20210630Inland Cellular Form 481 and Affidavit.pdf

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<010> Study Area Code 479007
<015> StudvArea Name mSBMilOtr RS.A No. I ITIIIITED PARIIIBRSIIIP DBA INLIND CBLLITITAR
<020> Program Year 2022
<030> Contact Name: Person USAC should contact
with questions about this data l.llke Bly
<035> Contact
Number
Telephone Number:
of the pe6on identified in data line <03(>
208?980245 at.-,.222
<039> Contact EmailAddress:
Email of the person identified in data line <o3o> mikeboinlildcell 'cm
FormType 5a.313 aad s{.422
&-roe -r- Lt-o I
(2(x,) Servke Outage Reporting (Voice)
Data Collectlon Form
<010> Study Area Code
FCC Form 481
OMB Control No. 3
Derember 2020
4'1900'7
<015> Study Area Name WASHINGTON RSA NO. 8 I,IMITED PARTNERS}I]P DBA IIII,AND CELTT'I,AR
<020> Program Year 2022
<030> Contact Name - Person USAC should contact regarding this data Mike BIy
<035> contactTelephoneNumber-Numberofpersonidentifiedindataline<030> 20879s024s ext l-222
<039> Contact Email Address - Email Address of person identified in data line <030> mikeb@inlandcel I . com
<210>
<220>
For the prior calendar year, were there any reportable voice service outages?
<a><b1><b2><b3><b4>
NORS
Reference
Number
outage start
Date
outage start
Time
Outage End
Date
OutaSe End
Time
Number of
customers Affect€d Total Number of
custome1!
91l Facilities
Affected
(Yes / No)
Service Outate
Description (Check
all that apply)
<e><f>
Did This Outat
Affect Multlpl
Study Areas
Complalnti per 1,000cuitomer'
<010> Study Area Code 479007
tCC form4E,
OMBComiol
Decrmber20,
<015> Study Area Name WASI{IN TON RSA NO. 8 LIMITED PART1IERSHIP DBA ININND CELI,U],AR
<020> Program Year 2022
<030> Contact Name - Person USAC should contact regarding this data Mike Bly
<035>Contact Telephone Number - Number of person identified in data line
<030>2087980245 exL-7222
<039>Contact Email Address - Email Address of person identified in data line
<030>
mikeb@inlandcell . 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
<42O> Complaints per 1000 customers for mobile voice
<)1(> StudyAreacode 47900?
<0l5> StudyArca !0am6 IIASB!ilO|!1XI BSI m. 8 IlImrgD PIRIDCEES$IF Dstr IilIrlB eBriIJIrsAB
<n()> ProgamYear 2A22
<Xr{> conte€t Name - Perion USAC should ontect rcErdlnr thb dab trtt 8ty
<)35> Conbd ToleDho,ne Number - t{umber of pcrson idenUfied ln data llne <03D 2{r87980e45 cxt ' 123'
<03D Contact Ern ll Addres - Email Mdrese of percon identlficd ln data llne <)!X> !d!r.&.tn1!!d6Gu . coo
€1$ Cerdfy @mpllance wfth applieable mlnlmum scMce standardo
<Oto> StudyAreaCode d79007
<015> StudyArea Name flIAEilft'lOII RCA ft'. O LIlI,]!:TED PAldt.t[mgSID DEA IM.rID CEf,,LI'LEN
<)20> Prosam Year 2d22
<)3D Contad ilame - Person USAC ahould contrct remrdlnr this data tltke Bty
<r35> ContacTeleohone Number- Numberof percon ilentified ln data line<030>
<Xlg> Contact Emall Address - Email Mdress of person ldentlfied ln data line <030, nlGD.hrl!.tcctl.cm
<600> Certlfy compllance regardlng abllfi to function in emer3rncy sltuatlons Yes
<610> Descrlptfue document fur Functlonallty in Emergency Shuations 479007_ID_510;Irbtltty Eo Remain n)rrcrional ln
&nergeaciee-2021.pdf
| (8fl1) Operating Companies
lData
cotlealon Form
FCC Form 481
OMB Control No. 3060
December 2020
<010> Study Area Code 41940'7
<015> Studv Area Name
<020> ProAram Year 2022
<030> Contact Name - Person USAC should contact resardins this data
<035> Contact Telephone Number - Number of person identified in data line <030> 208?e8024s ext 1222
<039> Contact Email Address - Email Address of person identified in data line <030> mikeb@inrandcerl . con
<810> ReportingCarrier ln1and Cellular LLC
<811> Holdint Company Inland Cel1u1ar Telephone Company
<8\2> OperatingCompany rnland cetlular LLc
<813><a1>
Affiliates sAc
red workshee
<a2>
Doing Business As Compan
<)il> StudyArcaCode 479007
dl15> StudvAr.eNrm.IIISHINCTO}I RSA trO. 8 LII{ITBD EARTIIERSHIP DBA TtrIJAT{D CE''I'UI'AR
<)2(> Prolram Year 2022
<r:lD Contact N.m€ - Person USAC should contact regarding this data Mlke Brv
2O919AO245 dE.!222<)35> Cortact Tcleohone Numbcr - Number of pcrson ldefltlffed ln dat llne <)30>
<039> contact Emall Addrgs - Emall Address of percon ldentlfted ln date lln€ <o!r(b mikcbcin]-andcell , com
<900> Does the filing entity offer tribal land services? (Y/N)
<9XD Tribal Land(s) on which ETC Serves
<920> Tribal Government EngagementObligation
lf your company serves Tribal lands, please select (Yes,Nq NA) for each these boxes
to confirm the status described on the attached PDF, on line 920,
demonstrates coordination with the Tribal government pursuant to
5 54.313(aX5) includes:
<921>Needs aesessment and deploynent planning witt a bcus on Tribal
ommunity anehor lnsttutlons.
Feasibllity and sustainabillty planning;
Marketing services in a culturally sensitive manner;
Compliance with Rights of way processes
Compliance with Land Use permitting requirements
Compliance with Facilities Siting rules
Compliance with Environmental Review processes
Compliance with Cultural Preservation review processes
Compliance with Tribal Business and Ucensing requirements.
Ye6
Name of Attached Document
<922>
<923>
<924>
<925>
<926>
<927>
<928>
<929>
Soloct
Yes or l,lo or
t{otAlpllcable
YeB
Yog
YeB
Yea
Yea
Y€t
Ya6
Yea
Y€s
<010> StudyArea Code q79007
<01D StudvArea Name flASEITC}ION NSA I{O. 8 IJI]iIITED PIRIIIERSIIIP DBA INLAf,D CEI.I,I,IdR,
<020> Prorram Year 2022
<03D Contact Name - Person USAC should contact resardlnr this data ItLke Bl.y
<035> ContactTelephone Number- Numberofperson identlfied in data llne<030>20879802t15 ext.L222
<039> Contact Email Address - Email Address of person identified in data line <030> ntkebclDlaadcelr..con
<1000>Voice services rate comparability certification
<1010>Attach detailed description forvoice services rate
comparability compliance
<1020>Broadband comparability certifi cation
<1030>Attach detailed description for broadband
comparability compliance
Not Appllcable
Name of Attached Document
Name of Attached Document
479007<010> StudyArea Code
<015> StudyArea Name T|IESIMIIIOX R8.l IIO. 8 I.IIIITED PIRTTIERSBI} DgA INIiIID CBIJ,I'LIT
<02D ProsramYear 2022
<03D Contact Name - Person USAC should contact regarding this data l,llke Bly
<035> Contact Telephone Number - Number of peron identlfied in data line <03D 208?e802.5 .xr.1222
<039> Contact Email Address - Email Address of person ldentifled in data llne <030>nlkobalnleilcell. m
<110D Certify whetherterrestrial backhaul ofiions exist (Y/N)
<1130> Please select the appropriaG r€sponse (Yes, No, Not Applicable) b conflrm the
reportng canierofrrs broadband seMce of at last I Mbps dournstream and 256 kbps
upstream wlhin the supported area pursuant to $ e4.313(g).
<1140>Alaska Plan rate-of-return certification (yes, no, or not applicable) of
compliance with approved performance plan.
YeE
<010> StudyArea Code t79001
<015> StudvArea Name
<020> Program Year
<030> Contact Name - Person USAC should contact regarding this data Mlke BIy
<035> Contact Telephone Number - Number of person identlfled in data line <030>2087980245 ext.L222
<039> Contact Email Address - Email Address of person identified in data llne <030>nikebcilludceI1.cm
<1210> Terms & Conditions of Voice Telephony Lifeline Plans
<1220> Unk to Public Website
"Please check these boxes below to confirm that the attached document(s), on llne 1210,
or the website listed, on line 122q contains the required information pursuant to
5 54.422(aX2) annual reporting for ETcs receMng low-income support, carriers must
annually report:
<L22L> lnformation describing the terms and conditions of any voice
telephony service plans offered to Llfeline subscribers,
Name Attached Document
HTTP rw.lnlmdcellular.cm/l1f61ina
<L222> Details on the number of minutes provided as part of the plan,
<7223> Additional charges for toll calls, and rates for each such plan.
E
E
<01(> StudyArea Code 419007
<015> StudyArea Name WA!'HIIIGIC}N RSA NO. 8 IIIMIIM PARSIERI'IIIP DBA IIILAND CEIJIJI'ITAR
<020> Progaam Year 2022
E1v
<03!> Contact Emall Addre$ - Emall Address of person ldcntiied ln data line <):!(> dk€b.lp1alalce11 . cm
Select the appropriate responses below (Yes, No, Not Applicable) to note comptiance as a reclpient of frozen High Cost s
to offtet access charge reductions, and C,onnect America Phase ll support as set forth ln 47 CFR 54313(c),(d),(el. The inf
form and in the documents attached below is accurate.
<2015> 2015 and future Frozen Support Certification 47 CFR 5 5a.313(cXa) f
Price Cap Carrier ConnectAmerica ICC Support {47 CFR 5 54.313(d)}
<2016> Certification support used to build broadband
Connect America Phase ll Reporting {47 CFR I Sa3l3(e}}
<2017A> Connect America Fund Phase ll recipient?
<2OL7C> 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 requirement,
answer yes, no, or not applicable to this certification request
Name of Attached Document Listing
Required lnformation
I
<010> StudyArea Code 479007
<015> StudyArea Name WASITITiIGTON RSA NO, 8 I,I!.{ITED EARllS
<020> ProgramYear 2022
<030> Contact Name - Person USAC should contact regarding this data Mike BIy
<03$ ContactTelephone Number - Numberof person identified in data line <030>2087980245 ext.1222
<039> contact Email Address - Email Address of person identified in data line <030> mikeb@inI andCe 11 . C
(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 of Consultant
<010> StudyArea Code 47 9007
<015> StudyArea Name WASI'INGTON RSA NO. 8 LIMITED PARTNERSHIP
<020> Program Year 2022
<030> Contact Name - Person USAC should contact regarding this data Mike 81
<035> Contact Telephone Number - Number of person identified in data line <030> 2OB7 9BO24S ext . 1-222
<039> Contact Email Address - Email Address of person identified in data line <030>mikeb@in1andcelI . com
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.
Progress Report on 5 Year Plan
carrier certifies to 54.313(fx 1)(iii)
(3ooe)
(3010A)
(3010B)
(3012A)
(30128)
(3014)
(301s)
(3017)
oooo(3013)
Certification of Public lnterest Obligations t47 CFR S
s4.313(fl(1xi))
Please Provide Attachment
Rate-of-Return Community Anchor lnstitutlons
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(fxlxii)
ls your company a Privately Held ROR Carrier 147
cFR S s4.313(fx2)l
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 S 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
lf the 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?
lf the response is yes on line 3018, please check the
hawac Jralarrr ia aanfirm rrar rr cr rlrmicciaa 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
(3015)
(3018)
I
(Yes/No)oo
<)1(D StdyAruCod.479007<)1$ StudyADN.m lrAAHIllG|rON NSA I{O. 8 IJIUTTED PIRIIIBRSHIP DBA INLIND CEIJJ'IJAR
<t2t},
<!:l$ Contrct paEn drlr llm
2022
nlkebalnlddcel 1 - cm
Flmnclal Dab Sumrnary
(3027) Revenue
(3028) Operating Expenses
(3029) Net lncome
(3030) Telephone Plant ln Servicefl'PlS)
(3031) Total Assets
(3032)Total Debt
(3033)Total Equity
(3034) Dividends
ilrm of Att chld Documnt Lbtint R.qulEd lnfomtbn
<010>Study Area Code 479001
<015>Study Area Name mSHINqTON R.sA NO. 8 IJII,IIT@ PlRlIlERgErE DBA Il
<020>Program Year 2022
<030>Contact Name - Person USAC should contact regarding this data r,rrke B1y
<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>mikebeinladcell .cm
4(Xl5 Rura! Broadband Experiment
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 1tt-98 (paragraphs 25-29, 781
Please address Line 4001 regarding compliance with the Commission's public interest obligations. All RBE
participants must provide a response to Line 4001.
4001. 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, latency, usage capacity, and rates that
are reasonably comparable to rates for comparable offerings in urban areas.
RBE Communlfl Anchor lnstitutlons
<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 tnformation
(5{X}5) Alaska Plan Participants Additional Documentation
Data Collection Form
FCC Form tl81
OMB Control No. 306
December 2020
<010>Study Area Code 479007
<015>Study Area Name WASHINGTON RSA NO. 8 LTMITED PARTNI
<020>Program Year 2022
<030>Contact Name - Person USAC should contact regarding this data Mike B1y
<035>
<039>
Contact Tele e Number - Number of person identified in data line <030>
Contact Email Address - Email Address of person identified in data line <030> [e-mail]
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 performa nce-limiting satellite backha ul.
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>Study Area Code 479007
<015>Study Area Name WASI{INSION RSA NO. 8 LIMITED PA
<020>Program Year 2022
<030> Contact Name - Person USAC should contact regarding this data Mike Bry
<039>Contact Email Address - Email Address of person identified in data line <030>mikeb@inlildcell . com
<6010>Enter the total amount of Phase ll Auction Support, if any, the carrier used
for capital expenditures
Phase !l Auction 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 1st after receiving support until the recipient's
penultimate year of support
Phase ll Auction Community Anchor lnstitutions
<6012a> Indicate 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 !! 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-Fina! Deployment Milestone Performance Certification
Starting the first July 1st 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 479007
<015>Study Area Name rISEIIIGION RSA ITO. 8 IJ1UITED
<020>Prosram Year 2022
<03D Contact Name - Person USAC should contact regarding this data urke B1v
<039>Contact EmailAddress - Email Address of person identified in data line <030>$ikeboinledcell . con
<7010> Phase !lAuction recipient performance requirementscertification (Yes/No)
{8005) Uniedo a Puerto Rico Fixed and Mobile Funds Certification
Data Collection Form
FCC Form 481
OMB Control No. 306Gt
December 2020
<010>St Area Code 4'7 9 00'l
<015>Study Area Name WASHINGTON RSA NO. 8 TIMITED PANTNET
<O?O> Praor:m Yaar zozz
<030> Contact Name - Person USAC should contact regarding this data Mike Bry
<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>mikeb@in1andcell . coh
<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. 5 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
<8010> ! lniaada a Drrar.ta Diaa Claaa a Eivar{ - l\icac}ar Draarraelnacc an;l Elacnanca Flaarrman}a}iaa
I pmst Connect USVI Fixed and Mobile Funds Certification
I oata Collection Form
I
FCC Form 481
oMB Control No. 3050-
December 2020
<010>Study Area Code 419007
<015>Study Area Name WASHINGTON RSA NO. 8 LIMITED PARTNET
<020>Program Year 2022
<030>Contact Name - Person USAC should contact regarding this data Mike Bly
<035>Contact Telephone Number - Number of person identified in data line <030>2081980245 ext.1222
<039>Contact Email Address - Email Address of person identified in data line <030>mikeb@in1andce1l . com
<9010>
<9011>
<9012a>
<9012b>
<9013>
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 expenditures.
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. Attach the document which contains the community anchor institution
details as required by 47 C.F.R. $ 5+.3r3(eX2XiXA).
Connect USVI 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 5 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 of the Connect USVI Fund.
Name of Attached
Document Listing
lnformation
<9014>
<9020>
Connect USVI Stage 2 Fixed - Disaster Preparedness and Response Documentation
Page 21
<010> Study Area Code 47900't
<015> StudyAreaName WASHINGTON RSA N0. I LIMITED PARTNERSHIP DBA INLAND CELLITLAR
<020> ProgramYear 2022
<030> Contact Name - Pe6on USAC should contact regarding this data Mike BLy
<o3q>ContactTel.nh6n.Numbar-Numberofoersonidentifiedindatallne<O!lO> 2087980245 dt,L222
<039> Contact Email Address - Email Address of person identified in data line <030> mikeb@ln1andcel1 . com
TO BE COMPTETED BY THE REPORTIilG CARRIER, IF THE REPORf,II{G CARRIER IS FItIilG AfTilUAt REPORflilG O]I TIS OWil BE}IALF:
Grtlficatlon of fficer as to the Accuracy of the Data Reported for the Annual Reportlng for CAF or u Reclpients
I ccrtlfy that I am .n oficcr ofthc rcportnt Glnlcri rrv rC?onslHlitics lndudc cnqrrlnt thc rccuncy oftha annua! raporting rcqulrcmcnts ior unlyc]lal ieruie support
rcdpl.nts; ,n4 to tlrc bcst of my knowlad8c, th. infonn.ton rcportcd on thl3 form and ln .ny .tt dlmGnB b.carratc,
NameofReoortins61ll1gl. WASHINGTON RSA NO. 8 LIMITED PARTNERSHIP DBA INLAND CEILIILAR
iilnature of Authorized fficer: CERTTPTED oNr'rNE Date 06/2s/202t
Prlnted name of authorized officer: Nathan weia
ntle or msition ofAuthorired officer: Prasident
Ieleohone number of Authorized ofricar' 5096492s00 ext
Studv Area code of R.mrtins carrier: 419001 Filins Due Date for this form. o7 / 0L/ 2o2L
Percns willfully making fal* st temenB on this form on b. punishcd by ffne or forfeiture undcr thc @mmunietions Ad of 19:14, 47 U.s.c. 55 50a 503(b), or fine or imprienmrnt
under Tltl€ 18 ofthr United Stltrs Codq 18 U.S.C. g 1001.
PaBe 2l
Page 22
certff lcation - At€nt / Grrler
Deta Crllectlon Form
FCC Fom 481
OMB@ntrol No. 360.0986/01118Coflrol No, 3060,(8il,
DGcGmbGr 2020
<010> Studv Area Code 47900?
<015> StudvArea Name WASHINGTON RSA NO 8 LIMITED PMTNERSHIP DBA INLAND CELLULAR
<020> Prosram Year 2022
<030> Contact Name - Person USAC should contact regardinS this data Mi-ke Bly
<035> contactTelephoneNumber-Numberofpersonidentifiedindataline<o3o> 2481984245 ext'1222
<039> contact Email Address - Email Address of person identified in data line <O3O> mlkeboinlandcefl . com
TO BE COMPTETED 8Y THE REPORTING CARRIER, IF AN AGENT IS FILING ANNUAT REPORTS ON THE CARRIER'S BEHATF:
TO BE COMPTETED BY THE AUTHORIZED AGENT:
Certification of Officer to Authorize an Agent to File Annual Reports for CAF or Ll Recipients on Eehalf of Reporting Carrier
cortlfythat(NameofAgent)lsaUthor|zedto3ubmitthelnfomatlonreportedonbehalfofthoreport|ngcarrler.l
ilso cerofy that I am "n om"". ot ttlIf,IIilliMfifEf,Ii!iliftles inctude ensurtng the accuracy of th6 annuat data reportng requtrements provtded to the authortzed
rgent; and, to the b6t of my knowledge, the reporG and data provided to the autho.ized agent is accurate.
!ame of Authorized Asent:
!ame of ReooninE Carrier:
;iqnature of Authorized officer:Date:
)rinted name of Authorized officer:
litle or position of Authorized Officer:
lelephone number of Authorized Officer:
;tudv Area Code of Reportins Carrier:Filins Due Date for this form:
underTitle 18 ofthe United Sbtes Code, 18 U.S.C. 0 1001.
Certification of Agent Authorized to File Annual Reports for CAF or Ll Recipients on Behalf of Reportint Carrier
the data reported herein based on data provided by the reporting carrler; and, to th€ best of my knowledg€, th€ lnformation reponed h€r€in is accurate.
!ame of Reoortinr Carrier:
\iame of Authorized Aeent Firm:
;ignature of Authorized Agent or Emplovee of Agent:Date:
!ame of Authorized Agent Emplovee:
fitle or Dosition of Authorized Asent or EmDlovee of Arent
feleohone number of Authorized Aeent or Emolovee of AEent
itudv Area Code of ReoortinE Carrier:Filins Due Date for this form:
18 ofthe United States Cod€, 18 U.S.C. 5 1001..
PaEe 22
t79007<010> StudyArea Code
<015> StudyArea Name IIASIIII{qION RsA I{O. 8 IrII{ITBD PIRIIIBI
<020> ProgramYear 2022
<030> Contact Name - Person USAC should contact regarding this data Mlke Bly
2047940245 aL.7222<03$ Contact Telephone Number - Number of person ldentified in data line <030>
<039> Contact Email Address - Email Address of person identified in data line <030>mlkebahlandcelt. cm
I certifo under penalty of perjury that no universal service support has been or will be used to purchase,
obtain, maintain, improvg modifo, or othen rise 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 nehilork or the communications supply chain since the
effective date ofthe designations
Yer
Please Provide Waiver Document
Allowable File Type (pdf only)
Name of Attached Document Listing Required
lnformation
l(8001
l'""
Operating Companies
Collectlon Form
FCC Form 481
OMB Control No.
December 2020
3060.
<010> Studv Area Code 4'7 9001
<015> Studv Area Name WASHINGTON RSA NO. 8 LIMITED PARTNERSHIP DBA INI,AND CELLUHR
<020> Prosram Year 2022
<030>Contact Name - Person USAC should contact reuardins this data Mlke BIy
<035> Contact Teleohone Number - Number of person identified in data line <030> 208'te8024s exL.7222
<039> Contact Email Address - Email Address of oerson identified in data line <030> [e-mail]
<810>Renortins Carrier Tnland Cellular LLC
<811> Holdins Comoanv Inland Ce11u1ar Telephone Company
<872> OoeratinsComDanv Inland Cellular LLC
sAc
529003
529004
4'7900'7
<813><a1>
Affiliates
11u1ar LLC RSA No. 8 L ted
In1and CeLlular LLC (f/k/a Eastern Sub-RSA LimiEed Partnership)
Inland Cellulat LLc lf/k/a washj.ngton RsA No. I Limited Partnership)
<a2>
Doing Business As Compan
In Ce
Inl-and Ce11ular
Inland Cel-lular
June 11,2021
lnland Cellula /s Tribal Engagement
lnland Cellular (lC) serves the Nez Perce Tribe (NPT) Reservation and surrounding rural communities in
north-central ldaho, and we have a long-standing relationship to enhance voice and data services to
these areas. lnland regularly coordinates with the NPT Department of Technology Services to assess
buildout needs and challenges, including opportunities to apply for funding to enhance services, such as
Mobility Funds. Inland and the NPT successfully implemented its stated partnership with the NPT
BiP/BTOP applications (see attached Memorandum of Understanding dated on or about December 17,
2012, between lC and NPT) and we continue to share co-location facilities at discounted rates, advertise
services in local communities, provide traffic backhaul to each other and continue to identify future
sites and business opportunities to bring new and enhanced services to the Nez Perce Tribe.
lnland implements its delegated federal trust responsibility from the FCC and uses the FCC's TCNS
portal. When requested by a tribe, lnland will consult directly with the interested tribe. When the Nez
Perce Tribe requests consultation, lnland works directly with representatives of the Nez Perce Tribal
Executive Committee, the Tribal Historic Preservation Officer and the Nez Perce Cultural Resources
Program, along with the State Historic Preservation Officer as applicable, to ensure compliance with
the environmental and cultural preservation review process. lnland contracts with the Nez Perce Tribe
to conduct archaeological surveys and traditional cultural property studies on the Nez Perce Tribe
Reservation and other lands of importance to the Nez Perce Tribe. As technologies and data speeds
advance, rural communities without access to broadband and other fixed and mobile wireless solutions
will be further disadvantaged, and our partnership with the Nez Perce Tribe multiplies the return on
our efforts to close that gap. As an example, lC has entered into talks with NPT to explore a partnership
in the upcoming 2.5GHz Rural Tribal Window. The goal is to leverage each other's strengths to close
mobile broadband gaps on NPT Reservation lands. ln addition, lC has executed as of July 2,2Ot8, a
Special Services Contract for partnering with NPT to build two new towers to be used for mobile and
broadband services on NPT Reservation lands - this project is still ongoing.
lnland Cellular continues to lease tower space and data transport from and to NPT, and keep in regular
touch with NPT to discuss future partnerships.
Ability to Remain Functional in Emergencies Gertification
S54.313(a)(6)
EICs musf demonstrate that it has a reasonable amount of back-up power to ensure functionality without
an external power source, is able to re-route traffic around damaged facilities, and is capable of managing
traffic spikes resulting from emergency situations.
Re: lnland Cellular LLC (t/Aa Washington RSA No. 8 Limited Partnership) (SAC
4790A7) ("Company")
The Company is able to remain functional in emergencies as set forth in
Commission Order No. 29841 and in 47 C.F.R. $54.201(a)(2), as such standards relate
to functionality of wireless carriers in emergency situations. The Company maintains
back-up power to ensure functionality without an external power source in the forms of
auxiliary generators and batteries in its central office and auxiliary generators and/or
batteries at its cellular tower locations. The Company also constantly monitors traffic
on its tower locations and its switching capability is more than adequate to manage the
traffic of its subscribers.
The Company is able to re-route traffic around damaged facilities. All lnland
Cellular subscribers are defaulted to roam on competitors should an lnland Cellular
signal not be obtained.
State of ldaho
County of Nez Perce
SUBSCRIBED AND SWORN to before me this
Notary Public for
My Commission
CERTIFICATION BY ELIGIBLE TELECOMMUNICATIONS CARRIER
OF COMPLIANCE WTH SERVICE QUALITY AND CUSTOMER
PROTECTION, ABILITY TO REMAIN FUNCTIONAL IN EMERGENCIES,
AND USE OF FEDERAL HIGH.COST SUPPORT.
SS
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 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 lnland Cellular 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. lnland Cellular 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. 29841 and in 47 C.F.R $ 54.202(a)(2)
5. I also certify that all federal universal service support funds received by lnland Cellular 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, 2022, through December 31,2022. to be eligible for
federal universal service fund support
6. This verrfication 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.
?/A, lZ,,)z^>
Nathan R Weis, President
6t?9t21
Date
day of
resid at
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