Form 442

0057-EX-PL-2001 Text Documents

Cisco Systems

2001-04-27ELS_45959

FCC Form 442 https://gullfoss2. fee.gov/icgi—bin/ws.exe... &form_type=current&application_seq=213! F\)gw U 'L’(7fl0fl16c1|’7 3/7/0[ ~ You will be presented with the FCC FORM 159, Fee Remittance Advice after submitting your application and obtaining a confirmation number. This Fee Remittance Advice, FCC Form 159, must currently be submitted in paper form along with payment to the address indicated in the FCC Fee Filing Guide. Electronic submission of FCC Form — 159 is not currently available. — FCC FORM 442 — FEDERAL COMMUNICATIONS COMMISSION Approved by APPLICATION FOR NEW OR MODIFIED RADIO STATION UNDER PART 5 OF B0S®— 0055 |FCC RULES — EXPERIMENTAL RADIO SERVICE (OTHER THAN BROADCAST) "*""*" 1. * Applicant‘s Name (company) File No. : Cisco Systems 057'EX'P 2. * Mailing Address: (Attention:* E John Martin __ | Street Address:* 170 W Tasman Drive | [P.O. Box: ] City: State: Zip Code: E—Mail Address: "San Jose _ _ _ 1 CA B £~95135 11 3(a). * Application is for: b). For Modification indicate below: Eile No: Callsign: WC2XPG * OYes Is this authorization to be used for fulfilling the requirement of a government contract with an agency of the nited States Government? —If "YES", include as an exhibit a narrative statement describing the government roject, agency and contract number. 5. * O Yes Is this authorization to be used for the exclusive purpose of developing radio equipment for export to be mployed by stations under the jurisdiction of a foreign government? —If "YES", include the contract number and the name of the foreigngovernment concerned as an exhibit. Eg * J Yes Is this authorization to be used for providing communications essential to a research project? (The radio communication is not the objective of the research project)? If "YES", include as an exhibit the following information: a. A description of the nature of the research project being conducted. b. A showing that the communications facilities requested are necessary for the research project involved. c. _A showing that existing communications facilities are inadequete. 7. . If all the answers to Items 4, 5, 6 are "NO‘", include as an exhibit a narrative statement describing in detail the following a. The complete program of research and experimentation proposed including description of equipment and theory operation. b. The specific objectives sought to be accomplished. c. How the program of experimentation has a reasonable promise of contribution to the development, extension, exp or utilization of the radio art, or is along line not already investigated. * Give an estimate of the length of time that will be required to complete the program of experimentation proposed in this rmenp ; gremmetmenmnermess appli&catio . n: {24] in | Months I:l 19, * C Yes Would a commission grant of this application come within Section 1.1307 of the FCC Rules, such that it may thave a significant environmental impact? If "YES", include as an exhibit an Environmental Assessment as {required by Section 1.1311. 1 of 4 04/13/2001 11:03 AM

FCC Form 442 https://gullfoss2.fee.gov/cgi—bin/ws.exe... &form_type=current&application_seq=213! 10. List below transmitting equipment to be installed (if experimental, so state) if additional rows are required, please sul equipment list as an exhibit : MANUFACTURER MODEL NUMBER NO. OF UNITS EXPERIMEN ‘CiscoSystem _ TCO | {‘MNET GP—17 | £©410 ] @ Yes O T oJ 200000000000—55J TL ve mm mgmmmenmommenemenmmmenemntonn mz -mvwww-tma»m«ynwi z g,«mwmwm] | J } Yes Q pemtreeniaae ie mmmmmenesnrommmemcnmommnsmncsmmmmmsoniemmemininmmmmmneam memmorosmammoommenmmmmnmmumetmneameeceuese W O Yes O £ l .‘ the equipment listed in Item 10 capable of station identification pursuant to Stio 5.1? C 12. *Applicant is: ) INDIVIDUAL ) ASSOCIATION {} PARTNERSHIP @© CORPORATION D) OTHER If "OTHER" is selected, include as an exhibit a narrative statement describing the type of applicant. 13. * Is applicant a foreign government or a representative of a foreign government? 14. * Has applicant or any party to this application had any FCC station license or permit revoked or any application for permit, license or renewal denied by this Commission? If "YES", include as an exhibit a statement giving call sign of license or permit revoked and relate {circumstances. 15. * Will applicant be owner and operator of the station? @Yes 16. Give the following information of person who can best handle inquiries pertaining to this application: * Last Name: Martin 1 * First Name: 1 kn *Eiingpt Title: t mm im * Phone Number (include area code): 409—853—4520 _ ] E—Mail Address: § irm@cisco.com _] eernen 17. * APPLICANT ANTI—DRUG ABUSE CERTIFICATION: @) Yes By checking "YES", the individual applicant certifies that he or she is eligible for this license. Thisrequires that he or she is not subject to a denial of federal benefits, including FCC benefits, as a result of a drug offense onviction pursuant to Section 5301 of the Anti—Drug Abuse Act of 1988, 21 U.S.C. 862. A non—individual pplicant, e.g., corporation. partnership or other unincorporated association, certifies that no party to the pplication is subject to a denial of federal benefits, pursuant to that section. For definition of a "party‘" for hese purposes, see 47CFR 1.2002(b). 2 of 4 04/13/2001 11:03 AM

FCC Form 442 https://gullfoss2.fee.gov/cgi—bin/ws.exe... &form_type=current&application_seq=213 18. CERTIFICATION: THE APPLICANT CERTIFIES THAT: a. Copies of the FCC Rule Parts 2 and 5 are on hand; and b. Adequete financial appropriations have been made to carry on the program of experimentation which will be cont by qualified personnel; and C. All operations will be on an experimental basis in accordance with Part 5 and other applicable rules, and will be conducted in such a manner and at such a time as to preclude harmful interference to any authorized station; and d. Grant of the authorization requested herein will not be construed as a finding on the part of the Commission: 1. that the frequencies and other technical parameters specified in the authorization are the best suited for th proposed program of experimentation, and 2. that the applicant will be authorized to operate on any basis other than experimental, and 3. that the Comission is obligated by the results of the experimental program to make provision in its rules in its table of frequency allocations for applicant‘s type of operation on a regularly licensed basis. THE APPLICANT FURTHER CERTIFIES THAT: ¢e. All the statements in the application and attached exhibits are true, complete and correct to the best of the applica knowledge; and f. The applicant is willing to finance and conduct the experimental program with full knowledge and understanding above limitations; and g. The applicant waives any claim to the use of any particular frequency or of the electromagnetic spectrum as again regulatory power of the USA. Name of Applicant: Cisco Systems * Signature (Authorized person filing form): Signature Date (Aut John Martin _] person filing form): 04/13/2001 * Title of Person Signing Application: Engineer ] *Check appropriate classification: C Individual Applicant ) Member of applicant partnership (@) Authorized employee C Office of applicant corporation or association WILLFUL FALSE STATEMENTS MADE ON THIS FORM ARE PUNISHABLE BY FINE AND/OR IMPRISONMEA CODE, TITLE 18, SECTION 1001), AND/OR REVOCATION OF ANY STATION LICENSE OR CONSTRUCTION P (U.S. CODE, TITLE 47, SECTION 312(A)(1)), AND/OR FORFEITURE (U.S. CODE, TITLE 47, SECTION 503). NOTIFICATION TO INDIVIDUALS UNDER PRIVACY ACT OF 1974 AND THE PAPERWORK REDUCTION AC 1980 Information requested through this form is authorized by the Communications Act of 1934, as amended, and specified by Sectio1 therein. The information will be used by Federal Communications Commission staff to determine eligibility for issuing authoriz: the use of the frequency spectrum and to effect the provisions of regulatory responsibilities rendered by the Commission by the £ Information requested by this form will be available to the public unless otherwise requested pursuant to 47 CFR 0.459 of the FC and Regulations. Your response is required to obtain this authorization. [Public reporting burden for this collection of information is estimated to average four (4) hours per response, including the time | reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewin, collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, in suggestions for reducing the burden to the Federal Communications Commission, Records Management Branch, Paperwork Red 3 of 4 04/13/2001 11:03 AM

FCC Form 442 https://gullfoss2.fee.gov/cgi—bin/ws.exe... &form_type=current&application_seq=213! iProject (3060—0065), Washington DC 20554. DO NOT send completed applications to this address. Individuals are not requi) '}respond to this collection unless it displays a currently valid OMD control number. HH:E FOREGOING NOTICE IS REQUIRED BY THE PRIVACY ACT OF 1974, P.L. 93—579, DECEMBER 31, 1974, 5 U.S.C !5523(6)(3), AND THE PAPERWORK REDUCTION ACT OF 1980, P.L. 96—511, DECEMBER 11, 1980, 44 U.S.C. 3507. The following is a List of antennas associated with this license. To view this antenna and its frequencies, please select the row by selecting the "View Antenna Detail"‘ button. View Antenna City State Latitude Latitude Latitude Latitude Longitude Longitude Longitud Antenna type Direction Degrees Minutes Seconds Direction Degrees Minutes Detail & Mobile Pase200 prp NC North 35 54 50 West 78 51 ®» Base and . Akron OH North 41 8 4 West 81 38 Mobile B& Mobile }as® J pouas ty North 32 55 42 West 96 49 m Base and San CA North 37 24 31 West 121 57 Mobile Jose 4 of 4 04/13/2001 11:03 AM


Document Created: 2001-04-27 09:07:48
Document Modified: 2001-04-27 09:07:48
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