ࡱ> ` 8bjbjss :/  XXX8XTPY, (`ZZZZZZZZxxxxB9yI|Y$h} MmZZMmMm} ZZNpppMm| Z ZxpMmxpps QsZ|Z `}7pXms)tH(%s,nQs QsZ `PpdtlhZZZ}})pdZZZ(MmMmMmMm  %`2d& `2  MAINE PUBLIC UTILITIES COMMISSION APPLICATION FOR LICENSE AS A COMPETITIVE ELECTRICITY PROVIDER Pursuant to 35-A M.R.S.A. 3203 and MPUC Rules, Chapter 305, Licensing Requirements, Annual Reporting, Enforcement and Consumer Protection Provisions for Competitive Provision of Electricity Please print or type all required information. Identify all attachments in the main body of this application. All attachments should bear the legal name of the Applicant and should be included on the electronic copy provided. Previous revisions of this application form are obsolete. Applicants should file an original and two copies of the application and all supporting materials, plus the $100 filing fee made payable to the Treasurer, State of fb88, with the fb88 Public Utilities Commission, Administrative Director, 18 State House Station, 242 State Street, Augusta, ME 04333-0018. Applicants must also file an electronic copy pursuant to Chapter 305 2(D)(3) in accordance with the Commissions electronic filing process. Applicant must file a copy of this application and all supporting documents with the Office of Public Advocate, 112 State House Station, Augusta, ME 04333-0112. PROVIDE ALL INFORMATION AS REQUIRED BY CHAPTER 305 BELOW AND IN SPECIFICALLY IDENTIFIED ATTACHMENTS TO THIS APPLICATION. REFER TO CHAPTER 305 FOR SPECIFIC INFORMATION REQUIRED. COMMISSION STAFF MAY REQUEST ADDITIONAL INFORMATION IN ORDER TO COMPLETE THE PROCESSING OF YOUR APPLICATION. INFORMATION REQUIRED FROM ALL APPLICANTS 1Applicants legal name: [Ch. 305 2(B)(8)(a)]2Name(s) under which Applicant will do business in fb88: [Ch. 305 2(B)(8)(a)]3Applicants business street address: [Ch. 305 2(B)(8)(b)]4Applicants mailing address, if different: [Ch. 305 2(B)(8)(b)]5Applicants web page address6Contact person, address, and telephone number for regulatory/licensing matters: [Ch. 305 2(B)(8)(e)] (Provide fax number and e-mail address.) 7Location and agent for service of process on Applicant in fb88: [Ch. 305 2(B)(8)(c)]8Location, if any, of any office available to the general public or fb88 customers: [Ch. 305 2(B)(8)(d)] (State hours open to the public.)9Contact person, address, and telephone number for consumer complaints and other contacts, if different than regulatory contact: [Ch. 305 2(B)(8)(f)] (Provide fax number and e-mail address.) 10Name, title, address, telephone number, e-mail address of contact to appear on Commission CEP listing that appears on the web11Type of organization of Applicant: [Ch. 305 2(B)(8)(k)]Supporting documentation and copy of by-laws (or other documents reflecting how the Applicant is organized) are provided in Attachment __.12Information on officers, directors, and partners, including business addresses: [Ch. 305 2(B)(8)(n)]Required information, including names, titles, and business addresses, is provided in Attachment __.13Names and addresses of all affiliated interests engaged in the retail sale of electricity in the U.S. or Canada. [Ch. 305 2(B)(6)]Required information is provided in Attachment __. Applicant may submit a copy of its most recent corporate annual report in compliance with this provision if it contains the required information.14Copies of most recent financial disclosures. If applicant does not make financial disclosures, it shall include the most recent financial disclosures of its corporate parent. [Ch. 305 2(B)(1)]Required information is provided in Attachment __. (If applicant has neither financial disclosures nor a corporate parent, provide other evidence of financial capability.)15State(s) in which Applicant is incorporated or otherwise registered or licensed to do business. [Ch. 305 2(B)(8)(l]Supporting information is provided in Attachment __. Indicate with an * states where you may do business but are not currently doing so.16A list of jurisdictions in which applications for authority for sale of generation, broker or aggregator services have been made and disposition of applications. [Ch. 305 2(B)(8)(i)]Required information is provided in Attachment __. Indicate the status of any application17List of jurisdictions in which applicant or affiliated interest have engaged in the sale of generation services or broker or aggregator services within prior 6 years. [Ch. 305 2(B)(8)(h)]Required information is provided in Attachment __.18 Bankruptcy history of the Applicants or affiliated interest of the applicant for the past six years. [Ch. 305 2(B)(7)(j)] [ ] See Attachment ___ for detailed statement of all bankruptcy proceedings for the past six years of the applicant or any affiliated interest. [ ] Neither Applicant nor affiliated interest had any bankruptcy proceedings in the past 6 years. 19Disclose all civil court or regulatory enforcement proceedings or criminal prosecutions commenced against applicant or associated entity w/in the last six years or currently pending that related to or arise out of the sale of electricity, the sale of natural gas, the provision of utility services, business fraud, or unfair or deceptive sales practices. [Ch. 305 2(B)(4)(b)][ ] See Attachment __ for summary of enforcement actions and related information [ ] Neither Applicant nor associated entity has had any such proceedings20The number of customer complaints related to the sales of electricity or natural gas filed against it at regulatory bodies other than the fb88 PUC within the last 12 months. [Ch. 305 2(B)(4)(c)][ ] See Attachment __ for a summary of such complaints, including the average number of customers served in each jurisdiction during the same period. [ ] Applicant had no customer complaints.21What type(s) of license does the Applicant seek? [Check all that apply] [Ch. 305 2(A)(1)][ ] Aggregator or Broker [defined in Ch. 305 1(B)(3) and (5)] [ ] Standard Offer Provider [ ] Competitive Electricity Provider 22A generic list of products and services that will be marketed in fb88. [Ch. 305 2(B)(8)(g)]Required information is provided in Attachment __. 23Customer classes to be served as defined in Ch. 305 1(B):[ ] Residential (1(B)(20) [ ] Small Non-Residential (1(B)(21) [ ] Medium Non-Residential (1(B)(17) [ ] Large Non-Residential (1(B)(14)24T&D utility territories in which the applicant will do business:[ ] Central fb88 Power Company [ ] Bangor Hydro-Electric Company [ ] fb88 Public Service Company [ ] Eastern fb88 Electric Cooperative [ ] Fox Island Electric Cooperative [ ] Houlton Water Company [ ] Kennebunk Light and Power District [ ] Madison Department of Electric Works [ ] Swans Island Electric Cooperative [ ] Van Buren Light & Power District [ ] Additional information provided on Attachment __ ADDITIONAL INFORMATION REQUIRED FROM AGGREGATORS OR BROKERS ONLY 25Will Applicant hold retail consumer funds? [Ch. 305 2(B)(1)(b)][ ] Yes [ ] No (If yes, applicant shall include additional documentation to demonstrate financial capability sufficient to refund deposits to retail customers. See Attachment __.)26Demonstration of technical capability: [Ch. 305 2(B)(2)(a)]Information demonstrating Applicants technical capability, including a description of industry experience is provided in Attachment __. ADDITIONAL INFORMATION REQUIRED FROM ALL OTHER COMPETITIVE ELECTRICITY PROVIDERS (INCLUDING PROSPECTIVE STANDARD OFFER PROVIDERS) 27Has Applicant received FERC approval as a Power Marketer? [Ch. 305 2(B)(7)(m)][ ] Yes [ ] No (If yes, attach copy) (If no, the date and docket number of application to FERC, or other explanatory information, are provided in Attachment __.)28Has Applicant entered into all required interconnection arrangements or contracts with fb88 utilities? [Ch. 305 2(B)(2)(c)][ ] Yes [ ] No (If yes, a list of arrangements or contracts is provided in Attachment __.)29Technical capability to secure generation: [Ch. 305 2(B)(2)(b)(I)]Provide generation in ISO-NE control area: Documentation that applicant is either a participant in the ISO-NE electricity market or will conduct transactions through a contractual arrangement with an entity that is provided in Attachment __. Provide generation in Northern fb88: Documentation that applicant is either a participant in the market administered by NMISA or will conduct transactions through a contractual arrangement with an entity that is provided in Attachment __.30Resource portfolio requirement: [Ch. 305 2(B)(5); 35-A M.R.S.A. 3210]Information or a statement demonstrating Applicants ability to satisfy resource portfolio requirements of 35-A M.R.S.A. 3210 and Chapter 311 of the Commissions Rules is provided in Attachment __.31Tax Assessor registration and collection statement: [Ch. 304 2(B)(7) and 35-A M.R.S.A. 3203(2)(F)]Evidence demonstrating Applicants registration with the State Tax Assessor as a seller of tangible personal property, and an affirmative statement that the Applicant agrees to collect and remit taxes, as required in 35-A M.R.S.A. 3203(2)(F), are provided in Attachment __. ADDITIONAL INFORMATION REQUIRED FROM ALL OTHER COMPETITIVE ELECTRICITY PROVIDERS (EXCLUDING PROSPECTIVE STANDARD OFFER PROVIDERS) 32Does Applicant seek to be licensed to offer service to residential or small commercial consumers as defined in Ch. 305 1(B)(20) & (21): [ ] Yes [ ] No33What security is Applicant providing? [Ch. 305 2(B)(3)(e)(i-ii)][ ] Letter of credit conforming to Ch. 305, with required supporting materials, is provided in Attachment __. [ ] Cash - Bank Check issued to Treasurer, State of fb88 for $100,000 due prior to serving customers but within two weeks of Commission deliberating Applicants proposed license unless stated otherwise in Commission Order [ ] No security required (Security instruments 34If a security instrument is required, does Applicant request any modifications of the initial $100,000 security level? [Ch. 305 2(B)(3)(c))][ ] Yes Support for the requested modification is provided in Attachment __. [ ] No [ ] No security required  [ ] Other supporting material for this application is provided in Attachment(s) _____. or [ ] No other supporting material is provided herewith. By obtaining a license, Competitive Electricity Providers agree: To comply with all fb88 laws and regulations applicable to competitive electricity providers; To provide updated information to the Commission if there are substantial changes in circumstances from those documented in the license application process within six months of those changes; To use reasonable efforts not to conduct business with any entity acting as a competitive electricity provider in fb88 without a license from the Commission. For purposes of this provision, a review of the Commissions webpage to determine if an entity is licensed constitutes a reasonable effort. Submit to the jurisdiction of the courts of the State of fb88 and the fb88 Public Utilities Commission; and That all contracts for generation, broker or aggregator service to residential or small non-residential customers will be interpreted according to fb88 law and maintained in fb88 courts or before fb88 administrative agencies. (Chapter 305, 2(C)) Date of Application: ________________________ Legal Name of Applicant: ______________________________________________________ (NOTE: application must be signed by two officers of Applicant, and notarized) IN WITNESS WHEREOF the parties have below set their hands and seals. Date: __________________ BY (signature): ________________________________________ TYPED/PRINTED NAME: _______________________________ TITLE: _______________________________________________ Date: __________________ BY (signature): ________________________________________ TYPED/PRINTED NAME: _______________________________ TITLE: _______________________________________________     fb88 Public Utilities Commission Competitive Electricity Provider Application Page  PAGE 5 ____________________________________________________________________________________________ Revised May 2006 !"ab% C [ \ v t u Ⱦsg[L[LgAh0Z5CJOJQJhj0hj0CJOJQJaJhj0CJOJQJaJhb*CJOJQJaJhb*hb*CJOJQJaJhb*5CJOJQJh qCJOJQJhb*CJOJQJhb*hb*CJOJQJh0Z56CJOJQJ\]h0ZCJOJQJh0Z6OJQJh0ZOJQJheOJQJh0Z5OJQJh0ZCJOJQJh0Z5CJOJQJ"#ab$ % )*$If:kd$$Ifl4h$h$4 lalf4 $$Ifa$$Ifgdj078 \ "#(+,-dwx}  )+,-|"˫ˏhh76CJOJQJh}\CJOJQJhb*OJQJhb*CJOJQJhgCJOJQJht( 6CJOJQJh0Z6CJOJQJh0ZOJQJh0Z5>*CJOJQJh0ZCJOJQJhq56OJQJh0Z56OJQJ4*+-g~$If$If`kdb$$Ifl4FVh$V     4 lalf4$If$If`kd$$Ifl4FVh$V     4 lalf4 $If$If`kd$$Ifl4FVh$V     4 lalf4   )*+1`kd$$Ifl4FVh$V     4 lalf4$If$If`kd$$Ifl4FVh$V     4 lalf4+-  !`kd6$$Ifl4FVh$V     4 lalf4$If$If !"$y$If$If`kd$$Ifl4FVh$V     4 lalf4"#$x7GHJKfl}(9:?/05}uk``kh q6CJOJQJh qCJOJQJh*7OJQJhj0CJOJQJhj06CJOJQJh*76CJOJQJh*7CJOJQJhb*OJQJhb*CJOJQJhgCJOJQJh 6CJOJQJhh76CJOJQJh0Z6CJOJQJh0ZCJOJQJh0ZOJQJh}\CJOJQJ%7N~$If$If`kdR$$Ifl4FVh$V     4 lalf4.`kdn$$Ifl4FVh$V     4 lalf4 $Ifgd*7$If`kd$$Ifl4FVh$V     4 lalf4)@6 $Ifgd+`kd$$Ifl4FVh$V     4 lalf4 $Ifgd*7$If %X $Ifgd*7 $Ifgd+$If`kd$$Ifl4FVh$V     4 lalf4$abdeh   {|~%&<=oqrstuĺh CJOJQJh qh=`CJOJQJh5ECJOJQJheCJOJQJh)UCJOJQJhe4CJOJQJhj0CJOJQJhj06CJOJQJh q6CJOJQJh qCJOJQJh qOJQJ8a $Ifgd*7$If`kd$$Ifl4FVh$V     4 lalf4abed $Ifgd+$If`kd$$Ifl4FVh$V     4 lalf4deh !T{ $Ifgd+$If`kd4$$Ifl4FVh$V     4 lalf4{|&=pq7`kdP $$Ifl4FVh$V     4 lalf4$If`kd$$Ifl4FVh$V     4 lalf4qte|`kd $$Ifl4FVh$V     4 lalf4$If e{|'*z{"RShir|㥘㍀sh)Uh)UCJOJQJh)Uh qCJOJQJh)U6CJOJQJh4uh qOJQJaJh qCJOJQJaJh4uh qCJOJQJaJh4uh)UCJOJQJaJh)UCJOJQJh5ECJOJQJh q6CJOJQJh qCJOJQJh qOJQJ-{$If`kdl $$Ifl4FVh$V     4 lalf4"Sr}$If$If`kd $$Ifl4FVh$V     4 lalf4 |} I J ! 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