The URL can be used to link to this page

Home My Public Portal AboutSpectrum Lease - PSFCC Notification for Spectrum Manager Lease and Ownership Disclosure Information In order for Sensus to apply to the FCC on the Customer's behalf for a spectrum manager lease, Customer must complete the information below in boxes one (1) through eight (8) and certify via authorized signature the statements in box nine (9). Customer's signature will indicate that Customer authorizes Sensus to file the spectrum manager lease notification on FCC Form 608 with the Customer as spectrum Lessee, as well as ownership disclosure information on FCC Form 602. 1. Customer/Lessee Information Customer/Lessee Name: City of Crestview Attention to: Maryanne Schrader Street Address: City: Crestview 198 N Wilson St State: FL Name of Real Party in Interest: City Of Crestview, FL Phone: (850) 682-1560 Zip: 32536 Fax: (850) 682-8077 E-mail: cityclerk@cityofcrestview.org 2. Contact Information [ is Check here if same as above] Company Name: Attention to: Street Address: City: Name of Real Party in Interest: Phone: I State: Zip: Fax: E-mail: 3. FCC Information If known, Customer's FCC Registration Number (FRN): Customer Tax Identification Number (TIN): 4. Entity Information [select one] Customer/Lessee is a(n) ❑ Individual O Government Entity ❑ General Partnership ❑ Consortium 85-8012621551C-8 ❑ Unincorporated Association ❑ Trust O Corporation ❑ Limited Partnership F❑ Other 0 Limited Liability Company ❑ Limited Liability Partnership 5. Designated FCC Contact Person Please designate one individual (the Director of Public Works or similar person) who is responsible to the FCC for the operation of the FlexNet radio system. Designated Individual: Mike Griddle, Title: Director of Public Services iE-mail: criddlem@cityofcrestview.org I Phone: (850) 682-6132 Ext 124 6. Ownership Disclosure Information If Customer/Lessee is a government entity, list the names of the Mayor in any entity regulated by the FCC. Such ownership must be disclosed operating control of any entity subject to FCC regulation. If any answer an attachment with further explanation. Mayor: J. B. Whitten Council Member: Joe Blocker Council Member: Cynthia Brown Council Member: Ryan Bullard Council Member: Doug Capps Council Member: Andrew Rencich Council Member: Council Member: Council Member: Council Member: Council Member: and all Council Members below, as well as verify citizenship and ownership interests where a mayor/council member owns 10% or more, directly or indirectly, or has to Ownership question is Yes, or any answer to Citizenship question is No, provide U.S. Citizen: 0 Yes U.S. Citizen: It Yes U.S. Citizen: 0 Yes U.S. Citizen: ID Yes U.S. Citizen: 0 Yes U.S. Citizen: I] Yes U.S. Citizen: 0 Yes U.S. Citizen: ❑ Yes U.S. Citizen: 0 Yes U.S. Citizen: ❑ Yes U.S. Citizen: 0 Yes ❑ No ❑ No ❑ No ❑ No ❑ No ❑ No ❑ No ❑ No ❑ No 0 No ❑ No Ownership Disclosure: ❑ Yes I7 No Ownership Disclosure: 0 Yes III No Ownership Disclosure: 0 Yes It No Ownership Disclosure: ❑ Yes 0 No Ownership Disclosure: 0 Yes ❑i No Ownership Disclosure: ❑ Yes El No Ownership Disclosure: ❑ Yes 0 No Ownership Disclosure: 0 Yes ❑ No Ownership Disclosure: ❑ Yes ❑ No Ownership Disclosure: ❑ Yes 0 No Ownership Disclosure: ❑ Yes 0 No 7. Alien Ownership Questions [if the answer is Yes, provide an attachment explaining the circumstances] is the Customer/Lessee a foreign government or the representative of any foreign government? ❑ Yes i]i No 8. Basic Qualification Information 8.1 Has the Customer or any party to this application had any FCC station authorization, license, or construction permit revoked or had any application for an initial, modification or renewal of FCC station authorization, license or construction permit denied by the Commission? 8.2 Has the Customer or any party to this filing, or any party directly or indirectly controlling the Customer or any party to this filing ever been convicted of a felony by any state or federal court? 8.3 Has any court finally adjudged the Customer or any party directly or indirectly controlling the Customer guilty of unlawfully monopolizing or attempting to unlawfully monopolize radio communication, directly or indirectly, through control of manufacture or sale of radio apparatus, exclusive traffic arrangement, or any other means or unfair methods of competition? ❑ Yes rd#1 No ❑ Yes ® No ❑ Yes LiiJ No 9. Customer/Lessee Certification Statements 9.1 The Customer/Lessee agrees that the Lease is not a sale or transfer of the license itself. 9.2 The Customer/Lessee acknowledges that it is required to comply with the Commission's Rules and Regulations and other applicable law at all times, and if the Customer/Lessee fails to so comply, the Lease may be revoked, cancelled, or terminated by either the Licensee or the Commission. 9.3 The Customer/Lessee certifies that neither it nor any other party to the Application/Notification is subject to a denial of Federal benefits pursuant to Section 5301 of the Anti -Drug Abuse Act of 1988, 21 U.S.0 § 862, because of a conviction for possession or distribution of a controlled substance (See Section 1.2002(b) of the rules, 47 CFR § 1.2002(b), for the definition of "party to the application" as used in this certification.) 9.4 The Customer/Lessee hereby accepts Commission oversight and enforcement consistent with the license and lease authorization. The Lessee acknowledges that it must cooperate fully with any investigation or inquiry conducted either by the Commission or the Licensee, allow the Commission or the Licensee to conduct on -site inspections of transmission facilities, and suspend operations at the direction of the Commission or the Licensee and to the extent that such suspension of operation would be consistent with applicable Commission policies. 9.5 The Customer/Lessee acknowledges that in the event an authorization held by a Licensee that it has association with it a spectrum leasing arrangement that is the subject of this filing is revoked, cancelled, terminated, or otherwise ceases to be in effect, the Customer/Lessee will have no continuing authority to use the leased spectrum and will be required to terminate its operations no later than the date on which the Licensee ceases to have any authority to operate under the license, unless otherwise authorized by the Commission. 9.6 The Customer/Lessee agrees the Lease shall not be assigned to any entity that is not eligible or qualified to enter into a spectrum leasing arrangement under the Commission's Rules and Regulations. 9.7 The Customer/Lessee waives any claim to the use of any particular frequency or of the electromagnetic spectrum as against the regulatory power of the United States because of the previous use of the same, whether by spectrum lease or otherwise. 9.8 The Customer/Lessee certifies that it is not in default on any payment for Commission licenses and that it is not delinquent on any non -tax debt owed to any federal agency. The Customer/Lessee certifies that all of its statements made in this Application/Notification and in the schedules, exhibits, attachments, or documents incorporated by reference are material, are part of this Application/Notification, and are true, complete, correct, and made in good faith. The Customer/Lessee shall notify Sensus in writing in the event any information supplied on this form changes. Type or Print Name of Party Authorized to Sign_ Maryanne Schrade First: J. B MI: -1 Last: Wh ttenr Suffix: Title: City Clerk Customer Name: City of Crestview, FL Mayor ® Yes S] Yes icjil Yes f; Yes E l Yes E Yes Eit Yes Signature [� Yes Date: 14— — O ) FAILURE T SIGN THIS APPLICATION MAY RESULT IN DISMISSAL OF THE APPLICATION AND FORFEITURE OF ANY FEES PAID. WILLFUL ALSE STATEMENTS MADE ON THIS FORM OR ANY ATTACHMENTS ARE PUNISHABLE BY FINE ANDIOR IMPRISONMENT (U.S. Code, Title 18, Section 1001) AND/OR REVOCATION OF ANY STATION LICENSE OR CONSTRUCTION PERMIT (U.S. Code, Title 47, Section 312(a)(1))/A�N/�Dyf/I�O FORFEITURE (U.S. Co a Title 47, Section 503). t�\y (� (\\ j j� _ __ 1 1 ATTN: MARYANNE SCHRADER CITY OF CRESTVIEW 198 N. WILSON ST. CRESTVIEW, FL 32536 Reference Number: FEDERAL COMMUNICATIONS COMMISSION Wireless Telecommunications Bureau Spectrum Leasing Arrangement This approval allows the Lessee to lease spectrum from the Licensee pursuant to the provisions and requirements of Subpart X of Part 1 of the Commission's Rules, 47 C.F.R. Part 1, and as described in the associated spectrum leasing application or notification. Lease TermType of Lease Arrangement Lease Identifier L000023794Spectrum Manager Lease Long Term Lease Expiration DateLease Grant/Accepted Date Lease Commencement Date 04/15/202303/31/2017 04/20/2017 Call Sign Radio Service WQEM410 CN - PCS Narrowband Lessee Information 0026369728 CITY OF CRESTVIEW Attn: MARYANNE SCHRADER 198 N. WILSON ST. CRESTVIEW, FL 32536 Licensee Information 0015015019 SENSUS SPECTRUM, LLC Attn: STANTON B. WOODCOCK 120 UNION BRICK ROAD BLAIRSTOWN, NJ 07825 FCC 812 June 2021Page1 of 2 Channel BlockMarket Name Geographically-Licensed Services Market Number 25 NWA255 U.S. and Possessions Condition: This lease may not authorize operation throughout the entire geographic area or spectrum identified on the hardcopy version. To view the specific geographic area and spectrum associated with this leasing agreement, refer to the Spectrum and Market Area information under the Market Tab of the license record in the Universal Licensing System (ULS). To view the license record, go to the ULS homepage at http://wireless.fcc.gov/uls/index.htm?job=home and select "License Search". Follow the instructions on how to search for license information. Conditions: Pursuant to §309(h) of the Communications Act of 1934, as amended, 47 U.S.C. §309(h), this license is subject to the following conditions: This license shall not vest in the licensee any right to operate the station nor any right in the use of the frequencies designated in the license beyond the term thereof nor in any other manner than authorized herein. Neither the license nor the right granted thereunder shall be assigned or otherwise transferred in violation of the Communications Act of 1934, as amended. See 47 U.S.C. § 310(d). This license is subject in terms to the right of use or control conferred by §706 of the Communications Act of 1934, as amended. See 47 U.S.C. §606. Page 2 of 2 FCC 812 June 2021 ATTN: MARYANNE SCHRADER CITY OF CRESTVIEW 198 N. WILSON ST. CRESTVIEW, FL 32536 Reference Number: FEDERAL COMMUNICATIONS COMMISSION Wireless Telecommunications Bureau Spectrum Leasing Arrangement This approval allows the Lessee to lease spectrum from the Licensee pursuant to the provisions and requirements of Subpart X of Part 1 of the Commission's Rules, 47 C.F.R. Part 1, and as described in the associated spectrum leasing application or notification. Lease TermType of Lease Arrangement Lease Identifier L000023795Spectrum Manager Lease Long Term Lease Expiration DateLease Grant/Accepted Date Lease Commencement Date 04/15/202303/31/2017 04/20/2017 Call Sign Radio Service WQKM409 CN - PCS Narrowband Lessee Information 0026369728 CITY OF CRESTVIEW Attn: MARYANNE SCHRADER 198 N. WILSON ST. CRESTVIEW, FL 32536 Licensee Information 0015015019 SENSUS SPECTRUM, LLC Attn: STANTON B. WOODCOCK 120 UNION BRICK ROAD BLAIRSTOWN, NJ 07825 FCC 812 June 2021Page1 of 2 Channel BlockMarket Name Geographically-Licensed Services Market Number 19 NWA255 U.S. and Possessions Condition: This lease may not authorize operation throughout the entire geographic area or spectrum identified on the hardcopy version. To view the specific geographic area and spectrum associated with this leasing agreement, refer to the Spectrum and Market Area information under the Market Tab of the license record in the Universal Licensing System (ULS). To view the license record, go to the ULS homepage at http://wireless.fcc.gov/uls/index.htm?job=home and select "License Search". Follow the instructions on how to search for license information. Conditions: Pursuant to §309(h) of the Communications Act of 1934, as amended, 47 U.S.C. §309(h), this license is subject to the following conditions: This license shall not vest in the licensee any right to operate the station nor any right in the use of the frequencies designated in the license beyond the term thereof nor in any other manner than authorized herein. Neither the license nor the right granted thereunder shall be assigned or otherwise transferred in violation of the Communications Act of 1934, as amended. See 47 U.S.C. § 310(d). This license is subject in terms to the right of use or control conferred by §706 of the Communications Act of 1934, as amended. See 47 U.S.C. §606. Page 2 of 2 FCC 812 June 2021 ATTN: MARYANNE SCHRADER CITY OF CRESTVIEW 198 N. WILSON ST. CRESTVIEW, FL 32536 Reference Number: FEDERAL COMMUNICATIONS COMMISSION Wireless Telecommunications Bureau Spectrum Leasing Arrangement This approval allows the Lessee to lease spectrum from the Licensee pursuant to the provisions and requirements of Subpart X of Part 1 of the Commission's Rules, 47 C.F.R. Part 1, and as described in the associated spectrum leasing application or notification. Lease TermType of Lease Arrangement Lease Identifier L000023796Spectrum Manager Lease Long Term Lease Expiration DateLease Grant/Accepted Date Lease Commencement Date 04/15/202303/31/2017 04/20/2017 Call Sign Radio Service WQKM410 CN - PCS Narrowband Lessee Information 0026369728 CITY OF CRESTVIEW Attn: MARYANNE SCHRADER 198 N. WILSON ST. CRESTVIEW, FL 32536 Licensee Information 0015015019 SENSUS SPECTRUM, LLC Attn: STANTON B. WOODCOCK 120 UNION BRICK ROAD BLAIRSTOWN, NJ 07825 FCC 812 June 2021Page1 of 2 Channel BlockMarket Name Geographically-Licensed Services Market Number 25 NWA255 U.S. and Possessions Condition: This lease may not authorize operation throughout the entire geographic area or spectrum identified on the hardcopy version. To view the specific geographic area and spectrum associated with this leasing agreement, refer to the Spectrum and Market Area information under the Market Tab of the license record in the Universal Licensing System (ULS). To view the license record, go to the ULS homepage at http://wireless.fcc.gov/uls/index.htm?job=home and select "License Search". Follow the instructions on how to search for license information. Conditions: Pursuant to §309(h) of the Communications Act of 1934, as amended, 47 U.S.C. §309(h), this license is subject to the following conditions: This license shall not vest in the licensee any right to operate the station nor any right in the use of the frequencies designated in the license beyond the term thereof nor in any other manner than authorized herein. Neither the license nor the right granted thereunder shall be assigned or otherwise transferred in violation of the Communications Act of 1934, as amended. See 47 U.S.C. § 310(d). This license is subject in terms to the right of use or control conferred by §706 of the Communications Act of 1934, as amended. See 47 U.S.C. §606. Page 2 of 2 FCC 812 June 2021