TAXES, SURCHARGES, FEES

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TAXES, SURCHARGES, FEES Powered By Docstoc
					                                                                              Company Name:


Instructions: Please fill-in the yellow cells with your pricing data in each column (if applicable)
corresponding to the line item named in column “A”. Please complete the sheet for each of the
column headers “B-through -E”.


TAXES / SURCHARGES / FEES
CA Advanced Services Fund (CASF)
CA Relay Service (CRS) & Communications Devices Fund (CDF)
California High Cost Fund - A (CHCF-A)
California High Cost Fund - B (CHCF-B)
California State Public Utilities Commission (PUC) Fee
California Teleconnect Fund (CTF) Surcharge
Federal Subscriber Line Charge (FSLC)
Federal Telecommunications Relay Service (TRS)
Federal Universal Service Fund
Local Number Portability (LNP) Surcharge
State/County/Local Taxes
Universal Lifeline Telephone Service Surcharge (ULTS)
OTHER, SPECIFY
                                    CHARGE BASIS FOR: TAXES, SURCHARGES & FEES
Formula Description (i.e. How charges are determined) Please
                                                               Flat Rate ($)   Percentage (%)
                           describe:
Regulating Agency (FCC,
  CPUC, IRS, CA, etc.)
                                                                             Company Name:

                                                                                                                               PER MIN
Instructions: Please fill-in the yellow cells with your pricing data in each column (if applicable)
                                                                                                                                 LOCA
corresponding to the line item named in column “A”. Please complete the sheet for each of the         Unit of Measure
column headers “B-through -G".
                                                                                                                        ZONE
Specify mileage range for rate or specify any geographic limits (i.e.,
                                                                                                          miles
within 12 miles, or originating in California)
Minimum Time Charged Per Call                                                                            seconds
Billing Increments After Minimum Time Charged Per Call                                                   seconds
USAGE CHARGES
Rate in $ (to nearest $0.0001)                                                                        $0.0000/minute
SIP trunking/Integrated Access arrangement monthly cost in $                                              $0.0000
Directory Assistance Calls                                                                             $0.0000/Call
OTHER, SPECIFY
OTHER, SPECIFY
OTHER, SPECIFY
MONTHLY CHARGES
Directory Assistance Listing Charges                                                                     $0.0000
20 DID Stations                                                                                          $0.0000
100 DID Stations                                                                                         $0.0000
Additional DID Stations (other Qty: SPECIFY)                                                             $0.0000
Additional DID Stations (other Qty: SPECIFY)                                                             $0.0000
Per-PRI or T-1 Charge, if any, in $ (to nearest $0.0001)                                               $0.0000/PRI
Invoice Fee, if any (i.e., CD, paper, web)                                                               $0.0000
OTHER, SPECIFY
OTHER, SPECIFY
OTHER, SPECIFY
ONE-TIME CHARGES
OTHER, SPECIFY
OTHER, SPECIFY
OTHER, SPECIFY
OTHER, SPECIFY
OTHER, SPECIFY
OTHER, SPECIFY


DISCOUNTS
List any available discounts for Term or Volume, i.e., 1, 3, or 5 year pricing, minimum annual minutes, etc.
            PER MINUTE              FLAT RATE / UNLIMITED
              LOCAL                         LOCAL
              ZONE       ZONE   ALL PRICES QUOTED ARE PER MONTH




tes, etc.
                                                                 Company Name:


Instructions: Please fill-in the yellow cells with your pricing data in each column (if                                    L
applicable) corresponding to the line item named in column “A”. Please complete           Unit of Measure
the sheet for each of the column headers “B-through -F”.
                                                                                                            Regional
Specify mileage range for rate or specify any geographic
                                                                                              miles
limits
Minimum Time Charged Per Call                                                                seconds
                                                                                             seconds
Billing Increments After Minimum Time Charged Per Call
MONTHLY CHARGES
Directory Assistance Listing Charges                                                         $0.0000
20 DID Stations                                                                              $0.0000
100 DID Stations                                                                             $0.0000
Additional DID Stations (other Qty: SPECIFY)                                                 $0.0000
Additional DID Stations (other Qty: SPECIFY)                                                 $0.0000
Per-PRI or T-1 Charge, if any, in $ (to nearest $0.0001)                                   $0.0000/PRI
Invoice Fee, if any (i.e., CD, paper, web)                                                   $0.0000
OTHER, SPECIFY
OTHER, SPECIFY
OTHER, SPECIFY
USAGE CHARGES
Rate in $ (to nearest $0.0001)                                                            $0.0000/minute
SIP trunking/Integrated Access arrangement monthly cost in
                                                                                             $0.0000
$
Directory Assistance Calls                                                                      --
List all Federal and State taxes that would appear on an
invoice, the applicable rate (in %) and precise unit of
measure
OTHER, SPECIFY
OTHER, SPECIFY
OTHER, SPECIFY




List all fees, surcharges or any other item that would appear on an invoice, and indicate rate or charge and unit of measure
                                                                        $0.0000
                                                                        $0.0000
                                                                        $0.0000
                                                                        $0.0000
                                                                        $0.0000
                                                                           $0.0000
                                                                           $0.0000
                                                                           $0.0000
                                                                           $0.0000
                                                                           $0.0000
List any available discounts for Term or Volume, I.E., 1, 3, or 5 year pricing, minimum annual minutes, etc.
                                                                    FLAT RATE / UNLIMITED
                        LONG DISTANCE
                                                                       LONG DISTANCE
                                    Out of State/
                In State (CA)                       Canadian   ALL PRICES QUOTED ARE PER MONTH
                                     Domestic




arge and unit of measure for each item.
tes, etc.
                                                   Company Name:


Instructions: Please fill-in the yellow cells with your pricing data in each
column (if applicable) corresponding to the line item named in column
“A”. Please complete the sheet for each of the column headers “B-
                                                                               Unit of Measure
through -M”.                                                                                     UK   CANADA

Minimum Time Charged Per Call                                                     seconds
Billing Increments After Minimum Time Charged
                                                                                  seconds
Per Call

MONTHLY CHARGES
20 DID Stations                                                                   $0.0000
100 DID Stations                                                                  $0.0000
Additional DID Stations (other Qty: SPECIFY)                                      $0.0000
Additional DID Stations (other Qty: SPECIFY)                                      $0.0000
Per-PRI or T-1 Charge, if any, in $ (to nearest
                                                                                $0.0000/PRI
$0.0001)
Invoice Fee, if any (i.e., CD, paper, web)                                        $0.0000




USAGE CHARGES
Rate in $ (to nearest $0.0001)                             $0.0000/minute
SIP trunking/Integrated Access arrangement
                                                               $0.0000
monthly cost in $
Directory Assistance Calls                                         --
List all Federal and State taxes that would appear on an invoice, the applicable rate (in %) and precise unit of measure

Federal Subscriber Line Charge (FSLC)




List all fees, surcharges or any other item that would appear on an invoice, and indicate rate or charge and unit of measure
                                                               $0.0000
                                                               $0.0000
                                                               $0.0000
                                                               $0.0000
                                                               $0.0000
                                                               $0.0000
                                                               $0.0000
                                                               $0.0000
                                                                 $0.0000
                                                                 $0.0000
List any available discounts for Term or Volume, I.E., 1, 3, or 5 year pricing, minimum annual minutes, etc.
                                                  INTERNATIONAL

               MEXICO         GERMANY    FRANCE   ITALY    SWITZERLAND   CHINA   JAPAN




se unit of measure




rge and unit of measure for each item.
es, etc.
SPAIN   UC SYSTEM RATE