The information requested in this application is essential to evaluate your request for a Field Connection Point for access to Sub-Loop Unbundled Network Elements. Your request will be reviewed for technical feasibility (technically and operationally feasible). Requirements and timeframes for evaluating your request will follow those in the Field Connection Point Product process.
Please complete the application form in full, and submit it to your Qwest Account Team Representative. All sections must be completed before we can begin processing your request. A diagram must be included with the application in order to process the request.
1. Requested By Carl Oppedahl
Company Name Ruby Ranch Internet Cooperative Association
Address c/o Oppedahl & Larson LLP, P O Box 5088, Dillon, CO 80435-5088
Primary Contact Name Carl Oppedahl
Phone Number 970-468-6600
Fax Number 970-468-0104
Date of Request November 6, 2001
Date Received (completed by Qwest)_______________________________________
Customer ZCID (completed by Qwest)______________________________________
2. Please identify the specific location (e.g. end-users address) of where you want the FDI Field Connection Point. Qwest will only allow one FDI per FCP request form. Please include map or diagram if necessary. Cross-connect box at corner of Ruby Road and Emerald Road, Summit County, Colorado. See attached map.
3. Please indicate type of request (x)
Feeder Distribution Interface Field Connection Point. x
4. Please indicate here if you wish to submit this information on a confidential basis. No.
5. Please identify the type of equipment you plan to interconnect to the Qwest network (e.g. Cross-box, DSLAM equipment etc.) DSLAM and SDSL modems connected by F2 subloops.
6. Will you be ordering Unbundled Feeder Loops If yes please identify the wire center where your collocation is located (E.g. ACTL,CILLI) no.
Enter type of collocation (e.g. Cage, Physical, Virtual). Remote adjacent cross-connect collocation.
Please enter the Number of DS1 Feeder Terminations. None.
Please enter the NC/NCI code associated will the above request. None.
If Central Office Collocation is in progress please enter your BAN # not applicable.
7. Please Identify the size of the cable that will be between the FCP and your equipment. 100 pairs.
8. Please Identity the number of F2 terminations you will be requesting. 100.
Please enter the NC/NCI code associated will the above request. NC LX--, Qwest NI 02NO2, End user NI 02NO2.
9 Please provide any additional information that would be useful in evaluation your request. (Diagrams etc.) The cross-connect box has spare locations to receive two 100-pair sets of binding posts. It is suggested that one more set be added to the cross-connect box. See photograph attached.
