HomeMy WebLinkAbout000655 Original Contract DATE: 6121113
City of Port Angeles
NAME OF STR UCT URE OWNER:
321 E. 5t11 Street PO Box 1150
ADDRESS OF STRUCTURE OWNER
Port Angeles, WA 98362
CITY, ,STATE, ZIP CODE
Re: Collocation of telecommunication equipment by AT&T Mobility or one of its affiliates("Tenant")on that certain tower,
known as Port Angeles and located at address 1303 West 8th Street,WA,latitude 48-7-26.69 and longitude 123.27-43.8
in the county of Clallam, State of Washington(the"Structure") owned by City of Port Angeles ("Owner").
Dear Tower Owner:
To facilitate Tenant's collocation of its telecommunications equipment on the above referenced structure in compliance with the
Nationwide Programmatic Agreement for the Collocation of Wireless Antennas executed by the Federal Communication
Commission,the National Conference of State Historic Preservation Officers and the Advisory Council on Historic Preservation
(the"Programmatic Agreement"),Owner makes the following statements:
1. ®Tower construction or redevelopment was completed(check one) ❑ on or before/❑ after March 16,2001. If built
after March 16,2001,attached is a copy of structure owner's SHPO documentation.
OR
❑Building or man-made non-tower structure(ie. water tank,utility pole)was built ,
*AT&T mobility commenced construction/installation in month of year.
*Complete only ifstructure is older than 45 years old.
2. The proposed collocation does not require a substantial increase in the size of the structure based on the plans provided by
Customer.
3. Owner has no knowledge of having received any written or electronic notification that the FCC has determined that the
Structure has an effect on one or more historic properties,or if such an effect has been found, such effect has been found to be
not adverse through a no adverse effect finding,or if found to be adverse or potentially adverse,the effect has been resolved
through a conditional no adverse effect determination,a Memorandum of Agreement,a programmatic agreement,or otherwise
in compliance with Section 106 and Subpart B of 36 CFR Pert 800.
4. Owner has no knowledge of having received any written or electronic notification that the Structure is the subject of a pending
environmental review or related proceeding before the FCC involving compliance with Section 106 of the National Historic
Preservation Act.
5. Owner has no knowledge of having received any written or electronic notification that the FCC is in receipt of a complaint
from a member of the public,a State Historic Preservation Office, or the Advisory Council On Historic Preservation that the
collocation has or will have an adverse effect on one or more historic properties.
NAME: l a Ae, COMPANY:
SIGNATURE: DATE: