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Regulated Collocation Initial Application

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Regulated Collocation Initial Application

Regulated Collocation Initial Application

Submission Date

*Denotes Required Field

Requestor Information

Requestor Name*

Requestor Telephone Number*

Requestor E-mail Address*

Is this request for Regulated Collocation?

Regulated Collocation Sought Yes No

CPCN / Relevant State Authorization *

If request is for Regulated Collocation, CPCN or relevant state authorization is required.

If your request is not for Regulated Collocation, please discontinue this form and refer to the Edge Colocation Location Assessment Process available from the Assessment and Ordering page in the Edge Colocation menu above.

Wholesale Customer Information

Company Name*

Street Address*

City*

State*

Zip Code*

Customer Primary Collocation Contact

Name*

Title *

E-mail Address*

Telephone Number*

24 Hour Emergency Telephone Number *

CCNA/ACNA (Customer/Access Carrier Name Abbreviation) *

Customer Primary Billing Contact

Billing Company Name *

Street Address *

City *

State *

Zip Code *

Billing Manager Name*

E-mail Address*

Telephone Number*

Who should receive any pre-completion invoice(s)?

Invoice Recipient Primary Collocation Contact Primary Billing Contact Both Primary Contacts Above

Collocation Usage

Usage Type

Usage Type Voice Termination Only Retail Manufacturing Tower Transport Data Center Telecommunications Enterprise Bank/Financial Satellite Wholesale Social / www Other

Usage Type Other *

Desired Collocation Information

Name of Central Office/Premise(s) *

Street Address *

City *

State *

Zip Code *

CLLI Code *

8 Character CLLI

Initial Arrangement Tariff Code or ICA *

Type of Arrangement * (See Requirements Below)

Type of Arrangement Traditional Physical (InterState FCC) Traditional Physical (IntraState) Virtual (InterState FCC) Virtual (IntraState) Virtual (ICA) SCOPE (Secured Collocation Open Physical Environment) - WV Only CCOE (Cageless Collocation Open Environment) - WV Only Cageless Caged Shared Caged/Subleased

Cage Type (Required for WV) *

Cage Type Standard Cage Non-standard Cage (with top) Cage Not Constructed by Frontier

Cage Type (Required for WV) *

Cage Type 3 Standard Cage Non-standard Cage (with top) Cage Not Constructed by Frontier

Cage Type (Required for WV) *

Cage Type 4 Standard Cage Non-standard Cage (with top) Cage Not Constructed by Frontier

Cage Type (Required for WV) *

Cage Type 8 Standard Cage Non-standard Cage (with top) Cage Not Constructed by Frontier

CCOE Option (WV Only)

CCOE Option Option A Frontier Provides and Installs Shared Point of Termination Bay Option B CLEC Provides and Installs Termination Panels within the CLEC’s CCOE Arrangement

Requirements

- Traditional Physical (InterState - FCC) - Minimum 100 Sq. Ft.

- Traditional Physical (IntraState) - Minimum 25 Sq. Ft.

- Virtual (InterState - FCC) - Number of 1/4 Relay Racks/Bays

- Virtual (IntraState) - Number of 1/4 Relay Racks/Bays

- Virtual (ICA) - Number of 1/4 Relay Racks/Bays

- SCOPE - Number of Relay Racks/Bays

- CCOE - Number of Relay Racks/Bays

- Cageless - Number of Relay Racks/Bays

- Caged - Minimum 25 Sq. Ft.

Space Requirements

Number of Relay Racks/Bays Requested

Is non-contiguous space acceptable?

Non-Contiguous Acceptable Yes No

Square Feet Requested

Shared/Subleased Space Details

For this type of arrangement, you must provide the name(s) of the Guest CLEC(s) and the amount of space that is to be allocated to each Guest CLEC.

CLEC 1

CLEC Name *

% Space Allocated *

CLEC 2

CLEC Name

% Space Allocated

Detailed Power Requirements

Number of Power Configurations for this Request *

Maximum 5 Power Configurations per Form

The CLEC is responsible to engineer the power consumption required at the collocation arrangement and is responsible for taking into consideration any special circumstances in determining drain/load and fuse size of the feed.

Provide the total number of “A” feeds and/or the total number of “B” feeds for each type of collocation request. Indicate the requested drain/load per feed and the fuse size per feed.

Fused capacity shall not exceed 2.5 times the CLEC specified load per feed. (Frontier bills for DC power in accordance with the applicable tariff provision.) Drain/load per feed must be expressed in whole numbers and not fractions.

When ordering multiple power feeds, please indicate each feed’s requirement separately. (Example: Feed Requirement 1:2 – “A” feeds, each with 20 amps drain/load per feed and each feed fused at 30 amps; and 2 “B” feeds, each with 20 amps drain/load per feed and each feed fused at 30 amps. Feed Requirement 2: 1 “A” feed, with 10 amps drain/load and fused at 15 amps; and 1 “B” feed, with 10 amps drain/load and fused at 15 amps.)

Fusing at 2.5 times load may not be possible in all cases based on the CLEC specified load. In those situations, the CLEC must determine whether to choose a fuse size that is less than 2.5 times load or increase its load in order to conform to the industry fuse sizes.

Joint coordination may be required to identify applicable power feeds. Frontier must approve all drain/load or fusing changes to existing power cables. Please note all applicable tariff/interconnection agreement rates and augment intervals will apply for an increase in fuse or drain size that requires new cabling.

Power Configuration 1

Type of Power Request:

Type of Power Request 1 AC DC AC/DC

AC Power Requirements

Number of Dedicated 20 AMP Circuits to be Provided for Requestor’s Equipment

120 Volt Single Phase Circuits *

120 Volt Double Phase Circuits *

120 Volt Triple Phase Circuits *

DC Power Requirements

Feed A Requested Drain/Load *

Feed B Requested Drain/Load *

Feed A Requested Amps Fused *

Feed B Requested Amps Fused *

Feed A Cable Ampacity

Feed B Cable Ampacity

Power Configuration 2

Type of Power Request:

Type of Power Request 2 AC DC AC/DC

AC Power Requirements

Number of Dedicated 20 AMP Circuits to be Provided for Requestor’s Equipment

120 Volt Single Phase Circuits *

120 Volt Double Phase Circuits *

120 Volt Triple Phase Circuits *

DC Power Requirements

Feed A Requested Drain/Load *

Feed B Requested Drain/Load *

Feed A Requested Amps Fused *

Feed B Requested Amps Fused *

Feed A Cable Ampacity

Feed B Cable Ampacity

Power Configuration 3

Type of Power Request:

Type of Power Request 3 AC DC AC/DC

AC Power Requirements

Number of Dedicated 20 AMP Circuits to be Provided for Requestor’s Equipment

120 Volt Single Phase Circuits *

120 Volt Double Phase Circuits *

120 Volt Triple Phase Circuits *

DC Power Requirements

Feed A Requested Drain/Load *

Feed B Requested Drain/Load *

Feed A Requested Amps Fused *

Feed B Requested Amps Fused *

Feed A Cable Ampacity

Feed B Cable Ampacity

Power Configuration 4

Type of Power Request:

Type of Power Request 4 AC DC AC/DC

AC Power Requirements

Number of Dedicated 20 AMP Circuits to be Provided for Requestor’s Equipment

120 Volt Single Phase Circuits *

120 Volt Double Phase Circuits *

120 Volt Triple Phase Circuits *

DC Power Requirements

Feed A Requested Drain/Load *

Feed B Requested Drain/Load *

Feed A Requested Amps Fused *

Feed B Requested Amps Fused *

Feed A Cable Ampacity

Feed B Cable Ampacity

Power Configuration 5

Type of Power Request:

Type of Power Request 5 AC DC AC/DC

AC Power Requirements

Number of Dedicated 20 AMP Circuits to be Provided for Requestor’s Equipment

120 Volt Single Phase Circuits *

120 Volt Double Phase Circuits *

120 Volt Triple Phase Circuits *

DC Power Requirements

Feed A Requested Drain/Load *

Feed B Requested Drain/Load *

Feed A Requested Amps Fused *

Feed B Requested Amps Fused *

Feed A Cable Ampacity

Feed B Cable Ampacity

Equipment Specifications

Equipment Specifications Section 1

Bay Number *

Quantity *

Manufacturer/Model # *

Equipment Type *

Dimensions *

Equipment Weight *

Fully Loaded

Equipment BTUs *

Ultimate Heat Release

Manufacturer Specified Drain *

In AMPS for 48 Volt DC

CLEI *

Total Amount of Load Drain *

Are Spacers Required?

Spacers Required 1 Yes No

Number of Spacers *

Spacers Width *

Do you have additional Equipment Specifications for this request?

Another Tech Spec 1 Yes No

Equipment Specifications Section 2

Bay Number *

Quantity *

Manufacturer/Model # *

Equipment Type *

Dimensions *

Equipment Weight *

Fully Loaded

Equipment BTUs *

Ultimate Heat Release

Manufacturer Specified Drain *

In AMPS for 48 Volt DC

CLEI *

Total Amount of Load Drain *

Are Spacers Required?

Spacers Required 2 Yes No

Number of Spacers *

Spacers Width *

Do you have additional Equipment Specifications for this request?

Another Tech Spec 2 Yes No

Equipment Specifications Section 3

Bay Number *

Quantity *

Manufacturer/Model # *

Equipment Type *

Dimensions *

Equipment Weight *

Fully Loaded

Equipment BTUs *

Ultimate Heat Release

Manufacturer Specified Drain *

In AMPS for 48 Volt DC

CLEI *

Total Amount of Load Drain *

Are Spacers Required?

Spacers Required 3 Yes No

Number of Spacers *

Spacers Width *

Do you have additional Equipment Specifications for this request?

Another Tech Spec 3 Yes No

Equipment Specifications Section 4

Bay Number *

Quantity *

Manufacturer/Model # *

Equipment Type *

Dimensions *

Equipment Weight *

Fully Loaded

Equipment BTUs *

Ultimate Heat Release

Manufacturer Specified Drain *

In AMPS for 48 Volt DC

CLEI *

Total Amount of Load Drain *

Are Spacers Required?

Spacers Required 4 Yes No

Number of Spacers *

Spacers Width *

Do you have additional Equipment Specifications for this request?

Another Tech Spec 4 Yes No

Equipment Specifications Section 5

Bay Number *

Quantity *

Manufacturer/Model # *

Equipment Type *

Dimensions *

Equipment Weight *

Fully Loaded

Equipment BTUs *

Ultimate Heat Release

Manufacturer Specified Drain *

In AMPS for 48 Volt DC

CLEI *

Total Amount of Load Drain *

Are Spacers Required?

Spacers Required 5 Yes No

Number of Spacers *

Spacers Width *

NEBS Conformance

Is this the first time submitting for conformance?

NEBS Conformance Yes No

Initial Submission Date *

Date Submitted *

Location *

Application Number or 11-Digit CLLI *

Entrance Facility Information

Add Entrance Facilities Lease Facilities from Frontier Microwave Lease Fiber from Competitive Access Transport Terminal (CATT) Provider Pull Fiber via CO Manhole

Lease Fiber from Competitive Access Transport Terminal (CATT) Provider Details

CATT Provider Name *

CATT Provider CLLI *

CATT Provider LOA is required for this request!

Cable Details

Feeder Cable

Number of Feeder Cable *

Cable Diameter *

Number of Fibers *

(12, 24)

Riser Cable

Number of Riser Cable *

Cable Diameter *

Number of Fibers *

(12, 24)

Cable Characteristics

Cable Designation and Count *

Manufacturer *

Type of Single Mode Fiber Used *

Loss Decibels per Kilometer *

Cable Information

Cable Details *

Provide detailed information on the desired direction from where the cable originates or desired Manhole “0” locations (s):

Has the right of way or the licensing agreement been established (e.g. conduit)?

Right of Way Yes No

Contract Number *

Manhole “0” number(s) *

Manhole “0” License Application Number *

Is a diverse route entry requested? *

Diverse Entry Yes No

Customer’s Vendor Selection

For which areas of installation will vendors be utilized? *

Vendors Engineering Outside Plant for Cable Placement Outside Plant for Cable Splicing Equipment Installation Riser Cable Installation Cage Construction No Vendors

Engineering Vendor

Name *

Address *

Telephone Number *

Outside Plant (Cable Placement) Vendor

Name *

Address *

Telephone Number *

Outside Plant (Cable Splicing) Vendor

Name *

Address *

Telephone Number *

Equipment Installation Vendor

Name *

Address *

Telephone Number *

Riser Cable Installation Vendor

Name *

Address *

Telephone Number *

Cage Construction Vendor

Name *

Address *

Telephone Number *

Terminations (CFA)

Types of Terminations: *

Type of Terminations DS1 DS3 VG-2W VG-4W Fiber Line Sharing/Splitters

Total DS1 Requested *

BITS Timing Cabling:

BITS Timing Cabling Option DS1 Super Frame (SF) DS1 Extended Superframe (ESF) Composite

Total DS3 Requested *

Total VG-2W Requested *

Total VG-4W Requested *

Total Fiber Requested *

Intraoffice Fiber Cabling to be Provided by: *

Fiber Intraoffice Cabling Provider Frontier Applicant

Total Line Sharing/Splitters Requested (Must equal qty of DSL Subscribers)

Line Sharing Option: *

Line Sharing Option CLEC Provides Splitter in its Arrangement Frontier Installs and Maintains, in Frontier Space, a CLEC-provided Splitter in a Frontier-provided Bay

Will Frontier Install? *

WV-NY Frontier Install Yes No

Vendor Name *

Vendor Telephone Number *

Vendor E-mail Address *

List of Plug-In Cards

Plug-In Card Contact

Name *

E-mail Address *

Telephone Number *

Fax Number

Plug-In Cards Section 1

Bay *

Manufacturer *

Number of Plug-In Cards for this Bay

If more than 10, add another section below.

Plug-In Card 1 of Section 1

Model Name/Number *

Part Number *

Slot *

Plug-In Card 2 of Section 1

Model Name/Number *

Part Number *

Slot *

Plug-In Card 3 of Section 1

Model Name/Number *

Part Number *

Slot *

Plug-In Card 4 of Section 1

Model Name/Number *

Part Number *

Slot *

Plug-In Card 5 of Section 1

Model Name/Number *

Part Number *

Slot *

Plug-In Card 6 of Section 1

Model Name/Number *

Part Number *

Slot *

Plug-In Card 7 of Section 1

Model Name/Number *

Part Number *

Slot *

Plug-In Card 8 of Section 1

Model Name/Number *

Part Number *

Slot *

Plug-In Card 9 of Section 1

Model Name/Number *

Part Number *

Slot *

Plug-In Card 10 of Section 1

Model Name/Number *

Part Number *

Slot *

Do you have more Plug-In (Cards) for this request?

More Plug-Ins 1 Yes No

Plug-In Cards Section 2

Bay *

Manufacturer *

Number of Plug-In Cards for this Bay *

Plug-In Card 1 of Section 2

Model Name/Number *

Part Number *

Slot *

Plug-In Card 2 of Section 2

Model Name/Number *

Part Number *

Slot *

Plug-In Card 3 of Section 2

Model Name/Number *

Part Number *

Slot *

Plug-In Card 4 of Section 2

Model Name/Number *

Part Number *

Slot *

Plug-In Card 5 of Section 2

Model Name/Number *

Part Number *

Slot *

Plug-In Card 6 of Section 2

Model Name/Number *

Part Number *

Slot *

Plug-In Card 7 of Section 2

Model Name/Number *

Part Number *

Slot *

Plug-In Card 8 of Section 2

Model Name/Number *

Part Number *

Slot *

Plug-In Card 9 of Section 2

Model Name/Number *

Part Number *

Slot *

Plug-In Card 10 of Section 2

Model Name/Number *

Part Number *

Slot *

Do you have more Plug-In (Cards) for this request?

More Plug-Ins 2 Yes No

Plug-In Cards Section 3

Bay *

Manufacturer *

Number of Plug-In Cards for this Bay *

Plug-In Card 1 of Section 3

Model Name/Number *

Part Number *

Slot *

Plug-In Card 2 of Section 3

Model Name/Number *

Part Number *

Slot *

Plug-In Card 3 of Section 3

Model Name/Number *

Part Number *

Slot *

Plug-In Card 4 of Section 3

Model Name/Number *

Part Number *

Slot *

Plug-In Card 5 of Section 3

Model Name/Number *

Part Number *

Slot *

Plug-In Card 6 of Section 3

Model Name/Number *

Part Number *

Slot *

Plug-In Card 7 of Section 3

Model Name/Number *

Part Number *

Slot *

Plug-In Card 8 of Section 3

Model Name/Number *

Part Number *

Slot *

Plug-In Card 9 of Section 3

Model Name/Number *

Part Number *

Slot *

Plug-In Card 10 of Section 3

Model Name/Number *

Part Number *

Slot *

Do you have more Plug-In (Cards) for this request?

More Plug-Ins 3 Yes No

Plug-In Cards Section 4

Bay *

Manufacturer *

Number of Plug-In Cards for this Bay *

Plug-In Card 1 of Section 4

Model Name/Number *

Part Number *

Slot *

Plug-In Card 2 of Section 4

Model Name/Number *

Part Number *

Slot *

Plug-In Card 3 of Section 4

Model Name/Number *

Part Number *

Slot *

Plug-In Card 4 of Section 4

Model Name/Number *

Part Number *

Slot *

Plug-In Card 5 of Section 4

Model Name/Number *

Part Number *

Slot *

Plug-In Card 6 of Section 4

Model Name/Number *

Part Number *

Slot *

Plug-In Card 7 of Section 4

Model Name/Number *

Part Number *

Slot *

Plug-In Card 8 of Section 4

Model Name/Number *

Part Number *

Slot *

Plug-In Card 9 of Section 4

Model Name/Number *

Part Number *

Slot *

Plug-In Card 10 of Section 4

Model Name/Number *

Part Number *

Slot *

Do you have more Plug-In (Cards) for this request?

More Plug-Ins 4 Yes No

Plug-In Cards Section 5

Bay *

Manufacturer *

Number of Plug-In Cards for this Bay *

Plug-In Card 1 of Section 5

Model Name/Number *

Part Number *

Slot *

Plug-In Card 2 of Section 5

Model Name/Number *

Part Number *

Slot *

Plug-In Card 3 of Section 5

Model Name/Number *

Part Number *

Slot *

Plug-In Card 4 of Section 5

Model Name/Number *

Part Number *

Slot *

Plug-In Card 5 of Section 5

Model Name/Number *

Part Number *

Slot *

Plug-In Card 6 of Section 5

Model Name/Number *

Part Number *

Slot *

Plug-In Card 7 of Section 5

Model Name/Number *

Part Number *

Slot *

Plug-In Card 8 of Section 5

Model Name/Number *

Part Number *

Slot *

Plug-In Card 9 of Section 5

Model Name/Number *

Part Number *

Slot *

Plug-In Card 10 of Section 5

Model Name/Number *

Part Number *

Slot *

Certificate of Insurance

A Certificate of Insurance must be provided for all new sites prior to occupancy.

Certificate Insurance Provided by: *

Cert Attached Previously Provided To be Provided Attached Below

Date Certificate of Insurance Previously Provided *

Date Certification of Insurance to be Provided *

Certificate of Insurance Upload

Please provide explanation of request.

Full Description of Request *

PROPRIETARY NOTICE
THE MATERIAL CONTAINED IN THIS WEBSITE AND THE AVAILABLE REFERENCE DOCUMENTS INCLUDING ANY TRANSLATIONS, COMPILATIONS, WHOLE OR PARTIAL COPIES, TOGETHER WITH ANY SUBSEQUENT REVISIONS OR ADDITIONS ARE AND SHALL REMAIN THE PROPERTY OF FRONTIER COMMUNICATIONS PARENT, INC. AND ITS AFFILIATES. NO PORTION OF THESE MATERIALS MAY BE REPRODUCED OR TRANSMITTED IN ANY FORM BY ANY MEANS, ELECTRONIC, MECHANICAL OR OTHERWISE, INCLUDING PHOTOCOPY, RECORDING OR ANY INFORMATION STORAGE OR RETRIEVAL SYSTEM WITHOUT ADVANCE WRITTEN PERMISSION FROM FRONTIER. SHOULD THE HOLDER OF THESE MATERIALS HAVE SUCH WRITTEN PERMISSION TO MAKE COPIES OF THESE MATERIALS, ALL SUCH COPIES MUST CONTAIN THIS PROPRIETARY NOTICE. FRONTIER IS A BRAND NAME USED BY THE FRONTIER, CITIZENS AND OTHER AFFILIATED LOCAL EXCHANGE COMPANIES. ALL RIGHTS RESERVED.

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