Licensee (ES 4/2018) Form – Electricity

1. Business Details

Name of Applicant

First

Last

Business Name

Type of Business?

Date of Incorporation and Registration

Registration Number

Business Address

Settlement/Town/City/Cay

Island

Zip/Postal

Business Address

Telephone (Work)

Telephone (Other)

Telephone (Mobile)

Email Address

Share Capital

par value (B$)

Share Capital

authorized (number)

Share Capital

issued (number)

Preference shares

Ordinary shares

1 (A). Contact Person(s) Details (in The Bahamas)

Name and address of any person or organization acting on behalf of the Applicant (Contact in Bahamas):

Full Name

First

Last

Address

Telephone

Email Address

Add Remove

1 (B). Supporting Documents

Set out in an attachment the names, business addresses and dates of appointment of directors, chief executive officer and company secretary

Maximum file size: 516MB

Set out in an attachment the names, addresses and country of domicile and shareholdings of all shareholders holding more than 10% of any class of the shares of the applicant

Maximum file size: 516MB

Attach certified copies of the Memorandum and Articles of Association and Certificate of Incorporation

Maximum file size: 516MB

If applicant is a partnership or joint venture, include copy of partnership or joint venture agreement

Maximum file size: 516MB

If applicant is a trust, include copy of trust deed

Maximum file size: 516MB

Set out in attachment Contracts with related parties

Maximum file size: 516MB

A related party is a person or an entity that is related to the reporting entity: A person or a close member of that person's family is related to a reporting entity if that person has control, joint control, or significant influence over the entity or is a member of its key management personnel.

1 (C). Applicant's Bank Info

Bank's Name

Bank's Address

Telephone No.

Email Address

Add Remove

1 (D). Applicant's Auditor Info

Auditor's Name

Auditor's Address

Telephone No.

Email Address

Add Remove

2. Licencee Details

Type of licence the applicant is applying for

PESL

APESL

IPPL

Location where and/or customers to which the applicant wishes to provide service

Specify if the application is for a

New Licence

Licence Renewal

Modification of Existing Licence

Date the licence is desired to take effect

Details of previous applications and licences held (if applicant held a licence under the previous electricity sector regime, if the applicant has applied for other licences, or has had licences revoked or applications refused)

Type "n/a" if this does not apply to you.

Modifications to standard conditions requested (if the applicant wishes to request for modifications, what are the modifications requested, and justification for modification)

4. Information on the Corporate Structure

If applicant is a non-public company, trust or other non-public entity, provide details of shareholders with more than 20 percent of any class of shares (name of shareholder, address, effective date of shareholding, number and class of shares, percentage aggregate of the class of shares)

Provide diagram of corporate structure, including details of any parent and related companies if applicable

Maximum file size: 516MB

5. Financial Information

Attach the most recent audited Financial Statements for the last three years which should be for a period ending not later than one year prior to the date of this application.

Maximum file size: 516MB

IMPORTANT: (1) If the applicant does not have audited financial statements, then the applicant must submit financial statements certified by an accountant in possession of a practicing certificate issued by The Bahamas Institute of Chartered Accountants.
(2) For subsidiary companies, include the audited financial statements of the parent company.
(3) For new entities, the most recent statements showing the balances of any bank accounts held by the applicant and a certified letter from a bank or any other entity confirming that the applicant is able to access the financing necessary to carry out the undertaking.

Provide letter from licensed Public Electricity Supplier (PES) confirming any discussions and/or negotiations concerning any credit support arrangements.

Maximum file size: 516MB

Is there any person or company whose name is not disclosed in Section 2 (Licensee Details) who has any major financial interest in the Applicant, either beneficially or otherwise?

Yes

If select "Yes", give details below

6. Offences

Has the Applicant, or any director or executive officer of the Applicant, ever pleaded guilty or been found guilty under any law of The Bahamas or any other country of any offence involving dishonesty, fraud or theft?

Yes

If select "Yes", give details below

Has the Applicant, or any director or executive officer of the Applicant, ever been convicted of any criminal offence not mentioned in the above question??

Yes

If select "Yes", give details below

Is the Applicant, or any director or executive officer of the applicant, currently the subject of a charge or indictment under any law of The Bahamas or any other country for contravention of any law or for any conduct of the type described in two questions above?

Yes

If select "Yes", give details below

7. Civil Proceedings

Has any claim been made successfully in any civil matter before a court or other tribunal in The Bahamas or any other country which was based in whole or in part on fraud, theft, deceit or misrepresentation or similar conduct against?

The Applicant

Any director of the Applicant?

Any executive officer of the Applicant?

If select "The Applicant", give details below

If select "Any director of the Applicant?", give details below

If select "Any executive officer of the Applicant?", give details below

Is there any claim pending in any civil matter before a court or other tribunal in The Bahamas or any other country against the Applicant, or any director or executive officer of the Applicant, which is based in whole or in part on fraud, theft, deceit or misrepresentation or similar conduct?

Yes

If select "Yes", give details below

8. Technical Information and Description of System

For any undertakings carried out by the applicant that are similar to that for which the applicant is applying for a licence, provide the following information:

Location

Beginning Year (of applicable)

End Year (of applicable)

Contracting Party

Body that authorized or approved the undertaking

References

Organizational chart of key personnel

Maximum file size: 516MB

Curriculum Vitae of key personnel with details of experience and knowledge of the industry. Include at least two references

Maximum file size: 516MB

Any contracts with external service providers related to the business for which the applicant is seeking a licence

Maximum file size: 516MB

For applicants for PESL, describe how the applicant will comply with the applicable requirements of the following standard conditions:

IMPORTANT: (1)Standard Condition 14.5 - Regarding to how the applicant plans to resolve unplanned interruptions.
(2) Standard Condition 35.1 - Regarding how the applicant will comply with the transmission and distribution standards.
(3) Standard Condition 42.1 - Regarding how the applicant intends to inform customers on dangers, matter requiring urgent attention, of supply issues.
(4) Standard Condition 47.1 and 47.2 - Regarding what grid code the applicant intends to file with URCA and how the applicant intends to comply with the grid code.

For applicants for APESL, describe how the applicant will comply with the applicable requirements of the following standard conditions:

IMPORTANT: (1)Standard Condition 14.5 - Regarding to how the applicant plans to resolve unplanned interruptions.
(2) Standard Condition 24.1 - Regarding how the applicant will ensure its employees are appropriate trained and qualified.
(3) Standard Condition 35.1 - Regarding how the applicant will comply with the transmission and distribution standards.
(4) Standard Condition 41.1 - Regarding how the applicant intends to inform customers on dangers, matter requiring urgent attention, of supply issues.
(5) Standard Condition 46.1 - Regarding what grid code the applicant intends to file with URCA and how the applicant intends to comply with the grid code.

For applicants for an IPPL, describe how the applicant will comply with the applicable requirements of the following standard conditions:

IMPORTANT: (1) Standard Conditions 15.1 and 17.1 - Regarding how the applicant will act under an event of Force Majeure or Catastrophic Failure.
(2) Standard Condition 22.1 - Regarding engaging in other business activities.

A description of the principal components of the facility including boilers, prime movers and electric generators, and explain their operation, MW, MVA, MVAR (KW, KVA, KVAR) voltage, other relevant electrical and energy parameters;

Indicate transmission lines, transformers and switchyard equipment, if included as part of the facility; the maximum gross and maximum net electric power production capacity of the facility at the point(s) of delivery; the actual or expected installation and operation dates of the facility;

Describe the primary energy input (e.g. coal, oil, waste, bio-mass, or other)

Indicate the proposed annual energy sale to the electric grid in Megawatt hours or Kilowatt hours (MWh / kWh) and or the Capacity in Kilowatt or Megawatt (MW/kW).

Discuss any particular characteristic of the facility, which the electricity supplier believes might bear on its qualifying status. (Use continuation sheet if necessary).

9. Declaration of Applicant

Name of Applicant

I/Wedeclare that:

Individual/Company/Partnership

(i) I am/(We are) not disqualified from being granted a licence by reason of any legal impediment. I/(We are) possess the technical qualifications to fully perform the obligations imposed by the licence. I/(We are) satisfy the financial requirements for the construction and operation of the facility or provision of service to which this application relates.

(ii) I am/(We are) a fit and proper person to be granted a licence,

(iii) All information submitted as part of this application is true and correct. I/(We) understand that the granting of a licence from the Utilities Regulation & Competition Authority (URCA) in respect of this application would be based on information as declared herein. I/(We) understand that, if I/(We) knowingly make any false statement in this application, any licence granted pursuant to this application may be revoked and any remedies under the laws of The Bahamas applied.

Name of Authorizing Officer

Position/Title

Company Seal

Maximum file size: 516MB

Signature (Individual/Authorizing Officer)

Clear

Application Creation Date

Application Details (Admin Only)

Application Status

Application Number

Application Type (Category)

If you are human, leave this field blank.

Licensing Portal

“Improving lives through effective utilities regulation.”

Licensee (ES 4/2018) Form
Electricity

1. Business Details

1 (A). Contact Person(s) Details (in The Bahamas)

1 (B). Supporting Documents

1 (C). Applicant's Bank Info

1 (D). Applicant's Auditor Info

2. Licencee Details

3. History of Applicant

4. Information on the Corporate Structure

5. Financial Information

6. Offences

7. Civil Proceedings

8. Technical Information and Description of System

9. Declaration of Applicant

Application Details (Admin Only)

Access Denied

About URCA

Sectors & Licensing

Publications

Connect with Us

Licensing Portal

“Improving lives through effective utilities regulation.”

Licensee (ES 4/2018) Form Electricity

1. Business Details

1 (A). Contact Person(s) Details (in The Bahamas)

1 (B). Supporting Documents

1 (C). Applicant's Bank Info

1 (D). Applicant's Auditor Info

2. Licencee Details

3. History of Applicant

4. Information on the Corporate Structure

5. Financial Information

6. Offences

7. Civil Proceedings

8. Technical Information and Description of System

9. Declaration of Applicant

Application Details (Admin Only)

Access Denied

About URCA

Sectors & Licensing

Publications

Connect with Us

Licensee (ES 4/2018) Form
Electricity