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["Licensor:",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"To Be Filled in by Avangrid"]
["1) Avangrid Division (NYSEG/RGE):",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"10) SAP Debtor Code:",null,null,null,null,null,null,null,"11) License No."]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"12) Pole Attachment Agreement Date:"]
["Email completed application to:",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"13) Effective Date of License:"]
["NYSEG: nysegesi@nyseg.com",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"14) Current Annual Rental Rate:$",null,null,null,null,null,null,null,"per attachment"]
["RGE: jointuserge@avangrid.com ",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"15) Prepared By:",null,null,null,null,null,null,null,null,null,null,"Appr By:"]
[]
["Email to send make ready invoice:",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"To Be Filled in by Engineering Vendors:"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"16) Engineering Vendor for Initial Make Ready Work:"]
["Licensee:",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"17) Engineering Vendor for Post Construction Inspection:"]
["2) Applicant Name & Address: ",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"18) Date of Post Inspection:"]
["Name:",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"19) Application Overall Pass/Fail:"]
["Attn:",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"20) Total # of Failed Poles:",null,null,null,null,{"$f":"COUNTIF('page 2 +'!AD:AD, \"Fail\") +\n COUNTIF('page 3 +'!AD:AD, \"Fail\") +\n COUNTIF('page 4 +'!AD:AD, \"Fail\") +\n COUNTIF('page 5 +'!AD:AD, \"Fail\") +\n COUNTIF('page 6 +'!AD:AD, \"Fail\") +\n COUNTIF('page 7 +'!AD:AD, \"Fail\") +\n COUNTIF('page 8 +'!AD:AD, \"Fail\") +\n COUNTIF('page 9 +'!AD:AD, \"Fail\")","v":0}]
["Address:",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"21) # of Poles Requiring Re-Inspection:",null,null,null,null,null,null,{"$f":"COUNTIF('page 2 +'!AH:AH, \"Yes\") +\n COUNTIF('page 3 +'!AH:AH, \"Yes\") +\n COUNTIF('page 4 +'!AH:AH, \"Yes\") +\n COUNTIF('page 5 +'!AH:AH, \"Yes\") +\n COUNTIF('page 6 +'!AH:AH, \"Yes\") +\n COUNTIF('page 7 +'!AH:AH, \"Yes\") +\n COUNTIF('page 8 +'!AH:AH, \"Yes\") +\n COUNTIF('page 9 +'!AH:AH, \"Yes\")","v":0}]
["3) Date of Application:",null,null,null,null,null,null,null,null,"4) No. of Poles:",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"22) # of Re-Inspections Billable to Applicant:",null,null,null,null,null,null,null,{"$f":"COUNTIF('page 2 +'!AI:AI, \"Yes\") +\n COUNTIF('page 3 +'!AI:AI, \"Yes\") +\n COUNTIF('page 4 +'!AI:AI, \"Yes\") +\n COUNTIF('page 5 +'!AI:AI, \"Yes\") +\n COUNTIF('page 6 +'!AI:AI, \"Yes\") +\n COUNTIF('page 7 +'!AI:AI, \"Yes\") +\n COUNTIF('page 8 +'!AI:AI, \"Yes\") +\n COUNTIF('page 9 +'!AI:AI, \"Yes\")","v":0}]
["5) Prepared By:"]
["Email: "]
["Phone:"]
["Telco:"]
["6) Telco Name:",null,null,null,null,null,null,null,null,null,null,null,"Telco App #:"]
["Engineer Name: "]
["Engineer Phone: "]
["7) Licensee Project #:"]
["8) Connect All Project: (enter “MIP”, “BEAD”, \"AHCP\", or \"County Partnerships\"):"]
["9) CAO Project #:"]

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[]
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["Item No","LOCATION",null,null,null,null,null,null,null,null,null,"FACILITY",null,null,null,null,null,null,null,null,null,null,null,null,"MAKE READY",null,null,"Overlaps",null,"Post-Construction Inspection"]
[null,"Village, Town, City",null,"Street, Road Name",null,null,"Line No\nELEC\nTEL","Pole No\nELEC\nTEL","Latitude","Longitude","FLOC","Owner/User","Tie Point","Tie Point Pole # ELEC/TEL","Overlash","Anchors","Height","Sag","# of Attachments","Name of each Attacher on pole",null,null,null,"WO #","MAKE READY NOTES \n(Elec, Telco, CATV, CLEC)","Billing","Telco Name per pole if Multiple Telcos on Application","Overlap    \nApplication #\nItem #'s","Overlap\nMAKE READY NOTES\n(Elec, Telco, CATV, CLEC)","Pole Level Pass/Fail","Description of Violation/Non-Compliance Observed","Additional Post-Construction Inspection Comments/Additional Work Needed","Reason for Failure","Reinspection Required? (Yes/No)","Additional PCI Charged to Applicant? (Yes/No)"]
[null,null,null,null,null,null,null,null,null,null,null,"J,T,E","x",null,"x","No","Feet","Inch"]
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[]
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[]
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["Item No","LOCATION",null,null,null,null,null,null,null,null,null,"FACILITY",null,null,null,null,null,null,null,null,null,null,null,null,"MAKE READY",null,null,"Overlaps",null,"Post-Construction Inspection"]
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[null,null,null,null,null,null,null,null,null,null,null,"J,T,E","x",null,"x","No","Feet","Inch"]
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["Item No","LOCATION",null,null,null,null,null,null,null,null,null,"FACILITY",null,null,null,null,null,null,null,null,null,null,null,null,"MAKE READY",null,null,"Overlaps",null,"Post-Construction Inspection"]
[null,"Village, Town, City",null,"Street, Road Name",null,null,"Line No\nELEC\nTEL","Pole No\nELEC\nTEL","Latitude","Longitude","FLOC","Owner/User","Tie Point","Tie Point Pole # ELEC/TEL","Overlash","Anchors","Height","Sag","# of Attachments","Name of each Attacher on pole",null,null,null,"WO #","MAKE READY NOTES \n(Elec, Telco, CATV, CLEC)","Billing","Telco Name per pole if Multiple Telcos on Application","Overlap    \nApplication #\nItem #'s","Overlap\nMAKE READY NOTES\n(Elec, Telco, CATV, CLEC)","Pole Level Pass/Fail","Description of Violation/Non-Compliance Observed","Additional Post-Construction Inspection Comments/Additional Work Needed","Reason for Failure","Reinspection Required? (Yes/No)","Additional PCI Charged to Applicant? (Y/N)"]
[null,null,null,null,null,null,null,null,null,null,null,"J,T,E","x",null,"x","No","Feet","Inch"]
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["Item No","LOCATION",null,null,null,null,null,null,null,null,null,"FACILITY",null,null,null,null,null,null,null,null,null,null,null,null,"MAKE READY",null,null,"Overlaps",null,"Post-Construction Inspection"]
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[null,null,null,null,null,null,null,null,null,null,null,"J,T,E","x",null,"x","No","Feet","Inch"]
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["Item No","LOCATION",null,null,null,null,null,null,null,null,null,"FACILITY",null,null,null,null,null,null,null,null,null,null,null,null,"MAKE READY",null,null,"Overlaps",null,"Post-Construction Inspection"]
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[null,null,null,null,null,null,null,null,null,null,null,"J,T,E","x",null,"x","No","Feet","Inch"]
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["Item No","LOCATION",null,null,null,null,null,null,null,null,null,"FACILITY",null,null,null,null,null,null,null,null,null,null,null,null,"MAKE READY",null,null,"Overlaps",null,"Post-Construction Inspection"]
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[null,null,null,null,null,null,null,null,null,null,null,"J,T,E","x",null,"x","No","Feet","Inch"]
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["Item No","LOCATION",null,null,null,null,null,null,null,null,null,"FACILITY",null,null,null,null,null,null,null,null,null,null,null,null,"MAKE READY",null,null,"Overlaps",null,"Post-Construction Inspection"]
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["Item No","LOCATION",null,null,null,null,null,null,null,null,null,"FACILITY",null,null,null,null,null,null,null,null,null,null,null,null,"MAKE READY",null,null,"Overlaps",null,"Post-Construction Inspection"]
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[null,null,null,null,null,null,null,null,null,null,null,"J,T,E","x",null,"x","No","Feet","Inch"]
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["Exhibit A"]
["Instructions for Telecommunications Company"]
["PLEASE NOTE: ALL ATTACHMENTS MUST BE TAGGED AT EACH POLE IDENTIFYING YOUR OWNERSHIP."]
["PLEASE INLCUDE ONLY ONE TOWN, CITY OR VILLAGE PER APPLICATION."]
["1)","Avangrid Division (NYSEG/RGE):","Licensee","Division NYSEG'S Operating Divisions: Auburn, Binghamton, Brewster, Elmira, Geneva, Hornell, Ithaca, Lancaster, Liberty, Lockport, Mechanicville, Oneonta, Plattsburgh\nRGE's Operating Divisions:  Canandaigua, Rochester, Fillmore, Sodus\nEmail:  Indicate the email address where the make ready invoice should be sent.\n"]
["2)","Applicant Name & Address:","Licensee","Licensee: Company Name, System Manager and Address."]
["3)","Date of Application:","Licensee","Application Date: Date application is to be sent to AVANGRID."]
["4)","No. of Poles:","Licensee","No. of Poles: Total number of poles which are used by AVANGRID."]
["5)","Prepared By:","Licensee","Prepared By: Who prepared the application, email address and phone number of preparer."]
["6)","Telco Name:","Licensee","Telco Name: Identify the telephone company, Engineer name and phone number on associated pole application. (if known)"]
["7)","Licensee Project #:","Licensee","Licensee Project #: Project number of the licensee."]
["8)","Connect All Project: (enter “MIP” or “BEAD”)","Licensee","If your project is part of a Connect All grant - enter BEAD, MIP, AHCP, or County Partnerships in this field"]
["9)","CAO Project #","Licensee","If your project is part of a Connect All grant - enter the corresponding project number here."]
["10)","SAP Debtor Code: ","AVANGRID","SAP Debtor Code: Unique number for each attaching company."]
["11)","License No.","AVANGRID","License No. Unique number for each application."]
["12)"," Pole Attachment Agreement Date:","AVANGRID","Pole Attachment Agreement Date of General Operating Agreement."]
["13)"," Effective Date of License:","AVANGRID","Effective Date of This License: Billing will be based on this date."]
["14)"," Current Annual Rental Rate:","AVANGRID","Current Annual Rental Rate: PSC Filed Rate."]
["15)"," Prepared By:","AVANGRID","Prepared By: Engineering Planner and initials of approving authority."]
["16)","Engineering Vendor for Initial Make Ready Work:","AVANGRID","Engineering Vendor who fielded and designed the initial Make Ready work."]
["17)","Engineering Vendor for Post Construction Inspection:","AVANGRID","Engineering Vendor responsible for the Post-Construction Inspection."]
["18)"," Date of Post Inspection:","AVANGRID","Date Post-Construciton Inspection was performed."]
["19)","Application Overall Pass/Fail:","AVANGRID","Post-Construction Inspection results - Pass/Fail"]
["20)","Total # of Failed Poles.","AVANGRID","Total Number of Poles that Failed on the Application."]
["21)","Total # of Poles That Require Re-inspection","AVANGRID","Total Number of Poles that Failed, and will require an additional Post-Inspection."]
["22)","# of Re-Inspections Billable to Applicant","AVANGRID","Total Number of Poles that will require a Post-Inspection."]
["23)","Village, Town, City","Licensee","Village, Town, City The location of each pole."]
["24)","Street, Road Name","Licensee","Street, Road Name The location of each pole."]
["25)","Line No\nELEC\nTEL","Licensee and AVANGRID","Line No Electric and Telephone Line Number."]
["26)","Pole No\nELEC\nTEL","Licensee and AVANGRID","Pole No. Electric and Telephone Line Number."]
["27)","Latitude","Licensee","Latitude the location of each pole."]
["28)","Longitude","Licensee","Longitude the location of each pole.  "]
["29)","FLOC","AVANGRID","FLOC Functional location of each pole"]
["30)","Owner/User","Licensee and AVANGRID","Owner/User (licensee) Indicate who is using pole  J-Joint, E-sole use by electric, T-sole use by telephone.\n(AVANGRID) Revise to indicate who owns pole J-Joint, E-sole owned by electric, T-owned by telephone."]
["31)","Tie Point","Licensee","Indicate (mark with 'x' in lefthand column) any pole on application where the licensee intends to tie in/connect to existing network. Right hand column to indicate connecting pole number where licensee has existing licensed attachment."]
["32)","Overlash","Licensee","Indication of if the applicant is overlashing."]
["33)","Anchors","Licensee","Anchors Indicate the number of anchors proposed for the attachment."]
["34)","Height","Licensee and AVANGRID","Height Indicate the proposed attachment height in feet.  This may have to be determined collectively during pre-construction engineering."]
["35)","Sag","Licensee","Sag in inches at 95 degrees F."]
["36)","# of Attachments","AVANGRID","Number of communication attachments currently on the pole."]
["37)","Name of each Attacher on pole","AVANGRID","Identification of current communication attachments on the pole."]
["38)","WO #","AVANGRID","Work Order Work Order for each pole location (N/A if no work order is required)"]
["39)","MAKE READY NOTES \n(Elec, Telco, CATV, CLEC)/Billing","AVANGRID","Make-Ready Remarks --Indicate the work to be performed"]
["40)","Telco Name per pole if Multiple Telcos on Application","AVANGRID","Name of the Joint Owner Telco"]
["41)","Overlap    \nApplication #\nItem #'s","AVANGRID","Overlapping notification number and the corresponding item number on the overlapping application."]
["42)","Overlap\nMAKE READY NOTES\n(Elec, Telco, CATV, CLEC)","AVANGRID","Make-Ready Remarks on the overlapping application that would impact licensee's Make-Ready Work."]
["43)","Pole Level Pass/Fail","AVANGRID","Post Inspection Passed: Indicate with a \"Yes/No\" if the pole being inspected has passed"]
["44)","Additional Post-Construction Inspection Comments/Additional Work Needed","AVANGRID","Violation/Non-Compliance observed, along with remediation work required to correct."]

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