20220713Newmax Form 481 and Affidavit.pdf

Page 1
<010> StudyAreaCode 47902s
Ncffi, LIJC dba Iale@ Net{orks<015> StudyArea Name
<020> Procram Year 2023
<030> Contact Name: Person USAC should contact
with questions about this data Cattlln IO1rg
<035> Contact Telephone Number:
Number ol the person identitied in data line <030>
208{151773 ext.
<039> contact Email Address:
Email of the person identified ln data llne <030>ck1 j.ngoLnter0axleaB. com
FOrm Type s4.313 and 54.422
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<015> StudyArea N.me
<02(> ProgramYear
<03D Contact Namr - Pr6on USAC should contact retrrdlnt thls dat.{t1& EIE
<)35>Contact Telephone l{umber - Numb€r of person ldentified ln data llnc
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<039>Comact Email Addrcsi - Emall Address of pcrson ldmtified in data llnc
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<400>
<410>
<420>
Select from the dropdown list to indicate how you would lik€ to rrport
voice complalnB (zero or gtrcater) for voice telephony service ln thc prlor
calendar year ior each scrvlce area ln whlch you are des@ated an ETC fior
any facilities you own, opcrate, lease, or othcrubc utilize.
Complaints p€r 1(m customcts forfixcd voic!
Complalnts pcr (n0 customers for moblb volcc
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Aff,htcr sac Ddry Budna$ Arcolnerryor Bnnd Dc*nldon
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<010, StrdyAECodG a79073
<o15>&ru, rc & Irt.u &trcrk.
<O2O> Prot.mYe,2023
qtllh nlry
<90o> Docs th! fillnS rntlty offcr trlbal land scrvlccs? (Y/N)
<91O> Trib.l Land(slon s'hich ETCScilcs
<92D Trtb.l Gowmm.nt Engatcmrnt Obll3.tlon
lf yow empeny rr* Trlb.l Ln&, pL.$ $hst (Y.s,No, NA) for mh th6. bd.s
to @nfim th. strt$ d.srlb.d on thc .tt.ch.d PDF, on lln. 920,
damnrtnt r @rdlnrtbn wlth tho Trlb.lfmmmnt puEunt to
5 54s8(.1(sl lmlud6:
<921>N6ad3 assssrmont and doplofmnt plannlng wllh a fucus on Trlbal
community endror lnstlhrtom.
Fcaslblltty and sust lnablllty pl.nnlng;
M.rtctlng saMc.s ln . cultur.lly scmitlvr mnncr;
Compllanca wlth Rlthts of way proc.sscs
Compliancc with Lrnd Us. prrmlttlng roqultcmcnts
@mpllane wlth FlcilitlGs Slunt rul.s
compllanc wlth Envlronmcntal Rcvlaw proc$rcs
Compllenc. wlth CultuEl PEsarvadon rcvlcw pmssca
Compliancc with Trlbal Businass end Liendn8 ruqultlmrnts.
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N.m of Attrdrad Documant
<922>
€23>
<924>
<925>
<925>
<927>
<928>
<929>
56lod
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t{otApplldbl!
Pa8,el
Patc 8
<o1o>Arca CodG
<020> Program Yaar
479025
2022
rc
<O3o> Contact Nama - Parsn UsAc should contact
<035> Contact
<1000>Voic. Erulccs ratc companblllty ertifletlon
<1010>Attach drtall.d d€*ription for vole Erules Etc
comp.r.bility comPllancr
<1020>
<10:il>Attach drt ll.d dcicrlptkcn for brcadband
comparability complianC
&ltlla
<03o> 20441s17?3 qt
<03O> &1t4oin!.ffi.&.c6
YCg
,JlRe 1010 - Vol.cc Scryice Rates (SlC {?9025}.pdf
Nama of Attachad Documant
y€s - PricinE la no llce than thc rcat recent appllcable benchmrk atrouced bythe Wireline Cmpelltlon Bureau
Llnc 1030 - BrGdbsd seffice Rates (sAc 179025).pdf
Nsme of Attach.d Dcumcnt
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Page 9
<010> StudyArea Code a7to25
<015> StudyAraa Name x.ilu, rc e rnr.ffi x.!rcrr.
<020> P(rgrrm Y!8t zoa!
<030> Contact Nama - Pcrson USAC shutld
<035> ContactTclcphon!ofpcron idlntmld ln data linc<030> 20E.15r77! dr.
<039> Cont ct Email Addrlss - EmailAddrass of pcrson kientiti.d in data linr <03(> ckue.br.,@.e.cil
<1100> Certifywhcthlrtlrr.stlhlbackhauloptionscxist(Y/N)
<tl3D Pless solect lho applop.latB r€spons€ (Yos, No, Not Applbable) b cqlfitm tho
t€porting cador ofie]s broadband sorvics d at loast I Mbps dowrBbBam and 256 kbps
upst€am wilhin lhe supporbd ares puBuant b S t4.313{g).
<1140>Alask Plan EtNf{etum ertmatk n (y.s, no, or not epplieblel of
compllancc wtth apprmd pcrfomancc plan.
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Page 9
Pase 10
<()lO> StudvAr.. Cod.a79025
dlls> StuduAro: Nah.
Name - Pcrson oontact
<1210> Trrms & conditions of Voicc T.lephony Lifcline Plans
<1220>
"Phr$ chck th6. bqrr brbw to @nllm thlt th..tt chcd dsmet(3), on lin. 1210,
or tha mb3lta listrd, on linG 1220, 6nt lns thr FqulEd lnformtlon Fr6urnt to
5 30.422(rX2) .nnul Eportlnt for EIcs mMnt liljn@ma support, arLB m$t
annully Eport:
<LZzl> lnformation describim thr trrms and conditions ofanyvoicc
tclephony servic! phns offcrrd to Llfcllnc subrcribars,
<1222> Drtails on thr numblr of minutcs pHi&d as part of th" plan,
<1223> Additional cha6cs for toll cells, and Et$ for €ch such plan.
<030> 208.15r??3 d-
<)3o>
HTTP utcrla*trcrrc.co
ItrudCdltlor
Page 10
P.3. !.1
codc 479025
zo2a
<O:lot CoiEd tlrmc USAC
Select $e appropriate rlsponses below (Yes, tlo, ilot Appllcable) to note compllanc. as a reclplent of frozen Hlgh Cost suppo( Hith Cost support
to offset access charge rcductlons, and Connect Amerlca Phas€ ll support at set forth ln 47 CTR 54.313(c),(d),(e). The lnformatlon rcported on thls
fiorm and ln the documents attached below ls accurate.
<2015> 2016 and tuture Frozen support Certification 47 cFR $ 5a.313(c)(a)
Prlce cap Grrler c,onnect Amerlca lcc Support (47 CFR 5 54.313(d))
<2015> Certification support used to build broadband
Connect Amerlca Phase ll Reportlng {47 CFR ! 34.313(el}
<2017A> ConnectAmerica Fund Phase ll recipient?
<20t7C> Total amount of Phase ll support, if any, the price cap carrier used for
capltal expenditures in 2021.
<2018>Attach the number, names, and addresses of community anchor
institutions to which the carrier newly began providing access to
broadband service ln the precedlng calendar year - 54.313(eXlXiiXA)
Gonnect Amcrlca Phase ll - FCC Form 470 Po6dnts
<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 Doorment Listing
Required lnformation
P.t! 11
P.g. 12
<01D St{dyArea Code 479025
<115> StudyArea Name Newmax, LLC dba InEermax Networks
<)20> ProgramYcar 2023
<0:X> Contact Name - P€rson USAC should contact rqarding this data Caitlin Klinq
<)35> Contact Telephonc Numb€r - Number of person identified in data line <)30>2084L51773 ext
<039> Contact EmailAddress - EmailAddress of person identified in data line <O3D Ckl ingOintefmaxteam . COm
(3007)Does this flling retaln a Cost Consultant and/or Flrm, or other Third Party to prepare financial and
operatlons data disclosures submitted to the National Exchante Grrier Associatlon (NECA), USAq
or the Administrator?
Name ofConsuhant Namc of Comultant Flrm/Thhd Party
P.fc U
PsE
<010> Study Arca crd!
<015> StudyAr€a Name Newmax, LLC dba Intermax Networks
<02D Program Ylat 2023
<03D Contld N!rc - P.en USAC should @ntact Et rdint this dat Caitlin Klinc
<035> Cont ctTlbphocNumbrr-Numbrrof pctenldentfEdindat lim<030> 20841517?3 ext.
<039> Cont ct Em.tlAddre$ - Emafl AddE$ of plren tdenilfted tn dara line <o3D ckl ing@interm€rxteam ' com
Select from the drop down menu or check the boxes below to note compliance with 54.313(fl(1), Prlvately held carriers murt ensure compliance with the
financial reporting requirements set forth in 47 CFR 54.313(0(2). I further certify that the information reported on this form and in the documents
attached below is accurate.
(3OOg) Progress Report on 5 Year Plan
carri.r ertifi rs to 54.313(0(lxiiil
(3O1OA) c.nifietion of Public lntcrost obliSations 147 cFR 5
s4.313(0(1xil)
(30108) Plca* Providc Attachmnt
(3012A)
Ratr-of-Rctum Communlty Andbr lBtltutlons
lndicat! ifthc carricr newly deploycd broadband
sruicr to community anchor institution(s) in the
provious calcndar ycar,
Phasc Pflide Attachmcnt
Usint link, dilnlo.d templatc and list thc numbcr,
namr and addrcss for cach community anchor
institution. Attach the documnt *,hidr oontrins the
community anchor institution detalls as roquitld by
47 C.F.R. 5 s4.313(0(rxii)
ls your c.mpany I Prtuatcly Hcld ROR Carrilr {47
cFR 5 s4.313(0(2))
lf y.s, d@s your @mpany file th. RUs .nnual rcpon
Pl.asc ch6k thase box6 to @nfim that th.
.ttachcd PDF, on linc 3O1Z $ntains thc Equircd
information pursuant to 5 54.313(0(2) @mpliane
Gquir$:
Elcctronic opy oftheirannuel RUS rcports
(Opcnting Rcport for Talecommunications
Bonowarc)
Documcnt(s) with Belance Shet lncom. Statrm.nt
and statemcnt of cash Flows
lf th. rcsponse is yes on linr 3014 .ttach your
6mpsny's RUs annual roport and ,ll roquircd
deumentation
lf th. respon* is no on linr 3014 is your@mpany
auditcd?
lf th. rcspon$ is yrs on linr 3018, pl.asr ch&k the
boxes bclow to confim your submission on linc
3026 pursuant to I 54.313(fl(2,, contains:
Eithcr a copy oftheir audit.d finencial statcment; or
(2)a financial rcport in a format omp.nbb to RUS
Op.nting Rrport for Telemmunietions Borowcrs
Documcnt(sl for Balana Shcct, lncomc st tcmcnt
and Statcment of Gsh Flows
Manag.mcnt lrttrr and/oreudit opinion issued by
thc indcpcndcnt ccrtificd public aeountant that
pcrformed thc ompany's financial audit.
lfthc rcspon* is no on lin. 3018, pl.a$ chcck thc
box.s bclow to rcnfim your submission on line
3026 pursuant to 5 54.313(f)(2), contains:
Copy ofthcir financial statcmant which has bc.n
subject to rlview by an indepcndcnt clrtified public
eccount.nt; or 2) a finencial rrport in a format
companbl! to RUs op€ntin8 Rcport for
Tehcommunlcations 8orrcrcE
Undcrlying information subj.ctcd to a r.vicw by an
indcpcndcnt certifi ed public arcuntent
Undcrlyiry information subjcctcd to en officr
ertification.
Document(s) with Balance sh!.t, lncome stat?mcnt
and Statamant of cash Flows
Attach the worksheet listint roquircd infomation
(30128)
Name of Attachrd Documsnt Listing Rrquircd
lnfomtion
(3022)
Nam. of Attached Documrnt Listing Requir.d
lnformation
(3013)
(3014)
(301s!
(3016)
(3017)
(3018)
(3019)
(3020!
(30211
(3023)
(3024)
(302s)
(3026)
Nam. of Attach"d Document [isting
R.quircd lnfomation
(Yes/lto)
(Ycs/No)
(Ys/Nol oo
oooo
Nam. of Attach.d Documrnt Listing R.quircd
lnfom8tion
P{c 13
P.gG 14
Flur.btDtsllmr
(3027) Rcwnuc
(3028) OpGEung ErpGre3
(:r29ln.tlmm
(3030) Tclaphore Plant ln Scrvle[IPls]
(3031) Totll Asts
(30321 Tot l Dcbt
(30331Tot lEquiv
(3034) Dlvtd.nds
XmdMdMK[n4Hlffi.
P.t! 14
P.a. r.5
<)15>
<t30>
<o39>
Arc.l{amc
Contact Namc - Pcrson
Contact
contact
person data *I1nfhtGffi.a,cd
tlfirs Rursl Bro.db.od E:pcrlmctt
Authorieed Rural Broadb.nd Expcriment (RBEI rccipicnts must addreis tlle certmcation for public interest
obligatiom and proyide a lBt of newly scfttd community anchor institutiom.
Pub[c lilGr.rt Otlhtatots- FOC !l-98 (Par€rephs 2&29 781
Plcrsc addrcss Une 4001 regarding compliance with thc Commission's public intercst obllgatlons. All RBE
partkipants must provlde a rcsponsc to Llnr 4@1.
lml, Rlcipicnt c.rtifirs that it is ofrrrini broadband mcctin8 thc rcquisitc public intcrlst obliS.tions coNlstrnt
with thc G.tcgory for which thcy w.re sclEt d, includinS bro.dband spe.4 latcncy, usag? capacity, and rat6 that
arc rcasonably omparablc to rates for conparablc officritfs in urbon areas.
RBE Communlty Andro. lmdtutons
<4OO3a> lndicatc ifthe carri.r ncwly deployed broadband s!rylcr to community.nchor imtitution(sl in the
pravlo$ calandar year
<4003b> Pllssc Proridc Att chmrnt UsitE lint,
download tcmplate and list thr numblr, nam€
and addrcss for each community lnchor
institution. Attach the documcnt whkh contains
th. communlty.nchor insututlon dGtails as
r.quired by FCC 1t[-98 (paragraph 79)
,{ame ofAttached Document ustirE Rcquired lnformauon
P{E 15
Pt 15
<)1(>Study Ar.a Code
{15>Study A.ea Name
<)20>Program Yrar
<030>Contact l{ame - Prrson USAC should contact this data
<035>contactTelephone Number - Number of pe.son
<039>Contact Email Address - Email Address of person identmed in data line <030> drbriEr.ffi.s..d
5m5 Aaska Plan
(s011)
(s012)
Please indicate whether any terrestrial backhaul or other satellite backhaul became
commercially available in the previous calendar year in are.s previously served
exclusively by performance-limiting satellite backhaul.
lfthe filing carrier identified in its approved perfomance plans that it relies exclusively on
satellite backhaul for a cert.in poriton ofthe population in its service area, indicate whether
any terrestrial backhaul or other satellite backhaul became cormercially available in the
previoius calendar year in areas that were previoiusly served exclusively by satellite backhaul.
(Yes/Nol
(Yes/Nol
,adly Sdtid lo..doB o. eoPhdon
(Yes/Nol
llamc of Attached
Documnt Listint
R.quirad lnfomation
<5013>
Delrabn Ot a.cld$l LdiDky
Alaska Phn Moblle CarlerC Reasombly Companble Rate t emonstratlon
(5014a) Answer yes or no if moblle carriers receiving support from the Alaska Plan can demonstrate
compliance at the end ofthe fiveyear milestone (2022) by showingthat your required stand-
alone voice plan, and one service plan that offers b.oadband data services, ifyou orffer such
plans, are:
o Substantially similar to a service plan offered by at least one mobile wireless service
provider in the cellular market area (CMA) for Anchorate, Alaska, and
. Offered for the same or a lower r.te than the matching plan in the CMA for Anchorage.
Alaska Plan Moblle Canled Reasonabv Comparable Rate lremorctratlon Attaclrmeot
(5014b) ]f "Yes' is selected for 50!ta, attach a document demonst.atint oompliance with the S-year
milestone. lf'No' is selected for 5014a, attach an explanation of non-compliance.
hb Lcthad AnLbL
P{.15
P* t7
<o10>
<o15>
<)20>
Area Coda
Program Ycar
16rie, M & bt.rE XGtE k.
<030> Contact Name - Plrson USAC should contact
<)35>Contact
<)39>Contact - Email of person
dete
<03(},
<6010> Enter the total amount of Phase ll Auction Support, if any, th€ carrier
used for capital expenditures.
Phasc ll Auctlon and New York Funds C.rtific.tion
<6011>Certifu (either yes or no) retarding 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 prorlded
startintthe first July lst after recelving support untll the recipient's
penultimate year of support,
Phese l! Aucdon Communlty Anchor lrftltuuons
<6O12a> lndicate if the carrier newly deployed broadband seMce to community
anchor institution(s) in the previous calendar year.
q60126y Please Provide Attachment UsinB link, download template and list the
number, name and address for each community anchor institutlon.
Attach the document which contains the community enchor
institution detalls as required by FCc 1+98 (paragraph 79!.
Phase ll Aucdon FCIC Fonn 470 PoEtlqE
<6013> For the filint due July l following full lmplementation of this
requirement answer yes, no, or not applicable to this certification request.
<5014>
Phase tl Auctlon Post-Flnal Dedoyment Mllesbne Performence Certlficatlon
Starting the first July lst after meeting the final seMce milertone, certify
(yes, no, or not applicable) that the Phase ll-funded network that the Phase ll
auction recipient operated in the prlor year meets the relevant performance
requirements in 0 54.309.
(Yes/No)
Namr of Attachld
Dcument Linint Rcquircd
lnfolmtion
939642.12
Ye6
tro - tro Ner &ffiLly hchora
Not Appllcable
ilot AppllcabLe
Pt lT
PI.lt
<010>Studv Area code art02!
<015>Arra Name &'g,M&bl.t.gtrEb
<030>Contact Name - Person USAC should contact
Contact <o:10>
Contact Email Address - Email Addr6s of p.rson idrntificd in line d141a!ffi!e..il<039>
<7010> Phase ll Auction recipient performance requirements certification (Yes/No)
P!.lt
P.Cc 19
<010>
<020>
Area Code
Area Name
Program Year
f,.vlB, M&I!!er!BL!6rk.
<030> Contact Name - Person USAC should @ntact regardingthis data
io35>contactTelephoneNumber-Numberofpersonidentmedindataline<030i-
<039>Contact Email Addrss - EmailAddreis of persn identmad in data line <030> .k11,e1n!.ffi.s.cor
<8010>Unlendo a Puerto Rico Stage 2 Flxed - capital Hpenditures
Enter the total amount of Unlendo a Puerto Rico stage 2 fix.d support, if any, the
carrlcr uscd for capital cxpcnditur€s.
<8011>Uniendo a Puerto Rlco Stage 2 Fixed - Available Funds Certlficatlon
ccrtify (cithcr yes or no) rogarding whether the recipicnt has available funds for all prcjrct
costs that will exceed the amount of support that will be reelved forthe next calendar
year. This ccrtification must be provided startinS thc first July 1st aft.r receiving support
until the recipient's penultimate year of suppon.
<8012a>Uniendo a Puerto Rico Stage 2 Flxed - Community Anchor lnstitutions
lndiBte if th. carrier newly deploycd broadband seruice to community anchor institution(s)
in the prcvious calendar year.
<8012b>
Plcase Providc Attachment
Using link, download template and list the number, name and address for each communlty
anchor institution. Attach the documcnt which contains thc community anchor institution
details as required by 47 c.F.R. I 54.313(e)(2XA). Allowable File Types.
Uniendo a Puerto Rico stage 2 Flxed - FCC Form 470 Postings
<8013> For the filing duc July I following full implemcntation of this rcquir.ment answcr ycs, no, or
not applicable to this @rtification r.quest.
<8014>
<8020>
<8030>
Name of Attached
Dcument Listint Required
lnformation
Unlendo a Puerto Rlco Stage 2 Fixed - Post-Final Deployment Milestone Performance Certlflcatlon
Starting th. first July 1st aft.r m!!ting the final scruicc milcstone, ccrtifo (yes or no) that thr
Uniendo a Puerto Rio State 2-funded network that th€ Stage 2 r.cipicnt opeEted in the prior
year mcrts tha rclevant performancc rcquircmcnB in 5 54.309.
Unlendo a Puerto Rlco State 2 Fixed - Support Reimbursement Certmcatlon
54.313(n): Rrcipilnts of Uni.ndo a Puerto Rico Fund Stage 2 fixrd support shall ertifythat
such support was not used for costs that erc (or will be) r€imbur*d by other sourccs of
support, includint of federal or lcal government aid or insurance rcimbureemcnts; and that
support was not usrd for other purpos.s, such as the retirement of company debt unrelated
to rligible cxpenditures, or other expenses not directly related to network restoration,
hardening, and expansion consistent with the framework of thc Unicndo a Puerto Rico Fund.
Uniendo a Pucrto Rico Stage 2 Flxed - Disaster Preparedness and Response Documentation
54.313(n): Rrcipients of fixed support from Stage 2 of thc Uniendo a Puerto Rico Fund shall
clrtify that they have conducted an annual rcview ofthe documentation ruquirrd by section
54.1515{a}-(c} to determine the nlcd for and to impllment changes or revisions to disaster
preparation and rccovrry dGumentstion.
<8o4o> Uniendo a Puerto Rico State 2 Mobile - Support ReimbuBemem
54.313(n): Recipients of Uniendo a Puerto Rico Fund Stage 2 mobile support shall crrtify that
such support was not used for costs that are {or will be) reimbursed by other sources of
suppon, including of fcdcml or lcal govcrnm.nt aid or insunncc reimburcm.nts; and that
support was not usd for other purposet such as the retirement of company debt unrelated
to cligibh cxpenditurct or oth!r .xp.nscs not directly relat d to nctwork rcstoration,
hardening, and cxpansion consistent with the fmmework of the Uniendo a Puerto Rico Fund,
<8050>Unlendo a Puerto nico ttage 2 Moblle - Disaster Preparedn$s and Response Oocumentation
54.313(n): Recipients of mobile support from stage 2 ofth€ Uniendo a Puerto Rico Fund shall
certify that they have conductrd an annual review of thc documrntation r.quired by s.ction
54.1515(a)-(cl to determine the need for and to implement changes or revisions to di$ster
preparation and recovcry documcntation
Uniendo a Puerto Rlco State 2 Mobile - Mobile DisbuBements C.ertlfication
54.313(o): Recipients of Uniendo a Puerto Rico Fund Stage 2 mobile support shall certify that they are in
compliancc with all rrquirements for receipt of such support to continue rcceivinS Stagr 2 mobilc
disbuRements
<8050>
Page 19
PXC m
<010>Study Area Cod.
<015>Study fuea N.me ler'r u& bt.!!u&rE&
<020>Prcgram Ycar 2021<030> Contact Name - Person USAC should contact regarding this dati o1!rb dlry
<039>Contact Email Address - Email Addr€ss of person identified in data llne <03D d114rrr.ffi.&."-
<9010>
<9011>
<9012a>
<9012b>
<9013>
Connect U$rl St't 2 Fir.d - Capital Elp€ndituirs
Ent.rtha total amount of Connrct USVI Fund Sta8c 2 tixed support, if any, th. ericr usd
for epital crpcnditurcs.
Connect USvl State 2 Flxed - Avallable Funds Certlflcation
certify (eithcr ycs or no) rrtarding whcthcr the rrcipicnt has availabla funds for all project
@sts that will excccd thc amount of support that will br rcceivrd forthr nrxt elendar year.
This clrtifietion must b! puidld startinS th! firstJuly lst aftcr r.ceivang support untilthe
rccipicnt's pcnultimstc year of support.
Connect USvl State 2 Flrcd - Communtty Anchor lnstltutions
lndiete if the errier ncwly deployed broadband scruicr to community anchor institution(s)
in the prcvious calcndar y.ar.
Phas Prwid! Attachment
Using link, download tcmplat and llst thc numbcr, nama and addres for cach @mmunity
ancfior institution. Attach the dcument which contains the @mmunity anchor institution
dctails as rcquircd by a7 C.F.R. 5 54.313(!X2XIXA).
Connect USvl State 2 fked - Fcc Form 470 PostlEs
For the filiry due July I followint full implcmentation of this rcquircment enswcr ycs, no, or
not applieblc to thls cartification rcqucst.
Connect UWI Stage 2 flxed - Post-Flnal D.plovmcnt Milestons Pcrformencc Gertifkstbn
Starting the first ruly 1st after meetint the final srrvie mileston!, ertify (yca or nol that the
@nncct Usvl Fund stagc 2-fundcd nctwork that thc stagc 2 recipicnt opcratcd in thc prior ycar
mets thc rcl.Ent prrformancc requircmrnts in 5 54.309.
Connect USVI Sta$ 2 Fixed - Support Relmbu6enent Certiflc.tlon
54.313(n): Rccipicnts of Crnncct USVI Fund Strtc 2 fixcd support shall ertify that such support was
not usd for @sts th.t.r" (or will be) r.imbursGd by other sources of suppoG including offcdcral
or lGl gowrnment aid or insuEne rrimbuRcmcnts; and that tupport w.s not uscd for othcr
purpoes, such as th. rctircmrnt of @mpany dcbt unrrlatcd to .ligibl. expcnditures, or othcr
expcn*s not dircctly rclatcd to network rostoration, hardcnin& and cxpansion @nsistcnt whh th!
fremework ofthe conncct Usvl Fund.
Connect USVI Statr 2 Fhed - Disastar Prcparadness and R6ponsa Docrrmentatlon
54.313(n): Rccipi.nts offircd support from Stage 2 of thc connect Usvl Fund shall ertify that th.y
have @nductsd .n annual r"virw of th! dcum.ntation rcquired by s"ction 54.1515(a)F.(cl to
dctcminc thc nccd for and to implemrnt chang$ or rcvisions to disstcr prcpantion and rc@vcry
documentation.
Connect USVI Fund Stat€ 2 Moblle - Support neimbucement Cortlflc.tlon
S.313(nl: Rlcipicnts of Conncct USVI Fund Stage 2 mobile support shtll crrtifythat such support
ms not used foa costs that arc (or will bc) rcimburcd by othersourcas of support, including of
fcdenl or lml govemmrnt aid or insuEnc. rcimburs.mrnG; and that support was not usd for
other purpost such as th. rctircmcnt of company dcbt unrelatrd to cligibl. Gxpcndhures, or other
llpenss not dircctly rclatld to nrtwork rcstontion, hardenin& and *pansion consistent with tha
famework of thc Conn.ct USVI Fund. Rlcipicnts of mobilc support trom Statc 2 of thc Conncct
USvl Fund shall certify that they have conducted an annual review ofthc documentation rrquired by
scction 54.1515(a)-(c) to dctcrminG th€ nced for and to implement changls or rcvisions to disastcr
preparation and rs@vary documcntation.
Connect USVI Fund Stage 2 Moblle - Dlsast.r Prcparcdness and R€sponsc Doorment tlon
54.313(n): Recipients of mobile support from Stagr 2 ofthe Connect USVI Fund shall certify that
thay harc conductcd an annual review ofth. deumrntation rcquirod by scction 54.1515(a)-(c) to
determine th. ned for 8nd to implement changes or revisions to disastar praparation and response
documcntation.
Connect USvl Fund Stste 2 Moblle - Mobllc Dlsbu6ements Certlflc.tlon
54.313(0): Recipi.nG of Connrct USVI Fund Statc 2 mobile support sh.ll ccrtify that they are in
compliane with all rcquircmcnts for rceipt of such support to continua rccclving Stag. 2 mobilc
disbuRments.
Namc of Attached
Documant Listing Rcquired
lnformation
<9014>
<9020>
<9030>
<9040>
<9050>
<9060>
Pag. 20
<010>
<020>
Area Code
NamG &Ea, rc & &!.!nu t tsrk.
Ptc 2l
Program z02t
<030> conbct Name - Pcrson UsAc should contact re&rditE thls data oitlb or€
<039> Contact Email Addr6s - Email Addr6s of p.mn id.ntilted in data line <030> *rilnrltffi"-.cd
<lq)10>
RDOF Capltal Expendltures
Starting thc first ruh 1st after rseivinS support until thc ruly 1st aft.r the racipicnt's
support term has !nd"d, racipients of Runl Digital opportunity Fund support must submit
tha total amount of suppoG if any, the r.cipicnt used for epital cxp.nditur.s in thc
prcvious calcndar ycar. This is rcquirod by 47 c.F.R. S 54.313(e)(2xi)(a).
<10011>
nDOF Av.alabh Funds Certiftcatlon
Plcac providc a rospons. (cithcr yas or nol to this ccrtifietion rcquest for any rcipicnt of
Rurul Digital opportunity Fund support that thr reipient has .vailable funds for.ll projsc't
costs that will exclcd thc amount of support th8t will be roc.ivad for the next cal.nder
ycar. This ccrtification must b. providcd startinB the first July tut aftcr rlcciving support
until th. rccipilnt's pcnultimate yGar of support, as requicd by requircd by 47 C.F.R, $
sa.3r3(G)(2Xiil.
<10012a>
RoOF Conmunlv Anchor lnstltutlons
R.cipilnts of Rural Digital Opportunity Fund support must attach a list @ntaining thc
number, namcs, and addrcsscs of ommunity anchor institutioE to which the cligiblc
td@mmunietions carricr newly b.gan prcviding acc.ss to brordband *Mce in thepredint calcndaryear. This filing is rcquind by 47 CF.R. S 5a.313(cx2xiXA).
<10012b>
<10013>
<10014>
Phas! Provide Attachmant
Using link, download trmplatc and list thc numbcr, namc and addrcss for cach 6mmunity
enchor institution, Attach thc dtrumlnt which cortains thc community anchor institution
d.tails as rcquircd by47 C.F.R. 5 54.313{cX2XiXA}.
NamG ofAttachld
Documlnt Listing
Rcquircd lnformation
RDOF FCC Form 470 Postlrus
For the filing due July lst following full lmpllmcntation ofthis rcquircment, pl.asc provide
a rcsponsc (cithrr ycs, nq or not applicabla) to this crtifietion rcqucst. Raclpiants of Rural
oigital opportunity Fund must respord affirmetivcly that thcy bid on etetory on.
telacommunietions and lntcrnet .ccass sarviccs in rcsponsa to all Fcc Form 47o postin$
secking broadband srvlca that mets thc @nncctMty t rycts for thc $hmls snd libnries
univ.ml sruie support progam for cllgiblc rhols and libnrics (as dcrcribcd in $
54.501) located within any 8rca in a ensus blek wherc the orier is rrcriving Rur.l DiSital
Opportunity Fund, and that such bids wcrr et Etls rrasonablc comparablc to ntcs charg.d
to rliSiblc shools and libnries in urban .rras for lnstructions for Completint FCC Form 481
oMB Contrcl No. 3060-0985 (High{ost} OMB Control No. 3O6GO8I9 (tow{ncomcl
Novlmbcr 2020 Pagc 44 comparablc offcrin8s. This filin8 is rcquircd by47 c.F.R. $
54.313(.1(21(iXC). This ccrtifietion will not br rcquircd until th! July lst following th. E-
Rate proirdm ycsrthat this obligetion hrs bccn fully implemcnt.d. Modcrnizint the E-Rat!
Progrrm for Schools and Libnrics .t al., WC Dockct. Nos. f-f84, 10-90, 29 Fcc Rcd 15538,
1555&57, para. 72 (20141.
nDOF Postf, ml Daploymcnt Mllcatona Patfiormtllcc CGrtlf, c.don
St.rtinS the fiEt July 13t .fter a RuEl DiSittl Opportunity Fund rccipient mc.ts lts final
s.rulcc milcston. untll tha July lst aftcr thc support rccipient's support tcm has cndcd,
plcasc provida a rcspons (rithsr y.s, no, or not epplicablc, that thc Runl Digitel
Opportunity Fund-fundcd n.twork that the suppoft recipi!nt opcratad in thc ptior ycar
mets the Elevant pcrfomsne rrquircmrnts in 47 c.F.R. 5 54.309. This filin8 is r.quirod by
a7 c.F.R. E ta.313(cl(2xiii).
Pagr 21
Paee22
<010> StudyArca Codr 479025
<O1q> studv Arc8 Namc Newx, IrLC dba Inlemx NetworkB
<)20> PrdEm Y.ar 2023
<030> Contacl Namc - Person UsAcshould ontact rcgarding this data Caltlln Xl,lnq
<035> ContactTclephonrNumbcr-Numberofp.rsonidcntifirdindatalim<0:}0> 208{151773 ext.
<039> Contact Email Address - Emall Addrass of pcrson ldentifild in data llnr <030> ckllnsolnterextsean. com
TO 8E COMP1EIED BY IHE REPORNNG CARRIER, IF THE REPORNNG CARRIER !S FILII{G A'{NUAI REPORI]TG ON ITS OWil BEHATf,:
Ccrtificatlon of Officer as to the Accuracy of thc Data Reponed for the Annual Reponlnt for CAF or Ll Reclplents
cGr6fy that I am ao olnccr ol ttc r:pordrq crnlGc my ruspontNHlrlcs hdudc Gnsurln! thc arqracy of drc annual rcportn3 rqulrmcnB for untcrsal scrvlcc support
'Gddcnts; an4 to the bc* ol my lnowledle, thc lniomr0o rcported on thb iorm rnd tn sny.tt drmcnts b ircotr.te.
IamcofRaDortingcarri?r: Ne@, LLC dba Interu Networkg
iEnaturc of Authorized fficcr: cERrrFrED oNLTNE Datr 07 /12/2022
,rintcd mm of Authorizcd officer: calcllB K'r1qg
ntb or oosition of Authorizrd offier: General cowel
Talcohon! numbcrof Authorizcd O'fficrr: 2087528065 exE. 121
;tudvArea Codc of Rcoortlm &rri!r: 479o2s FilinE Dre D8t forthistorm. 07 /29/2022
PcmN willfully mkint tBl$ strt mnts on thit iom €n b. punirhed by fin. or forflhurc und.r th. Communk tbnr A.t of 1934 47 U.s.C. 95 502, 50Et(b), or fin! or imprlsnrcnt
undcrTirth 18otth. UniH St t r Co&, 18 U.S.C 5 1m1.
?agc 22
P!g.23
<010> Studv Area Codr 479025
<015> StudyArea Name NegtlB, LLC dba InEe@ Netrorks
<020>Yaar 2023
<030> Cont6ct Name - Prrson USAC should contrct r.$rdlna this drt!calrltn Kllnc
<035> contactTalcphoruNumber-Numberofp!r$nidrntifiedlnd.t llrc<o3o> 20841517?3 ext
<039> ContactEmailAddrc$-EmilAddrc$ofpcrenidrntificdindlt lim<03(> cklLngoLnterrexteam.con
TO BE COMPTETED BY THE REPORTING CARRIER, IF AN AGENT IS F]LING ANNUAT REPORTS ON THE CARRIER'S BEHALF:
TO BE COMPI.ETED BY THE AUTHORTZED AGENT:
Certmcatlon of Offlccr to Authorlze an Atcnt to Flle Annual Rcports for CAF or lJ Reclphnts on 8lhalf of Reportint Canler
erufy thrt (Nemo of l! lulhodr.d to tubrnlt lhe ln om.llon mpoiad on bah.lf ot tha [portng crrlar. I
ll3o ordfy thrt I anr rn oficer ot th. ltDotdng c.rlai my ilponalull0aa lnduda af.udng th. .grey ot thi rnnu.l data npor0ng nqulEm.nb pEvld lo thc aulhorlz.d
U.nq !nd, b lh. bcat ot my knowl.df, tha rrporta ard (h! prcyuad to lhc rutlDaL.d lgmt L Eunt .
{ama of Authoriz.d Ar.nt:
{amc of RamrtiM c.rrl.r:
iirmtur. of Authorizcd officcr:DrtG:
,rint d h.m. df Adharlr.d Offldr:
frtb or miltion of Authorlr.d Offlccr:
fcbDhorc number of Authorhrd Offfer:
Studv Aro! Cod! of Rc@nlm C.rrirr:Filinr Dl,c D!t! forthls fom:
Percns wilttulv makln8 fals st.trmnts on thl5 fom c.n bc punlshrd W tlnc or torfcltuc under the Communlotionr Ast of 1934, 47 U.s.c tS 502, 503(b), o. flne or imprltonGnt
underTttb 18 ofth. UrlGd Strtes Code, 18 U.S.C. 5 1001.
Ccrtifkatlon of Atent Authorked to Fllc Annusl ReporB for C,AF or tl Reclphnts on B.half of Reportlng canl.r
[r€ d.t! Eport€d hclth bG.d m date provldcd !y tha ruporthg canlar; !nd, tolhc b6tof my lalodedfc, thc lniomddl ltportad hcruln Ir mnta.
N8ma of RlErtiE Orriar:
Nrme ofAuthorh.d Ar.^t Flrm:
Siffituru of Authorlz.d A..nt or EmdNG of Arcnt:Oatc:
N8m of Authorhed Arcnt EmdG:
ffth or 6dtl6n 6f Atrharlr.d Aftnt 6r EmDlM. ol Ar.nt
[el€bhona humber of Adhorlrrd Arent or EmoloEe of Atrnt:
Itudv Araa Cod. of R.6rtlm Carrlrr:Fillm D[ D.tc forthbform:
PcHnswill,fllymkingf.best tlmnt5onthkformenbepunEhrdbyfneorforfltuEund.rthcCommnkationsActotl93,l,4TU.S.C.9$soe503(b),orllneorimpisnmntundrrTltb
1t ofthe Unh.d St tcs Cod., 18 U.S.C. 5 1qr1.
Pagc 23
P4.24
<010> StudyArea Codr
&l!a, ec & &!.t!E Lt6!b<,15> StudyAre. Name
<02(D ProgramYaar
<030> Contsct Name - Person USAC should contact rcgarding this data c.ttrb d1q
20Aa1s1?r3 ut.<)35> cont ct Tllcphonc Number - Numb€r of p€rcn identfEd ln data llrc <030>
<039> Contact Emall Addrcss - Em.ll AddE$ ofp€r$n ldentltled In data llm <030>*1ln-Ut.ffi6e.cd
I certify undcr penalty of perjury that no univer$l *ruic. support has brln or will bc used to purchae,
obtain, maintain, improvc, modify, or othrruisc support any rquipment or sruics produccd or pwided
by any company dcsEnated by the Fcdaml communications commission as posin! a national scurity
threat to thc intcgrity of @mmunications nrtwo*s or the ommuniations supply chain sine thc
efflctive date of the desitnations.
Pleas Provide Waiver Document
Allowable File Typc (pdf only)
Namc of Attached Llocumant Listing Requircd
lnformation
I ertifythet no F.darel subsidy madc aveilablc thrcugh a program.dministlrcd by thc Commission that
providrs funds to bc usd for the €pitel expendituras neessary forthe prwision of advanced
@mmunietions $ruices has bccn orwill bc ured to purchasc, rant, leasa, or oth.misc obtain, any
covered ommuniations cqulpmant or scruice, or maintain any covercd ommunietions equipment or
sruie proviou3ly purcha$d, rcnted, l.ascd, or othcruis obtaincd, as rcquircd by 47 CF.R. 5 54.10.
Yer
Pleas Pmide Waiv.r Deum.nt
Allowable File Typc (pdf only)
Narc of Attachcd D,odmcnt [istin3 Rcquired
lnfomation
Pate 24
State of CERTIFICATION BY ELIGI BLE TELECOMMUN ICATIONS CARRIER
OF COMPLIANCE WTH SERVICE QUALITY AND CUSTOMER
PROTECTION, ABIL]TY TO REMAIN FUNCTIONAL IN EMERGENCIES,
AND USE OF FEDERAL HIGH.COST SUPPORT.
County of
AFFIDAVIT OF BUSINESS OR CORPORATE OFFICER
The ldaho Public Utilities Commission Order No. 29841 requires that Eligible Telecommunications 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, he Commission must file
an annual certification with the USAC and the FCC that allfederal hlgh+ost support provided to ETCs within
the State of ldaho will be used only for the provision, malntenance, and upgrading of facilities and services for
which the support is intended. Accordingly, the undersigned states and verifies under oath the bllowing:
Newmax, LLC&b/a
lam an officer ol lntenmax Netr+or*s , an eligible telecommunicalions canier br receiving Ederal
universal service support under section 214(e) of the Telecommunicatlons Act of 1996 in the state of
ldaho.
I am hmiliarwith the Company's day-today opelrations in the state of ldaho and with the State's
service qualiU standards and consumer protecton rules as setforh in Commission Order No.29&41.
Newmax, UC&Wa
lntenmax Netunrks is complying with applicable service quality standards and consumer
protection rules of the Federal Commun'rcations Commission and the ldaho Public Uillities
Commission rju..,. i... ... j.i
I certify to the Commission that the Company is able to remain functional in emergencies as set brth in
Commission Order No. 2984'l and in 47 C.F.R. $ 54.201(aX2).
Newmax, LLC dlAa
5. ! also certify hat all federal universal service support funds received by tnlanmar Natr+orlcs Judng
the cunent calendar year will be used in a manner consistent wih sec'tion 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 1,2023 , through December 31, 2023 to be
eligible br 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 hderal universalservice support received by the eligible carriers in the strate
will be used in a manner consistent with Section 25a(e) of the Telecommunications Act.
)
)ss
1
2.
3.
4.
lntese rrar lnc.
#'blrrAlOf,tl.2O5
id.6llrAttHlrllfr
'7 - tz- ?tP
Mikc Kenncdy
PrcsidenI/CEOAuthorlzed Re presenhtive Name/Title
suBScRTBED AND S\'\IORN to before me this Fr^ day of
Date
CffittdonlHtl
,t|";..tj .t