Field Connection Point Request Form

1. Requested By: Ruby Ranch Internet Cooperative Association

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:

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 the intersection of Ruby Road and Emerald Road, Summit County, Colorado.

3. Please indicate type of request: Feeder Distribution Interface Field Connection Point.

4. Please indicate here if you wish to submit this information on a confidential basis. Not applicable.

5. Please identify the type of equipment you plan to interconnect to the Qwest network (e.g. Cross-box, DSLAM equipment etc.) DSLAM equipment.

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). Cross-connect collocation.

Please enter the Number of DS1 Feeder Terminations. None.

Please enter the NC/NCI code associated with the above request. Not applicable

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 codes associated with the above request.

Note: These codes are taken from Qwest technical publication 77405, issue C, September 2001, tables 3-2 and 3-6.

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 blocks of binding posts. It is suggested that one block be installed in the cross-connect box in one of the spare positions.