Laserfiche WebLink
N-2016-016-01 <br />(ii) For covered services -- <br />(A) If the service is related to item maintenance: A description of all covered telecommunications services <br />offered (include on the item being maintained: Brand; model number, such as OEM number, manufacturer part <br />number, or wholesaler number; and item description, as applicable); or <br />(B) If not associated with maintenance, the Product Service Code (PSC) of the service being provided; and <br />explanation of the proposed use of covered telecommunications services and any factors relevant to determining if <br />such use would be permissible under the prohibition in subparagraph (b)(1) of this provision. <br />(2) Disclosure for the representation in subparagraph (d)(2) of this provision. If the Prospective Licensee has <br />responded "does" in the representation in subparagraph (d)(2) of this provision, the Prospective Licensee must provide <br />the following information as part of the offer: <br />(i) For covered equipment -- <br />(A) The entity that produced the covered telecommunications equipment (include entity name, unique entity <br />identifier, CAGE code, and whether the entity was the OEM or a distributor, if known); <br />(B) A description of all covered telecommunications equipment offered (include brand; model number, such as <br />OEM number, manufacturer part number, or wholesaler number; and item description, as applicable); and <br />(C) Explanation of the proposed use of covered telecommunications equipment and any factors relevant to <br />determining if such use would be permissible under the prohibition in subparagraph (b) of this provision. <br />(ii) For covered services -- <br />(A) If the service is related to item maintenance: A description of all covered telecommunications services <br />offered (include on the item being maintained: Brand; model number, such as OEM number, manufacturer part <br />number, or wholesaler number; and item description, as applicable); or <br />(B) If not associated with maintenance, the PSC of the service being provided; and explanation of the proposed <br />use of covered telecommunications services and any factors relevant to determining if such use would be <br />permissible under the prohibition in subparagraph (b) of this provision. <br />PROSPECTIVE LICENSEE OR <br />LEGALLY AUTHORIZED REPRESENTATIVE: Kristine Ridge, City Manager <br />NAME, ADDRESS: 60Civic Center Plaza TELEPHONE NUMBER: <br />(INCLUDING ZIP CODE) Santa Ana, CA 92702 <br />SIGNATURE: DATE: �,7 Z <br />PROSPECTIVE LICENSEE: <br />GOVERNMENT: <br />GSA 1682 (REV. 1212021) PAGE 5 <br />