20260629TerraCom Inc ETC Affidavit.pdf

RECEIVED
JUNE 29, 2026
IDAHO PUBLIC
UTILITIES COMMISSION
State of CERTIFICATION BY ELIGIBLE TELECOMMUNICATIONS CARRIER
)ss OF COMPLIANCE WITH SERVICE QUALITY AND CUSTOMER
County of 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 rotes;and
ETCs must demonstrate the ability to remain functional in emergencies. In addition,the Commission must file
an annual certification With the U SAC 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:
I am an officer of-TerraCom,Inc. an eligible telecorrit'nunications carrier for receiving federal
universal service support_
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. Term.7"erm.Com,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_TqrrqCon?,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 i po s intended. The
company will continue to comply for the period of January 1,2027 ,through December 31,2027 to be
eligible for federal universal service fund support.
& This verification and affidavit is provided to be the Idaho Public Utilities Cornmission to enable the IPUC
to certify to the FCC that federal universal service support received by the eligible carriers in the state
wilt be used in a manner consistent with Section 254(e)of the Telecommunications Act,
David 1"atilin
CP
Name/Title
......................
Date
10-th day,, —----------
SUBSCRIBED AND SWORN to befor. ie this -it
.,44eST4fo
Not ryP*. is 1: residing at.
My Cc :in e pires US4-
NOTMY

Privileged and Contains Confidential Information
Terracom,Inc. FCC Form 481
State:ID OMB Control*3060-0986(High Cost)&
S aC:479035 3060-0819(Low Income),December 2020
498 ED:143028661 Program Year:2027
Filing Type and Contact Info
Filing Type
This information has been preselected based on High Cost and Lifeline program support paid out in the previous
calendar year.If you think the filing type is incorrect,please contact USAC.
n High Cost(Section 54.313)
1E Lifeline(Section 54.422)
Contact Information
Include contact information for the person best able to answer questions about this forth.
Contact Name(030)
Tramell Johnson
Phone#(035) Ext.(optional)
[phone]
Contact Email Address(039)
[e-mail]
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Privileged and Contains Confidential Information
Ter[-aeom,Inc. FCC Form 481
State:ID OMB Control#:3060-0986(High Cost)&
SaC:479035 3060-0819(Low Income).December 2020
498 ED:143028661 Program Year:2027
Service Outage Reporting (Voice) (200)
Reportable Outages
For the prior calendar year,were there any reportable voice service outages?(210)
Yes 0 No
Upload Service Outage Data(220)
Service Outage Data Template
CSV only
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Privileged and Contains Confidential Information
Ter[-aeom,Inc. FCC Form 481
State:ID OMB Control#:3060-0986(High Cost)&
SaC:479035 3060-0819(Low Income).December 2020
498 ED:143028661 Program Year:2027
Number of Complaints per 1,000 Customers (400)
Report Voice Complaints
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.(400)
Enter complaints per 1000 customers for fixed voice(410)
Enter complaints per 1000 customers for mobile voice(420)
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Privileged and Contains Confidential Information
Ter[-aeom,Inc. FCC Form 481
State:ID OMB Control#:3060-0986(High Cost)&
S-kC:479035 3060-0819(Low Income).December 2020
498 ED:143028661 Program Year:2027
Compliance with Service Quality Standards and Consumer Protection
Rules (500)
Certify
Compliance with Minimum Service Standards(515)
Does the carrier comply with applicable minimum service standards?
:..., Yes k._%No
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Privileged and Contains Confidential Information
Ter[-aeom,Inc. FCC Form 481
State:ID OMB Control#:3060-0986(High Cost)&
S-kC:479035 3060-0819(Low Income).December 2020
498 ED:143028661 Program Year:2027
Functionality in Emergency Situations (600)
Certify
Functionality in Emergency Situations Certification(600)
Is the carrier able to function in emergency situations?
Yes 'No
Descriptive Document for Functionality in Emergency Situations(610)
PDF only
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Privileged and Contains Confidential Information
Terraeom,Inc. FCC Form 481
State:ID OMB Control*3060-0986(High Cost)&
S aC:479035 3060-0819(Low Income),December 2020
498 ED:143028661 Program Year:2027
Operating Companies (800)
Carrier Names
Validate the information listed above(811)by selecting one of the following:
Holding Company/Affiliate name listed above is correct.(811 A)
This study area does not have a Holding Company/Affiliate name.(811 Q)
(, 'Holding Company/Affiliate name listed above is NOT correct.(811 B)
The correct Holding Company/Affiliate name is(811 C):
Operating Company
Operating Company(812)
Upload Operating Company Data(813A,813B,813C)(Optional)
Operating Company Data Template
CSV only
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Privileged and Contains Confidential Information
Ter[-aeom,Inc. FCC Form 481
State:ID OMB Control#:3060-0986(High Cost)&
SaCA79035 3060-0819(Low Income).December 2020
498 ED:143028661 Program Year:2027
Tribal Lands Reporting (900)
Tribal Land Services
Does the filing entity offer Tribal land services?(900)
Yes No
Tribal Land(s)on which ETC Serves(910)
Tribal Government Engagement Obligation(920)
PDF only
Confirm Statuses
Select Yes,No,or NA for each of the below to confirm the status described on the attached PDF(920)demonstrates
coordination with the Tribal government pursuant to Section 54.313(a)(5)includes:
Needs assessment and deployment planning with a focus on Tribal community anchor institutions(921)
._.%Yes i_:No NA
Feasibility and sustainability planning(922)
Yes i No NA
Marketing services in a culturally sensitive manner(923)
�_.%Yes .f No %NA
Compliance with Rights of way processes(924)
0 Yes No NA
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Privileged and Contains Confidential Information
Ter[-atom,Inc. FCC Form 481
State:ID OMB Control#:3060-0986(High Cost)&
S-kC:479035 3060-0819(Low Income).December 2020
498 ED:143028661 Program Year:2027
Compliance with Land Use permitting requirements(925)
�.1 Yes No %NA
Compliance with Facilities Siting rules(926)
!Yes No NA
Compliance with Environmental Review processes(927)
Yes No _?NA
Compliance with Cultural Preservation review processes(928)
i Yes %J No 0 NA
Compliance with Tribal Business and Licensing requirements(929)
i Yes No NA
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Privileged and Contains Confidential Information
Ter[-aeom,Inc. FCC Form 481
State:ID OMB Control#:3060-0986(High Cost)&
SaCA79035 3060-0819(Low Income).December 2020
498 ED:143028661 Program Year:2027
Voice and Broadband Service Rate Comparability (1000)
Certify Voice
Voice Services Rate Comparability Certification(1000)
Is the carrier's pricing of fixed voice services no more than two standard deviations above the applicable national
average urban rate for voice service?If you answer No to line 1000r please provide an explanation for non-
compliance.
Yes __J'No i Not Applicable
Attach Detailed Description for Voice Services Rate Comparability Compliance(1010)
P€JF,XIS;XLSX only
Certify Broadband
Broadband Comparability Certification(1020)
Does the carrier's broadband services pricing meet one of the following criteria?If you answer No to line 1020,
please provide an explanation for non-compliance.
:.>Yes-Pricing is no more than the most recent applicable benchmark announced by the Wireline Competition
Bureau.
Yes-Pricing is no more than the non-promotional price charged for a comparable fixed wireline service in urban
areas in the states or U.S.Territories where the eligible telecommunications carrier receives support.
No-Unable to certify broadband rate comparability
Not Applicable.
Yes-CETC Alaska Plan participant certifies that one plan it offers is substantially similar to a service plan
offered by at least one mobile wireless service provider in the cellular market area of Anchorage,Alaska and offered
for the same or a lower rate than the matching plan in the cellular market area.
Attach Detailed Description for Broadband Rate Comparability Compliance(1030)
PDF,XLS,XLSX only
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Privileged and Contains Confidential Information
Terracom,Inc. FCC Form 481
State:ID OMB Control*3060-0986(High Cost)&
S aC:479035 3060-0819(Low Income),December 2020
498 ED:143028661 Program Year:2027
Terrestrial Backhaul Reporting (1100)
Certify
Terrestrial Backhaul Certification(1100)
Do terrestrial backhaui options exist?
r..,� ,...\
,-,Yes %No
Select the appropriate response to confirm the reporting carrier offers broadband service of at least 1 Mbps
downstream and 256 kbps upstream within the supported area pursuant to Section 54.313(g)(1130)
C)Yes 4_.1 No 0 Not Applicable
Alaska Plan Satellite Backhaul Certification(1140)
Is the carrier providing service consistent with its approved performance plan in the portion(s)of its study area that
relies exclusively on satellite backhaul?
1 Yes :_%No J Not Applicable
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Privileged and Contains Confidential Information
Ter[-aeom,Inc. FCC Form 481
State:ID OMB Control#:3060-0986(High Cost)&
SaCA79035 3060-0819(Low Income).December 2020
498 ED:143028661 Program Year:2027
Lifeline Terms and Conditions (1200)
Upload Document or Link Website
Upload a descriptive document(s)AND/OR reference a specific link to your company's website.
Terms&Conditions of Voice Telephony Lifeline Plans(1210)
PDF only
AND/OR
Link to Public Website(1220)
https://www.terracornwireless.com/
Confirm Information
Check these boxes below to confirm that the attached PDF,on line 1210,or the website listed,on line 1220,contains
the required information pursuant to Section 54.422(a)(2)annual reporting for ETCs receiving low-income support,
carriers must annually report:
21 information describing the terms and conditions of any voice telephony service plans offered to Lifeline
subscribers(12.21)
'.....)Details on the number of minutes provided as part of the plan(1222)
Additional charges for toll calls,and rates for each such plan(1223)
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Privileged and Contains Confidential Information
Ter[-aeom,Inc. FCC Form 481
State:ID OMB Control#:3060-0986(High Cost)&
S-kCA79035 3060-0819(Low Income).December 2020
498 ED:143028661 Program Year:2027
Price Cap Data (2005)
Certify
Select the appropriate responses below to note compliance as a recipient of frozen High Cost support,High Cost
support to offset access charge reductions,and Connect America Phase II support as set forth in 47 CFR 54.313(c),
(d),(e).The information reported on this form and in the documents attached below is accurate.
Price Cap Carrier Receiving Frozen Support Certification(2015)
Goes the carrier certify compliance with the requirements in 47 CFR Section 54.312(a)?
Yes No %NA
Price Cap Carrier Connect America iCC support(2016)
Does the carrier certify compliance with the requirements in 47 CFR Section 54.313(d)?
,_,
Yes +..... No NA
Connect America Phase tl Reporting 47 CFR Section 54.313(e)(2017A)
Are you a Connect America Fund Phase II recipient?
%Yes No
Enter total amount of Phase II support,if any,that the price cap carrier used for capital expenditures in 2025.
(2017C)
Price Cap Community Anchor Institutions(2018A)
Indicate if the carrier newly deployed broadband serviop to community anchor institution(s)in the previous calendar
year.
-'I
t._%Yes-Attach New Community Anchors
No-No New Community Anchors
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Privileged and Contains Confidential Information
Terraeom,Inc. FCC Form 481
State:ID OMB Control*3060-0986(High Cost)&
S aC:479035 3060-0819(Low Income),December 2020
498 ED:143028661 Program Year:2027
Not Applicable-No Attachment Required
Please Provide Attachment(2018B)
Attach a document to this line to provide the number,names and addresses of community anchor institutions to
which the recipient newly began providing access to broadband service in the preceding calendar year.
Community Anchor Template
XLSM only
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Privileged and Contains Confidential Information
Terraeom,Inc. FCC Form 481
State:ID OMB Control*3060-0986(High Cost)&
S aC:479035 3060-0819(Low Income),December 2020
498 ED:143028661 Program Year:2027
Rate of Return Data (3005)
Certify
Select from the drop down menus or check the boxes below to note compliance with 54.313(f)(1).Privately held
carriers must ensure compliance with the financial reporting requirements set forth in 47 CFR 54.313(f)(2).1 further
certify that the information reported on this form and in the documents attached below is accurate.
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?(3007)
r��
t'v.f Yes (..)No
Name of Consultant(3007A) Name of Consultant Firm/Third Party(3007B)
Certification of Public Interest Obligations(3010A)
Does the carrier certify compliance with the requirements in 47 CFR Sections 54.313(f)(1)(i)?
,—J Yes-Attach Explanation ✓No-Attach Explanation
r %Not Applicable-No Attachment Required
Please Provide Attachment(3010B)
PDF,XLS,XLSX,DOC,DOCX only
Rate-of-Return Community Anchor Institutions(3012A)
Indicate if the carrier newly deployed broadband service to community anchor institution(s)in the previous calendar
year.
'+r...f Yes-Attach New Community Anchors No-No New Community Anchors
r-
Not Applicable-No Attachment Required
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Privileged and Contains Confidential Information
Terracom,Inc. FCC Form 481
State:ID OMB Control*3060-0986(High Cost)&
S aC:479035 3060-0819(Low Income),December 2020
498 ED:143028661 Program Year:2027
Please Provide Attachment(3012B)
Using link,download template and list the number,name and address for each community anchor institution.As
required by 47 CFR Section 54.313(f)(1)(ii),attach the document which contains the community anchor institution
details.
Community Anchor Template
XLSM only
As defined in 47 CFR Section 54.313(f)(2),is your company a Privately Held ROR Carrier?(3013)
Yes No
Does your company file the RUS annual report?(3014)
Yes _%No
Please check these boxes to confirm that the attached document(s),on tine 3017,contains the required
information pursuant to Section 54.313(f)(2)compliance requires:
� _1 Electronic copy of their annual RUS reports(Operating Report for Telecommunications Borrowers)(3015)
I�Document(s)with Balance Sheet,Income Statement and Statement of Cash Flows(3016)
Annual Report(3017)
false
PDF.XLS,XLSX,DOC,DOCX only
Is your company audited?(3018)
-Yes No
If the response is yes or no on line 3018,please check the boxes below to confirm your submission on line
3026 pursuant to Section 54.313(f)(2),contains:
❑Either a copy of their audited financial statement;or(2)a financial report in a format comparable to RUS
Operating Report for Telecommunications Borrowers(3019)
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Privileged and Contains Confidential Information
Terraeom,Inc. FCC Form 481
State:ID OMB Control*3060-0986(High Cost)&
S aC:479035 3060-0819(Low Income),December 2020
498 ED:143028661 Program Year:2027
� .1 Documents)with Balance Sheet, Income Statement and Statement of flash Flows(3020)
❑Management letter and/or audit opinion issued by the independent certified public accountant that performed the
company's financial audit(3021)
f Copy of their financial statement which has#Jeer:subject to review by an independent certified public accountant;
or 2)a financial report in a format comparable to RUS Operating Report for Telecommunications Borrowers(3022)
Underlying information subjected to a review by an independent certified public accountant(3023)
❑Underlying information subjected to an officer certification(3024)
f Document(s)with Balance Sheet, Income Statement and Statement of flash Flows(3025)
Worksheet Listing(3026)
PDF,XLS,XLSX,DOC,DOCX only
Financial Data Summary
Enter the specified financial data below which is located on your RUS Report(attached on Line 3017)or your
reviewedtaudited financial statements(attached on Line 3026).
Revenue(3027)
Operating Expenses(3028)
Net Income(3029)
Telephone Plant In Service(TPIS)(3030)
Total Assets(3031)
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Privileged and Contains Confidential Information
Ter[-aeom,Inc. FCC Form 481
State:ID OMB Control#:3060-0986(High Cost)&
S-kC:479035 3060-0819(Low Income).December 2020
498 ED:143028661 Program Year:2027
Total Debt(3032)
Total Equity(3033)
Dividends(3034)
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Privileged and Contains Confidential Information
Terraeom,Inc. FCC Form 481
State:ID OMB Control*3060-0986(High Cost)&
S aC:479035 3060-0819(Low Income),December 2020
498 ED:143028661 Program Year:2027
Rural Broadband Experiment Data (4005)
Certify
Public Interest Obligations(4001)
Per FCC 14-98(paragraphs 26-2.9 and 78),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.
0 Yes )No
RBE Community Anchor Institutions(4003A)
Indicate if the carrier newly deployed broadband service to community anchor insfitution(s)in the previous calendar
year.
:_.i Yes-Attach New Community %No-No New Community _ Not Applicable-No Attachment
Anchors Anchors Required
Please Provide Attachment(400313)
Using link,download template and list the number,name and address for each community anchor institution.As
required by FCC 14-98(paragraph 79),attach the document which contains the community anchor institution details.
Community Anchor Template
XLSM only
Page 18 of 34
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Privileged and Contains Confidential Information
Terraeom,Inc. FCC Form 481
State:ID OMB Control*3060-0986(High Cost)&
S aC:479035 3060-0819(Low Income),December 2020
498 ED:143028661 Program Year:2027
Alaska Plan Participants (5005)
Certify Terrestrial Backhaul
Newly Available Terrestrial or other Satellite Backhaul(RoR Carriers)(5011)
Indicate whether any terrestrial backhaul or other satellite Backhaul became commercially available in the previous
calendar year in areas previously served exclusively by performance-limiting satellite backhaul.
"..\
0 yes C.,No
Newly Available Terrestrial or other Satellite Backhaul(CETC Carriers)(5012)
If the filing carrier identified in its approved performance plans that it relies exclusively on satellite backhaul for a
certain portion of the population in its service area,indicate whether any terrestrial backhaul or other satellite
backhaut became commercially available in the previous calendar year in areas that were previously served
exclusively by satellite Backhaul.
Yes l No
Upload Backhaul Technology Data(5013A-5013C)
Backhaul Data Template
CSV only
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Privileged and Contains Confidential Information
Terracom,Inc. FCC Form 481
State:ID OMB Control*3060-0986(High Cost)&
S aC:479035 3060-0819(Low Income),December 2020
498 ED:143028661 Program Year:2027
Phase II Auction Reporting (6005)
Certify
Enter the total amount of Phase If Auction Support,if any,the carrier used for capital expenditures.(6010)
Phase li Auction and New York Funds Certification(6011)
Certify 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 1 after
receiving support until the recipient's penultimate year of support.
Yes 0 No
Community Anchor Institutions(6012a)
Indicate if the carrier newly deployed broadband service to community anchor institution(s)in the previous calendar
year.
__)Yes-Attach New Community Anchor 1 No-No New Community Anchor
Using the template,upload a document with a number,name and address for each community anchor
institution.(6012b)
Community Anchor Template
XLSM only
FCC Form 470 Postings(6013)
For the filing due July 1 following full implementation of this requirement answer this certification request.
:._ Yes 01 No 0 Not Applicable
Post-Final Deployment Milestone Performance Certification(6014)
Starting the first July 1 after meeting the final service milestone,certify that the phase€1-funded network that the
Phase 11 auction recipient operated in the prior year meets the relevant performance requirements in Section 54.309.
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Privileged and Contains Confidential Information
Teri aconr.Inc. FCC Form 481
State:ID OMB Control*3060-0986(High Cost)&
S-kCA7903.5 3060-0819(Low Income),December 2020
498 ED:143028661 Program Year:2027
Yes %No >Not Applicable
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Privileged and Contains Confidential Information
Terraeom,Inc. FCC Form 481
State:ID OMB Control*3060-0986(High Cost)&
S aC:479035 3060-0819(Low Income),December 2020
498 ED:143028661 Program Year:2027
Phase-Down Support Reporting (7005)
Certify
Price Cap Carrier and Fixed Competitive Eligible Telecommunications Carrier Transitional Support
Requirement Certification.(7010)
This certification request applies to any price cap carrier or fixed competitive eligible telecommunications carrier that
elects to continue receiving support pursuant to Section 54.312(d)or Section 54.307(s)(2)(lii)starting July 1,2020,
and annually thereafter on July 1 for each subsequent year they receive such support.These carriers must use this
support throughout specific high-cost and extremely high-cost census blocks where they continue to have the federal
high-cost ETC obligation to provide voice service pursuant to Section 54.201(d)at rates that are reasonably
comparable to comparable offerings in urban areas.Per Section 54.313(m),does the carrier certify that they used all
such support received in the previous year to provide voice service in compliance with the above obligation?
j Yes }No
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Privileged and Contains Confidential Information
Terraeom,Inc. FCC Form 481
State:ID OMB Control*3060-0986(High Cost)&
S aC:479035 3060-0819(Low Income),December 2020
498 ED:143028661 Program Year:2027
Puerto Rico Fixed and Mobile Funds Certification (8005)
Certify Fixed
Capital Expenditures(8010)
Eater the total amount of Uniendo a Puerto Rico Stage 2 fixed support,if any,the carrier used for capital
expenditures.
Available Funds Certification(8011)
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 1 after receiving support until the recipients penultimate year of support.
k,i Yes %,..No
Community Anchor Institutions(8012A)
Indicate if the carrier newly deployed broadband service to community anchor institution(s)in the previous calendar
year.
Yes-Attach New Community Anchors No-No New Community Anchors
Please Provide Attachment(801213)
Using link,download template and list the number,name and address for each community anchor institution.As
required by 47 CFR Section 54.313(e)(2xi)(A):attach the document which contains the community anchor institution
details.
Community Anchor Template
XLSM only
FCC Form 470 Postings(8013)
For the filing due July 1 following full Implementation of this requirement answer yes,no,or not applicable to this
certification request.
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Privileged and Contains Confidential Information
Terracom,Inc. FCC Form 481
State:ID OMB Control*3060-0986(High Cost)&
S aC:479035 3060-0819(Low Income),December 2020
498 ED:143028661 Program Year:2027
ti._i Yes %No l?Not Applicable
Post-Final Deployment Milestone Performance Certification(8014)
Starting the first July 1 after meeting the final service milestone,certify(yes of 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 Section 54,309,
Yes No CJ Not Applicable
Support Reimbursement Certification(8020)
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.
�_.)Yes No
Disaster Preparedness and Response Documentation(8030)
54.313(n):Recipients of fixed support from Stage 2 of the Uniendo a Puerto Rico Fund shall certify that they have
conducted an annual review of the documentation requited by section 54.1515(a)-(c)to determine the need for and
to implement changes or revisions to disaster preparation and recovery documentation.
1..,%Yes _.i No
Certify Mobile
Support Reimbursement(8040)
54.313(n):Recipients of Uniendo a Puerto Rico Fund Stage 2 mobile 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.
0 Yes <_%No
Disaster Preparedness and Response Documentation(8050)
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Privileged and Contains Confidential Information
Teri aconi.Inc. FCC Form 481
State:ID OMB Control*3060-0986(High Cost)&
S-kCA7903.5 3060-0819(Low Income),December 2020
498 ED:143028661 Program Year:2027
54.313(n):Recipients of mobile support from Stage 2 of the Uniendo a Puerto Rico Fund shall certify that they have
conducted an annual review of the documentation required by section 54.1515(a)-(c)to determine the need for and
to implement changes or revisions to disaster preparation and recovery documentation.
-) ;
�w Yes (D No
Mobile Disbursements Certification(8060)
54.313(o):Recipients of Uniendo a Puerto Rico Fund Stage 2 mobile support shall certify that they are in compliance
with all requirements for receipt of such support to continue receiving Stage 2 mobile disbursements.
..j Yes 0 No
Transitional Support(8070)
Recipients of transitional support under Section 54.1516 shall certify that such support was not used for costs that
are or will be reimbursed by other sources of support,or expenses not directly related to network restoration,
hardening,and expansion consistent with the framework of the Uniendo a Puerto Rico Fund.Transitional support
recipients shall certify that they have conducted an annual review to determine that their disaster preparation and
recovery documentation is up to date,as required by Section 54.1515(a)through(c)or Section 54.1524.Answer yes
or no if carrier Is compliant with 54.313(q).
0 Yes r No
Spending Plans for Recipients of Legacy Frozen Phase-Down Support(8080)
For annual reports due in 2024,2025,and 2026,recipients of frozen high-cost support under Section 54.1504(b)
shall certify that such support received after June.1,2023 was used for resiliency and redundancy measures and to
maintain their voice and broadband network footprint.
�_..1 Yes 0 No
Page 25 of 34
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Privileged and Contains Confidential Information
Terracom,Inc. FCC Form 481
State:ID OMB Control*3060-0986(High Cost)&
S aC:479035 3060-0819(Low Income),December 2020
498 ED:143028661 Program Year:2027
Connect USVI Fixed and Mobile Funds Certification (9906)
Certify Fixed
Capital Expenditures(9010)
Enter the total amount of Connect USVI Fund Stage 2 fixed support,if any,the carrier used for capital expenditures.
Available Funds Certification(9011)
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 1 after receiving support until the recipient's penultimate year of support.
mow/Yes (..i No
Community Anchor Institutions(9012A)
Indicate if the carrier newly deployed broadband service to community anchor institution(s)in the previous calendar
year.
Yes-Attach New Community Anchors No-No New Community Anchors
Please Provide Attachment(9012B)
Using link,download template and list the number,name and address for each community anchor institution.As
required by 47 CFR Section 54.313(e)(2xi)(A):attach the document which contains the community anchor institution
details.
Community Anchor Template
XLSNI only
FCC Form 470 Postings(9013)
For the filing due July 1 following full implementation of this requirement answer yes,no,or not applicable to this
certification request.
Page 26 of 34
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Privileged and Contains Confidential Information
Terraeom,Inc. FCC Form 481
State:ID OMB Control*3060-0996(High Cost)&
S aC:479035 3060-0819(Low Income),December 2020
498 ED:143028661 Program Year:2027
{')Yes �No 0 Not Applicable
Post-Final Deployment Milestone Performance Certification(9014)
Starting the first July 1 after meeting the final service milestone,certify(yes or no)that the Connect IJSVI Fund Stage
2-funded network that the Stage 2 recipient operated in the prior year meets the relevant performance requirements
in Section 54.309.
0 Yes "0"No 0 Not Applicable
Support Reimbursement Certification(9020)
54.313: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
reirbursements;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.
r.%Yes (..`I No
Disaster Preparedness and Response Documentation(9030)
54.313:Recipients of fixed support from Stage 2 of the Connect USVI Fund shall certify that they have conducted an
annual review of the documentation required by section 54.1515(a)-(c)to determine the need for and to implement
changes or revisions to disaster preparation and recovery documentation.
-Yes ti;No
Certify Mobile
Support Reimbursement(9040)
54.313:Recipients of Connect USVI Fund Stage 2 mobile 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 riot 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
0 yes :.i No
Disaster Preparedness and Response Documentation(9050)
Page 27 of 34
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Privileged and Contains Confidential Information
Terraconi.Inc. FCC Form 481
State:ID OMB Control*3060-0986(High Cost)&
S-kCA7903.5 3060-0819(Low Income),December 2020
498 ED:143028661 Program Year:2027
54.313:Recipients of mobile support from Stage 2 of the Connect USVI Fund shall certify that they have conducted
an annual review of the documentation required by Section 54.1515(a}(c)to determine the need for and to
implement changes or revisions to disaster preparation and recovery documentation.
l_ Yes i.._-No
Mobile Disbursements Certification(9060)
54.313(o):Recipients of Connect USVI Fund Stage 2 mobile support snail certify that they are in compliance with all
requirements for receipt of such support to continue receiving Stage 2 mobile disbursements.
0 Yes 0 No
Transitional Support(9070)
Recipients of transitional support under Section 54.1616 shall certify that such support was not used for costs that
are or will be reimbursed by other sources of support,or expenses not directly related to network restoration,
hardening,and expansion consistent with the framework of the Connect USVI Fund.Transitional support recipients
shall certify that they have conducted an annual review to determine that their disaster preparation and recovery
documentation is up to date,as required by Section 54.1515(a)through(c)or Section 54.1624.Answer yes or no if
carrier is compliant with 54.313(q).
0 Yes r No
Spending Plans for Recipients of Legacy Frozen Phase-Down Support(9080)
For annual reports due in 2024,2025,and 2026,recipients of frozen high-cost support under Section 54.1504(b)
shall certify that such support received after June.1,2023 was used for resiliency and redundancy measures and to
maintain their voice and broadband network footprint.
�_..1 Yes 0 No
Page 28 of 34
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Privileged and Contains Confidential Information
Terraeom,Inc. FCC Form 481
State:ID OMB Control*3060-0986(High Cost)&
S aC:479035 3060-0819(Low Income),December 2020
498 ED:143028661 Program Year:2027
Rural Digital Opportunity Fund Reporting (10005)
Certify RDOF
Capital Expenditures(10010)
Starting the first July 1 after receiving support until the July 1 after the recipient's support term has ended,recipients
of Rural Digital Opportunity Fund support must submit the total amount of support.if any,the recipient used for
capital expenditures in the previous calendar year.This is required by 47 C.F.R.Section 54.313(e)(2)(i)(B).
Availabte Funds Certification(10011)
Please provide a response(either yes or no)to this certification request for any recipient of Rural Digital Opportunity
Fund support that 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 1 after receiving
support until the recipient's penultimate year of support,as required by required by 47 C.F.R.Section 54.313(e)(2)(ii).
. Yes r: No
Community Anchor Institutions(10012A)
Recipients 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.Section 54.313(e)(2yi)(A).
0 Yes-Attach New Community Anchors t_;•No-No New Community Anchors
Please Provide Attachment(1001213)
Using Link,download template and list the number,name and address for each community anchor institution.As
required by 47 CFR Section 54.313(e)(2){i)(A),attach the docurnent which contains the community anchor institution
details.
Community Anchor Template
XLSM only
Page 29 of 34
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Privileged and Contains Confidential Information
Terraconr.Inc. FCC Form 481
State:ID OMB Control*3060-0986(High Cost)&
S-kCA7903.5 3060-0819(Low Income),December 2020
498 ED:143028661 Program Year:2027
FCC Forth 470 Postings(10013)
For the filing due July 1 st following full implementation of this requirement,please provide a response(either yes,no,
or not applicable)to this certification request.Recipients of Rural Digital Opportunity Fund must respond affirmatively
that they bid on category one telecommunications and Internet access services in response to all FCC Form 470
postings seeking broadband service that meets the connectivity targets for the schools and libraries universal service
support program for eligible schools and libraries(as described in Section 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 instructions for
Completing FCC Form 481 OMB Control No.3060-0986(High-Cost)OMB Control No.3060-0819(Low-income)
November 2020 Page 44 comparable offerings.This filing is required by 47 C.F.R.Section 54.313(e)(2)(i)(C).This
certification wilt not be required until the July 1st following the E-Rate program year that this obligation has been fully
implemented.Modernizing the E-Rate Program for Schools and Libraries et al.,WC Docket.Nos. 13-184, 10-90,29
FCC Rcd 15538,15566-67,para.72(2014).
0 Yes :_)No ('.)Not Applicable
Post-Final Deployment Milestone Performance Certification(10014)
Starting the first July 1st after a Rural Digital Opportunity Fund recipient meets its final service milestone until the July
1 st after the support recipient's support term has ended,please provide a response(either yes,no,or not applicable)
that the Rural Digital Opportunity Fund-funded network that the support recipient operated in the prior year meets the
relevant performance requirements in 47 C.F.R.Section 54.309.This filing is required by 47 C.F.R.Section 54.313(e)
(2)(iii).
fir)Yes No (_,Not Applicable
Page 30 of 34
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Privileged and Contains Confidential Information
Terraeom,Inc. FCC Form 481
State:ID OMB Control*3060-0986(High Cost)&
S aC:479035 3060-0819(Low Income),December 2020
498 ED:143028661 Program Year:2027
Enhanced ACAM (E-ACAM) Certification (11005)
Certify Enhanced A-CAM
BEAD Program Challenge Processes Certification(11010)
Certify(yes or no)that,in the previous calendar year,the carrier participated in good faith in any relevant BEAU
Program challenge processes or other processes conducted by states or other BEAD Program eligible entities to
determine the eligibility of locations for the BEAU Program,and that they otherwise coordinated with states,Tribes,
and other eligible entities to help avoid duplicative federal broadband funding.
0 Yes 0 No
BEAD Program Funding Certification(11020)
Certify(yes or no)that,in the previous calendar year,the carrier complied with the obligation not to receive or use
BEAD Program or other future federal grant funding,unless otherwise specified by the Commission or Bureau,that
supports broadband deployment for those locations for which they are receiving Enhanced A-CAM support.
0 Yes t..:i No
Affordable Connectivity Program Certification(11030)
Certify(yes or no)that,in the previous calendar year,the carrier continued to participate in the Affordable
Connectivity Program or any substantially similar successor program,as required by the terms of your Enhanced A-
CAM offer(s).
0 Yes No
Descriptive document for Affordable Connectivity Program Certification(11031)
In the uploaded file,describe how the carrier continued to participate in the Affordable Connectivity Program or any
substantially similar successor program;as required by the terms of your Enhanced A-CAM offer(s).
PDF Only
Cybersecurity and Supply Chain Risk Management Plans Certification(11040)
Recipient certifies that,in the prior year,it has maintained its cybersecurity and supply chain risk management plans
pursuant to 47 CFR Section 54.308(g).
Page 31 of 34
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Privileged and Contains Confidential Information
Terraeom,Inc. FCC Form 481
State:ID OMB Control*3060-0986(High Cost)&
S aC:479035 3060-0819(Low Income),December 2020
498 ED:143028661 Program Year:2027
C' Yes No
Cybersecurity and Supply Chain Risk Management Plans Substantive Modification(11041)
Recipient filed a substantive modification to its cybersecurity and/or supply chain risk management plans in the prior
year;pursuant to 47 CFR Section 54.308(gX6).
C"Yes ONo
Cybersecurity and Supply Chain Risk Management Plans Substantive Modification Date(11042)
Report the most recent date that the recipient filed any substantive modifications to its cybersecurity and/or supply
chain risk management plans.
Page 32 of 34
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Privileged and Contains Confidential Information
Terraeom,Inc. FCC Form 481
State:ID OMB Control*3060-0986(High Cost)&
S aC:479035 3060-0819(Low Income),December 2020
498 ED:143028661 Program Year:2027
Certifications
Supply Chain Certifications
Section 54.9: Prohibition on the Use of Funds
I certify under penalty of perjury that no universal service support has been or will be used to purchase,obtain,
maintain,improve,or otherwise 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 networks or the communications supply chain since the effective date of the designations.
If No is selected,a waiver is required for each SAC which is not certified.
(,•,,;Yes 0 No
Upload Waiver Document
PDF only
Section 54.10: Prohibition on the Use of Certain Federal Subsidies
I certify that no federal subsidy made available through 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 will be used to purchase,rent,lease,or otherwise obtain,any covered communications equipment or
service;or maintain any covered communications equipment or service previously purchased,rented,leased,
otherwise obtained,as required by 47 C.F.R.Section 54.10.
If No is selected,a waiver is required for each SAC which is not certified.
"..%Yes No
Upload Waiver Document
PDF only
Section 54.11: Requirements to Remove and Replace
Prior to answering,review section 64.11 of the Commission's rules(47 CFR Section 54.11).Answer Yes if either(1)
you comply with section 54.11(a),meaning you do not use covered communications equipment or services,or(2)
Page 33 of 34
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Privileged and Contains Confidential Information
Terraeom,Inc. FCC Form 481
State:ID OMB Control*3060-0986(High Cost)&
S aC:479035 3060-0819(Low Income),December 2020
498 ED:143028661 Program Year:2027
section 54.11(d)applies to you,meaning you are not yet subject to section 54.11(a)because you are a
Reimbursement Program recipient with an unexpired removal,replacement,and disposal term per section 1.50004
(h)of the Commission's rules(47 CFR Section 1.50004(h)).Answer No if you do not comply with section 54.11(a),
meaning you do use covered rommunlcations equipment or services.
t:) r...,
Q.,,Yes No
Accuracy Certifications
Certify
E I certify that I am an officer of the reporting carrier;my responsibilities include ensuring the accuracy of the annual
reporting requirements for universal service support recipients;and,to the best of my knowledge,the information
reported on this form and in any attachments is accurate.
R I understand that making willful false statements in any part of this report and/or in these certifications is
punishable by fine or imprisonment pursuant to 47 U.S.C.Sections 416(c),503(b)(1)(l3),and 18 U.S.C.Section 1001.
Signature
Officer Narne
David Tatum
Title
Chief Financial Officer
Received Date
2026-06-11
01 understand this is a digital signature,and is the same as if I signed my name with a pen.
Page 34 of 34
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Terracom Inc.
Form 481 section 510
Service Quality and Consumer Protection
The Company is committed to satisfying all applicable state and federal requirements related
to consumer protection and service quality standards.
The Company complies with the Cellular Telecommunications and Internet Association's
(CTIA)Consumer Code for Wireless Service.
1. Disclose Rates and Terms of Service—These are fully disclosed in advertising as well as on
the Company's website.
2. Make Coverage Maps Available—Coverage maps are available on the Company's website.
3. Provide contract terms—The Company does not employ extended service contracts.
4.Allow a trial service—All wireless services, including Lifeline-supported services,are
provided on a prepaid basis and therefore there is no extended commitment to the service
on the part of the customer. If the service does not suit their needs,they can cancel service
at any time without penalty.
5. Provide Specific Disclosure in advertising—All Company advertising,including its website,
fully discloses charges and service parameters.
6.Separately Identify Carrier Charges from Tax on Billing Statements—The Company does
not render billing statements to its prepaid customers,but for every transaction they make,
service charges vs.taxes are fully described.
7. Provide Customers with the Right to Terminate Service Upon Changes to Their Contract—
As mentioned,we don't employ contracts so this provision does not apply. Customers can,
however,cancel service at any time without penalty.
8. Provide Ready Access to Customer Service—Customers can call customer service for free
by dialing 611 or an 800 number,and/or using an Interactive voice response system . These
numbers are disclosed on the Company's website and in advertising and customer welcome
materials. Customers may also access Customer Service online through the Company's
website.
9. Promptly Respond to Customer Inquiries and Complaints from Government Agencies—
The Company promptly responds to all complaints. if a customer care representative
cannot help a customer,there is an escalation process.The Company is committed to
resolving customer questions,concerns and complaints in a swift and satisfactory manner.
10. Privacy Policy—The Company protects the privacy of customer information in
accordance with applicable federal and state laws.Our privacy policy is available,via link,on
every page of the Company's website.
11. Provide Consumers with Free Notifications for Voice, Data and Messaging Usage,and
International Roaming—Due to the Company's service being provided on a prepaid basis,
customers are not able to incur overage charges. However,the Company provides,at no
charge, (a)a notification to consumers of domestic wireless plans that include limited data
allowances when consumers approach their allowance for data usage; (b)a notification to
consumers of domestic voice and messaging plans that include limited voice and messaging
allowances when consumers approach their allowance for those services; and(c)a
notification to consumers without an international roaming plan/package whose devices
have registered abroad and who may incur charges for international usage. The Company

Terracom Inc.
Form 481 section 510
also clearly and conspicuously discloses tools or services that enable consumers to track,
monitor and/or set limits on voice,messaging and data usage.
12.Abide by the following principles regarding the ability of customers,former customers,
and individual owners of eligible devices to unlock phones and tablets, ("mobile wireless
devices")that are locked by or at the direction of the carrier—
(1)Disclosure.The Company has posted on its website its clear,concise,and readily
accessible policy on postpaid and/or prepaid mobile wireless device unlocking.
(2)Postpaid Unlocking Policy.Not Applicable.
(3)Prepaid Unlocking Policy. Upon request,the Company will unlock prepaid mobile
wireless devices no later than one year after initial activation,consistent with
reasonable time, payment or usage requirements.
(4)Notice.The Company will clearly notify customers that their devices are eligible for
unlocking at the time when their devices are eligible for unlocking or automatically
unlock devices remotely when devices are eligible for unlocking,without additional
fee.The Company reserves the right to charge non-customers/nonformer-
customers with a reasonable flee for unlocking requests. Notice to prepaid
customers may occur at point of sale,at the time of eligibility,or through a clear and
concise statement of policy on the Company's website.
(5)Response Time.Within two business days after receiving a request,the Company will
unlock eligible mobile wireless devices or initiate a request to the OEM to unlock the
eligible device,or provide an explanation of why the device does not qualify for
unlocking,or why the carrier reasonably needs additional time to process the
request.
(6)Deployed Personnel Unlocking Policy.The Company will unlock mobile wireless
devices for deployed military personnel who are customers in good standing upon
provision of deployment papers.
The Company reserves the right to decline an unlock request if it has a reasonable basis to
believe the request is fraudulent or the device is stolen.

Terracorn Inc.
Form 481 section 610
Functionality in Emergency Situations
As a reseller,the Company relies upon its underlying facilities-based
carriers for functionality in emergency situations. In accordance with 47
C.F.R. §54.202(a)(2),Terracom Inc. has the ability to remain functional in
emergency situations.Terracom Inc. utilizes the extensive and
well-established network and facilities underlying carriers to provide its
Lifeline services. The Company understands that the networks of its
Underlying Carriers have access to a.reasonable amount of back-up power to
ensure functionality without an external power source,can reroute traffic
around damaged facilities,and can manage traffic spikes resulting from
emergency situations. The Underlying Carriers have certified to the FCC that
their networks function in emergency situations. The Underlying Carriers
provide the same functionality to Terracom Inc. and its customers as they
provide to themselves and their own customers.