Application Form For Parties Wishing To Offer, Render, Furnish, Or Supply Electricity Or Electric Generation Services To The Public In The Commonwealth Of Pennsylvania Page 15

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g. FALSIFICATION: The Applicant understands that the making of false statement(s) herein may be grounds
for denying the Application or, if later discovered, for revoking any authority granted pursuant to the
Application. This Application is subject to 18 Pa. C.S. §§4903 and 4904, relating to perjury and falsification in
official matters.
AGREED
h. NOTIFICATION OF CHANGE: If your answer to any of these items changes during the pendency of your
application or if the information relative to any item herein changes while you are operating within the
Commonwealth of Pennsylvania, you are under a duty to so inform the Commission, within twenty (20) days,
as to the specifics of any changes which have a significant impact on the conduct of business in Pennsylvania.
See 52 Pa. Code § 54.34.
AGREED
i.
CEASING OF OPERATIONS: Applicant is also required to officially notify the Commission if it plans to cease
doing business in Pennsylvania, 90 days prior to ceasing operations.
AGREED
j.
Electronic Data Interchange: The Applicant acknowledges the Electronic Data Interchange (EDI)
requirements and the relevant contacts for each EDC, as listed at appendix J.
AGREED
k. FEE: The Applicant has enclosed or paid the required initial licensing fee of $350.00 payable to the
Commonwealth of Pennsylvania.
PAYMENT ENCLOSED
11.
AFFIDAVITS
a.) APPLICATION AFFIDAVIT: Complete and submit with your filing an officially notarized Application Affidavit
stating that all the information submitted in this application is truthful and correct. An example copy of this
Affidavit can be found at Appendix A.
b.) OPERATIONS AFFIDAVIT: Provide an officially notarized affidavit stating that you will adhere to the reliability
protocols of the North American Electric Reliability Council, the appropriate regional reliability council(s), and the
Commission, and that you agree to comply with the operational requirements of the control area(s) within which
you provide retail service. An example copy of this Affidavit can be found at Appendix B.
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