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Applicants must include a non-refundable filing fee of $570 and submit a tariff covering proposed services’ rates, terms, and conditions. Local service providers must provide service area mapping and narrative, interconnection negotiation status, a technology and facilities summary, and financial documentation such as recent balance sheets and income statements, plus an auditor’s report when available. 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Facilities-based local exchange company\t \tC. Long distance service\ni.\tConditional certificate of authority\ti.\tConditional certificate of authority\nii. Operational certificate of authority\tii. Operational certificate of authority\nB. Resale of local exchange service\t \tD. Local niche service\ni.\tConditional certificate of authority\ti.\tConditional certificate of authority\nii. Operational certificate of authority\tii. Operational certificate of authority\nApplicant is:\to\tindividual\tDate open for business:\npartnership\ncorporation*\tDate of organization:\n(*name the State\t)\nMinnesota State Tax ID#\t(if applicable)\nFederal ID Number\nAre any officers or partners within the organization convicted felons:\to Yes o No (If yes, please explain)\nWill more than 50% of your revenue be derived from the provision of operator assisted long distance services?\to Yes o No\nIf yes, please identify the operator service company that will be used to provide the service:  \t                   (See “AOS Requirements” fact sheet)\nList FCC licenses obtained:\nHas any state rejected your request for authority?\to Yes o No\n(If yes, please explain)\nHave you ever been issued a “cease and desist” order?\to Yes o No\n(If yes, please explain)\nAre you currently providing telephone service in Minnesota?\to Yes o No\n(If yes, please explain)\nVerify that a toll-free number to reach a customer service representative will be on the bill received by customers.\nYes, the total free number will be on the bill.\nNo, the toll-free number will not be on the bill.\nIf no, how will customers know the number to call?\nProvide the toll-free telephone number:\nNOTE: To complete this application, you must provide the information requested on the following pages.\nATTACHMENTS REQUIRED\nThe following attachments are required of all applicants. Please answer each of the following questions on a separate sheet(s) and attach to the application form.\nAttach a non-refundable filing fee of $570, payable to the Minnesota Department of Commerce. The $570 initial filing fee will be charged to a company that is requesting authority for the first time in Minnesota. The initial filing fee will not be charged for requests for expansions of authority or the transfer of authority. Your application will not be processed until the fee is received.\nProvide a tariff describing rates, terms and conditions of each service you propose to offer in Minnesota. Tariff template language is included in the application packet and is recommended for the identified sections.\nFor local service providers, submit a map and a narrative description of the service area for which you are seeking authority. To satisfy the map requirement, you may provide a list of the exchanges for which you are seeking authority. If you intend to serve only a portion of any exchange rather than an entire exchange, you must specify the portion of the exchange for which you are seeking authority. As stated below, a 911 plan is required for local service providers. To facilitate the processing of their application, companies should only apply for authority in those areas they intend to serve.\nFor local service providers, describe the status of any negotiations for interconnection agreements that are currently underway.\nProvide a brief summary of the technology and facilities that you will use to provide the services that you intend to offer. Respond to each of the following:\nHow will end users be connected to the services? Will the ILEC’s local loop be used or another facility? Will a broadband connection be relied upon? If so, will the connecting signal be (i) integrated into the end user’s connection wit","cbCain1qKxiIG4QZ","https://ap.wps.com/l/cbCain1qKxiIG4QZ","docx",247235,24,"English","# ATTACHMENTS REQUIRED\n## Required fee and processing conditions\n## Required tariff and service area materials\n## Technology, facilities, and service scope questions\n## Financial documentation and operational plans","[{\"question\":\"What attachments are required for all applicants?\",\"answer\":\"All applicants must submit a non-refundable filing fee of $570 and attach required responses to questions on separate sheet(s), along with a tariff describing rates, terms, and conditions for proposed services.\"},{\"question\":\"What additional materials do local service providers need to submit?\",\"answer\":\"Local service providers must provide a map and narrative description of the service area for which authority is sought, including any negotiations for interconnection agreements underway, and a 911 plan requirement is noted.\"},{\"question\":\"What documents demonstrate financial ability?\",\"answer\":\"Applicants must attach their most recent balance sheet and income statement, the most recent annual report, and an auditor’s report if available; pro forma financial statements are referenced for new businesses.\"}]","ATTACHMENTS REQUIRED | DOCX",1788300368,8]