| Section | Question | Response |
|---|
| Applicant | Address | Phone | Applicant Type | |
|---|---|---|---|---|
|
COUNTY OF SAN BERNARDINO, CSA 29 (COUNTY SERVICE AREA) Doing Business As: COUNTY OF SAN BERNARDINO, CSA 29 (COUNTY SERVICE AREA) |
Special Districts Department - Frank Haggard 222 West Hospitality Lane, 2nd Floor SAN BERNARDINO, CA 92415 United States |
+1 (760) 248-7048 | frank.haggard@sdd.sbcounty.gov | Government Entity |
| Contact Name | Address | Phone | Contact Type | |
|---|---|---|---|---|
|
MICHAEL COUZENS ATTORNEY AT LAW |
MICHAEL COUZENS P.O. BOX 3642 OAKLAND, CA 94609 United States |
+1 (510) 658-7654 | cuz@well.com | Legal Representative |
|
Frank Haggard TECHNICAL MANAGER CSA 29 |
SPECIAL DISTRICTS DEPARTMENT ATTN Frank Haggard 157 W FIFTH STREET -2D FLOOR SAN BERNARDINO, CA 91415 United States |
+1 (760) 248-7048 | fhaggard@sdd.sbvounty.gov | Technical Representative |
|
Trevor Leja Division Manager - Operations County Service Area 29, San Bernardino County |
Special Districts Department - Trevor Leja PO Box 92415 760 SAN BERNARDINO, CA 92415 United States |
+1 (909) 386-8810 | trevor.leja@sdd.sbcounty.gov | Technical Representative |
| Section | Question | Response |
|---|---|---|
| General Certification Statements | The Applicant 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 authorization or otherwise, and requests an Authorization in accordance with this application (See Section 304 of the Communications Act of 1934, as amended.). | |
| The Applicant certifies that neither the Applicant nor any other party to the application is subject to a denial of Federal benefits pursuant to §5301 of the Anti-Drug Abuse Act of 1988, 21 U.S.C. §862, because of a conviction for possession or distribution of a controlled substance. This certification does not apply to applications filed in services exempted under §1.2002(c) of the rules, 47 CFR . See §1.2002(b) of the rules, 47 CFR §1.2002(b), for the definition of "party to the application" as used in this certification §1.2002(c). The Applicant certifies that all statements made in this application and in the exhibits, attachments, or documents incorporated by reference are material, are part of this application, and are true, complete, correct, and made in good faith. | ||
| Authorized Party to Sign | FAILURE TO SIGN THIS APPLICATION MAY RESULT IN DISMISSAL OF THE APPLICATION AND FORFEITURE OF ANY FEES PAID Upon grant of this application, the Authorization Holder may be subject to certain construction or coverage requirements. Failure to meet the construction or coverage requirements will result in automatic cancellation of the Authorization. Consult appropriate FCC regulations to determine the construction or coverage requirements that apply to the type of Authorization requested in this application. WILLFUL FALSE STATEMENTS MADE ON THIS FORM OR ANY ATTACHMENTS ARE PUNISHABLE BY FINE AND/OR IMPRISONMENT (U.S. Code, Title 18, §1001) AND/OR REVOCATION OF ANY STATION AUTHORIZATION (U.S. Code, Title 47, §312(a)(1)), AND/OR FORFEITURE (U.S. Code, Title 47, §503). |
|
| I certify that this application includes all required and relevant attachments. | Yes | |
| I declare, under penalty of perjury, that I am an authorized representative of the above-named applicant for the Authorization(s) specified above. | Frank Haggard Area Manager 01/31/2022 |
