your Lifeline benefit to another Lifeline service provider at no charge for the
transfer of benefits to another provider.
11. You were truthful about whether or not you are a resident of Tribal lands, as defined in section 2
of the Lifeline Program Application Form (FCC Form 5629).
12. De-enrollment. If you become ineligible for the Lifeline Program, you have an obligation to
contact Viasat directly and de-enrol! from the Lifeline-supported service. There are several other
situations that might result in your being de-enrolled from Lifeline Discounts:
a. If Viasat has a reasonable basis to believe that you are no longer eligible,
Viasat will send you a notice of impending termination of the Lifeline benefit.
You wil! have 30 days from the date of the impending termination letter to
demonstrate continued eligibility by re-certiffing your continued eligibility.
Viasat must terminate your Lifeline benefit if you fail to demonstrate
continued eligibility within the 30-day time period.
b. If USAC, the administrator of universa! service, provides notification to Viasat
that you have more than one discounted account or that more than one
member of your household is receiving service, Viasat must de-enroll you
from the Lifeline program within five business days.c. You have an obligation to re-certiff annually that only one member of your
household receives program-supported seruice and that you continue to be
eligible. If you fail to respond to Viasafs or the National Verifier's request for
certification, Viasat or the National Verifier will provide you with notification
that you have 60 days from the date of the notification to provide the
requested ceftification. If you fail to provide the requested ceftification within
the 60-day notification period, Viasat will de-enroll you from the Lifeline
program within five business days from the end of the 60-day notification
period.
13. Viasat Voice. Viasat Voice provides unlimited local and long distance calling to destinations in all
50 states, plus Canada. Fees apply for calls outside of these locations. You may contact Viasat
at [number to be provided] to block calls that could result in additionalfees. Call blocking, also
known as toll limitation, is offered at no charge to Lifeline customers. Further, you may
purchase a battery backup; we offer 8- and Z4-hour options for a one-time fee of $_ and $_
respectively.
14. EasyCare Plan is optional for Lifeline subscribers. Viasat wil! provide EasyCare to Lifeline
subscribers who elect the seruice free for the first 90 days. For more detail, see the EasyCare
Plan Addendum.4
15. If you are unable to resolve a dispute with Viaat, you may conbct the [Agenq NameJb Bureau
of Consumer *ruices (BCS). BCS will address Lifeline-related issues that include (1) eligibility
disputes; (2) prcgran offering issues; and (3) limitd quipment-relatd issues. Contact the
[Agenq name and contact informationJ or submit a complaint form. Mail: [Agenq Name and
Contact InformationJ.
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<010> Study Area Code t"t 9l)) 6
<)15> StudyArea N.me lri , cit-
<020> Program Year 2027
<030> Contact Nemc ' Prr$n USACshould @ntad regardinS this data P6ddv Ol(1dnnF 11-Pike
<035> Contact T.l€phone Number - Number of peren identifi€d in data line <030> 7204936320 ext
Marqaret. . oconnell -Pike@viasat . com<039> contact Email Address - Email Addre$ of person ldentmed ih data llne <030>
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 reporting requirements set forth in 47 CFR S.313(fl(2). I further certify that the information reported on this form and in the documents
attached below is accurate.
(300e)
(3010A1
(30108)
(3012A)
(30128)
(3013)
(3014)
Progress Report on 5 Year Plan
carrier certifies to 54.313(fNlxiii)
Pleasc chcck thcsc boxes to confim that th.
attachcd PDF, on line 30lZ contains the rcquircd
information pursuant to 5 54.313(fX2l compliane
rcquircs:
Electronic copy oftheir annual RUS Eports
(Op.ratinS Report for Telecommunications
Borrcwcrs)
Documcnt(s) with Balance Sheet, lncomc Statement
and St.tcmcnt of cash Flows
lfthc rcspons is y.s on linc 3014, attach your
company's RUs annual rcport and all requircd
documcntation
lf the rcspon* is no on line 3014 is your company
audit d?
lf thc rcspons is yes on linc 3018, plcas chcck the
Ccrtifietion of Public lnt€rcst Obligations {47 CFR S
s4.313(fl(1Xi)l
Please Provide Attachment
community Anchor lnstitutions {47 cFR 5
s4.313(fXlNii))
Plcase Provide Attachment
ls your @mpany a Priwtcly Hcld ROR carier (47 cFR
s s4.313(f)(2))
lf ycs, dcs your company filc the Rl,Js annual rcport
3026 pursuant to 5 9.313(fX2), contains:
Either a copy of thcir audited financial statcm.nt; or
(2) a financial rcport in a format comp.rable to RUS
opcBting Rcpon for Tclccommunications Borrowcrs
Dcumcnt(s) for Balanc Shcct, ln@m. Statcmcnt
and statement of cash Flows
Managemcnt lcttcr and/or audit opinion isucd by
thc indepcndcnt ccrtiticd public accountant that
pcrformed the company's financial audit.
lf thc rcspon$ is no on linc 3018, plcasc chcck thc
boxcs bclow to @nfirm your submision on line
3025 pursuant to 6 54.313(0(2), @ntains:
Copy of their financial statement which has bcn
subject to rrvi.w by an independcnt certified public
accountant; or 2) a financial rcport in a format
ompaEblc to RUS Operatin8 Rcport for
Telecommunications Borrowcrs
Undcrlying information subjcctcd to a rdicw by an
indep.ndent c.rtifi ed public arcuntant
Name of Attached Docum.nt Listing Rlquired
lnformation
Name of Attachcd Document Listing Rcquircd'"',im"T o o
(Yes/No) O O
Namc of Attached Documcnt Listing Rcquircd
lnformation
(Yes/Nol O O
(301s)
(30151
(3017)
(3018)
(3019)
(3020)
(3021)
(3022)
(3023)
(30241 UnderlyinS information subiectcd to an officcr
certifi€tion.
(302s)Oocumcnt(s) with Balancc Shet, lncome Statement
and Statem€nt of Cash Flows
Name of Attached Docum.nt Listing Rrquircd
lnformation
(3026) Attach the worksheet listing required information
Prlc 13
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<020>Program Yrar 2027<o:ID Contacl Nam. - P.rson UsAcahould contact this dsta
<035>
parson identlfiQd in data llnc <0:rc> Bb!.c*-t1-Drbt...r.c6
{Xl5 Rrlrrl 8ro.db.od EtQcrlmgtt
Authoriz.d Rural Broadband E ecrimcnt (RBEI rsipi.nts must addrcss th. clrtificatbn for public intcrcst oblEations and provida a
list of nuly scnrcd community .nchor institntk ns.
PuUk m.rdobllt Oonr-Fccltr-98(p.ng.pl62e29, 78)
Ph.se address Unc /t001 rcg.rding compli.nc. with th! commission's publk intGr.st oblig.tirns. All RBE p.rtkipants must providr .
r.sPons. to Lina 4001.
4ml. R.clpicnt certiftes that it B ofierint broadband mccti,E thG rcquisitc publk intcrest obli8ations consBtcnt with thc category for
which they wcrc selected. including broadb.nd 3pccd, latlncy, u3.8r capacity, .nd rat s thtt lrc resombly comparable to latc! for
comparablc offcrings in urban are.3.
C.ommunry Andror lrl30tu0om - FCC !l4t (D..{r.ph 791
lrcO3a. RBE p.rticipanB must provid. thc numbcr, namet and .ddr.$€s of conrmunity lnchor instihrtlons to
whkh thcy ncwly dlployld broadband scrvhc in th. precedirg calcndar year. On this lin!, plcasc rcspond
(y.s - attrch ne community anchoB, no - no nc{v .nchoBl to indbatr wlEthGr this list will b. providcd.
It v6 to /(Xl3A phrr. proyldc . rarponr. for 0038.
q!03b. Providrth! numb.r, nam$.nd addrcssrs
of community anchor Institutions to whkh th.
r*ipicnt nctvly bcgan providing lcccss to
bro.dband srvicc in th. prrcldin8 c.lcnd.r ycar.
Namr ofAttach.d Documcnt LBting Rcquir.d lnformation
,.tr 15
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<o1()>studv Are! Code
<015>Study Arc. N.mc
<02(> Ptognm Ycrr 2021<O:t{> Contaa Nrmc - l
<039> cont ctEm.llAddrcss-EmilAddrcssofpcrsonld.ntifiGdindat lln.<)30> h4u.!.e.*u-D*.,r...r...
5(Xl5 Alaslr Plan
(sou)
(s012)
Please indicate whether any tcrrestrial backhaul or other satellite backhaul bscame
commercially available ln the prevlous cal.ndar year in areas pr.viously served
cxcluslvely by pcrformance-limitint satellite backhaul.
f thc filint canier identified in iB approrcd perfomancc plans that it relies cxclusivcly on
satelllte backhaul for a certaln porlton of the population ln lts srMce area, lndlcate whedrrr
any terrBtrial backhaul or other satellhe backhaul became commcrcially atrailable in the
prcvloius calmdar year in arcas that wrre previoiusly scnrcd Gxclusively by satellit backhaul.
DaaarFon of ...$nl LdrEbfy
(Yes/No)
(Yes/Nol
,adtyS.md L.doB * kphilon
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<010> studvArea Codc 419026
<015> studyArea Namc vlasat
<020> Prolram Ycar 202t
<030> Contact Namc - Pcrsn USAC should contact regarding this data Pegqy o'coeell-Pike
<035> Contact Tcl"phonc Number - Numbcr of p€rson idantified in data linc <030> 7204936320 exx
<039> ContactEmailAddress-EmailAddressofpcrrcnidentifiedindataline<030> Marsalet.ocoue1l-plkeoviasat.com
TO BE COMPTETED BY THE REPORTING CARRIER, IT THE REPORTING CARRIER !S FITING ANNUAT REPORTING ON ITS OWN BEHALF:
Certmcatlon of Officer as to the Accuracy of the Data Reported for the Annual Reportlng for CAF or Ll Reclplents
crrtlfy thet I am an offl@r of thc rrportlnt 6nlcr; my rusponslbllltlcs lndudc rBurlnt thr accuracy of thc annual reportlnt rcq[l]cmanB ior unlyG]sal $wka suppon
'rdplent$ and, to thc bcst of my knillcdtr, th! lniormatlon ,eportad on thls form rnd ln rny rttrdrments ls accurate.
{amcof Rcoortimcirrier- viaaal
;irnatureofAuthorizcdofficer: CERTTPTED oMrm Datc 06/25/2020
,rinted name of Authorized officer: Eric Baulesh
nth or rcsition of Authorized Officer: Assiatut General Couael
leleohone number of Authorized Officer' ?2 04 936 1 10 ext
itudv Arca Codr of ReDortinr carrier: 419026 Filinr Due Date for this lorm' 07 / 0t / 2o2o
Pctrons willfully m.kin3 fals statementr on thi5 form can be puni5hed by fine or forfetu.e under th. @mmuniBtions Act of 1934, 47 U.s.c, 55 502, 503(b), or finc or impri$nment
und..Title 18 ofthr United States Cod., 18 U.S,C. 5 1001.
Page 19
Page 20
Colhcdon Fortn
Crrht fCC fo,nl /ttl
cdrrol lro. 306o{sloirlccDol r{o. t(tro{Elg
<010> StudyArea Code 41 9026
<015> Study Area Name viasat
<020> Protram Yea.2027
<030> Contact Name - Person USAC should contact regarding this data Peggy o'Comell-Pike
<035> contactTelephoneNumber-Numberofpersonidentifiedindataline<o3o> 1204936120 exr
<039> ContactEmailAddress-EmailAddressofpersonidentifiedindataline<O3O> Margaret ocomell-Pikeeviasat com
TO 8E COMPLETED BY THE REPORTING CARRIE& IF AN AGENT IS FITING ANNUAL REPORTS ON THE CARRIER'S BEHATF:
Certification of Officer to Authorize an Agent to File Annual Reports for CAF or Ll Recipients on Behalf of Reporting Carriel
cedfythat(NameofA9ent}l3authorlzodtorubmltthelnftrmtlonrepo(odonbehalfofthereportlngcarrler'l
atsocerurytiatt"."n;ffi""p-tlng*@eaccurryoflh6annualdat8roportlngroqulremenBprovldedtotheauthorized
agenq 8nd, to the best of my knowledge, tho roporb and data provided to the authqlzed agent ls accurate.
Name of Authorized Asent:
Name of Reoodinp Cerrier:
!iEnature of Authorized offi cer:Date:
Printed name of Authorized Officer:
ritb or oosition of ALfhorirrd Offi.er:
feleDhone humber of Authori2ed officer:
ltudv Area Code of Rercrtins Carrier:Filim Due Date for this form:
Persons willfully making fal€ statements on this form can be punashed by fine or torfeiture under the Communications Ad of 1934, 47 U.S.C. 65 502, 503(b), or fine or imprisonment
under Tatle 18 of the United States Code, 18 U.S.C. 5 1001.
TO 8E COMPLETED BY THE AUTHORIZED AGENT:
Certification of Agent Authorized to File Annual Reports for CAF or Ll Recipients on Behalf of Reporting Carrier
th€ data report€d hereln based on data provided by the reportint carrier; and, to the best of my knowledte, the infomation reported hereln is accurate.
r,lame of Reportinq Carrier:
\lame of Authorir..l Arent Firm:
Sirnature of Authorized Arent or Emolovee of Agent:Date:
Name of Authorized Arent Emolovee:
fitb or position of Authorized Aqent or Employee of Agent
leleohone number of Authorized Acent or EmDlovee of Acentl
ltudv Area Code of Reertinc Carrier:Filinr Due Date for this form:
18 of the United States Code. 18 U.S-C. 5 1001.
Page 20
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