ADTRAN Cable T1 ESF CSU ACE User Manual

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61204025L1-1B © 2004 ADTRAN, Inc. 5Affidavit for Connection of Customer Premises Equipmentto 1.544 Mbps and/or Subrate Digital ServicesFor the work to be performed in the certified territory of ___________________ (telco name)State of ________________County of ________________I, _______________________ (name), ____________________________________ (business address),____________________ (telephone number) being duly sworn, state:I have responsibility for the operation and maintenance of the terminal equipment to be connected to 1.544 Mbps and/or ________ subratedigital services. The terminal equipment to be connected complies with Part 68 of the FCC rules except for the encoded analog content andbilling protection specifications. With respect to encoded analog content and billing protection:( ) I attest that all operations associated with the establishment, maintenance, and adjustment of the digital CPE with respect to analog contentand encoded billing protection information continuously complies with Part 68 of the FCC Rules and Regulations.( ) The digital CPE does not transmit digital signals containing encoded analog content or billing information which is intended to be decodedwithin the telecommunications network.( ) The encoded analog content and billing protection is factory set and is not under the control of the customer.I attest that the operator(s)/maintainer(s) of the digital CPE responsible for the establishment, maintenance, and adjustment of theencoded analog content and billing information has (have) been trained to perform these functions by successfully having completed oneof the following (check appropriate blocks):( ) A. A training course provided by the manufacturer/grantee of the equipment used to encode analog signals; or( ) B. A training course provided by the customer or authorized representative, using training materials and instructions provided by themanufacturer/grantee of the equipment used to encode analog signals; or( ) C. An independent training course (e.g., trade school or technical institution) recognized by the manufacturer/grantee of the equipmentused to encode analog signals; or( ) D. In lieu of the preceding training requirements, the operator(s)/maintainer(s) is (are) under the control of a supervisor trained inaccordance with _________ (circle one) above.I agree to provide ______________________ (telco’s name) with proper documentation to demonstrate compliance with the information asprovided in the preceding paragraph, if so requested._________________________________Signature_________________________________Title_________________________________ DateTranscribed and sworn to before meThis ________ day of _______________, ________________________________________Notary PublicMy commission expires:_________________________________