630 Martin Luther King Boulevard po box 231 Wilmington de 19899-0231
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 Maryland Electricity Supplier Credit Application Please forward this completed and signed application, and accompanying information to the following address: 
Co: Conectiv Power Delivery 630 Martin Luther King BoulevardPO Box 231Wilmington DE 19899-0231Attn: Scott C. RazzePlease provide the following information: 
Applicant / Company Applicant Name__________________________________________________________ State of Incorporation (please mark N/A if not incorporated)_______________________ Years in Business ______________ Federal Tax ID ___________________ D&B DUNS # ___________________________ Credit or Financial Contact Person First and Last Name ________________________________________________ Title ________________________________________________ Address ________________________________________________ City, State, Zip Code ________________________________________________ E-mail Address ________________________________________________ Telephone (_____) _________________________________________ Facsimile (_____) _________________________________________ Parent Company __________________________ State of Incorporation______________ Will the Applicant's Parent Company or an Affiliate be the credit support provider (e.g., guarantee)? Yes_____ No_____ If yes, identify by name the credit support provider: Parent Company ______________ State of Incorporation_________ Affiliate ______________ State of Incorporation_________ 
Bank Reference (lending institution) Bank Name _______________________ Address __________________________ Account Officer ____________________ City, State ________________________ Account # _________________________ Zip Code _________________________ Telephone # _______________________
Fitch ________ Duff & Phelps ______ f). Credit Support Provider LTD Rating Moody’s________ S&P ______________ Fitch ________ Duff & Phelps ______ Please provide proof of the following: g). Maryland PSC License / Exp. Date_______________________________________ h). PJM Certification ______________________________________________________ i). Electronic Data Interchange Capabilities Tested on ____________________________ j). Year 2000 System Compliance ____________________________________________ 
Alternate Credit Arrangements If the Applicant is unable to provide Delmarva Power & Light Company with the above-mentioned information or to demonstrate that it has and maintains Investment Grade bond rating, the Applicant will have to make alternative credit arrangements for an amount equal to two months of customer payments to the Electricity Supplier and Electricity Supplier payments to Delmarva Power & Light Company, or any alternative amount as determined pursuant to section 5.3 of the Electricity Supplier Coordination Tariff. The alternative credit arrangements are described in the Electricity Supplier Coordination Tariff and in the Electricity Supplier Coordination Agreement. 
Representations Applicant Parent Affiliate Is the applicant and/or their parent Yes No Yes No Yes No (and/or the affiliate providing credit support): a) Operating under federal bankruptcy laws? ___ ___ ___ ___ ___ ___ Subject to pending litigation or regulatory proceedings in state or federal courts and/or agencies which could impact the Applicant’s and/or Parent’s financial condition? ___ ___ ___ ___ ___ ___ Subject to collection lawsuits or outstanding judgements which could impact solvency? ___ ___ ___ ___ ___ ___ d) Mandatory disclosure of prior bankruptcy declarations by Applicant and/or predecessor ________________________________________________________________________ ________________________________________________________________________ ________________________________________________________________________ 
Certification, Authorization, and Signature Delmarva Power & Light Company will treat all financial statements provided by Applicant in a confidential manner. Applicant will notify Delmarva Power & Light Company if any financial, credit or electronic document exchange information changes. Applicant certifies that the information herein is complete and accurate to the best of Applicant’s knowledge, information and belief, and that the individual signing below is an authorized Representative of the Electricity Supplier. Applicant herein authorizes Delmarva Power & Light Company to obtain any information that may be required relative to this Applicant hereby from any source, including Applicant’s financial and trade references. Applicant also hereby authorizes each source to provide such information. Legal Name of Applicant: Signature of Authorized Representative: Name (Please Print): Title:
Date:
Filed with the Maryland PSC on 3/2/2000 Directory: newIntranet -> casenum casenum -> In a memorandum dated July 16, 2001, the Technical Staff of the Commission filed its comments regarding this matter. Staff noted that the loan would consist of two amounts: $10,233,000 to be obtained from rus casenum -> Mid-atlantic petroleum distributors association casenum -> Case No. 8509(z) casenum -> Reply brief of the staff of the maryland public service commission casenum -> Hearing examiner's notice of extension of filing date casenum -> Notice of revised procedural schedule casenum -> Registration Form Please forward this completed and signed application, and accompanying information to the following address casenum -> Baltimore Gas And Electric Company By casenum -> Request for investigation and petition for declaratory order against southern maryland electric cooperative, inc., Choptank electric cooperative and choptank home and business services, inc casenum -> Public Service Commission (Demand-Side Management) Download 32.42 Kb. Share with your friends:
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