How to Request an Order of General Application

							                    FIELD CONNECTION POINT (FCP) REQUEST - Version 7
                       Qwest Collocation Web Site Addresses:
           Application Forms: http://www.qwest.com/wholesale/pcat/collocation.html#apform
                                     Go to this site for a complete listing of Collocation Applications.


            Collo Classifieds: http://www.qwest.com/wholesale/pcat/colloclassifieds.html
                                     Listing of vacated CLEC (Competitive Local Exchange Carrier) sites (space and
                                     cabling (that may be available to CLECs wishing to establish a new presence in a
                                     Central Office. A CLEC wishing to apply for a site and facilities posted in the Collo
                                     Classifieds should incorporate the Available Inventory found on the web site into
                                     this application, along with any requested changes.


             Mailing Address: RFSMET@Qwest.com (address to submit applications)

         Product Information: http:www.qwest.com/wholesale/pcat/collocation.html#order
                                     Go to this site if you do not see the product you are interested in, e.g. Adjacent
                                     Collocation, Facility Connected Collocation, Transfer of Responsibility,
                                     Decommission/Cancellation, Remote Collocation, etc.


      New CLEC Information: http:www.qwest.com/wholesale/clecs/newcustquestionnaire.html
                                    To do business with Qwest as a CLEC or Reseller, a New Customer Questionnaire
                                    must be completed by you or a representative from your organization. Your Qwest
                                    Service Manager will assist you with this process.


      The previous version of this application will only be accepted for thirty (30) calendar days after the new version
      is posted to the web site. To access current forms, refer to the application forms web site address listed above.

I.    GENERAL NOTES:
 l    A. As participants in utility easements and public/private rights-of-way agreements, CLECs and Qwe
 l       are each responsible for insuring that their respective facilities information (housing locations,
 l       cable paths, etc.) is communicated to entities such as OneCall/Blue Stake, as appropriate.

l     B. The applicant is responsible for the submission of separate service order(s) to secure the
l        additional product(s) and/or service(s) required for the provisioning of this Collocation product.
l        This application does not ensure that those product(s) and/or service(s) will be provisioned under
l        the same timelines established for this Collocation product.

II.   GENERAL ORDERING INFORMATION
      A. CLEC IDENTIFICATION
         1. CLEC Name
         2. CLEC ACNA Code


                                                                                            Effective 05-01-09
    3.   Primary CLEC Contact                                                CLEC Project Manage
         a. Name
         b. Address
              1). Street
              2). City
              3). State/Zip Code
         c. Toll Free Tele No.
         d. Facsimile Number
         e. Title
         f. e-mail address
         g. CLEC ZCID (completed by Qwest)
    4.   Secondary CLEC Contact
         a. Name
         b. Toll Free Tele No.
    5.   Construction Contact
         a. Name
         b. Toll Free Tele No.
         c. e-mail address
         Note: The Construction Contact is a CLEC field representative who can be contacted to
                  coordinate construction activities.
    6.   Billing Information                 Recurring Billing             Non-Recurring (if differe
         a. Billing Name
         b. Billing Name ACNA
         c. Address
              1). Street
              2). City
              3). State/Zip Code
         d. Toll Free Tele No.
         e. Facsimile Number
         f. Title
         g. e-mail address
         h. CLEC ZCID (completed by Qwest)

B. DATE APPLICATION SENT TO Qwest

C. 48 HOUR CALL (a 48 hour call will be scheduled by Qwest after receipt of a valid application).

D. CUSTOMER INTERCONNECTION CONTRACT NUMBER

E. TARIFF/CONTRACT ORDERING INFORMATION (check the one applicable to this order)
          Interstate Tariff
          State Tariff
          Interconnection Contract
          Early Ordering


                                                                                 Effective 05-01-09
F. Qwest WHOLESALE PROJECT MANAGER
   1. Name
   2. Telephone Number
   3. e-mail address

G. TYPE OF ORDER (check one)
          New
          Change (prior to 50% down payment sent to QWEST on current order)
          Augment (after 50% down payment sent to QWEST on prior order)
          FCP Spare Termination Reclassification
   1. Each application must be filled out completely, i.e. a submission requesting a Change to an
      original application should be filled out as though the Change were embedded in the original
      submission.
   2. Change requests require the following information:
      a. Section and subsection(s) that are changed from your last submission, e.g. II.C.3.b.


       b. Description of the changes being requested




    3. Note Section:
       Note 1: An augment or change request submitted to QWEST during the feasibility, quote, or
               construction phases of the Field Connection Point (FCP) job may impact the
               Ready for Service (RFS) date.
       Note 2: A Change Order submission will require a revised quote from QWEST. An Augment
               Order may require a Quote Preparation Fee (QPF) if contractually applicable. Please
               complete all applicable pages of this application when requesting an augment or cha
       Note 3: An augment is requested and performed on a completed FCP site or a FCP site
               request that has been accepted by the CLEC and for which 50% down payment has
               been received.
       Note 4: An augment or change to a FCP site can be a minor or major addition or reduction of
               the quantity of element(s) which are part of a FCP site.
       Note 5: A change order is any change requested on an active (accepted) FCP order prior
               to receipt of the 50% down payment. When a change order is accepted, the order
               interval restarts.

H. FCP ADDRESS DETAIL
   Enter the valid street address of the FCP (if known):
      Street
      City
      State/Zip Code


                                                                         Effective 05-01-09
       I.   END-USER DETAIL
            1. Does the CLEC wish to submit this information on a confidential basis (Yes/No)
            2. Enter a valid street address of the end-user you want to serve:
               a. Street
               b. City
               c. State/Zip Code
            3. Notes Section
               Note 1:        Qwest will only process one site per application.
               Note 2:        Attach a map or diagram of the end-user location with this application.

       J.   CENTRAL OFFICE CLLI CODE
            Enter the 8 character CLLI of the Central Office associated to the
            FDI (Field Distribution Interface) serving the FCP.

       K. NOTES SECTION
          Note 1:  Your request will be reviewed for technical and operational feasibility.
          Note 2:  Requirements and time frames for evaluating your request will follow those in the
                   FCP product process.
          Note 3:  A diagram of your proposed method of interconnection at the FCP location must be
                   attached to this application.

III.   DETAILED ORDERING INFORMATION
       A. GENERAL INFORMATION
          1. Indicate how the FCP facilities will be used, e.g.
             Dial Tone, Voice, Voice & Data.
          2. Identify the type of equipment that will be interconnected
              to the Qwest network, e.g. Cross-Box, DSLAM (Optional)
          3. Enter the size, gauge, and quantity of cable between the FCP and your equipment by Loop typ
                                                       UFL              UDL                  SDL
             a. Cable size
             b. Cable gauge
             c. Quantity of cables
          4. DS1 Facilities
l            a. Does the CLEC request that feeder service be provided by Qwest? (Yes/No)
             b. Enter the quantity of DS1s that are anticipated to eventually
                  run over the Field Connection Point facilities (Optional):
             c. Notes:
                  1. This information is for Qwest planning purposes only, not for any
                      pre-provisioning work associated with this application.
l                 2. Filling out this application does not guarantee the availability of feeder facilities.

       B. LOOP ORDERING INFORMATION
          1. Unbundled Feeder Loops (UFL)


                                                                                    Effective 05-01-09
            a. Will the CLEC be ordering UFL? (Yes/No)
            b. If Yes entered above, enter the 11 character CLLI code
                assigned to your site in the interconnected Central Office.
            c. Enter the type of Collocation, e.g. Caged, Virtual, etc.).
l           d. Enter the quantity of DS1 Feeder Terminations:
l               1). Existing
l               2). Additions or reductions (show as negative)
l               3). Net                                                                   0
            e. Enter the NC/NCI code associated with this request.
            f. If the establishment of the Central Office Collocation site
                is in progress, enter the Job ID (BAN #).
       2.   Unbundled Distribution Loops (UDL)
            a. Will the CLEC be ordering UDL? (Yes/No)
l           b. If Yes entered above, enter the following information:
l               1). Quantity of UDF Terminations
l                    a). Existing
l                    b). Additions or reductions (show as negative)
l                    c). Net                                                              0
                2). NC/NCI code associated to the UDL
       3.   Shared Distribution Loops (SDL)
            a. Will the CLEC be ordering SDL? (Yes/No)
l           b. If Yes entered above, enter the following information:
l               1). Quantity of SDL Terminations                                In              Out
l                    a). Existing
l                    b). Additions or reductions (show as negative)
l                    c). Net                                                  0               0
                2). NC/NCI code associated to the SDL
       4.   Line Sharing (Splitter):
            a. Enter the splitter circuit wiring cadence, e.g. skip every 25th pair, if applicable.

            b. Note:      If interconnecting with a splitter to Qwest, CLEC will need to double the
                          terminations at the FCP (Voice & Data and Voice Only per circuit).

    C. LOOP RESERVATION (Colorado only)
       1. Sub-Loops
          a. Does the CLEC wish to reserve Sub-Loops? (Yes/No)
          b. If Yes entered above, enter the following information:
             1). Will the CLEC be reserving DS1 Feeder Sub-Loops from
                  your Central Office Collocation site to the FCP? (Yes/No)
             2). If Yes entered above, enter the following information:
                  a).   Central Office 8 character CLLI Code.
                  b).   Your assigned 11 character Collocation CLLI Code.
                  c).   Collocation type, e.g. ICDF Collocation.
                  d).   Number of DS1 terminations to be reserved.


                                                                                   Effective 05-01-09
      2.    UDL and UFL Detail
            a. Does the CLEC wish to reserve Unbundled Distribution Loops
               from the FCP (at Qwest's FDI) to an end-user? (Yes/No)
            b. If Yes entered above, enter the following information:
               1). FCP location (should be the same as above)

                 2). Does the CLEC pre-approve the conditioning of the UDL
                     facilities to meet your requirements, if needed? (Yes/No)
            c.   End-User detail:
                                                                        Facility Type
                 End-User           End-User Address                    (see below)
                     1


                     2


                     3


                     4


            d. Notes Section
               Note1:   Types of Facilities that can be reserved:
                        2 - Wire UDL
                        2 - Wire Non-Loaded UDL
                        4 - Wire UDL
                        4- Wire Non-Loaded UDL
                        DS1 Capable UFL
               Note 2: Loops will only be reserved if the request is feasible.

   D. FCP TERMINATION RECLASSIFICATION
      1. Enter the FCP terminations from your APOT that you would like reclassified.
         a. Cable Name
         b. Cable Count
      2. Enter the BAN # from your current APOT.
      3. Identify what the FCP terminations are to be reclassified to, e.g. UFL, UDL, SDL).
      4. If reclassifying FCP terminations for use as part of a splitter configuration, specify
         the circuit cadence, e.g. skip the last 4 of every 100 pair count)


IV. NOTES




                                                                                 Effective 05-01-09
THANK YOU FOR YOUR APPLICATION




                                 Effective 05-01-09
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