Supplier Registration Form Maryland and District of Columbia

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1 Supplier Registration Form Maryland and District of Columbia The data provided on this form will be used to establish a Supplier record and Supplier ID number with Pepco. Please send the completed executed form along with your remaining registration documents to: Pepco Supplier Relations 701 Ninth St N.W., Rm Washington, DC Company Information Legal Business Street Address: City, State, Zip Code: Trading as name if different: Federal ID NO: Licensing Data MD License Number: Date of License: DC License Number: Date of License: Page 1 of 4

2 Scope of Operations A. The applicant proposes to operate as: (Check the appropriate box) Electricity Supplier/Marketer of electricity Aggregator acting on behalf of customers to purchase electricity Broker acting as an agent or intermediary on behalf of customer in the sale and purchase of electricity and who does not take title to electricity. B. Applicant proposes to initially provide service to: (Check all the applicable boxes) Billing Options MD Residential Customers MD Commercial Customers DC Residential Customers DC- Commercial Customers LDC Consolidated Bill Ready Dual Supplier s Contact Information (Printed on Pepco s Consolidated Bill) Telephone Number: Mailing Address: Supplier s Short Name (10 characters used for labels): Banking Information (W9 required) Bank Address: Contact at the Bank: Name on Account: ABA Routing: Account Number: Page 2 of 4

3 For Multiple Registration Only (If registering more than 1 MSC, please fill out page 7) Page 3 of 4

4 Contact Information (Update all appropriate contacts) Main Contact EDI Contact Load Profiling & Settlement Contact Invoicing & Accounting Contact Address Billing Contact: Page 4 of 4

5 Certification Applicant hereby warrants and represents that all statements and representations made herein, and on any supporting documents, are true and correct. The undersigned hereby certifies that he/she is authorized to sign this application on behalf of applicant, and that applicant agrees to be bound by all statements and representatives contained in this Supplier Registration form. Authorized officials of the Applicant warrants that the Applicant agrees to be bound by this representation: Submitted By: Applicant s Company Signature of Authorized Official: Name of Authorized Official: Title of Authorized Official: Date Signed Page 5 of 4

6 Meter Correction Allocation Methodology Notice On January 22, 2010, FERC conditionally accepted PJM s proposal to provide a voluntary billing service for Electric Distributions Companies (EDCs) that elect to have PJM allocate meter correction charges directly to the Load Serving Entities (LSEs) within their respective EDC territory, making the tariff revisions effective February 1, FERC stipulated that in order for PJM to implement this provision for an individual EDC to use this optional billing service, both the EDC and the LSEs in the respective EDC zone must consent to use this service before the change in meter correction allocation methodology can be used in that EDC s zone. The Pepco zone load is fully allocated to the wholesale and retail suppliers providing the energy to meet the Pepco load. Any meter corrections to that monthly load at the end of the month should be appropriately shared amongst all of those LSEs. These meter corrections can be charges or credits in any particular month and, in fact, have been net credits in most months for the Pepco zone. PEPCO and PJM plan to implement this meter correction allocation methodology policy with the January 2011 PJM invoices to be issued February 7, Please indicate your concurrence with the meter correction allocation methodology as outlined above and in the FERC ruling by signing below and returning a copy of the letter to PJM and Pepco via electronic signature or fax. Fax to PJM at (610) or to mswg@pjm.com. If you need any further explanation, please contact our Supplier Relations Team at. Sincerely, Patrick J. Cook, Mgr. Wholesale Billing & Administration Potomac Electric Power Company Signature Contact Name/Title Retail Supplier Name Pepco MD PJM Short Name Pepco DC PJM Short Name

7 Multiple s and DC and DC

8 and DC and DC

9 and DC and DC

Supplier Registration Form Delaware and Maryland. Please send the completed executed form along with your remaining registration documents to:

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