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MARICOPA COUNTY VIDEO SERVICE LICENSE AGREEMENT LICENSOR: MARICOPA (Maricopa County Telecommunications)

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MARICOPA COUNTY VIDEO SERVICE LICENSE AGREEMENT
DATE OF ISSUANCE: ___________________
License #______________
This Video Service License Agreement (“License”) is entered into on _____________, 20___, by and
between the following parties:
LICENSOR: MARICOPA COUNTY, a political subdivion of the State of Arizona,
its agents, contractors, successor, and assigns,
LICENSEE:
1
, ________________,
_______________________________
____________________________________________________
____________________________________________________
.
LICENSOR hereby grants to LICENSEE a nonexclusive Video Service License to provide video
service in the Service Area described on Exhibit B attached hereto and incorporated herein by this reference,
and to use and occupy the highways in the delivery of said video service, subject to the laws of this state
and police powers of LICENSOR, upon the following terms and conditions:
1. LICENSEE shall:
a. Pay the license fee of five percent (5%) as established by the Maricopa County Board
of Supervisors, as required under A.R.S. Title 11, Chapter 14, and all other lawful fees
and charges imposed by the LICENSOR.
b. File in a timely manner with the federal communications commission all forms
required by that agency before offering video service in the service area, including the
forms required by 47 Code of Federal Regulations Section 76.1801.
1. Name and address of NAME OF SERVICE PROVIDER principal executive officers or general partners and any persons
authorized to represent the NAME OF SERVICE PROVIDER before MARICOPA COUNTY can be found on Exhibit A attached
hereto and incorporated herein by this reference.
Month and Day
Name of Service Provider
Type of Entity
Jurisdiction of Formation
Address of Principle Place of Business
City, State, Zip Code
Principle Phone Number
Licensee
c. Comply with and be subject to all valid and enforceable federal and state laws. Comply
with all general applicable, nondiscriminatory local laws, including highway use,
mapping, insurance, performance bonds, security fund, indemnification or similar
requirements that apply to the use and occupation of any highway and that conform to
A.R.S. Title 11, Chapter 14.
d. Comply with the public, education and government programming requirements of
A.R.S. Title 11, Chapter 14.
e. Comply with all customer service rules of the Federal Communications Commission
under 47 Code of Federal Regulations Section 76.309(c) applicable to cable operators.
f. Comply with the consumer privacy requirements of 47 United State Code Section 551
applicable to cable operators.
2. LICENSEE and LICENSOR are subject to and must comply with A.R.S. Title 11, Chapter 14.
3. The term of this License is ten (10) years and shall begin on the date of issuance.
4. LICENSEE expects to provide video service in the area identified on Exhibit B on the
_____day of _______________, 20___. (date not required if LICENSEE is an incumbent cable
operator)
MARICOPA COUNTY
By: ________ By:
Print: ______________________ _____ Print: _____________________________
Its: ________ Its: ______________________________
Date: ________ Date: _____________________________
Month
Name of Service Provider
EXHIBIT A
Principal Executive Officers, General Partners, and Persons authorized to represent LICENSEE
before LICENSOR
I. LICENSEE’S PRINCIPAL EXECUTIVE OFFICERS OR GENERAL PARTNERS:
Name: Title:
Address:
Name: Title:
Address:
Name: Title:
Address:
Name: Title:
Address:
II. PERSON(S) AUTHORIZED TO REPRESENT LICENSEE BEFORE LICENSOR:
Name: Title:
Address:
Phone: Fax: Email:
Name: Title:
Address:
Phone: Fax: Email:
Name: Title:
Address:
Phone: Fax: Email:
EXHIBIT B
[Service Area]
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MARICOPA COUNTY VIDEO SERVICE LICENSE AGREEMENT LICENSOR: MARICOPA (Maricopa County Telecommunications)

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Completed 18 July 2020

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