NEW LEASE AMENDMENT TO EXISTING LEASE RECONTRACT BTS ANCHOR TENANT

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Estella Lang
6 years ago
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1 NEW LEASE AMENDMENT TO EISTING LEASE RECONTRACT BTS ANCHOR TENANT PLEASE RETURN THIS APPLICATION VIA TO: Vertical Bridge 750 Park of Commerce Drive Suite 200 Boca Raton, FL Attn: Regional Leasing Manager Phone: VB Site Number: VB Site Name: Application Date: Revision Dates: RSM Approval: INTERNAL USE ONLY APP VERSION # LEASE # AMENDMENT # APPLICANT / CARRIER INFORMATION Carrier Name: Carrier Site Number: Carrier Site Name: Carrier Legal Entity Name: State of registration: Type of entity (LP, LLC, Corp) d/b/a (If applicable) Notice Address for Lease: Contact Name: Contact Number: Contact Fax: Contact Address: Contact With copies to: Additional Carrier Invoice Address: Carrier Invoice Contact - Name, Title, Phone No. Leasing Contact Name/Number: RF Contact Name/Number: Construction Contact Name/Number: Emergency Contact Name/Number: Other: Carrier NOC# ADDITIONAL CONTACT INFORMATION SITE INFORMATION This information can be found and should match the information on Latitude: N Existing Structure Type: Longitude: W Existing Structure Height: Site Address: Type of Technology for all equipment (i.e., 3G, LTE, CMDA, MW, WiFi, TV, etc.) T Frequency (MHz) R Frequency (MHz) FREQUENCY/TECHNOLOGY INFORMATION Tenants using an unlicensed band must provide exact Frequency Channels and Call Sign(s) to be utilized. (Providing the band range only will not be accepted.) PLEASE PROVIDE BRIEF DESCRIPTION OF GENERAL SCOPE OF WORK

2 EISTING EQUIPMENT Applicant s Existing ment Configuration and Specifications ment Type (ex: panel, TMA, RRU) RAD Mount Height Mount Type Qty ment ment Model # Dim (HxWxD) (ft or in) Weight (lbs) Az Remain EISTING LINES Applicant s Existing Lines and Specifications Line Type Line Size (Inches) Total # of Lines Coax interior or exterior (for monopoles) Remain Comments:

3 PROPOSED EQUIPMENT Applicant s Proposed ment Configuration and Specifications ment Type (ex: panel, TMA, RRU, ice shields) RAD Mount Height Mount Type Qty ment ment Model # Dim (HxWxD) (ft or in) Weight (lbs) Azimuth PROPOSED LINES Applicant s Proposed Lines and Specifications Line Type Line Size (Inches) Total # of Lines Coax interior or exterior (for monopoles) Comments: Coax RET Home Run Cable Fiber DC Power

4 PROPOSED FINAL CONFIGURATION TOTALS PROPOSED FINAL CONFIGURATION TOTALS EQUIPMENT TYPE TOTAL LINE TYPE TOTAL Panel Antennas Omni/Whip Antennas RRU TMA Diplexer / Triplexer Bias T Coax Hybrid CAT5 DC/Power RET Fiber Surge Suppressor MW Dish Ice Shield ODU Filter Combiner Junction Box RET ment Cabinets ADDITIONAL EQUIPMENT INFORMATION RRUs, TMAs and ODUs are required to be installed directly behind the antennas / MW dish. Otherwise there will be an additional charge. All equipment lines are required to be installed inside the tower when space is available. Carriers will be charged an additional $25.00 per line per month if equipment lines are installed on the outside of the tower even though there is available space inside the tower. Vertical Bridge must approve any installation of lines on the outside of the tower. All tenant equipment must be installed within one continuous 10 ft vertical envelope. Exceeding this vertical space will be subject to additional rent.

5 GROUND / INTERIOR SPACE REQUIREMENTS Total Ground / Interior Area Dimensions: L x W = Total Square Feet Required Cabinet Area Dimensions (Pad/Platform) Shelter Pad Dimensions Rooftop Antenna Total Area Required (Including all ment (i.e., Shelter, ment Platform or Pad, Generator Pad, Generator Fuel Tank Pad, Antenna Sleds, etc. provide details below) Cabinet Installation Type Shelter Antenna Sled Dimensions (per sector) Antenna Wall Mount Dimensions (per sector) EQUIPMENT CABINET REQUIREMENTS (Required for rooftops or Vertical Bridge interior space) : : : ment Cabinet Comments GENERATOR REQUIREMENTS Generator Required?: Generator Fuel Type Generator Size Generator Pad Dimensions Generator Fuel Tank Pad Dimensions Generator Fuel Tank Meter Type Voltage AC POWER REQUIREMENTS Estimated Monthly Utility Usage Amount Total Amperage Fiber Installation Status Cable Type Fiber Provider Points of Entry FIBER / BACKHAUL Conduit/Riser Size (in inches) STRUCTURAL ANALYSIS DETAILS Structural Hardcopies Required? If wet seals required, please provide address: ADDITIONAL COMMENTS

SPO MORAN 4620 S GLENROSE ROAD SPOKANE, WA 99223

SPO MORAN 4620 S GLENROSE ROAD SPOKANE, WA 99223 0 S GLENROSE ROAD CONTACT LIST APPLICANT: VERIZON WIRELESS 8TH AVENUE SE, MS BELLEVUE, WA 8008 ARCHITECT: LDC, INC. 0 NE 00TH ST, SUITE 00 WOODINVILLE, WA 80 CONTACT: RICHARD B. HALL, AIA PHONE: () 80-8