20210624Boomerang Wireless Form 481 Affidavit.pdf

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Commission Secretary
ldaho Public Utilities Commission
472W. Washington
Boise, lD 83702
RE: FCC Form tl81-Annual Lifeline Certification- Filed on behalf of Boomerang Wireless,LLCdlbla
enTouch Wireless
Dear Secretary,
Pursuant to FCC requirements under 47 C.F.R. S 54.415, enclosed please find for filing in the above-
referenced docket a copy of Boomerang Wireless, LLC dlbla enTouch Wireless' FCC Form 481 - Annual
Lifeline Eligible Telecommunications Carrier Certifi cation.
!f you have any questions regarding this filing please contact me at [phone] or
[e-mail].
Respectfully submitted,
lslMark Lammert
Mark Lammert
Attorney-in-Fact
Boome ra ng Wi reless, LLC d lb I a enTouch Wireless
Enclosures
State of lrrwa CERTIFICATION BY ELIGIBLE TELECOMMUNICATIONS CARRIER
OF COMPLIANCE WTH SERVICE OUALITY AND CUSTOMER
PROTECTION, ABILIry TO REMAIN FUNCTIONAL !N EMERGENCIES,
AND USE OF FEDERAL HIGH-COST SUPPORT.
County of Linn
AFFIDAVIT OF BUSINESS OR CORPORATE OFFICER
The ldaho Public Utilities Commission Order No. 29W1 requires that Eligible Telecommunications Caniers
(ETC) certiff that it is compliant with applicable service quallty 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 allfederal high-cost support provided to ETGs 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. ! am an officer of Bmmercno Wrcless, 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 familiarwith the Company's day-to-day operations in the state of ldaho and with the State's seMce
quality standards and consumer protection rules as set forth in Commission Order No. 29841.
3. BoomemnoWreless, LLC is complying with applicable service quality standards and
consumer protection rules of the FederalCommunications Commission and the ldaho Public Utilities
Commission.
4. I certiff 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. g 5,a.202(a)(2).
5. I also certiff that all federal universal service support funds receivedby NOT APPLICABLE 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 'l , 2022, through December 31 , 2022, lo 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 254(e) of the T Act.
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Dennis M. Henderson CEO & Co-Founder
I
SUBSCRIBED AND SWORN to before me rhis LL
P
of
Date
at ,lh
Eplrot
20213,
My rcn exprres
r06rl
<010> StudyArea Code 479022
<015> StudvArea Name Brereg nlreless IJ,C
<020> Program Year 2022
<03(> Contact Name: Person USAC should contact
with questions about this data Itark IJamrE
<035> ContactTelephone Number:
Number of the person identified in data line <030>
4077943199 axt
<039> Contact Email Address:
Email of the oerson identified In data line <o3o> regurator!'ocsllongwd'cm
FormType 54..22
(2{10) Service Outate Reportlng (Volcel
Data Collectlon Form
<010> StudyArea Code
FCC Form481
OMB Control ilo. 3
Occ.mber 2020
479022
<015> StudyArea Name B@meranq wireleE8 LLC
<020> Program Year 2022
<030> Contact Name - Person USAC should contact regarding this data Mark Lamert
<035> Contact Telephone Number - Number of person identified in data line <O3O> 4077943488 *t
<039> Contact Email Address - Email Address of person identified in data line <030> regulatort @cE ilongMood. com
<210> For the prior calendar year, were there any reportable voice service outages?
<220> <a> <b1> <b2> <b3> <b4> <c1><c2><d><e><f>
Dld Thls Outat
Affect Multipl
Study Ar€as
NORS
Reference
Number
Outage Start
Date
Outage Start
Time
Outage End
Date
Outage End
Time
Number of
Customers Affected Total Numbcr ol
Customels
911 Facllities
Affected
(Yes / Nol
Service OutaSe
Description (Check
all that aoDlyl
<010> Study Area Code 479022
<015> Study Area Name B@rereg wireleEs LLC
<020> Program Year 2022
<030> Contact Name - Person USAC should contact regarding this data Mark Lamert
<035>Contact Telephone Number - Number of person identified in data line
<030>4077943488 ext
<039>Contact Email Address - Email Address of person identified in data line
<030>
regulatory@csilongrcod. com
<400>
Select from the drop-down list to indicate how you would like to report
voice complaints (zero or greater) for voice telephony service in the prior
calendar year for each service area in which you are designated an ETC for
any facilities you own, operate, lease, or otherwise utilize.
<410> Complaints per 1000 customers for fixed voice
<4ZO> Complaints per 1000 customers for mobile voice
<010, StrdyArcacode 179022
<,15> SildyAruaName Boo0BtanC llirqlerr IltrC
<020> Pr.qgam YGar 2022
<XXb Oont ctttame- PGn3ol USAClhorrH oonEctr.lardlng$bdete llrlk r'+lrtrart
<Oi]5t €oitadT€l.phon€ Number - NurrrtDer of pefgon ldentnod ln &ta lina <qX> '0??e'3{88 e*t '
<03$ Cont ct Emell Addrers - Em.[ Addres of parson ld.lrdfied ln data nne <):t(b r.gulatortocrllo€uoo.l.c6
€15> Certtfy comp[ance wnfi spplicable minlmum iervlce stendardg
<010> StudyArea Code 479022
<015> StudyArea Name B@raq fireless l,LC
<020> ProsramYear 2022
<030> Contact Name - Person USAC should contact regarding this data Mark Lafriert
<035> Contact Telephone Number - Number of person identified in data llne <030>
<03D Contact EmailAddress - Email Address of person identified in data line <030> resulatonocslronsr@d.c@
<600> Certiry compliance regarding ability to functlon in emergency situations
<610> Descriptive document for Functionality in Emergency Situations
| (800) operating Companles
loata
collecion rorm
FCC Form 481
OMB Control No. 3060
December 2020
<010> Study Area Code 4'79022
<015> Study Area Name B66mFreno wirplpss T,T,C
<020> PrcEramYear 2022
<030> Contact Name - Person USAC should contact regarding this data Mark Lamerr
<035> Contact Telephone Number - Number of person identified in data line <030> 4077e43448 ext
<039> Contact Email Address - Email Address of person identified in data line <030> resutatory@csilonq{ood. com
<810> ReportinECarrier Boomerang wireless, LLC
<811> Holdins Companv lIH Ventures, LrJC
<812> Operating Company enTouch wireless
<813><a1>
Affiliates sAc
<a2><a3:
DoinS Business As Compan
<)1(> StudyAreacode 479022
<015> StudyArea Name Boffileg r{l"reless LLC
{)20> ProsramYear 2022
<)30> Contact Name - Prr3on USAC should contact reta dlng this data l4ark r'affiBrt
d)35> cmtact rdehone Numbcr - Number of oercon identif,ed ln deta line <)3(b {0779'!i188 4t '
<039> contact Email Address - Email Address of psson idrntlfied in data llnc <,3D regulatonncrilougrcod. cm
<90D Does the filing entity offer tribal land services? (Y/N)
<910> Tribal Land(s) onwhich ETCServes
<920> Tribal Government Engagement Obligation
lf your company serves Tribal lands, please sehct (Yes,Nq NA) for each these boxes
to confirm the status described on the attached PDF, on line 920,
demonstrates coordinatlon with the Tribal government pursuant to
t se313(a)(5) includes:
<921>Needs assessrnent and deployment planning with e bcus on Trlbal
community ancfior instit tions.
Feasibllity and sustainability planning;
Marketing services in a culturally sensitive manner;
Compliance with Rights of way processes
Compliance wlth land Use permitting requirements
Compliance with Facilities Sitlng rules
Compllance with Envlronmental Review processes
Compliance with Cultural Preservation review processes
Compliance wlth Tribal Buslness and licensing requirements.
Name of Attached Document
<922>
<923>
<924>
<925>
<926>
<927>
<928>
<929>
Select
Y€s or No ot
Not Applklabhm
<01D StudyArea Code 179022
<015> StudyArea Name EoaiBraDg fi.rclcss IrC
<020> ProgramYear 2022
<03D Contact Name - Person USAC should contact regarding this data lrark I,amrt
<035> Contact Number- Numberof in data line <03D .077e.3.88 ext
<03$ Contact Email Address - Email Address of person in data line <030> regulatorlncsllongnood.cm
<1000>Voice services rate comparability certifi catlon
<101(>Attach detailed description forvoice services rate
comparabllity compliance
<102(>Broadband omparability certification
<1030>Attach detalled descrlption for broadband
comparability compliance
Name of Attached Document
Name of Attached Document
<010> StudyArea Code 479022
<015> StudyArea Name Bmreg lfir.lesa LLC
<020> Program Year 2022
<030> Contact Name - Person USAC should contact regarding this data ur* l-mrt
<035> Contact Telephone Number - Number of person ldentified in data llne <030> {ozze.3.B8 qr
<039> Contact Email Address - Email Address of person identified in data line <030> resulaEor!'[e-mail]
<1100> Certifywhetherterrestrialbackhauloptionsexist(Y/N)
<1130>Please select the appropriate response (Yes, No, Not Applicable) to conffrm fte
reportng canier ofierc broadband servioe of at least I Mbps donnstseam and 256 kbps
upstream witrin the supported area pursuant to S 54.313(g).
<1140>Alaska Plan rate-of-return certification (yes, no, or not applicable) of
compliance with approved performance plan.
<01D StudvArea Code 41 9022
<015> StudyArea Name Bomreg flreless ,,LC
<020> Program Year ,n22<03D Contact Name - Person USAC should contact regarding this data Mark Latmrt
<03D Contact Telephone Number - Number of person identified in data llne <030>/10??9t[3488 dt
<039> Contact Email Address - Email Address of person identified in data line <030> reillarorr/ocsllonqmd.cm
<1210> Terms & Conditions of Voice Telephony Lifeline Plans
<7220> Link to Public Website
'Please check these boxes below to confirm that the attached document(sl, on line 121Q
or the website llsted, on line 122Q contains the required information puEuant to
I 5a,a22(a)(2) annual reporting for ETCS receivinS low-income support, carriers must
annually report:
<122L> lnformation describing the terms and conditions of any voice
telephony service plans offered to Lifeline subscribers,
<1222> Details on the number of minutes provided as part of the plan,
<1223> Additional charges for toll calls, and rates for each such plan.
Name of Attached Document
HTTP https : //m.stoucbslrelase. cm/tem-of -Bepice
419022
<015> StudyAreaName Bffilarg rireless r,r,c
aQ2()1 Program Year 2022
USAC should contact thls data Mark lJmrt
<035> Contact Telephone Number - Numb€r of person ldent ed tn data line <)3(>
<039> Contact Email Address - Email Address of person identiffed ln data llne <)3(> regulaloryccsllonsrrood. com
Select the apprcpriate rcsponses below (Yes, No, Not Applicable) to note compliance as a rccipient of frczen High Cost s
to offset aooess charye reductions, and C,onnect America Phase l! support as set forth in 47 CFR 54.313(c),(dl,(el. The inf
form and in the documents attached below is accurate.
<2015> 2016 and future Frozen Support Certification 47 CFR $ 5a.313(cXa) f
Price Cap Carrier Connect America ICC Support {47 CFR S 54.313(dl}
<2016> Certification support used to build broadband
Connect America Phase ll Reporting t47 CFR 5 sasl3(e)l
<2Ot7A> Connect America Fund Phase ll recipient?
<20L7C> Total amount of Phase ll support, if any, the price cap carrier used for
capital expenditures in 2018.
<2018>Attach the number, names, and addresses of community anchor
institutions to which the carrier newly began providing access to
broadband service in the preceding calendar year - 54.313(eXlXiiXA)
Connect America Phase ll- FCC Form 470 Postings
<2019> For the filing due July 1 following full implementation of this requiremen!
answer yes, no, or not applicable to this certification request
Name of Attached Document Listing
Required lnformation
I
<01D StudyArea Code 479022
<015> StudyArea Name Boomerang Wireless
<02(> ProgramYear 2022
<03D Contact Name - Person USAC should contact regarding this data Mark Lammert
<035> Conuct Telephone Number - Number of person identified in data line <030>4077943488 ext.
<03$ Contact EmailAddress - EmailAddress of person identified in data line <030> f equl atOfy@CS i lOng
(3007)Does this filing retain a Cost Consultant and/or Firm, or other Third Party to prepare financial and
operations data disclosures submitted to the National Exchange Carrier Association (NECA), USAC,
or the Administrator?
Name ofGonsuhant Name ofConsuhant
<010> StudyArea Code 47 90?.t
<015> Study Area Name Boomerano Wireless LLt
<020> Program Year 2022
<030> Contact Name - Person USAC should contact regarding this data Mark Lammert
<035> ContactTelephone Number-Numberof person identifiedindata line<030> 4077943488 ext.
<039> Contact Email Address - Email Address of person identified in data line <030>regul at ory@c s i 1 ongwoor
Select from the drop down menu or check the boxes below to note compliance with 54.313(f)(1). Privately held carrier
financial reporting requirements set forth in 47 CFR 54.313(fX2). I further certify that the information reported on this
attached below is accurate.
(3009) Progress Report on 5 Year Plan
carrier certifi es to 54.313(fxlxiii)
(3010A)
(3010B)
(3012A)
(3012B)
(3014)
(3015)
(3017)
oooo(3013)
Certification of Public lnterest Obligations {47 CFR 5
s4.313(0(1xi)l
Please Provide Attachment
Rate-of-Return Community Anchor lnstitutions
lndicate if the carrier newly deployed broadband
service to community anchor institution(s) in the
previous calendar year.
Please Provide Attachment
Using link, download template and list the number,
name and address for each community anchor
institution. Attach the document which contains the
community anchor institution details as required by
47 C.F.R. 5 s4.313(fXl)(ii)
ls your company a Privately Held ROR Carrier {47
cFR S s4.313(fx2))
lf yes, does your company file the RUS annual report
Please check these boxes to confirm that the
attached PDF, on line 3017, contains the required
information pursuant to $ 54.313(f)(2) compliance
requires:
Electronic copy oftheir annual RUS reports
(Operating Report for Telecommunications
Borrowers)
Document(s) with Balance Sheet, lncome Statement
and Statement of Cash Flows
lfthe response is 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?
lfthe response is yes on line 3018, please check the
hawac Jralarrr ta aanfirm rrar rr cr rhmiccian an lina
Name of Attached Document Listing Required
lnformation
Name of Attached Document Listing
Required lnformation
(Yes/No)
(Yes/No)
Name of Attached Document Listing Required
lnformation
(301s)
(3018)
I
(Yes/No)oo
O30> Cont cl Ntm. - P.Bn USAC rhouH @nt ct n$dftri thlr d.tr Mark Lrert
O35> Cont ctT.hehm. l{umbT - l{umb.rof Dam ld.ndn d tn dll, llm
<039> Cont ctEmllAddc-EmllAddnt of p.rcnldotlfi.dlnd.t lln.OAD ?.d'rrr6mda{rffiffid nm
FlnairchlD.t Summry
(3027) Revenue
(3028) Operating Expenses
(3029) Net lncome
(3030) Telephone Plant ln Service[tPlS]
(3031) Total Assets
(3032)Total Debt
(3033) Total Equity
(3034)Dividends
ilam otAttachld DoGUmnt Lbdnt R.qulEd lnromtloo
<010>Study Area Code 179022
<015>Study Area Name BreruE fireles8 IJ,C
<020>Program Year 2022
<030>Contact Name - Person USAC should contact regarding this data Malk laffit
<035>Contact Telephone Number - Number of person identified in data line <030>
<039>Contact Email Address - EmailAddress of person identified in data line <030>regulatorlaesllongmd. cm
4&15 Rura! Broadband Erperlment
Authorized Rural Broadband Experiment (RBE) recipients must address the certification for public interest
obligations and provide a list of newly served community anchor institutions.
Publlc lnterest Obligations- FCC 1tl-98 (paragraphs 2&29, 781
Please address Une 4001 regarding compliance with the Commission's public interest obligations. All RBE
participants must provide a response to Line 4001.
4(X11. Recipient certifies that it is offering broadband meeting the requisite public interest obligations consistent
with the category for which they were selected, including broadband speed, latenry, usage capacity, and rates that
are reasonably comparable to rates for comparable offerings in urban areas.
RBE Communlty Anchor Instltutions
<4003a> lndicate if the carrier newly deployed broadband service to community anchor institution(s) in the
previous calendar year
<4003b> Please Provide Attachment: Using link,
download template and list the number, name
and address for each community anchor
institution. Attach the document which contains
the community anchor institution details as
required by FCC 14-98 (paragraph 79)
Name of Attached Document Listing Required Information
(5{Xl5} Alaska Plan Partlcipants Additional Documentation
Data Collection Form
FCC Form 481
OMB Control l{o. 306
December 2020
<010>
<015>
Area Code
Study Area Name
47 9022
Boomeranq Wireless LLC
<020>Program Year
<030>Contact Name - Person USAC should contact regarding this data Mark Lamerl:
<035>Contact Telephone Number - Number of person identified in data line <030>
<039>Contact Email Address - Email Address of person identified in data line <030> reeularo!,@csilonswoo.r.com
5005 Alaska Plan
(s011)(Yes/Nr
(s012)
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.
lf the filing carrier identified in its approved perfomance plans that it relies exclusively on
satellite backhaul for a certain poriton of the 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
<a><b>
Description Of Backhaul Technology
(Yes/Nc
Newly Served Loc
<5013>
Date Backhaul Available
<010>Area Code
<015>Study Area Name
419022
Bmrmg 9lireless LLC
<020>Program Year
<030> Contact Name - Person USAC should contact regarding this data Mark Lamerr
<039>Contact Email Address - Email Address of person identified in data line <030> resuraro4{rcairons,*d.com
<6010>Enter the total amount of Phase !l Auction Support, if any, the carrier used
for ca pital expenditures
Phase !! Austion and New York Funds Certification
<6011>Certify (either yes or no) regarding whether the recipient has available
funds for all project costs that will exceed the amount of support that will
be received for the next calendar year. This certification must be provided
starting the first July lst after receiving support until the recipient's
penultimate year of support
Phase ll Auction Community Anchor lnstitutions
<6012a> lndicate if the carrier newly deployed broadband service to community
anchor institution(s) in the previous calendar year
<6012b> Please Provide Attachment Using link, download template and list the
number, name and address for each community anchor institution.
Attach the document which contains the community anchor
institution details as required by FCC 14-98 (paragraph 79)
Phase ll Auction FCC Form 470 Postings
<6013> For the filing due July 1 following full implementation of this
requirement answer yes or no to this certification request
Phase ll Auction Post-Final Deployment Milestone Performance Certifi cation
Starting the first July lst after meeting the final service milestone, certify
(yes or no) that the Phase ll-funded network that the Phase ll auction
recipient operated in the prior year meets the relevant performance
requirements in 5 54.309
(Yes/No)
Name of Attached
Document Listing Required
lnformation
<6014>
<010>Study Area Code 179022
<015>Study Area Name BmranE wlrclcs8 LIJC
<020>Program Year 2022
<030>
<035>
Contact Name - Person USAC should contact this data
Contact Teleohone Number - Number of oerson identified in data line <030>
Mark l,aref,t
<039>Contact Email Address - Email Address of person identified in data line <030> lesularorl'ocsiros**d.con
<7010> Phase llAuction recipient performance requirementscertification (Yes/No)
<010>
<015>
Area Code
Study Area Name
419022
Bmerang wirele8a LLC
<020>Program Year 2022
<030>Contact Name - Person USAC should contact regarding this data Mark Larert
<039>Contact Email Address - Email Address of person identified in data line <030> resur.aroryocsironsrco<r.con
<8010>
<8011>
<8012a>
<8012b>
<8013>
Uniendo a Puerto Rico Stage 2 Fixed - Capital Expenditures
Enter the total amount of Uniendo a Puerto Rico Stage 2 fixed support, if any, the
carrier used for capital expenditures.
Uniendo a Puerto Rico Stage 2 Fixed - Available Funds Certification
Certify (either yes or no) regarding whether the recipient has available funds for all project
costs that will exceed the amount of support that will be received for the next calendar
year. This certification must be provided starting the first July 1st after receiving support
until the recipient's penultimate year of support.
Uniendo a Puerto Rico Stage 2 Fixed - Community Anchor lnstitutions
lndicate if the carrier newly deployed broadband service to community anchor institution(s)
in the previous calendar year.
Please Provide Attachment
Using link, download template and list the number, name and address for each community
anchor institution. Attach the document which contains the community anchor institution
details as required by 47 C.F.R. I 5a.313(eX2XA). Allowable File Types.
Uniendo a Puerto Rico Stage 2 Fixed - FCC Form 470 Postings
For the filing due July 1 following full implementation of this requirement answer yes, no, or
not applicable to this certification request.
Name of Attached
Document Listing R
lnformation
<8014>Uniendo a Puerto Rico Stage 2 Fixed - Post-Final Deployment Milestone Performance Certification
Starting the first July 1st after meeting the final service milestone, certify (yes or no) that the
Uniendo a Puerto Rico Stage 2-funded network that the Stage 2 recipient operated in the prior
year meets the relevant performance requirements in 5 54.309.
<8020>Uniendo a Puerto Rico Stage 2 Fixed - Support Reimbursement Certification
54.313(n): Recipients of Uniendo a Puerto Rico Fund Stage 2 fixed support shall certify that
such support was not used for costs that are (or will be) reimbursed by other sources of
support, including of federal or local government aid or insurance reimbursements; and that
support was not used for other purposes, such as the retirement of company debt unrelated
to eligible expenditures, or other expenses not directly related to network restoration,
hardening, and expansion consistent with the framework of the Uniendo a Puerto Rico Fund.
<8030> t lniaada . D.ra.+^ Diaa Claaa I Eival - l'licacla; D;aarralaacc aal Dacnanca t'laarrmanlalian
<010>Study Area Code 479022
<015>Study Area Name BMerang wirelesa LLc
<020>Program Year 2022
<030>Contact Name - Person USAC should contact regarding this data Mark Lamert
<035>Contact Telephone Number - Number of person identified in data line <030>4077943488 exC
<039>Contact Email Address - Email Address of person identified in data line <03D [e-mail]
<9010>
<9011>
<9012a>
<9012b>
<9013>
<9014>
Connect USVI Stage 2 Fixed - Capital Expenditures
Enter the total amount of Connect USVI Fund Stage 2 fixed support, if any, the carrier used
for capital expenditu res.
Connect USVI Stage 2 Fixed - Available Funds Certification
Certify (either yes or no) regarding whether the recipient has available funds for all project
costs that will exceed the amount of support that will be received for the next calendar year
This certification must be provided starting the first July 1st after receiving support until the
recipient's penultimate year of support.
Connect USVI Stage 2 Fixed - Community Anchor lnstitutions
lndicate if the carrier newly deployed broadband service to community anchor institution(s)
in the previous calendar year.
Please Provide Attachment
Using link, download template and list the number, name and address for each community
anchor institution. Rttach the document which contains the community anchor institution
details as required by 47 C.F.R. S 5+.313(eX2XiXA).
Connect USV! Stage 2 Fixed - FCC Form 470 Postings
For the filing due July 1 following full implementation of this requirement answer yes, no, or
not applicable to this certification request.
Connect USVI Stage 2 Fixed - Post-Final Deployment Milestone Performance Certification
Starting the first July 1st after meeting the final service milestone, certify (yes or no) that the
Connect USVI Fund Stage 2-funded network that the Stage 2 recipient operated in the prior year
meets the relevant performance requirements in S 54.309.
Connect USVI Stage 2 Fixed - Support Reimbursement Certification
54.313(n): Recipients of Connect USVI Fund Stage 2 fixed support shall certify that such support was
not used for costs that are (or will be) reimbursed by other sources of support, including of federal
or local government aid or insurance reimbursements; and that support was not used for other
purposes, such as the retirement of company debt unrelated to eligible expenditures, or other
expenses not directly related to network restoration, hardening, and expansion consistent with the
framework ofthe Connect USVI Fund.
Name of Attached
Document Listing
lnformation
<9020>
Connect USVI Stage 2 Fixed - Disaster Preparedness and Response Documentation
PaBe 21
<010> StudyArea Code 479022
<015> StudyArea Name Boonereg Wireless IrLC
<02D ProtramYear 2022
<030> Contact Name - Person USAC should contact resardins this data Mark Lamert
<035> contact Telephone ilumber - Number o, p!!loqtE!l!ifE!!n data line <030>4077943499 ext.
<039> ContactEmailAddress-EmailAddressofpersonidentifiedindataline<030> [e-mail]
TO BE COMPLETED BY THE REPORNNG CARRIE& IF THE REPORTIilG CARRIER IS FILTNG ANNUAL REPORTIilG ON ITS OW]'I BEHAI.F:
Certlficatlon of ffiGer as to the Accuracy of the Data Reported for thr Annual Reportlng for CAF or U Beclplents
lGdplcnts; an4 to tfic best of mv knowlcdtq the lniormarion tcportld on thl3 form and in tny attadrments b acarr.tc.
Nameof ReDortinqcarrier: Boonerang flireleBs tLc
iirnature of authorized ofricer: CERTTFTED ONLTNE Date 06/75/2021
Printed name of Authorized officer: DeEia Henderaon
frtle or position of Authorized Officer: cEo & co-Founder
feleohone numb.r of Authorlzed Officer. 3X97434640 ext
itudv &ea Code of Reoortim Carrier: 479022 FilinE Due Date for this form' 07101/2021
Pems willfully makin3 flls st t.mcnts on this form €n bc punished by ffnc or forfclture undcr tE communiotions AEt of 1934, 47 U.s.c 95 502, 503(bl, or finc or lmpdenment
undcr Title 18 of the unltcd stst s codc, 18 u.s.c. 5 1001.
Pate 21
?age 22
Ceimcatlon - Agent/ cinier
Data Colhct'ron Form
FCC Fom lEl
OMlfrntrd No. 3060{986/oMBcont ol No. :r050S1,
D*mbGr2ol0
<010> StudyArea Code 41 9422
<015> StudyArea Name Boonerang Wireless LLC
<02D Program Year 2022
<030> Contact Name - Person U5AC should contact regarding this data Mark Lammert.
<035> contactTelephoneNumber-Numberofpersonidentifiedindataline<o3o> 4077943488 ext
<039> contact Email Address - Email Address of person identified in data line <o3o> regul atory@csilongwood. com
TO BE COMPTETED BY THE REPORTING CARRIER, IF AN AGENT IS FITING ANNUAL REPORTS ON THE CARRIER'S BEHAIF:
TO BE COMPTETED BY THE AUTHORIZED AGENT:
Certification of Officer to Authorize an Atent to File Annual Reports for CAF or Ll Recipients on Behalf of ReportinS Carrier
lcertlfythat(NameofAgent)i3authorlzedto3ubmltthelnfomationrepodedonbehalfoftherepor6ngcar'ler.l
al3ocedfylhatlam"nom"",oru'ffiite3lncludeenruringtheaccuraGyoftheannualdatarepor0n9requl'emenBprovidodtotheauthorlzed
agent; and, to the b6st of my knwledge, the reports and data provlded to the authodzed ag6nt la accurate.
Name of Authorized Acent:
Name of Reoortine Carrier:
Sisnature of Authorized Officer:Date:
Printed name of Authorized officer:
fitle or oositioh of Authorized officer:
Ielephone number of Authorized Officer:
Studv Area Code of ReDortinc carrier:FilinE Due Date for this form:
under Title 18 of the United States Code, 18 U.S.C. 5 1001.
Certification of Atent Authorized to File Annual Reports for CAF or Ll Recipients on Behalf of Reporting Carier
the data repo.ted hereln based on data provided by the reportlnt carrler; and, lo lhe best of my knowledge, the information r€ported herein ls accurat€.
Name of ReDortine Carrier:
Name of Authorized Asent Firm:
Sisnature of Authoriz€d Asent or Emolovee of Acent:Date:
Name of Authorized Agent Emplovee:
fitle or position of Authorized Asent or Emolovee of Acent
leleohone number of Authorized Acent or EmDlovee of AEent:
Studv Area Code of ReDortins Carrier:Filins Due Date for this form
18 of the United States Code, 18 U.S.C. S 1001.
?age 22
479022<010> StudyArea Code
<015> StudyArea Name Bffieg llLleless LI,c
<020> ProgramYear 2022
<030> Contact Name - Person USAC should contact regarding this data l,lart IJamer!
40779{3'188 ext<035> Contact Telephone Number - Number of person identified in data line <030>
<039> Contact Email Address - Email Address of person identified in data line <030>regulato4oc8ilongrcod. cm
I certifo under penalty of perjury that no universal service support has been or will be used to purchase,
obtain, maintain, improve, modify, or othenrise support any equipment or services produced or provided
by any company designated by the Federal Communications Commission as posing a national security
threat to the integrity of communications networks or the communications supply chain since the
effective date of the designations
Yer
Please Provide Waiver Document
Allowable File Type (pdf only)
Name of Attached Document Listing Required
lnformation
AA|.-rlentoucn
wrnELESS
FCC Form 481
Section 500 - Service Quality Standards & Consumer Protection Rules Compliance
Under FCC Rules, Section 54.202, an ETC must comply that it will satisff applicable consumer
protection and service quality standards. Boomerang Wireless, LLC dlbla enTouch Wireless
(Boomerang) is in compliance with the Cellular Telecommunications and Internet Association's
Consumer Code for Wireless Service.
l. Boomerang discloses rates and tel:ns of service to customers at the time service is initiated.
These same terms and conditions are posted on Boomerang's website at
www.entouchwireless.com.
2. Boomerang provides service availability information on their website at
www.entouchwireless.com.
3. Boomerang makes available contract terms to subscribers when they initiate or change
service. These same terms are available to subscribers during the annual recertification
process as outlined in Commission rules that govern continued subscriber eligibility.
4. Boomerang's Lifeline service can be terminated at any time by either party without an early
termination fee. Service is dependent on continued eligibility in the program.
5. Boomerang provides disclosures, minutes included in Lifeline plans, expiration of plan
minutes, availability of service, and cost for additional minutes in all published Lifeline
advertising materials.
6. Boomerang customers are provided options if they exceed the number of minutes provided
in their Lifeline plan. Customers can purchase standard top up plans at thousands of local
retail establishments and through customer service. Plan descriptions are available on the
company website at www.entouchwireless.com.
7. Boomerang's toll-free customer service number is 866-488-8719. Customers can reach
customer service by dialing 611 from their enTouch phone. Customers can also contact
Boomerang via email at [e-mail] or by US mail. This information is
provided in the terms of service and on the company website and in all information provided
to subscribers.
8. Boomerang responds to all consumer inquiries and complaints received from government
agencies within 30 days.
9. Boomerang has procedures in place to maintain the privacy of subscriber proprietary
information in accordance with applicable federal and state laws.
10. At service initiation, Boomerang requests that subscribers "Opt In" to receive free
notifications regarding activation status, balance alerts, etc. Customers can also decline to
receive these messages and notices by "Opting Out". If a subscriber chooses to decline free
notifications they will receive only those Lifeline notifications required by the FCC such as
the 30-day non-usage notice, the recertification notices, etc. The customer cannot opt out of
the required FCC notifications.
enTouch Wireless powered by Boomerong Wireless
P.O. Box 37. Hiowolho. lA' 52233 enTouchwireless.com 866.488.8/19
6i-,buchwrREtEss
FCC Form 481
Section 600 - Functionality in Emergency Situations
Under FCC Rules, an ETC must demonstrate its ability to remain functional in emergency
situations. Since Boomerang Wireless, LLC dlbla enTouch Wireless (Boomerang) is providing
service to its customers through the use of facilities obtained from other carriers, it is able to
provide to its customers the same ability to rernain functional in emergency situations as currently
provided by the carriers to their own customers, including access to a reasonable amount of back-up
power to ensure functionality without an external power source, re-routing traffic around damaged
facilities, and the capability of managing traffic spikes resulting from emergency situations.
Boomerang, along with their underlying carriers, have created back-up systems to ensure
functionality in the event of a loss of power or network functionality. Boomerang's support
facilities are housed in a carrier-class data center with fully redundant power and HVAC, a
controlled temperature and humidity environment, firethreat detection and suppression, year-round
critical monitoring, and secure access with biometric security. The facility features redundant
generators and redundant fiber optic connectivity. The data center is a reinforced concrete building
located in a secure area and collocated with the area electrical generation plant. All systems within
the facility are implemented on redundant servers, each with redundant data network and power.
enlouch Wireless powered by Boomerong Wireless
P.O. Box 3T Hiowoiho. lA 52233 enTouchwireless.com 866.488.8719