The registration statement required by § 53.09(B) shall be filed with the Division and shall be in a form to be promulgated by the Division, which shall include the following information:
(A) The identity and legal status of the registrant, including any affiliates who own or operate any facilities in the right-of-way and the name, title, address, and telephone number of the individual responsible for the accuracy of the registration statement.
(B) The registrant's address, telephone number, facsimile number, e-mail address, as well as a local point of contact available to be contacted in the event of an emergency.
(C) A general description of all services that the registrant currently provides or offers to provide (i.e. water, sewer, gas, electric, telephony, internet, cable, video or other utility services) through the utilization of its facilities.
(D) A statement of the authority pursuant to which the registrant occupies the right-of-way.
(E) A statement of the amount, if any, of any fee to which the registrant is subject pursuant to any franchise agreement, lease, or other agreement between the registrant and the city.
(F) Proof that the registrant is insured in the form of a copy of a certificate of insurance or self-insurance that is in compliance with the insurance requirements of § 53.16 or its franchise agreement.
(G) If the registrant is a utility, the number of the registrant's certificate of authorization or license to provide utility service issued by the Kentucky Public Service Commission, or other state or federal authority, if any.
(H) Notice of changes. The registrant shall notify the Division within thirty (30) days of any change in information contained in the registration statement.
(Ord. 2020-07, passed 6-8-20)