HomeMy WebLinkAbout20220714Inland Cellular Form 481.pdfPage 1
<rlD StrdvA,ra Code {7900',
<)15> Study Arus Name IIASXING'ON REA ID. 8 ',II,TTED
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<)10> StudyArea Code {?900?
<)15> StudyArea Name TISNTXCION Rs,I llo. 8 LIIiITED PTRIIIERBHIP DBf, IIIIjI}ID CEI,I,ULTR
<020> ProgramYear 2029
<030> Contast Name - Percon USAC should contact regardlngthls data XiLc aly
<035>Contact Telephone Number - Number of person identified in data llne
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<039>Contact Emall Address - Emall Address of person ldentifled in data llne
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Select from the drotrdown list to indicate how you would llke to report
volce complalnts (zero or greater) for vole telephony service ln the prior
calendar year for each seMce area ln whlch you are designated an ETC for
any f'acllltles you own, opeEte, lease, or otherwlse utllize.
<410> Complalnts per 1(D0 customers for ffxed voice
<42D Complaints per 1fiD customers for moblle voice
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<010> StudyArea Code a7 qon'7
<)15> Study Area Name WASHINGTON BSA NO. 8 ',IUITED PARTNERSHIP DEE
<)2D ProgramYear 2023
<)3D c.ontact Name - Percon USAC should contact regardin8 this data Mike Bly
<)35> Contact Telephone Number - Number of penon identified ln data llne <)3D 20 8'l 9802 45 extL . L222
<039> Contact Emall Address - Emall Address of person ldentified ln data line <03(D mi kebG inlandcel- I . com
Select from the drop down menu or check the boxes below to note compliance with 54.313(f)(1). Privately held carriers n
financial reporting requirements set forth in 47 CFR 54.313(0(2). I further certify that the information reported on this fo
attached below is accurate.
Progress Report on 5 Year Plan
carrler certifles to 54.313(fXlxiii)
(3oGr)
(3010A)
(30108)
(3012A)
(30128)
Certification of Public lnterest Obllgatlons {47 CFR 5
s4.313(0(1Xi)l
Please Provide Attachment
Rate-of-Retum Communlty Anchor lnsdtutlons
lndlcate if the carrler newly deployed broadband
servlce to communfi anchor lnstltutlon(s) ln the
previous calendar year.
Please Provide Attachment
Using llnll, download template and list the number,
name and address for each communlty anchor
instltution. Attach the document whlch contains the
community anchor instltutlon detalls as requlred by
47 c.F.R. S s4.313(0(1xir)
!s your company a Privately Held ROR C-arrier 147
cFR g s4.313(0(2))
lf yes, does your company flle the RUS annual report
Please check these boxes to confirm that the
attached PDF, on llne 3017, contalns the required
informatlon pursuant to I 54.313(0(2) compliance
requires:
Electronic copy of thelr annual RUS reports
(Operating Report for Telecommunlcations
Borrowers)
Document(s) wlth Balance Sheet, Income Statement
and Statement of Cash Flows
lfthe response ls yes on Iine 301d attach your
company's RUS annual report and all requlred
documentation
lf the response is no on line 3014 ls your company
audited?
lf the response is yes on llne 3018, please check the
boxes below to confirm your submlssion on llne
2flit ar rrr ran+ +a I Erl 21 2rflr'rl aanfainc.
Name of Attached Document Listing Requlred
lnformatlon
Name of Attached Document Listing
Requlred lnformation
(Yes/No)
(Yes/No)
Name of Attached Document Llstlng Requlred
lnformatlon
oooo(3013)
(30141
(301s)
(3016)
(3017)
(3018)(Yes/No) O O
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<010>
<015>
Area Code
Study Area Name
419007
TISHIIIG:IOIi RSA NO. 8 LIilITED PIRTIIER,SXIP DBA INI,AI.
<020>Program Year 2023
<030>Contact Name - Person USAC should contact regarding this data lrlk€ Bry
<035>Crntact Telephone Number - Number of person identified in data line <030>
<039>Contact Email Address - Email Address of person identified in data line <030> aiheberDrudceu.q6
tl{!05 Rural Brcadband Expedment
Authorized Runl Broadband Experiment (RBE) recipients must address the certiffcation for public interest
obligations and provide a llst of newly served community anchor institutions.
Publlc lnterest Ob![atlons - FGC 1t[-98 (paragraphs 2e29, 781
Please address Line 4fi)1 regarding compliance wlth the Commission's public interest obligations. All RBE
participants must provide a response to Line 4fi)1.
{001. 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 capaclty, and rates that
are reasonably comparable to rates for comparable offerings in urban areas.
RBE Communfi Anchor lnstltutlons
<4(D3a> 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
institutlon. Attach the document which contains
the community anchor institution details as
required by FCC 1tl-98 (paragraph 79)
Name of Attached Document ListinB Required lnformation
<010>Study Area Code {79007
<015>Study Area Name f,ASSI}IGTON NSA }TO. 8 LIXITED PTR$IERSS
<020>Program Year 2023
<030> Contact Name - Person USAC should contact regarding this data ulk Bry
<039>Contact Email Address - Email Address of person identified in data line <03D nllebelDrudcolr.c*
5fi)5 Alaska Plan
(s011)
(so12l
Please indicate whether any terrestrial backhaul or other satellite backhaul became
commercially amilable in the previous calendar year in areas previously served
exclusively by performance{imlting satellite backhaul.
If the filing canier identified in its approved perfomance plans that it relies exclusively on
satellite backhaulfor a certain poriton of the population in its service area, indicate whether
any terrestrial backhaul or other satellite backhaul became commercially available in the
previolus calendar year in areas that were prevlolusly served exclusively by satelllte backhaul.
(Yes/Nol
(Yes/No)
llculrsqrr.d locdo
<5013>
<010>Study Area Code {7900?
<,15>Area Name MSEINGIOIf RSA }D, 8 I,IUTTBD PIRIIII
<)20>
<030>
Year
Contact Name - Person USAC should contact regardlng thls data
2023
tdtc Bly
<)35>Contact Telephone Number - Number of person identifted in data line <030>
<)39>Contact Emall Address - Email Address of person identified in data line <030> Dlrsb€inrandqrlr.q@
<6010>Enter the total amount of Phase ll Auction Suppofi lf any, the carrier
used for capital expenditures.
Phase ll Auction and NewYort Funds Certlllcatlon
<5011>Certify (either yes or no) regarding whether the recipient has available
funds for all prdect costs that will exceed the amount of support that will
be received for the next calendar year. Thls certification must be provided
starting the first July 1st after receiving support untll the recipienfs
penuhimate year of support.
Phase ll Auctlon CommunfiAnchor lnstltutlons
<G012a> lndicate if the carrler newly deployed broadband service to community
anchor institution(s) in the previous calendar year.
<6012b> Please Provide Attachment Using llnk, download template and list the
number, name and address for each community anchor institution.
Attach the document whlch contalns the communlty anchor
institution details as required by FCC 14-98 (paragraph 79).
Phase ll Auctlon FCC Form 470 Postlus
<6013> For the fillng due July 1 following full implementatlon of this
requirement answer yes, no, or not appllcable to thls certmcatlon request.
Phase ll Auctlon Post-Flnal Deployment Mllestone Petformance Certlficatlon
Starting the first July 1st after meeting the final service mllestone, certifo
(yes, no, or not applicable) that the Phase ll-funded network that the Phase ll
auction recipient operated in the prior year meets the relevant performance
requirements in $ 54.309.
(Yes/Nol
Name ofAttached
Document Usting Required
lnformatlon
<6014>
<010>StudyArea Code 479007
<015>StudyArea Name I{IggINgroN REI NO. 8 LII,IITED PAR'
<020>Program Year 2023
<030>
<035>
Contact Name - Person USAC should contact thls data
Contact Telephone Number - Number of person identtfied in data line <0!O>
uifs Bly
<039>Contact EmailAddress - Email Address of perrcn identified ln data line <030>D1kabllnledcell. con
<7010> Phase ll Auction recipient performance requirements certification (Yes/No)
<010>Study Area Code 419007
<015>StudyArea Name TNIHINGTON BSA NO. 8 TruITED PIRANERSITI
<020>Program Year 2023
<030>Contact Name - Person USAC should oontact this data
<035>Contact Telephone Number - Number of person identified in data line <030>
r,ilk3 B:.y
<039>Contact EmailAddress - Email Address of person identified in data line <030>nlksbtiDlandcslf. cm
<8010>
<8011>
<8012a>
<8012b>
<8013>
Unlendo a Puerto Rlco Stage 2 Fhed - Capltal Expendltures
Enter the total amount of Unlendo a Puerto Rico Stage 2 fixed support, if ann the
canier used for capital expenditures.
Uniendo a Puerto Rlco Stage 2 Flxed -Avallable Funds Certlflcation
Certfy (elther yes or no) regarding whether the reciplent has avallable funds for all project
costs that wlll 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 recelving support
until the reciplent's penultimate year of support.
Unlendo a Puerto Rico Stage 2 Flxed - Communlty Anchor lnstitutlons
lndicate if the carrier newly deployed broadband service to community anchor lnstitution(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(e)(2)(A). Allowable File Types.
Unlendo a Puerto Rlco Stage 2 Flxed - FCC Form 470 Postlngs
For the filing due July 1 following full lmplementation of this requirement answer yes, no, or
not applicable to this certlfication request.
Name of Attached
Document Ustlng Reqr
!nformation
<8014>Unlendo a Puerto Rlco Stage 2 Flxed - Post-Flna! Deployment Mllestone Performance C,ertlf,catlon
Startang the first July 1st after meetin8 the final service milestone, certify (yes or no) that the
Unlendo a Puerto Rico Stage 2-funded network that the Stage 2 recipient operated in the prior
year meets the relevant performance requirements in S 54.309.
<8020>Unlendo a Puerto Rlco Stlge 2 Flxed - Support Relmburcement Certlf,catlon
54.313(n): Recipients of Uniendo a Puerto Rico Fund Stage 2 fixed suppon shall certify that
such support was not used for costs that are (or will be) reimbursed by other sources of
suppo6 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.
<803D Unlendo a Puerto Rlco Stage 2 Flxed - Disaster Preparedness and Response Documentatlon
<010>Study Area Code 4?900?
<015>Study Area Name flTSHINGTON RSA NO. 8 I,IMIAED PARTNERSHI
<)20>Program Year 2023
<030> Contact Name - Person USAC should contact regarding this data rdre Bry
<039>Contact Email Address - Email Address of person identified in data line <030> nrkebernrandcerr.cm
<9010>
<9011>
<9012a>
<9012b>
<9013>
Connect USVI Stage 2 Flxed - Capltal Expendltures
Enter the total amount of Connect USVI Fund Stage 2 fixed suppo$ if any, the carrier used
for capital expenditures.
Connect USVI Stage 2 Flxed -Avallable Funds Certlflcatlon
Certify (either yes or no) regarding whether the recipient has avallable funds for all projea
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.
Connect USVI Stage 2 Flxed - Communfi Anchor lnstltutlons
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 by47 C.F.R. I5a313(eX2XiXA).
Connect USV! Stage 2 Flxed - FCC Form 470 Postings
For the ftllng due July 1 following full implementation of this requirement answer yes, no, or
not applicable to this certification request.
Connect USVI Stage 2 Flxed - Post-Flnal Deployment Mllestone Performance Certlflcation
Starting the ftrst July lst after meeting the final service milestone, certify (yes or no) that the
Connect USVI Fund Stage 2-funded networkthatthe Stage 2 recipient operated in the prloryear
meets the relevant performance requirements in $ 54.309.
C.onnect USVI Stage 2 Flxed -Support Reimburcement Certlfication
54.313(n): Recipients of Connect USVI Fund Stage 2 fixed support shall certiff 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 netrirork restoration, hardenlng; and expansion consistent with the
framework of the Connect USVI Fund.
Connect USVI Stage 2 Fixed - Dlsaster Preparedness and Response Documentatlon
54.313(n): Recipients offixed support from Stage 2 ofthe Connect USV! Fund shall certify that they
Name ofAttached
Document Llstlng Re(
lnformatlon
<9014>
<9020>
,On2n\
<010>Study Area Code t7900?
<015>StudyArea Name WASBINCTON RgA NO. 8 LfiITID PARTNERSEI
<020>Pro8ram Year 2023
<030>
<035>
<039>
Contact Name - Person USAC should contact this data t.l k6
Contact Number - Number of identified in data line <030>
Contact EmailAddress - EmailAddress of person ldentified in data line <030>nllebgtnlandcsll. con
<10010>
<10011>
<1il)12a>
<10012b>
<10013>
RDOF Capltal Expenditures
Starting the first July 1st after receiving support until the July 1st after the recipient's
support term has ended, recipients of Rural Digital Opportunity Fund support must submit
the total amount of suppoft, if any, the recipient used for capital expenditures in the
previous calendar year. This is required by 47 C.F.R. S 5a313(eX2XiXB).
RDOF Amllable Funds Certlftcatlon
Please provide a response (either yes or no) to this certification request for any reclpient of
Rural Digital Opportunity Fund support that the reclplent has available funds for all project
costs that will exceed the amount of support that will be recelved for the next calendar
year. This certification must be provided starting the first July lst after receiving support
untll the reclpient's penultimate year of support, as required by required by 47 C.F.R. I
sa313(eX2Xii).
RDOF Communlty Anchor lnstltutlons
Reciplents of Rural Digital Opportunity Fund support must attach a list containing the
number, names, and addresses of community anchor institutions to which the eligible
telecommunications carrier newly began providing access to broadband service in the
preceding calendar year. This filing is required by 47 C.F.R. I 54313(eX2XlXA).
Please Provide Attachment
Uslng linlg download template and llst the number, name and address for each community
anchor institution. Attach the document which contalns the communlty anchor institution
details as required by 47 C.F.R. I 54313(eX2XiXA).
Name of Attached
Document Usting
Required lnformation
RDOF FCC Form 470 Postings
For the filing due July 1st following full implementation of this requirement please provide
a response (either yes, no, or not applicable) to thls certafication request. Reciplents of Rural
Dlgital Opportuni$ Fund must respond affirmatlvely that they bid on category one
telecommunications and lnternet access services in response to all FCC Form 470 postings
seeking broadband service that meets the connectlvity targets for the schools and libraries
universal service support program for eligible schools and libraries (as described in 0
54.501) located within any area in a census block where the carrier is receiving Rural Digital
Opportunity Fund, and that such bids were at rates reasonable comparable to rates charged
to eligible schools and libraries in urban areas for lnstructions for CompletlnS FCC Form tl81
OMB Control No.305G{1986 (Hieh-Cost)OMB Control No. 305G0819 (Low-lncome}
November 2020 Page 44 comparable offerings. Thls flling is required by 47 C.F.R. S
54.313(eX2XiXC). This certification will not be required untilthe July lst following the E-
Rate program year that this obligation has been fully lmplemented. Modernlzlng the E-Rate
Program for Schools and Libraries et al., WC tlocket. Nos. 13-1&4, 1G90, 29 FCC Rcd 15538,
1556&67, para. 72 (2014).
W2
<r1(> StldyA't Cod€4?900?
O15> StudyAE. N.ms I'TSHINGTON RSA }IO. 8 LIHTTED PIN:INERSHTP DBI INI,ITID CET.LUINR
<12(> ProSr.mYasr 2023
<IX> Crntrct N.me - Pcnon USAC should com.ct rr..rdlnr thb datr ULke Bly
dl5> Contrc,t T.bnham t{uilh.r Number ofEM ldentlfied ln dete llE <t3D 208?9802as dt..1222
<xl9> @16661-llAddrcrs-EmellAddit rof personldcntlficdlnd.t lhe<Xt(D trlheb8lDrudceu..c@
TO BE OOMPI.EIED BY THE REPORililG CAnilER" r flE REPOf,ITftG CARRER tS FIUilG AI{ilUAt REPORT|I{6 Ot tTS fll{ BE}tAtF:
Gordf,ceuon of Off,csr !i to tllG AGGur.cy of thG Drt RGport d ior tho Annud Rcpordng fior C F or U R.dpLrt3
rdpLrtrr.n4bt{xlotdnf k nlrt+rhrhbattruonnportdortilfumrndhryrtrrdnrfibrcante.
leme9f1aD6rgtgg1nlc1 llASEiliIGION RSA llO. I LIIIITED PIRTNERSEIP DBA INLIND CELLITIAR
ihn*uruofArthorlndoficcr: cERrrFrED oNLTNE Drt o1/r412o22
,dmed name of Authorlzcd fficer: l'lke Blv
ntleor !o6!tbn of Ajtho&cd Oficer: gvP Bu!In.!! Op€Eatlons
l'elelhonc numbcr of Arthorhd Ofioer: 2 08? 980245 a*. 1222
tudvArla CodG of Raoortru C.nlen 179007 FlllnrDuaDaterorthylo . 0112912022
PGm rlllfully m5lrt f.L. iEt ffits fi thb bm on bG prnbhcd by finr o. forrllerE und6 tfic cammnk tlffi Act of 19X, a7 Us.C g 5m, 56lb], or 0m or lDprkdmit
md.rlltlc lSof th. Unhld 5t t ! Co.h, lt U.Sc. I f@1.
P{r 22
Pax! 2:l
<rlD StudyAHcodc t7900?
41$ StudyArurN.m.iASITINGTON RSA NO. 8 LIUITED PARTNERSNIP DBA I}ILIND CEIJLOI'AR
<Irc> Prorr.mY.lt 2023
4l0> Cont 6ilam!-Pcr$nusAcshouEcontclrqrrdllxthbd.ta ulko Bry
dos> cmt ctrccphorrilurbcr-NumbcrotDcrmHaiillGdlndfi.llna@D 2on9ao245 at'1222
<B9r Cont ct Ernax AddrBs - Em.l Addrss of ocrson ldcnoftcd h du [lr <HD dkobelnlandceu" cm
TO BE GOiTptEIED tV rHE REFOiIUT6 C nnE& F Ail AGEIUT IS HU[6 AflrUAt REPOTIS OIl THE GARnETS BEllAlf:
?O BE OOil|PIIIED WIflE ATM{ORIZED AGEIIT:
Cortlf,etlon of Oficcr b Autlpdr rn ASurt to Flh turnu.l R.port! ior OAF or Ll R.clpLtrti on Bdlelf of R:podrg Crnlu
c..trft.f Gr.n oiAg rls brrlhortr.dbddtlh.lnhm!0ornporbdonD.lt ltoflh.ltpor0l{cJlLr. I
rbo c.rltt, ota r rrr - anr-r c mffirr -nr*, rny -p-turr- rdu.t rrlldry lh. Er-J ot llo .mud .trt nporurf !.qutilnrra. proytd.d b lh. f,itrort dld* rd. loOr. !.dotmr lllorLt, fh. rrpo.b rd 15 proyLLd b ll. frlffi {rot b accnr-.
tlemdAutlwhed lm:
trm dRcoal|il C.rrllc
itsn t nofArltro.t d Of,lcen D.tC;
tmcd n mc of Anhod:ad oficer:
ftL d Eftld 6l Atih6rh.d ofiar
ItdrrAH Cod! of nrmdm Cffrlln Fl[r DlI Dete forthb brm:
PGMIullltrlbmllntt b.tlrtlmnlsmtibfunonbcpundtcdbyniltrbrfttunudrthGCoilrunk lbB^.tor1l'3a, arU's.c.tl5O2,503(bl,qffn.orlnprbonmnt
undultth lt dth. urh.d 5t t6 codc, ll u.sc I lol.
C.rtlf,crdon of Atmt Adrorhrd to Flh Annu.l R.ports ior CAF or tl Rrdphntr on Brhrlf of R.portlry C.rd.r
l..Irrtlbrtlr. r.Doru{G.nk,crdtrtt t ! f,rrrrhort dba&mtl|t..lIsrrlLeartflthrdrt neocrd hrrh lrrdordro prouldrdbf dxnporrl|c.Itl.r;rndEtl|.bdoltnyhrolrLtl,ri.ffiriltbn rTorr.d h.rdnbrcard.
iLru d R.Dotin c.i{ft
iLm. of allholLad AEnt Flm:
l&n tun d^rlhdlr.d ldnt d E6dm of lent:M.:
ndc tr ffitdon of Altrbrh.d Amit I EmobvGC of Arant
I:kohonc nrmbcr of Autho&.d Arant or EmDlov:c of frant:
BfudirlE Cnd. d n.6fdM CrrrLn FlhDcD.n frrthbb.m:
FGEN ullltully mtltt Lk! rt lrmtr ff dtb lbm an ba pllnblrrd t, ftrc c ffibG rndq li! Cmnletlffi lct ot 1$tf, a7 Us.c. ll 5112, sG(bl, or inc q hIIbqrmt undq Thl.
lt of tha Unld SEtc. Codc, l! U.s.c. t l(x,r-
P.gc 23
479007<)1D StudyAreaCode
TIASHINGTON RSA NO. 8 I,II'iITED PART}IERSNT<)15> Study Area Name
<)2D ProgramYear 2023
ul,l Bly*r,t -nOO n.r" - t"*n ,*a tnort. -noo *"r.,nt,n* O.O
,rrrrrrrr, ,r,rUU,<)3$ Contact Telephone Number - Number of per:on ldentlfled ln data llne <030>
<)39> Contact Email Address - Emall Address of person identified ln data line <03(D d.kobttnludcell . c@
t certifu under penalty of perjury that no universal service support has been or will be used to purchasg
obtain, maintain, improve, modiff, or othenrise support any equlpment or seMces produced or provided
by any company deslgnated by the Federal Communications Commission as posing a national security
threat to the integrity of communications netutrorks or the communications supply chaln since the
effectirre date of the designations.
Yes
Yes
Please Provlde Waiver D,ocument
Allowable File Type (pdf only)
Please Provide Waiver Document
Allowable FileType (pdf only)
I certify that no Federal subsidy made available throuSh a program administered by the Commission that
provides funds to be used for the capital expenditures necessary for the provision of advanced
communications services has been or wlll be used to purchase, rent, lease, or othenrise obtain, any
covered communications equipment or service, or maintain any covered communications equipment or
service prevlously purchased, rented, leased, or otherwise obtained, as required by 47 C.F.R. 5 54.10.
Name of Attached l),ocument tisting Required
lnformatlon
Name of Attached Document Listing Required
lnformation
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