APPENDIX A: APPLICATION FOR CABLE FRANCHISE (BY NAME OF APPLICANT)
1.   State applicant’s name:
Response:
2.   State the names of the applicant’s officers and directors:
Response:
3.   State applicant’s business address:
Response:
4.   Provide the name and contact information of the applicant’s contact:
Response:
5.   Provide a description of the initial geographic area that the applicant proposes to serve:
Response:
6.   Provide a schedule for commencement and completion of construction:
Response:
7.   Provide a statement of compliance that service will not be denied to any group of potential residential subscribers because of the income of the residents of the area in which the group resides:
Response:
8.   Provide assurance the applicant will provide adequate public, educational and governmental access channel capacity, facilities or financial support:
Response:
9.   State the requested term of the agreement:
Response:
Initial term:
Franchise renewal:
10.   Does the applicant hold an existing authorization to access the community’s public rights-of-way?
Response:
11.   State the amount of the fee the applicant agrees to pay (consistent with the Communications Act and the standards set forth therein):
Response:
12.   Describe the authority granted by this franchise application:
Response:
13.   Describe what notice must be given and to whom:
Response:
14.   Describe the safety standards by which applicant shall abide, including identification of applicable City Code requirements:
Response:
15.   Describe applicant’s compliance with applicable customer service standards that it intends to employ throughout the term of the franchise:
   Response:
16.   Is the franchise transferable in the event of sale or merger? Is consent from the city necessary?
   Response:
17.   Consistent with the Federal Cable Act, provide legal, technical and financial qualifications information:
Response:
18.   Please describe any other miscellaneous provisions:
Response:
(1992 Code, ch. 44, app. A) (Ord. 104-09, passed 11-16-2009)