20210617Custer Telephone Broadband Services Form 481 Affidavit.pdf

CTCI
Custer Telephone llroadband Services LLC.
Challsleadqlafiers
P.O. Box 324
1101 E. Main Ave.
Challis,lD 83226
208-879-4000
Salmon Office
400 Shoup Street
Salmon,lD 83467
208-756-4111
Tol I Free: 1 -866-87 9 -2281
Ms. Jan Norijuki
Commission Secretary
ldaho Public Utilities Commission
11331 W. Chinden Blvd. Bldg. 8, Suite 201-A
Boise, ldaho 83714
June 17,2021
-f;t
2021 Eligible Telecommunications Canier (ETC) Annual Rdborting
Requirements with the IPUC - Case number GNR-T-21-01
Dear Ms. Norijuki,
Custer Telephone Broadband Services LLC ("the Company") has
completed the online filing of the Form 481 with the Universal Service
Administrative Corporation ("USAC") for designation as an Eligible
Telecommunications Carrier, in accordance with 47 U.S.C. 54.313 and 54.422.
Section 54.313 applies to eligible telecommunications caniers ("ETCs") receiving
high-cost federal USF support and Section 54.422 applies to ETCs receiving low-
income support. Company is an Eligible Telecommunications Carrier (ETC)
providing Life Line service and receives universal service low-income support
only. ! have enclosed the signed Affidavit pursuant to Commission Order 29841.
Please review the online filing and include our Company in your Annual
Use Certification Letter to USAC and the FCC.
lf you have any questions or need any further information, do not hesitate
to contact me directly.
Sincerely,
\p
James D Bennetts
President and CEO/ Manager
l"" l
! c.)
RE
State of 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.
County "rcr.*Lr- itt
AFFIDAVIT OF BUSINESS OR CORPORATE OFFICER
The ldaho Public Utilities Commission Order No. 29841requires 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 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 ofiicer of Custer Teleohone 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. 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. Custer Teleohone 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. 29841and in 47 C.F.R. $ 54.202(aX2).
5. I also certify that all federal universal service support funds received Custer Teleohone 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 1,2021, through December
31,2021, to be eligible for federal universal service fund support.
6. This verification and affidavit are 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.
(,
Date
gr!6t7
SUBSCRIBED AND SWORN to before me this
Notary Public for
' 1Jh11 day of
KRISTA KOEPPEN
Notary Public - State ot ldaho
Commission Number 65303
M Commission ExP iresO3-25-2027
My Commission expires
residing at