Ethernet Intrastate-Only Traffic Certification
Customer Name (Legal Entity): CITY OF COSTA MESA
Billing Address:
77 Fair Dr
Costa Mesa CA 92626
Charter Communications Operating, LLC and its subsidiaries providing the Services (“Spectrum”), presumes that more than 10% of the traffic carried on the WAN/Ethernet services that we provide to you over any circuit will be interstate in nature, and that therefore by Federal Communications Commission regulation each such circuit must be treated as jurisdictionally interstate in its entirety. If you expect that 10% or less of the traffic to be carried over any circuit will be interstate in nature, please complete the certification form below to identify the relevant circuit(s) and specify the expected jurisdictional allocation of your traffic associated with such circuit(s). Please note that all Internet -related traffic is presumptively interstate. Also, please note that you must provide this certification annually and whenever there is a material change in the actual or expected jurisdictional nature of your traffic. In the event that you fail to provide this certification in accordance with procedures specified by Spectrum, Spectrum reserves the right to again presume that more than 10% of the traffic carried over each circuit is interstate in nature and calculate the fees applicable to that usage accordingly.
CERTIFICATION
I certify that the traffic carried by Spectrum in its provision of WAN/Ethernet services on the circuits listed on the attached Service Order is jurisdictionally intrastate and will contain no more than 10% interstate traffic.
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(Authorized Customer Signature) (Date Signed)
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(Printed Name) (Title)
Authorized Customer Contact Information:
Phone: (714) 754-5154 Email: [email protected] Ethernet Interstate Tax Form v200611 CONFIDENTIAL 1 © 2016-2020 Charter Communications, all rights reserved Attachment 2