20210630Blackfoot Telephone Cooperative Form 481 Affidavit.pdf

State of Montana CERTIFICATION BY ELIGIBLE TELECOMMUNICATIONS CARRIER
OF COMPLIANCE WITH SERVICE QUAL]TY AND CUSTOMER
PROTECT]ON, ABILITY TO REMAIN FUNCTIONAL !N EMERGENCIES,
AND USE OF FEDERAL HIGH-COST SUPPORT.
County of Missoula
AFFIDAVIT OF BUSINESS OR CORPORATE OFFICER
The ldaho Public Utilities Commission Order No. 29841 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 Blackfoot Telephone Cooperative, lnc.. DBA Blackfoot Communications, 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.
2.1am 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. Blackfoot Telephone Cooperative, lnc. DBA Blackfoot Communications 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. 29841 and in 47 C.F.R. S 54.202(aX2).
5. I also certify that all federal universal service support funds received by Blackfoot Telephone
Cooperative, lnc. DBA Blackfoot Communications 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 1,2022, through December 31,2022, 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 25a@) of the Telecommunications Act.
er,Chief Financial Officer
June 30.2021
Date
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LYNN ELSNER
NOTARY PU8LIC for rhe
St.ta of Mont.n.
Residlng at lllsroulr, Mont.n.
My Commlsslon Explres
January 1O,2022
SUBSCRIBED AND SWORN to before me this dayofJu 1