er BTOP Interconnection Information Request Form You must provide the following information. You must certify it as correct by a duly authorized officer or agent of the party that will be bound by the BTOP interconnection contract. Please note that you also must supply the technical information on the last page following your signature to this form. 1. Today's Date: 02/21/2012 2. The purpose(s) for the interconnection (e.g., provision of Internet access, interoffice transport, switched local services, point-to-point data, local interconnection): Point to Point Data - 3. - Street address(es) of the BTOP facilities to which this requested BTOP interconnection pertains: Brooke County Board of Education 1201 Pleasant Avenue Wellsburg, WV 26070-1344 4. Date(s) of requested interconnection (specify locations if dates differ by location): 07/01/2012 5. Non-BTOP Frontier services you wish to order in conjunction with this request (please state type(s), bandwidth(s) and to/from location(s) of requested non-BTOP services): N/A 6. What existing contracts you or your affiliates have with Frontier? 7. Exact Legal Entity Name, including d/b/a if appropriate, of the party (corporation, partnership, etc.) that will be legally bound by the interconnection document. Interconnection Agreement Gateway Telecom, LLC d/b/a StratusWave Communications 8. Your affiliate company name(s), or enter "none" if no affiliates: None 9. Your Exact Legal Entity's preferred acronym or abbreviation: Gateway 10. Your Exact Legal Entity's legal form (e.g., corporation, partnership, etc.) 11. State of Incorporation/LLC/LP: Kentucky Frontier BTOP 01 May 2011 Page 1 of 4 LLC 12. Your Exact Legal Entity's principal place of business address: 1025 Main Street, Suite 900 Wheeling, WV 26003 13. Your designee to receive Legal Notice for the contracting party (at least one designee should be a Contracting Party Employee): Name: John Reasbeck Title/Firm: COO Street Address: 1025 Main Street Suite 900 Wheeling, WV 26003 Telephone: 304.233.5343 Fax: 304.233.5346 Email: reas@swave.net 14. The contracting party's duly authorized Officer with Legal Authority to bind the Contracting Party: Name: John Reasbeck Title: COO Street Address: 1025 Main Street Suite 900 Wheeling, WV 26003 Telephone: Fax: 304.233.5343 304.233.5346 Email: reas@swave.net 15. The contracting party's individual/department to receive legal notices regarding Tax Matters: Name: John Reasbeck Title: COO Street Address: 1025 Main Street Suite 900 Wheeling, WV 26003 Telephone: 304.233.5343 Fax: 304.233.5356 Email: reas@swave.net 16. The contracting party's authorized individual/department to receive invoices: Name: Doralynn Metz Title: Director Street Address: 1025 Main Street Suite 900 Wheeling, WV 26003 Telephone: 304.233.5343 Fax: 304.233.5356 Email: dmetz@swave.net 17. The contracting party is a Carrier: X Government Agency: End User: 17a. Please state whether the contracting party is a certified Telecommunications Carrier: If so, please state certification number(s), and certification date(s). If not, enter "N/A". Yes The Commission certificated StratusWave to become a facilities based competitive local exchange carrier (CLEC) pursuant to a Recommended Decision entered August 4, 1999, in Case No. 99 0356 T CN' which became a final order of the - - - Commission on August 24,1999. StratusWave's local service tariff was approved by Commission Order entered October 8, 1999, in Case No. 99 1329 T T. An interconnection agreement between StratusWave and Verizon-WVwas approved by the Commission on September 23, 1999, in Case No. 99 0895 T PC. - - - - 17b. - - Please state whether contracting party is certified as an Eligible Telecommunications Carrier (ETC). If so, please state date(s) ETC status was granted and Case No. If not, enter "N/A". May 4, 2001 Case No. 00-1656-7-PC. Frontier BTOP 01 May 2011 Page 2 of 4 18. Please state the contracting party's representative who will be authorized to receive the Signed Contract: Name: John Reasbeck Title/Firm: COO Full Physical Address: 1025 Main Street Suite 900 Wheeling, WV 26003 Telephone: 304.233.5343 Fax: 304.233.5356 Email: reas@swave.net I John Reasbeck, as C.O.O. for StratusWave Communications, the Contracting Party, do hereby certify that the foregoing information is correct. Signature Frontier BTOP 01 May 2011 Date Page 3 of 4 Technical Information: 1. Please supply complete route information for the start to end points for each route (Point A to Point Z information): Point A: Brooke County Board of Education 1201 Pleasant Ave, Wellsburg, WV 26070 Point Z: WVNet 837 Chestnut Ridge Rd, Morgantown, WV 26505 2. Please state the total mileage/footage of BTOP facilities to which you are requesting interconnection: 69 miles 3. Please supply the GIS Map Reference Number(s) for each BTOP-funded route section to which you are requesting interconnection: 4. Please provide the name, address and location of the end user: Brooke County Board of Education 1201 Pleasants Ave, Wellsburg, WV 26070 5. Please specify the type of interconnection that you are requesting: GigE 6. Please specify the exact locations where you are requesting interconnection: Point A: Brooke County Board of Education 1201 Pleasant Ave, Wellsburg, WV 26070 Point Z: WVNet 837 Chestnut Ridge Rd, Morgantown, WV 26505 7. Are you requesting interconnection for access to the public Internet? No 8. Are you requesting interconnection for the exchange of traffic? No 9. If so, is the traffic local exchange tariff? No Is any of the traffic non-local exchange traffic (e.g., interexchange tariff)? No 10. Do you wish to make an inquiry regarding whether BTOP dark fiber is available in specified BTOP-funded facilities? (Please note that you may have to supply additional technical information if the answer is "yes.") No 11. Please attach any drawings, specifications or other technical information that you believe is pertinent to your BTOP interconnection request. 12. Do you have any other information that you believe is relevant to your BTOP interconnection request? This circuit will provide data transport for the Brooke County School District's WAN Network. Frontier BTOP 01 May 2011 Page 4 of 4