Application Form [pdf]

This document pretains to SCL-LIC-20070516-00008 for License on a Submarine Cable Landing filing.

IBFS_SCLLIC2007051600008_567084

Approved by OMB 3060−0944 CABLE LANDING LICENSE APPLICATION FOR OFFICIAL USE ONLY APPLICANT INFORMATION Enter a description of this application to identify it on the main menu: Columbus Cable Landing License Appl. U.S. − Colombia − Jamaica (CFX−1 Cable System) 1. Applicant Name: Columbus Networks USA, Inc. Phone Number: 786−274−7400 DBA Fax Number: 786−274−7402 Name: Street: 15950 West Dixie Highway E−Mail: pscott@columbus−networks.com City: North Miami Beach State: FL Country: USA Zipcode: 33162 − Attention: Mr. Paul Scott 1

2. Contact Name: Hector G. Mora Phone Number: 202−250−3488 Company: Wellstein Mora Rodriguez Fax Number: 202−518−0714 International Street: 1789 Columbia Rad, N.W. E−Mail: hmora@wellstein−steel.com Suite 200 City: Washington State: DC Country: USA Zipcode: 20009 − Attention: Hector Mora and/or Linda Relationship: Legal Counsel Wellstein 3. Place of Incorporation of Applicant State of Delaware 4. Other Company(ies) and Place(s) of Incorporation Columbus Networks International, LLC − State of Delaware Columbus Networks Services, Inc. − State of Delaware A. SUR NET, Inc. − State of Delaware ARCOS−1 USA, Inc. − State of Delaware 5. Destination Country(ies) Colombia and Jamaica 6. Caption (description of authority requested, e.g., Application for a License to Land and Operate a Fiber Optic Submarine Cable System between the United States, Country A and Country B.) (If the complete description does not appear in this box, please go to the end of the form to view it in its entirety.) Application for a License to Land and Operate a Fiber Optic Submarine Cable System between the United States, Colombia and Jamaica. 2

7. Is a fee submitted with this application? If Yes, complete and attach FCC Form 159. If No, indicate reason for fee exemption (see 47 C.F.R.Section 1.1114). Governmental Entity Noncommercial educational licensee Other(please explain): 8. Will the cable system be operated on a common carrier basis? Yes No If yes, provide the File Numberof the associated Section 214 application for the construction and operation of new facilities. 9. In Attachment 1, provide the information and certifications required by 47 C.F.R. Section 1.767(a). CERTIFICATIONS 10. By checking Yes, the undersigned certifies that neither applicant nor any other party to the application is subject Yes No to a denial of Federal benefits that includes FCC benefits pursuant to Section 5301 of the Anti−Drug Act of 1988, 21 U.S.C. Section 862, because of a conviction for possession or distribution of a controlled substance. See 47 CFR 1.2002(b) for the meaning of "party to the application" for these purposes. 11. Typed Name of Person Signing 12. Title of Person Signing Paul Scott President & Chief Operating Officer WILLFUL FALSE STATEMENTS MADE ON THIS FORM ARE PUNISHABLE BY FINE AND / OR IMPRISONMENT (U.S. Code, Title 18, Section 1001), AND/OR REVOCATION OF ANY STATION AUTHORIZATION (U.S. Code, Title 47, Section 312(a)(1)), AND/OR FORFEITURE (U.S. Code, Title 47, Section 503). 13. 1: Attachment No. 1 2: Attachment No. 2 3: 3

FCC NOTICE REQUIRED BY THE PAPERWORK REDUCTION ACT The public reporting for this collection of information is estimated to average between 1 − 40 hours per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the required data, and completing and reviewing the collection of information. If you have any comments on this burden estimate, or how we can improve the collection and reduce the burden it causes you, please write to the Federal Communications Commission, AMD−PERM, Paperwork Reduction Project (3060−0944), Washington, DC 20554. We will also accept your comments regarding the Paperwork Reduction Act aspects of this collection via the Internet if you send them to jboley@fcc.gov. PLEASE DO NOT SEND YOUR RESPONSE TO THIS ADDRESS. Remember − You are not required to respond to a collection of information sponsored by the Federal government, and the government may not conduct or sponsor this collection, unless it displays a currently valid OMB control number or if we fail to provide you with this notice. This collection has been assigned an OMB control number of 3060−0944. THE FOREGOING NOTICE IS REQUIRED BY THE PAPERWORK REDUCTION ACT OF 1995, PUBLIC LAW 104−13, OCTOBER 1, 1995, 44 U.S.C. SECTION 3507. 4


Document Created: 2019-04-16 04:18:33
Document Modified: 2019-04-16 04:18:33
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