Form Cec Rps 1B – Fill Out and Use

CEC-RPS-1B

Application for Pre-Certification

California Renewables Portfolio Standard Program

Please refer to the Instructions for completing this form and to the RPS Eligibility

Guidebook and the Overall Program Guidebook for additional information.

―All information on this form and on any attachments is subject to public disclosure―

Section I: Type of Pre-Certification Requested

The information on this form will be subject to further verification once the pre-certified facility comes online. If the additional

required information is not currently available, please attach an explanation and description of the material and when it will be available.

*If this is an amendment or renewal: Date of original pre-certification: Original pre-certification number:

Note: Pre-certification is available for facilities that are not online or are under specific criteria. Please check the RPS Eligibility Guidebook for more details. Facilities that are pre-certified must submit a complete and updated certification application and be certified as RPS-eligible before any generation may be counted toward satisfying a retail seller’s RPS procurement requirements. To apply for certification, use form CEC-RPS-1A.

Section II: Applicant Contact Information

used in the past, if known:

Facility Location (street address or provide a legal description of site):

(Facility Location continued)

Facility Operations

6.Provide nameplate capacity of facility (in megawatts):

8.Is the facility’s first point of interconnection to the WECC transmission system located within California?

Yes. Facility is considered an in-state facility for purposes of RPS eligibility.

No. Either facility is located out of state and is not subject to California Public Utilities Code Section 399.17, or

the facility is subject to PUC Section 399.17 but it s generat ion is int ended t o be count ed t owards anot her ret ail seller's Calif ornia RPS obligat ions. (Complete CEC-RPS-1B:S3 and submit additional required information for Out- of-State Facilities).

►For out of state facilities, provide the WECC interconnection substation location:

Other. Facility is located out of state BUT the generation exclusively serves retail end-use customers outside California and has 60,000 or fewer customer accounts in California under PUC Section 399.17. (Out-of-state delivery requirements do not apply to these facilities.)

Prior operating facility. Facility commenced commercial operations before January 1, 2005* ►Specify date:

New facility. Facility commenced commercial operations on or after January 1, 2005.* ►Specify date:

Repowered facility. Facility was repowered or re-entered commercial operations after

January 1, 2005.* Specify date:

►Repowered facilities must provide documentation confirming the replacement of the facility’s prime generating equipment and the capital investments made to repower the facility as well as the value of those investments as described in the “Instructions for Additional Required Information for Repowered Facilities” in the RPS Guidebook.

►Select method used to demonstrate compliance with the 80 percent threshold:

*Exceptions for these online dates are small hydroelectric and small conduit hydroelectric facilities that began commercial operations or were repowered on or after January 1, 2006.

Facility is a central station facility.

Facility is a distributed generation facility serving on-site load. ►Complete Section V

11.Facility Identification Numbers

Other (Please explain):

Section IV: Facility Fuel and Technology Type

12. Indicate energy source used by the facility. For multi-fuel facilities, indicate all energy sources used. For biodiesel facilities, please also select the fuel source (either biomass or MSW conversion) from which the biodiesel is derived, complete the specified form, and provide the additional required information as applicable.

*If Yes, specify the type and the average amount of all fossil fuel used annually on a total energy input basis for the calendar year immediately prior to the date of application (if this is the first year of operation, estimate fossil fuel use):

►Type of fossil fuel:

►Average annual percentage for prior calendar year (or estimate):

14. Under a 2002-2003 Interim RPS Procurement solicitation approved by the CPUC under Decision 02-08-071 and Decision 02-10-062, was the facility developed and awarded a power purchase contract?

Yes

(If Yes, facility may use up to 25% fossil fuel and count 100% of the electricity generated as RPS-eligible.)

No

(If No, only renewable portion of generation may be RPS-eligible.)

15. Is the facility currently certified as a renewable Qualifying Small Power Production Facility (QF) under the federal

(If Yes and facility was certified and had commenced commercial operations before January 1, 2002 and is still currently certified, facility may use up to 25% fossil fuel and count 100% of the electricity generated as RPS- eligible. If No, only the renewable portion of the electricity production can qualify for the RPS.)

invoices, or reports. An applicant may also be required to open its business records for on-site inspection and audit by the Accounting Office or its authorized agents for purposes of verifying the accuracy of any information included in the applicant’s applications, invoices, and reports.

Representatives of pre-certified facilities must notify the Energy Commission promptly of any changes in information previously submitted to the Energy Commission. Failure to do so may result in revocation of pre-certification status. Any changes affecting the facility’s pre-certification status should be reported on an amended CEC-RPS-1B form. If there are any changes to the status of a facility’s pre-certification, the new information will be posted on the Energy Commission’s website.

Section VII: Attestation

I am an authorized officer of the above-noted facility owner, an authorized agent of the facility owner, or a retail seller contracting with the above noted facility owner and with authority to submit this application on the facility owner’s behalf, hereby submit this application on behalf of said facility owner for pre-certification of the facility as a renewable facility eligible for California’s RPS or pre-certification as eligible for California’s RPS. I have read the above information as well as the Renewables Portfolio Standard Eligibility Guidebook, the Overall Program Guidebook for the Renewable Energy Program, and the New Renewable Facilities Program Guidebook and understand the provisions of these guidebooks and my responsibilities. I acknowledge that the receipt of any pre-certification approval from the Energy Commission is conditioned on the acceptance and satisfaction of all program requirements as set forth in the Renewables Portfolio Standard Eligibility Guidebook and the Overall Program Guidebook for the Renewable Energy Program. I declare under penalty of perjury that the information provided in this application and any supplemental forms and attachments is true and correct to the best of my knowledge.

Applicant Name:

Applicant Title:

Signature: __________________________________________________________________

Date signed:

The following are attached:

REMINDER: Some facilities have further submission requirements outlined below; refer to the RPS Program Eligibility Guidebook for details.