D0309071 Interim Opinion on Implementation of the Rural Infrastructure Grant Program
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ATTACHMENT A

THE RURAL TELECOMMUNICATIONS INFRASTRUCTURE GRANT PROGRAM

Application Information, Instructions and Checklist

The Rural Telecommunications Infrastructure Grant Program application process is divided into two phases. Phase I is the qualifying phase. Applicants must provide information about their community and its residents, supply letters of support from the community residents, local government and other affected governmental agencies and identify the city, county or tribal government who has agreed to act as fiscal agent for the grant program funds. Applicants will receive a letter from the Director of the Telecommunications Division notifying them if the application has passed the qualifying phase. All applications must be approved by the Director of the Telecommunications Division at the qualifying phase before moving on to Phase 2, the feasibility study and cost estimate phase. Incomplete applications will be returned to the applicant with a letter of explanation.

AB 140, the enabling legislation, specifies that only one grant per community may be awarded and no grant may exceed $2.5 million. To assure approval, applicants should structure their applications so as not to exceed the $2.5 million cap.

All unserved public schools, hospitals or health clinics may apply individually. Only Phase 1 items 1.b., and items 3., and 4 in their entirety are applicable to applicant schools, hospitals or health clinics. All Phase 2 items are required of all applicants.

All completed applications should be sent to:

California Public Utilities Commission

Attention: Rural Telecommunications Infrastructure Grants Program

Public Programs Branch, 3rd Flr.

505 Van Ness Avenue

San Francisco, CA 94102

Filing Deadlines

Year 2003/04

First year: two fixed award rounds in initial year

ROUND 1
ROUND 2

Year 2005-6

The following page contains a checklist to ensure your application is complete. Full details of the requirements are contained in the Application section, which immediately follows the Checklist.

CHECKLIST FOR PHASE 1, QUALIFYING PHASE

Application Phase 1 - Qualifying

A. Community Information

Please provide:

B. Qualifying Financial Information

The median income of a qualifying community may not exceed the current Universal Lifeline Telephone Service (ULTS) program income limitation for a household of four. For the 2003/04 fiscal year that figure is $27,800. The figure is adjusted annually. For the Rural Telecommunications Infrastructure Grant Program, it means that half of the community residents' household income must be less than $27,800 per year. Applications must contain signed letters from each household, stating the total annual household income. Income from all adult household residents from all sources must be included in the income figures.

The CPUC may independently verify household income. Acceptable sources of verification include:

C. Fiscal Agent Information

A local agency, as defined under Section 50001 of the Government Code, or a town, as defined by Section 21 of the Government Code, shall act as the Fiscal Agent for the project funding requested in this application.

Each application must contain a letter from a city, county or tribal government stating its willingness to act as a Fiscal Agent for the community. The letter must include:

D. Letters of Support

Please include letters of support for the application from the following:

For CPUC use only

Reviewed By: __________________ Date: __________

Date Application Received:

Project Recommended for Feasibility Phase: Yes/No

Comments:

CHECKLIST FOR PHASE 2,

FEASIBLITY STUDY/CONSTRUCTION COSTS

Application Phase 2 - Construction Costs

A. Applicant Information

Please provide

B. Statement of Need

Please provide a statement of need or description of the unique impact the lack of phone service has on your community, i.e., high fire danger area, near highway with high accident rate, distance to nearest working phone and estimated emergency response time, etc.

C. Type of Technology Chosen

Please provide

D. Project Location

Projects may be located within, completely outside of, or partially within and partially outside of the service territory of the local service provider in the area. The obligation of the local service provider and reimbursement of feasibility study costs will depend on the location of the project.

E. Project Feasibility Study

The final feasibility study will include the following:

F. Project Timeline

Please provide a project schedule including timeline, milestones, budget and requested payment schedule. All payments will be made after completion of milestones and upon request for payment from the Fiscal Agent. Include milestones for:

For CPUC use only

Reviewed By: __________________ Date: __________

Date Application Received:

Project Recommended for Feasibility Phase: Yes/No

(END OF ATTACHMENT A)

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