STATE OF CALIFORNIA GAVIN C. NEWSOM Governor
PUBLIC UTILITIES COMMISSION
505 VAN NESS AVENUE
SAN FRANCISCO, CA 94102-3298
Letter of Authorization
We, the undersigned, authorize the Corporation for Education Network Initiatives in California (CENIC) and Columbia Telecommunications Corporation Technology and Energy (CTC) on behalf of CENIC, to act on our behalf to complete, sign, and submit an application and supporting documentation for the California Teleconnect Fund (CTF) to the California Public Utilities Commission for the purpose of receiving CTF discounts on eligible communications services.
We certify that the information provided herein is true and correct to the best of our knowledge and belief. Any acts carried out by CENIC or CTC on behalf of CENIC on our behalf pursuant to this authorization shall have the same effect as acts of our own.
This authorization shall remain in effect until revoked by the undersigned in writing. ________________________________________________________________________
PRINTED NAME OF LIBRARY/ LIBRARY SYSTEM OR JURISDICTION (AS IT APPEARS IN USAC’S SYSTEM)
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LIBRARY/LIBRARY SYSTEM FCC REGISTRATION NUMBER
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LIBRARY/LIBRARY SYSTEM USAC/E-RATE IDENTITY NUMBER
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SIGNATURE OF AUTHORIZED PERSON DATE
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PRINTED NAME OF AUTHORIZED PERSON
San Leandro Community Library/City of San Leandro
0014300200
144220
4/29/2022
Brian Simons
2 ___________________________________________
TITLE OR POSITION OF AUTHORIZED PERSON
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ADDRESS OF LIBRARY/LIBRARY SYSTEM OR JURISDICTION
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PHONE NUMBER OF AUTHORIZED PERSON
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E-MAIL OF AUTHORIZED PERSON
Library Director
300 Estudillo Avenue, San Leandro, CA 94577
510-577-3942
[email protected]