Green-e Energy Attestation for Renewable Energy Certificates (RECs) Delivered From a Small Solar/Wind/Hydro Electric Power Facility ( 10 kilowatts Nameplate Capacity)

Owner of Facility (Name and Company):
Address:
City: / State: / Zip:
Phone: / Fax: / e-mail:
Name of Company Purchasing RECs (Buyer):
Location of Facility (if different from above)
Type of Generation (solar, wind or hydro)
Capacity (kilowatts installed)
Date First Placed into Service
Kilowatt Hours Generated and Sold to Buyer in Year: (fill in year of sale)[1] / Jan 1 – Mar 31 / Apr 1 – Jun 30 / Jul 1 – Sept 30 / Oct 1 – Dec 31
Total kWh Sold to Buyer in Year Above:

I, (print name) , declare the following:

a.  I am the owner of the Facility at the location provided above;

b.  The information provided on this form is true and correct to the best of my knowledge;

c.  The Facility generated the kilowatt-hours of electric power identified above during the periods of delivery listed above;

d.  The RECs (as defined in my contract with my Buyer) represent all the environmental attributes of the electric power and were not sold or transferred to any other party, nor, to the best of my knowledge, were the RECs claimed by any other party including my serving utility;

e.  The electric power generated was either consumed on the premises or delivered, via a net billing or similar arrangement, to my serving utility; and,

f.  I have made no public or private claim that the premises are solar/wind/hydro-powered from this Facility for any period of delivery during which I have sold and transferred the RECs from the facility to a third party (however, I may claim that the Facility is producing solar, wind or hydro power, and that my participation in the REC program has enabled this additional renewable energy to be delivered into the power system).

Attached are one or more of the following required documents (check and attach one or more, or if applicable check last option):

Generator Permit;

Equipment invoice or other document showing date of operation, installation or purchase; or

Interconnection or net metering agreement with utility to which facility is interconnected.

Facility submitted one or more of the above documents for a prior year to Buyer.

Signature: ______Date:

Place of Execution:

This form is used by the Center for Resource Solutions to verify the accuracy of claims made by retail marketers. The information on this form is held strictly confidential and will not be shared with any other party except in aggregate form.

2

[1] If you only have generation data for the entire year in question, you may fill in the year of sales and skip the rest of this line. If you do have quarterly data, please list it in this row.