Franchise Area Representative Agreement by stw18612

VIEWS: 33 PAGES: 12

Franchise Area Representative Agreement document sample

More Info
									                             DATA TEMPLATE FOR NEW OR AMENDED CALIFORNIA STATE
                                        VIDEO FRANCHISE APPLICATION



Directions: This Excel template replaces the Access template to store Video Franchise Data for yo
data for Questions 13, 14, 15, 16 and 19 in the corresponding tabs shown. Save this Workbook wi
and submit it to the Commission concurrently with the rest of the application.
 ED CALIFORNIA STATE
LICATION



  Video Franchise Data for your application. You must enter
own. Save this Workbook with the applicant name to a CD
 lication.
Question 13: Fill out the information below as required.

                                              State whether Public Utilities Code § 5840(o)(1), §
                                              5840(o)(2), § 5840(o)(3), or § 5930(c) provides the
                                                 applicant with the authority to provide Video
                                             Service under a California State Video Franchise in
                                                  the municipality listed. If elgibility for state
                                                franchise is based on § 5840(o)(2), attach the
   Name of local municipality in the Video      written agreement signed by both parties; if §
Service Area that is currently served by, or    5840(o)(3), attach the notice you received that     If eligibility for a state franchise in
 in the last six months has been served by       another state franchisee is about to provide       this area is based on § 5840(o)(1),
    the Applicant, for which a state video    service in the jurisdiction, if § 5930(c), attach the    indicate the expiration date of
franchise is sought (Example: Los Angeles      notice from the local entity that requires you to       your existing local franchise.
            - not Los Angeles, CA)                            seek state franchise.                         Otherwise, enter "NA".
               Municipality Name                               Reason for Eligibility                            Expiration Date
Question 14: List each United States Census Bureau Block Group number within the proposed Video Service Area and the Expected Date of
Deployment for the Video Service Area. If this document is an amendment to an application, list only those Census Bureau Block numbers that are
not included in the original application or prior amendments.


 United States Census Bureau Block
Group Numbers Within Video Service     Expected Date of Deployment for
                Area                    Video Service Area (mm/dd/yy)
              CensusBG                        Date of Deployment
cted Date of
k numbers that are
Question 15: Provide a description of the socioeconomic status information of all residents within the Video Service Area served pursuant to this Applicatio


                                                                                                           Is Broadband Service
                                                                                    Number of Low           Provided by using a
                                          Number of      Number of Households     Income Households            Wireline Based
U.S. Census Bureau Total Number of       Low Income     Offered Video Service by Offered Video Service       Facility or Other? If
   Census Tract      Households          Households              Holder                by Holder            other, please specify.

    CensusTract          Households     Households_LI Video_Offered_Households Households_LI_Offered           Wireline/Other
rea served pursuant to this Application.


                                                             Is Broadband Service
                 Number of            Number of Households    Provided by using a         Number of         Number of Households
             Households Offered          Subscribing to          Wireline Based       Households Offered       Subscribing to
            Broadband Service by       Broadband Service       Facility or Other? If Broadband Service by    Broadband Service
                   Holder               Offered by Holder     other, please specify.        Holder            Offered by Holder

            BB_Offered_Households BB_Subscribe_Households        Wireline/Other    BB_Offered_Households BB_Subscribe_Households
Question 16: Provide a description of the socioeconomic status information of all residents within the Telephone Service Area served pursuant to this Appli

                                                                                                          Is Broadband Service
                                                                                    Number of Low          Provided by using a
                                          Number of      Number of Households     Income Households           Wireline Based
U.S. Census Bureau Total Number of       Low Income     Offered Video Service by Offered Video Service      Facility or Other? If
   Census Tract      Households          Households              Holder                by Holder           other, please specify.

    CensusTract          Households     Households_LI Video_Offered_Households Households_LI_Offered          Wireline/Other
ice Area served pursuant to this Application.

                                                             Is Broadband Service
                 Number of            Number of Households    Provided by using a         Number of         Number of Households
             Households Offered          Subscribing to          Wireline Based       Households Offered       Subscribing to
            Broadband Service by       Broadband Service       Facility or Other? If Broadband Service by    Broadband Service
                   Holder               Offered by Holder     other, please specify.        Holder            Offered by Holder

            BB_Offered_Households BB_Subscribe_Households        Wireline/Other    BB_Offered_Households BB_Subscribe_Households
Question 19: Provide the name and contact information for a representative from each local entity within the proposed Video Service Area.



Name of the Local    Contact First      Contact Last
  Municipality          Name               Name            Dept/Agency          Address               City            State        Zip
     Local               First              Last             Agency             Address               City            State      ZipCode
Phone   Fax   Email
Phone   Fax   Email
Public Utilities Code § 5840(o)(1)
Public Utilities Code § 5840(o)(2)
Public Utilities Code § 5840(o)(3)
New Franchise
Public Utilities Code § 5930 (c)

								
To top