04 NCAC 11 R22-APPENDIX. UTILITIES COMMISSION  


Latest version.
  • ER-1

    3/2014

    chapter 22

    appendix

     

    DOCKET NO. ER-____________,SUB_____

    FILING FEE RECEIVED________________

     

    BEFORE THE NORTH CAROLINA UTILITIES COMMISSION

     

    APPLICATION FOR CERTIFICATE OF AUTHORITY TO RESELL ELECTRIC SERVICE IN ACCORDANCE WITH

    G.S. 62-110(h) and NORTH CAROLINA UTILITIES COMMISSION CHAPTER 22

     

    INSTRUCTIONS

     

    If additional space is needed, supplementary sheets may be attached.  If any section does not apply, write “not applicable.”

     

    Utility laws, the Commission's Rules, and other information may be accessed at http://www.ncuc.net/index.htm

     

    APPLICANT

     

    1.             Name of owner                                                                                                                                                                   

    (Individual name if the owner is a sole proprietor or business name if not a sole proprietor.)

    2.             Business mailing address of owner                                                                                                                                

    City and state                                                                                                        Zip code                                              

    3.             Business telephone number                                                Business fax number                                                        

    4.             Business email address                                                                                                                                                      

     

    PROPOSED UTILITY SERVICE AREA

     

    5.             Name of Apartment Complex                                                                                                                                         

    6.             Street Address of Apartment Complex                                                                                                                          

    7.             County                                                                                                                                                                                 

    8.             Name, address and telephone number of the supplier of purchased power                                                           

                                                                                                                                                                                                   

    9.             Number of tenants that can be served at this apartment complex:                                                                         

     

    RESALE PROVISIONS

     

    10.          Describe the method Applicant proposes to use to allocate the supplier's individual electric bill for a unit among all the tenants in the unit (NCUC Rule R22-5):                                                                                 

                                                                                                                                                                                                   

    11.          Monthly administrative fee per bill:                                                                                                                               

    (Pursuant to NCUC Rule R22-5(d), no more than $3.75 per month - the maximum amount authorized for water resellers by Commission Rule R18-6, may be added to the cost of electric service as an administrative fee. The amount of administrative fee, up to the maximum amount, should be justified by Applicant's actual costs.)

    12.          Bills will be past due _____ days after they are mailed or otherwise delivered to tenants.  (NCUC Rule R22-7(e) specifies that bills shall not be past due less than twenty-five (25) days after mailing or other delivery to tenants).

    13.          Late fee amount:                                                                                                                                                                               

    (Pursuant to NCUC Rule R22-5(d) and (e), no more than 1% per month on the balance in arrears.)

    Number of days after mailing or other delivery of bills at which the late fee begins to apply:                           

    (See NCUC Rule R22-5(e) and (7)(e).)


    ER-1

    3/2014

     

    14.          Statement of the Applicant's plans for retention and availability of records (see NCUC Rule R22-6(a) and (b)):

                                                                                                                                                                                                   

                                                                                                                                                                                                   

     

    PERSONS TO CONTACT

     

     

     

    NAME

    ADDRESS

    TELEPHONE

    15.

    Management

     

    ________________

     

    __________________________

    __________________________

    Email _____________________

     

    ____________

     

    16.

    Complaints or Billing

     

    ________________

     

    __________________________

    __________________________

    Email _____________________

     

    ____________

     

    17.

    Emergency Service

     

    ________________

     

    __________________________

    __________________________

    Email _____________________

     

    ____________

     

    18.

    Filing and Payment of Regulatory Fees to Utilities Commission

     

    ________________

     

    __________________________

    __________________________

    Email _____________________

     

    ____________

     

     

    OTHER PROVISIONS

     

    19.          Applicant must notify the Commission in writing within 30 days if any information supplied on this form changes in the future.

    20.          Applicant must also file quarterly Regulatory Fee Reports and make regulatory fee payments.  Details are set out in NCUC Rule R15-1.

     

    REQUIRED EXHIBITS

     

    21.          If the Applicant is a corporation, LLC, LP, or other legal business entity, enclose a copy of the certification from the North Carolina Secretary of State (Articles of Incorporation or Application for Certificate of Authority for Limited Liability Company, etc.). (Must match name on Line 1 of application.)

    22.          If the Applicant is a partnership, enclose a copy of the partnership agreement. (Must match name on Line 1 of application.)

    23.          Enclose a copy of a Warranty Deed showing that the Applicant has ownership of all the property necessary to operate the utility. (Must match name on Line 1 of application.)

    24.          Enclose a vicinity map showing the location of the apartment complex in sufficient detail for someone not familiar with the county to locate the apartment complex. (A county roadmap with the apartment complex outlined is suggested.)

    25.          Enclose a copy of the supplier's schedule of rates that will be charged to the Applicant for purchased power.

    26.          Enclose a copy of any agreements or contracts that the Applicant has entered into covering the provision of billing and collections services to the apartment complex.

    27.          Indicate the number of apartment buildings to be served, the number of units in each apartment building and the number of bedrooms in each unit.

    28.          Enclose a copy of the template or form used for billing statements.

    29.          Enclose a copy(ies) of the form(s) used for leases to tenants, including a statement of which parts of the lease relate to billing for electric service.


     

    ER-1

    3/2014

     

    FILING INSTRUCTIONS

     

    30.          Submit one (1) original application with required exhibits and original notarized signature, plus seven (7) additional collated copies to:  [USPS address] Chief Clerk's Office, North Carolina Utilities Commission, 4325 Mail Service Center, Raleigh, North Carolina 27699-4325, or [overnight delivery or hand delivery at street address] Chief Clerk's Office, North Carolina Utilities Commission, 430 North Salisbury Street, Raleigh, North Carolina 27603.  Provide a self-addressed stamped envelope, plus an additional copy, if a file-stamped copy is requested by the Applicant.

    31.          Enclose a filing fee as required by G.S. 62-300.  A Class A utility (annual electricity reseller revenues of $1,000,000 or more) requires a $250 filing fee.  A Class B utility (annual electricity reseller revenues between $200,000 and $1,000,000) requires a $100 filing fee.  A Class C utility (annual electricity reseller revenues less than $200,000) requires a $25 filing fee.  MAKE CHECK PAYABLE TO N.C. DEPARTMENT OF COMMERCE/UTILITIES COMMISSION.

     

    SIGNATURE

     

    32.

    Application shall be signed and verified by an authorized representative of the Applicant.

     

    Signature___________________________________

    Printed Name _______________________________

    Title_______________________________________

    Date_______________________________________

     

    33.

    (Typed or Printed Named)

     

     

    personally appearing before me and, being first duly sworn, says that the information contained in this application and in the exhibits attached hereto is true to the best of his/her knowledge and belief.

     

    This the ___ day of _________________, 20______

    __________________________________________

    Notary Public

     

    My Commission Expires:_____________________

    Date

     

     

        (NOTARY SEAL)

     

     


    ER-2

    3/2014

     



    SELLER DOCKET NO.

    ER-

    PURCHASER DOCKET NO.

    ER-

    FILING FEE RECEIVED

     

     

    BEFORE THE NORTH CAROLINA UTILITIES COMMISSION

     

    APPLICATION FOR TRANSFER OF AUTHORITY TO RESELL ELECTRIC SERVICE FOR APARTMENT COMPLEXES

     

    INSTRUCTIONS

     

    If additional space is needed, supplementary sheets may be attached.  If any section does not apply, write “not applicable”.

     

    SELLER

     

    1.

         Name of current certified owner

     

    2.

         Mailing address

     

    3.

         Business telephone number

     

     

    PURCHASER

     

    4.

         Name of purchaser

     

    5.

         Business mailing address of purchaser

     

     

         City and state

     

    Zip code

     

    6.

         Business telephone number

     

    Business fax number

     

    7.

         Business email address

     

     

    UTILITY SERVICE AREA

     

    8.

        Street Address of Apartment Complex

     

    9.

        Name of Apartment Complex

     

    10.

        County (or counties)

     

    11.

        Supplier of purchased power

     

     

    RESALE PROVISIONS

     

    12.          Describe the method Applicant proposes to use to allocate the supplier's individual electric bill for a unit among all the tenants in the unit (NCUC Rule R22-5):                                                                                                 

                                                                                                                                                                                                   

    13.          Monthly administrative fee per bill:                                                                                                                               

    (Pursuant to NCUC Rule R22-5(d), no more than $3.75 per month - the maximum amount authorized for water resellers by Commission Rule R18-6, may be added to the cost of electric service as an administrative fee. The amount of administrative fee, up to the maximum amount, should be justified by Applicant's actual costs.)

    14.          Bills will be past due ____ days after they are mailed or otherwise delivered to tenants. (NCUC Rule R22-7(e) specifies that bills shall not be past due less than twenty-five (25) days after mailing or other delivery to tenants).


    ER-2

    3/2014

     

    15.          Late fee amount:                                                                                                                                                               

    (Pursuant to NCUC Rule R22-5(d) and (e), no more than 1% per month on the balance in arrears.)

    Number of days after mailing or other delivery of bills at which the late fee begins to apply:                           

    (See NCUC Rule R22-5(e) and (7)(e).)

    16.          Statement of the Applicant's plans for retention and availability of records (see NCUC Rule R22-6(a) and (b)):

                                                                                                                                                                                                   

                                                                                                                                                                                                   

     

    PERSONS TO CONTACT

     

     

     

    NAME

    ADDRESS

    TELEPHONE

    17.

    Management

     

    ________________

     

    __________________________

    __________________________

    Email _____________________

     

    ____________

     

    18.

    Complaints or Billing

     

    ________________

     

    __________________________

    __________________________

    Email _____________________

     

    ____________

     

    19.

    Emergency Service

     

    ________________

     

    __________________________

    __________________________

    Email _____________________

     

    ____________

     

    20.

    Filing and Payment of Regulatory Fees to Utilities Commission

     

    ________________

     

    __________________________

    __________________________

    Email _____________________

     

    ____________

     

     

    OTHER PROVISIONS

     

    21.          Applicant must notify the Commission in writing within 30 days if any information supplied on this form changes in the future.

    22.          Applicant must also file quarterly Regulatory Fee Reports and make regulatory fee payments. Details are set out in NCUC Rule R15-1.

     

    REQUIRED EXHIBITS

     

    23.          If the Applicant is a corporation, LLC, LP, or other legal business entity, enclose a copy of the certification from the North Carolina Secretary of State (Articles of Incorporation or Application for Certificate of Authority for Limited Liability Company, etc.). (Must match name on Line 1 of application.)

    24.          If the Applicant is a partnership, enclose a copy of the partnership agreement. (Must match name on Line 1 of application.)

    25.          Enclose a copy of a Warranty Deed showing that the Applicant has ownership of all the property necessary to operate the utility. (Must match name on Line 1 of application.)

    26.          Enclose a vicinity map showing the location of the apartment complex in sufficient detail for someone not familiar with the county to locate the apartment complex. (A county roadmap with the apartment complex outlined is suggested.)

    27.          Enclose a copy of the supplier's schedule of rates that will be charged to the Applicant for purchased power.

    28.          Enclose a copy of any agreements or contracts that the Applicant has entered into covering the provision of billing and collections services to the apartment complex.

    29.          Indicate the number of apartment buildings to be served, the number of units in each apartment building and the number of bedrooms in each unit.


    ER-2

    3/2014

     

     

    30.          Enclose a copy of the template or form used for billing statements.

    31.          Enclose a copy(ies) of the form(s) used for leases to tenants, including a statement of which parts of the lease relate to billing for electric service.

     

    FILING INSTRUCTIONS

     

    32.          Submit one (1) original application with required exhibits and original notarized signature, plus seven (7) additional collated copies to:  [USPS address] Chief Clerk's Office, North Carolina Utilities Commission, 4325 Mail Service Center, Raleigh, North Carolina 27699-4325, or [overnight delivery or hand delivery at street address] Chief Clerk's Office, North Carolina Utilities Commission, 430 North Salisbury Street, Raleigh, North Carolina 27603. Provide a self-addressed stamped envelope, plus an additional copy, if a file-stamped copy is requested by the Applicant.

     

    33.          Enclose a filing fee as required by G.S. 62-300.  A Class A utility (annual electricity reseller revenues of $1,000,000 or more) requires a $250 filing fee. A Class B utility (annual electricity reseller revenues between $200,000 and $1,000,000) requires a $100 filing fee. A Class C utility (annual electricity reseller revenues less than $200,000) requires a $25 filing fee. MAKE CHECK PAYABLE TO N.C. DEPARTMENT OF COMMERCE/UTILITIES COMMISSION.

     

    SIGNATURE

     

    34.

        Application shall be signed and verified by an authorized representative of the Applicant.

     

    Signature___________________________________

    Printed Name _______________________________

    Title_______________________________________

    Date_______________________________________

     

    35.

       (Typed or Printed Named)

     

     

       personally appearing before me and, being first duly sworn, says that the information contained in this

       application and in the exhibits attached hereto is true to the best of his/her knowledge and belief.

     

    This the ___ day of _________________, 20______

    __________________________________________

    Notary Public

     

    My Commission Expires:_____________________

    Date

     

     

        (NOTARY SEAL)

     

     

     

    (NCUC Docket No. ER-100, Sub 0, 04/19/2012; NCUC Docket No. ER-100, Sub 0, 03/31/14).