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Exhibit A - Form of Pole License <br />Page 1 <br />1.Associated Facilities License. This is an Associated Facilities License, as referenced in <br />that certain Master License between Licensor and Licensee dated _______, 201___ (“Master <br />License”). As described in the Master License, this Associated Facilities License, following <br />compliance by Licensee with all terms and conditions contained in the Master License, shall be <br />deemed to create an Associated Facilities License with respect to the particular License Area <br />described herein. All of the terms and conditions of the Master License are incorporated herein by <br />this reference and made a part hereof without the necessity of repeating or attaching the Master <br />License. In the event of a contradiction, modification or inconsistency between the terms of the <br />Master License and this Associated Facilities License, the terms of the Master License shall <br />govern. Capitalized terms used in this Associated Facilities License shall have the same meaning <br />described for them in the Master License, unless otherwise indicated herein. <br />2.License Area. The License Area covered by this Associated Facilities License is described <br />in Attachment 1, attached hereto and incorporated herein by this reference. <br />3.Equipment. The Equipment to be installed at the License Area is described in Attachment <br />2, attached hereto and incorporated herein by this reference. <br />4.Regulatory Approvals. The Regulatory Approvals for the Equipment are attached as <br />Attachment 3, attached hereto and incorporated herein by this reference. <br />5.Term. The term of this License shall be as set forth in Section 3 of the Master License. <br />The Commencement Date for the Associated Facilities License under this Associated Facilities <br />License shall be ________. <br />6.Fees. The License Fee for this License Area shall be as described Section 4.2 of the <br />Master License. Licensee confirms that the Processing Fee required by Section 4.3 and the <br />Review Fee required by Section 4.4 of the Master License have both been paid in full. <br />7.Bond. Licensee confirms that the Bond required by Section 25.1 of the Master <br />License has been delivered to City. <br />LICENSEE HEREBY EXECUTES SUBMITS TO THE CITY THE FOREGOING __[X]__ POLE <br />and/or __[X]___ ASSOCIATED FACILITIES LICENSE <br />LICENSEE: <br />[Wireless Company] <br />By: <br />Its: <br />Date: