20240701Columbine Telephone Co. Inc ETC Affidavit.pdf

RECEIVED
Monday, July 1, 2024 12:55:41 PM
IDAHO PUBLIC
UTILITIES COMMISSION
SILVER STAR
July 1, 2024
VIA EMAIL: [e-mail]
Monica Barrios-Sanchez, Commission Secretary
Idaho Public Utilities Commission
11331 W. Chinden Blvd. Bldg. 8, Ste. 201-A
Boise, ID 83714
Re: 2024 Eligible Telecommunications Carrier (ETC) Annual Report Filing (Program
year 2025); Docket No. GNR-T-24-01
Columbine Telephone Company, Inc. (472295)
Dear Ms. Barrios-Sanchez:
Columbine Telephone Company, Inc. ("the Company") hereby notifies the Commission
that it has filed its FCC Form 481 with the Universal Service Administration Company ("USAC")
and files with the Commission its Affidavit and Certification by Eligible Telecommunications
Carrier of Compliance.
Request is hereby made that the Commission notify the Federal Communications
Commission and USAC, prior to October 1, 2024, that the Company is eligible to receive federal
high-cost support for the year 2025.
Questions regarding this filing should be directed to my attention shown below.
Sincerely,
Michelle Motzkus
Legal & Regulatory Administrator
Ph: 307-883-6690
Email: [e-mail]-
Enclosure
SilverStar.com PO Box 226 Freedom, WY 83120 877.883.2411

STATE OF WYOMING ) CERTIFICATION BY ELIGIBLE TELECOMMUNICATIONS CARRIER
ss. OF COMPLIANCE WITH SERVICE QUALITY AND CUSTOMER
COUNTY OF LINCOLN ) 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. 1 am an officer of Columbine Telephone Company, Inc., 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. Columbine Telephone Company, Inc., is 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. § 54.201(a)(2).
5. 1 also certify that all federal universal service support funds received by Columbine Telephone
Company, Inc., 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, 2025,through
December 31, 2025, 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.
Jeffers4H. End C
& fZ7/z�
Date
SUBSCRIBED AND SWORN to before me this k-L day of GTVh 2024.
Nicole ateAst �i .'
Lo
Fublic-S12tc of Wyomingmission ID 1658 8 NNotary Public for Wyoming, residing at Lincoln County
sion Expires Aug. 10,2027
My Commission expires zh,ig ,