Attachment A - Renewable Power Energy.pdf

Attachment A - Renewable Power Energy

RENEWABLE POWER/RENEWABLE ENERGY GENERATOR

REGISTRATION FORM

Facility Information

Name of Facility: _____________________________

Address of Facility: _____________________________

Facility ID Number1: _____________________________ EIA or QF? (circle one)

Contact Person: _____________________________

Telephone: _____________________________ Fax: ___________________

Fuel Type Capacity* (MW) MWh/REC s Sold Date Facility

First Operational

Period of Delivery

(Q#/yy or mm/yy)* *

Geothermal

Wind

Solar Electric

Hydroelectric

Ocean

Waste-to-Energy

* For facilities which have added new renewable capacity, please indicate the amount and operational date of the new capacity and the existing capacity.

** List as separate line items MWh for each month or quarter.

If multiple facilities are being used for this contract, Contractors are required to provide a completed copy of this form for each facility.

1 Please enter Energy Information Administration (EIA) identification number for the generating facility. If the facility does not have an EIA number, please enter the utility-assigned Qualifying Facility (QF) identification number.

RENEWABLE POWER / RENEWABLE ENERGY VERIFICATION

The (indicate) __________ renewable megawatt hours/ __________ renewable attributes listed above were sold exclusively to (name of renewable power/REC provider)

Further, 1) all the renewable attributes, including any emissions reduction credits or emissions allowances which are specifically owned by or to which the renewable power/REC generator is otherwise entitled to convey, represented by the renewable electricity generation listed below were transferred to the renewable power/REC provider above, 2) to the best of my knowledge, the renewable attributes were not sold, marketed or otherwise claimed by a third party; 3) the renewable attributes were sold once and only once; 4) the electrical energy that was generated with the attributes was not used on-site for generation; and 5) the electrical energy that was generated with the attributes was not separately sold, marketed or otherwise represented as renewable energy and was not used to meet any federal, state or local renewable energy requirement, renewable energy procurement, renewable portfolio standard, or other renewable energy mandate.

The facilities that generated all of the (indicate) __________ renewable kilowatt hours/

__________ renewable attributes sold to (name of renewable power/REC supplier)

______________________________________ are listed above by fuel type.

I have authority to submit this report on the company’s behalf.

Signature: ______________________________________ Date: ___________________

This form is used by the Government to verify the accuracy of claims made by retail marketers.

RENEWABLE POWER / RENEWABLE ENERGY CERTIFICATE NOTIFICATION

(Contractor Name) ______________________________________ verifies that Renewable

Power/Renewable Energy Certificates in the amounts described below, associated with power generation from the Renewable Resource(s) listed below, have been provided to the Government in accordance with the terms of Contract Number __________________ for the period (Insert

Dates) ______________________________________. The Renewable Power/Renewable Energy

Certificate(s) provided to the Government include emissions, and other environmental characteristics associated with renewable resources. The Renewable Energy Certificate(s) do not include energy, capacity, or other attributes of electrical power. (Contractor Name)

______________________________________ represents that the environmental attributes, including any attendant emission credits which are specifically owned by or to which the renewable power/REC generator is otherwise entitled to convey, that are the subject of this

Notification have not been sold, reserved, or conveyed to any party other than Government and that the electric power generated in association with this/these Renewable Power/Renewable

Energy Certificate(s) has not been represented to retain or possess such attributes. The

Renewable Power/Renewable Energy Certificate(s) that are the subject of this Notification are based upon the generation of electricity from (Insert type of Renewable Resource(s))

______________________________________ at (Insert Source Facility Location(s))

______________________________________. The total amount of Renewable Power/Renewable

Energy Certificates covered by this Notification is: (Insert Quantity conveyed in MWhs)

Company Name: _____________________________

Representative Name: _____________________________

Signature (typed/printed): _____________________________

Date: _____________________________

RENEWABLE POWER / RENEWABLE ENERGY CALCULATIONS

(Contractor Name) ______________________________________ verifies the following calculations represent the annual kWh usage and RECs retired by account to the best of

Contractor’s records. Note that while the below template may be used if the Contractor is serving five or fewer accounts under a specific contract, Contractors may elect to provide this information in an excel spreadsheet or CSV file. If the Contractor elects to provide this information in an excel spreadsheet or CSV file, they must request a template from the GSA

Contracting Officer specified in Section C of this solicitation and that template must be submitted back to GSA with the calculations.

The number of RECs retired by account in the bottom table must match the kWhs by account multiplied by the renewable percentage by account.

ANNUAL USAGE ATTESTATION REPORT

(Contractor Name) ______________________________________ verifies the following information represents the annual kWh usage by account to the best of Contractor’s records.

Note that while the below template may be used if the Contractor is serving five or fewer accounts under a specific contract, Contractors may elect to provide this information in an excel spreadsheet or CSV file. If the Contractor elects to provide this information in an excel spreadsheet or CSV file, they must request a template from the GSA Contracting Officer specified in Section C of this solicitation and that template must be submitted back to GSA with the information.