20240621Custer Telephone Broadband Services LLC ETC Affidavit.pdf

Custer Telephone Broadband Ser-6_ees H.C.
Challis Headquarters Salmon Office
P.O.Box 324 400 Shoup Street
CTCI ;% 1101 E.Main Ave. Salmon,ID 83467
Challis,ID 83226 208-756-4111
208-879-4000 Toll Free:1-866-879-2281
RECEIVED
June 21, 2024 2024 June 21 PM 5:00
IDAHO PUBLIC
Monica Barrios-Sanchez UTILITIES COMMISSION
Commission Secretary
Idaho Public Utilities Commission
11331 W. Chinden Blvd. Bldg. 8, Suite 201-A
Boise, Idaho 83714
RE: 2024 Eligible Telecommunications Carrier (ETC) Annual Reporting
Requirements with the IPUC — Case number GNR-T-24-01
Dear Ms. Barrios-Sanchez,
Custer Telephone Broadband Services LLC ("the Company") has
completed the online filing of the Form 481 with the Universal Service
Administrative Corporation ("USAC") for designation as an Eligible
Telecommunications Carrier, in accordance with 47 U.S.C. 54.313 and 54.422.
Section 54.313 applies to eligible telecommunications carriers ("ETCs") receiving
high-cost federal USF support and Section 54.422 applies to ETCs receiving low-
income support. Company is an Eligible Telecommunications Carrier (ETC)
providing Life Line service and receives universal service low-income support
only. I have enclosed the signed Affidavit pursuant to Commission Order 29841.
Please review the online filing and include our Company in your Annual
Use Certification Letter to USAC and the FCC.
If you have any questions or need any further information, do not hesitate
to contact me directly.
Sincerely,
ry
James D Bennetts
President and CEO/ Manager

State of -TAOkD ) CERTIFICATION BY ELIGIBLE TELECOMMUNICATIONS CARRIER
) ss OF COMPLIANCE WITH SERVICE QUALITY AND CUSTOMER
County of CusAtc ) PROTECTION, ABILITY TO REMAIN FUNCTIONAL IN EMERGENCIES,
AND USE OF FEDERAL HIGH-COST SUPPORT.
AFFIDAVIT OF BUSINESS OR CORPORATE OFFICER
The Idaho 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. In addition, the Commission must file
an annual certification with the USAC and the FCC that all federal high-cost support provided to ETCs within
the State of Idaho 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 Custer Telephone Broadband Services 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 Idaho.
2. 1 am familiar with the Company's day-to-day operations in the state of Idaho and with the State's
service quality standards and consumer protection rules as set forth in Commission Order No. 29841.
3. Custer Telephone Broadband Services LLC., complying with applicable service quality standards and
consumer protection rules of the Federal Communications Commission and the Idaho Public Utilities
Commission.
4. 1 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. 1 also certify that all federal universal service support funds received by Custer Telephone Broadband
Services 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, 2023, through
December 31, 2023, to be eligible for federal universal service fund support.
6. This verification and affidavit is provided to be the Idaho 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.
N me/Title
Date 1�
SUBSCRIBED AND SWORN to before m this day of V 2 T
HEIDI GAY LAROY Notary Public for CW ii:-Y-e_tresiding qt a i
Notary Public-State of Idaho My Commission expires
Commission Number 20220618
My Commission Expires 02-15-2028