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NON-DOMESTIC LICENCE
APPLICATION TO SUPPLY ELECTRICITY TO THE PUBLIC UTILITY
(CUMULATIVE INSTALLED CAPACITY: MORE THAN 25kW BUT NOT A PUBLIC UTILITY)
(Made pursuant to the Electric Light and Power Act, 2013 (Act 2013-21)) NOTE: Please read the Notes on Completion at the back of this Form before completing this Form
PART I: GENERATION CATEGORIES (Please put a "" in the relevant boxes)
More than 25 kW but less than 100 kW 100 kW or more but less than 150 kW 150 kW or more but less than 500 kW 500 kW or more but less than 1MW 1 MW or more but less than 20 MW 20MW or more but Not a Public Utility -Intermittent Source of Energy I ntermittent Source of Energy PART II: APPLICANT INFORMATION
(a) Company Name
(b)
(b) Authorised Representative (Where Applicable)
2. Contact Information

(a) Office:
(c) Mobile:
(d) Email:
3. Address of Generation System

4. Applicant's Mailing Address (If a Business or Body Corporate, Principal Place of Business)
(If different from above)
5. Form of Identification and Number (Where applicant is an individual or business name, provide National
Registration No. or Passport No. Where applicant is a company, provide Company Registration No.) National Registration No: / Passport No: Company Registration No: 6. (a) Do you currently hold a licence to supply electricity? Yes No
(b) If Yes, please insert:

(c) Have you been previously refused a licence to supply electricity? Yes No No
(d) If Yes, state reason given for refusal
PART III: GENERATION SYSTEM
7. Installed cost of system
8. Date System Installed / To Be Installed
(YY/MM/DD) 9. Name of Installer (Insert company name, if applicable)

Installer Contact Information

(a) Work:
(b) Mobile:

(c) Email:

10. Type of System: (See Notes on Completion) 11. Capacity of System:
Tick all categories that are applicable
Other: (See Notes on Completion)
12. Inverter Make, Model and Rat
(a) Make :
(b) Model:
(c) Rated Power: Kilowatts
13. (a) Energy Storage Device (Tick applicable box if any)
Other: See Notes on Completion (b) Rating of Storage Device
14. Size of Interconnection Breaker in Panel
15. Projected Electricity Generation
Kilowatt hours annual 16. Average Electricity Consumption
Kilowatt hours annual 17. (a) Utility Account No. (b) Meter No.

PART IV: DECLARATION
18. I
… , the Applicant/ Representative, declare that the information in this application is true and correct. I understand that should any of the information stated herein be found to be false in any material respect, any licence issued to me under the Electric Light and Power Act, 2013 may be revoked. Signature of Applicant/Authorised Representative (YY/MM/DD)
PART V: FOR OFFICIAL USE ONLY
APPLICATION NO. DATE RECEIVED
(YY/MM/DD) ME OF VERIFYING OFFICER NAME OF RECEIVING OFFICER SIGNATURE OF VERIFYING CHECK LIST OF ATTACHMENTS
APPLICATION
CATEGORY
More than 25 kW but less than 100 kW 100 kW or more but less than 150 kW 150 kW or more but less than 500 kW 500 kW or more but 1 MW or more but less 20MW or more but Not a Public Utility
NOTES ON COMPLETION
An applicant must submit the information described in each paragraph in the Appendix below as a separate attachment to his application, and must label each attachment in accordance with the title corresponding to the description. The applicant must insert before the beginning of the first attachment, a list of titles of the attachments in the order in which they appear. This form must be fully and accurately completed. Where information is not applicable to the applicant, this should be so indicated by the use of the abbreviation "N/A".
3.
An application shall be deemed to have been successfully filed only where this form is completed, all required supporting documentation is attached and the application fee is paid. An incomplete application will not be processed. An application must be submitted to: Permanent Secretary Division of Energy and Telecommunications Trinity Business Center Country Road St. Michael, BARBADOS For clarification or further information contact the Division at: 1-246-434-2505 Ext: 2541/2553/2556/2582
APPENDIX OF ATTACHMENTS
REQUIRED
APPLICATION FEE
APPLICATION CATEGORY
ATTACHMENTS
More than 25 kW but less than 100 kW Appendix 1 - 4
$1000.00
100 kW or more but less than 150 kW Appendix 1 - 4
$1000.00
150 kW or more but less than 500 kW Appendix 1 - 11
$1000.00
500 kW or more but less than 1MW Appendix 1 - 11
$1000.00
1 MW or more but less than 20 MW Appendix 1 - 17
$1000.00
20MW or more but Not a Public Utility Appendix 1 - 17
1. "Scope of Operation" – a written description of the operational nature of the applicant's business.
2. "Company Registration" – where the applicant is a company or other legal entity, a certified copy of
its approved incorporation or other registration documents. 3. "Chief Electrical Officer Approval" – evidence of approval of the Generation system design by the
Chief Electrical Officer. 4. "Town and Country Planning Approval" - evidence of approval by the Chief Town Planner, where
such approval is required in respect of any construction or other development related to the supply of electricity. 5. "Site Plan" - a detailed site plan including any architectural and engineering drawings.
6. "Experience and skills of persons involved in Installing, Operating and Maintaining the
Generation system " - the names, titles, e-mail addresses, telephone numbers, and the background of
key personnel involved in installing, operating and maintaining the system.
7. "Business Plan" - a business plan is required for suppliers whose stated average electricity
consumption is less than 50% of their stated projected Electricity Generation. 8. "Statement of Assets, Technology and Source of Energy" - a list of the major plant and machinery
to be installed, the technology and sources of energy to be used, and/or a list of individual generators. For 500kWs and more, the level of generator redundancy and projected scheduled downtimes. 9. "Non-Intermittent Resource Justification" - in the case of a Non-intermittent source of energy,
justification that the source is indeed Non-intermittent. 10. "Intermittent Resource Viability study" - in the case of an Intermittent source of energy such as
solar or wind, a resource viability study is required. 11. "Indicative Implementation Schedule" - indicative timelines for the specific activities that must be
performed to produce the various project deliverables 12. "Principal Officers, Directors and Partners" - the names, titles, nationality, addresses and telephone
numbers of the applicant's principal officers, directors, partners, or other similar officials. 13. "Ownership and Corporate Structure" - a description of the applicant's corporate and ownership
structures, and a list of the applicant's affiliates, if any. 14. "Financial Capability and Proposed Financial Plan" - copies of the applicant's three most recent
years financial statements or, where the applicant has not been in business long enough to satisfy this requirement, a financial statement covering the life of the business, and copies of the applicant's financial arrangements to supply electricity as a business activity (for example, guarantees, bank commitments, contractual arrangements and credit agreements). 15. "Disclosure of Liabilities and Investigations" – for the last three years a description of all existing,
pending or past rulings or judgments, of any court or regulatory authority, contingent liabilities, revocations of authority, regulatory investigations, or any other matter that could adversely impact on the applicant's financial or operational status or ability to undertake the activity in respect of which a licence is sought. 16. "Applicant's History and Existing Activities" - a concise description of the applicant's history and
principal business interests and activities, whether in Barbados or elsewhere, and, where relevant, similar information in respect of the applicant's affiliates, if any. 17. "Advertisements" – a copy of advertisements placed in the newspapers in relation to the application.

Source: http://www.energy.gov.bb/web/component/docman/doc_download/63-non-domestic-licence-application-form