ADTRAN 850 specifications Issue 2, June

Affidavit for Connection of Customer Premises Equipment to 1.544 Mbps and/or Subrate Digital Services

For the work to be performed in the certified territory of

________________________(telco name)

State of ________________

County of ________________

I, _____________________________ (name),

__________________________________(business ad-

dress),

____________________ (telephone number) being duly

sworn, state:

I have responsibility for the operation and maintenance of the terminal equipment to be connected to 1.544 Mbps and/or ________ subrate digital services. The ter-

minal equipment to be connected complies with Part 68 of the FCC rules except for the encoded analog content and billing protection specifications. With respect to en- coded analog content and billing protection:

( ) I attest that all operations associated with the establishment, maintenance, and adjustment of the digital CPE with respect to analog content and encoded billing protection information continu- ously complies with Part 68 of the FCC Rules and Regulations.

( ) The digital CPE does not transmit digital signals containing encoded analog content or billing infor- mation which is intended to be decoded within the telecommunications network.

( ) The encoded analog content and billing protection is factory set and is not under the control of the customer.

I attest that the operator(s)/maintainer(s) of the digital CPE responsible for the establishment, maintenance, and adjustment of the encoded analog content and bill- ing information has (have) been trained to perform these functions by successfully having completed one of the following (check appropriate blocks):

( ) A. A training course provided by the manufac- turer/grantee of the equipment used to encode analog signals; or

( ) B. A training course provided by the customer or authorized representative, using training materials and instructions provided by the manufacturer/grantee of the equipment used to encode analog signals; or

( ) C. An independent training course (e.g., trade school or technical institution) recognized by the manufacturer/grantee of the equipment used to encode analog signals; or

( ) D. In lieu of the preceding training requirements, the operator(s)/maintainer(s) is (are) under the control of a supervisor trained in accordance with _________ (circle one) above.

I agree to provide ______________________ (telco’s

name) with proper documentation to demonstrate com- pliance with the information as provided in the preced- ing paragraph, if so requested.

_________________________________Signature

_________________________________Title

_________________________________ Date

Transcribed and sworn to before me

This ________ day of ________, ________

_________________________________

Notary Public

My commission expires:

_________________________________

FCC regulations require that the following information be provided in this manual to the customer:

1.This equipment complies with Part 68 of the FCC rules. The required label is affixed to the bottom of the chassis.

2.An FCC-compliant telephone cord and modular plug is provided with this equipment. This equipment is designed to be connected to the telephone network or premises wiring using a compatible modular jack which is Part 68-compliant. See Chapter 2, Installa- tion, for details.

3.If your telephone equipment (TA 850) causes harm to the telephone network, the telephone company may discontinue your service temporarily. If possible, they will notify you in advance. But if advance notice isn’t practical, you will be notified as soon as possi- ble. You will be advised of your right to file a com- plaint with the FCC.

4.Your telephone company may make changes in its facilities, equipment, operations, or procedures that could affect the proper operation of your equipment. If they do, you will be given advance notice to give you an opportunity to maintain uninterrupted service.

5.If you experience trouble with this equipment (TA 850), please contact ADTRAN at (256) 963-8000 for repair/ warranty information. The telephone company may ask you to disconnect this equipment from the network until the problem has been corrected or until you are sure the equipment is not malfunctioning.

6.This unit contains no user-serviceable parts.

8 Issue 2, June 2000 61200376L1-5B