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  CPNI Template Submission

Annual 47 C.F.R. § 64.2009(e) CPNI Certification Template
EB Docket 06-36

This web page allows you to file your annual Customer Proprietary Network
Information (CPNI) certification statements electronically.
Complete the following fields, and make sure you have access to all the
supporting file attachments you wish to submit before continuing to step 2.

Annual 64.2009(e) CPNI Certification for 2021

[Company Names will be automatically populated when you proceed to Step 2 of this process based on Form 499-A Filer ID(s) entered below.]

6. Certification:

 I, , certify that I am an officer of the company named above, and acting as an agent of the company, that I have personal knowledge that the company has established operating procedures that are adequate to ensure compliance with the Commission's CPNI rules. See 47 C.F.R. § 64.2001 et seq.

 Attached to this certification is an accompanying statement explaining how the company's procedures ensure that the company is in compliance with the requirements (including those mandating the adoption of CPNI procedures, training, recordkeeping, and supervisory review) set forth in section 64.2001 et seq. of the Commission's rules.

 The company [ ] taken actions (i.e., proceedings instituted or petitions filed by a company at either state commissions, the court system, or at the Commission against data brokers) against data brokers in the past year. [NOTE: If you reply in the affirmative, please provide an explanation of any actions taken against data brokers.]

 The company [ ] received customer complaints in the past year concerning the unauthorized release of CPNI [NOTE: If you reply in the affirmative, please provide a summary of such complaints. This summary should include number of complaints, broken down by category or complaint, e.g., instances of improper access by employees, instances of improper disclosure to individuals not authorized to receive the information, or instances of improper access to online information by individuals not authorized to view the information.]

 The company represents and warrants that the above certification is consistent with 47. C.F.R. § 1.17 which requires truthful and accurate statements to the Commission. The company also acknowledges that false statements and misrepresentations to the Commission are punishable under Title 18 of the U.S. Code and may subject it to enforcement action.

Signed: []


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CPNI Template Submission Software Version 00.01.04 April 29, 2021