Annual Report Statement ESS

Annual Report Statement – ESS

This form is to be completed by Accredited Certificate Providerson an annual basis, as per the requirements stipulated in Item 3 of the Schedule to the Accreditation Notice.

Accredited Entity Name: / Insert name here
Reporting Period: / <Insert relevant dates here>

A separate Annex (refer page 2) to the Annual Report Statement must be lodged for each Recognised Energy Savings Activity (RESA) which comprises the Accreditation. For example, if you have more than one Schedule to the Accreditation Notice, you will require a separate annexure for each.

Lodgement of Annual Report Statement

Completed forms must be marked ‘confidential’ and lodged at the following address:

Scheme Administrator

NSW Energy Savings Scheme

Independent Pricing and Regulatory Tribunal

PO Box Q290

QVB Post Office NSW 1230

Or delivered to:

Level 8

1 Market Street

SYDNEY NSW 2000

The Scheme Administrator can be contacted by:

Phone on (02) 9290 8452

Email on

Reporting Requirements for Accredited Certificate Providers(ACPs)

Where stated as a condition of accreditation in the Accreditation Notice, an ACP must provide to the Scheme Administrator an annual written report by no later than the end of the Quarter stipulated in the Accreditation Notice, confirming:

that the Accredited RESAis still fully operating in the manner indicated in the ACP's Application for accreditation;
that the characteristics and details of the Accredited RESA are not materially different from the characteristics and details identified in the ACP’s Application for accreditation; and
the number of ESCs created in respect of the Accredited RESA that occurred in the previous calendar year and current calendar year (to date) with supporting calculations.

In addition, the Act, Regulations, Rule, and Accreditation Notice contain further provisions in relation to providing information to the Scheme Administrator, to assist it in monitoring the compliance of an ACP with the Scheme.

To assist ACPs in preparing their annual written report, the Scheme Administrator has developed this Annual Report Statement. ACPs are to submit their annual written report on this form.

Reporting Period for Accredited Certificate Providers

The first Annual Report Statement must cover the period from the Entitlement Date (in Item 2(d) of the Schedule to the Accreditation Notice) to the end of the period identified in Item 3 (b) of the Schedule to the Accreditation Notice (inclusive).

In subsequent years, the Annual Report Statement must then cover the next 12 month period following on from the last reporting period, for all Accredited RESA related information.

Please contact the Scheme Administrator if you are uncertain about the reporting period for your first, or subsequent, Annual Report Statements.

Annexes to be completed

Each accredited RESA that comprises the accreditation must have its own separate Annex completed. For example, if an ACP is accredited in respect of two RESAs, it must complete Annex 1 in respect of its first RESA (refer Schedule 1 of the Accreditation Notice) and Annex 2 in respect of the second RESA (refer Schedule 2 of the Accreditation Notice). The Annual Report Statement makes allowance for up to 6 Annexes (or RESAs).

Please delete any Annexes that are not required for the purposes of your Annual Report Statement.

Declaration

I, <Insert Name of Authorised Signatory>, asan authorised representative of<Insert Name of Accredited Entity or Person(s)>, submit this Annual Report Statement on behalf of the aforementioned entity or person(s) and do hereby declare that:

records which demonstrate the accuracy and reliability of the statements made in this form have been retained, and can be provided on request,

the information contained in this form and accompanying documentation is correct and not misleading by inclusion or omission; and

I am aware that there are penalties for providing false or misleading information in this Annual Report Statement

Note:
Section 158 of the Electricity Supply Act 1995 imposes a maximum penalty of 100 penalty units and/or six (6) months imprisonment for knowingly providing false or misleading information to the Scheme Administrator
Section 138 of the Electricity Supply Act 1995 imposes a maximum penalty of 2,000 penalty units for failure to comply with a condition of accreditation and may additionally result in the suspension or cancellation of the Accredited Certificate Provider’s accreditation under clause 78P of the Electricity Supply (General) Regulation 2001

Please also confirm that:

Yes / An Annex for each accredited RESA is attached.
Yes
N/A / ESC calculation spreadsheets for the reporting period are attached for each RESA.
Yes / Evidence of the signatory’s authority to sign has been attached to the Annual Report Statement.
Yes / Respective estimates of annual ESC creation for each of the next three calendar years have been attached to the Annual Report Statement.

Signed by or on behalf of the Accredited Certificate Provider

Signature: / <Sign here>
Name of signatory: / <Name of Authorised Signatory>
Position: / <Position>
Date: / <Date>

Witness

Signature: / <Sign here>
Name of witness: / <Name of Witness>
Position: / <Position>

ANNEX 1

RESA NAME: / <Insert Schedule 1 RESA name here
RESA Accreditation Number / <Insert number here
ESS Rule Calculation Method / <Insert calculation method under the Scheme Rule here
RESA Identifier(s) – as per Item 1(b) of the Schedule to the Accreditation Notice: / ESCs created for Energy Savings Activity in reporting period (see front page) / ESCs proposed to be created for Energy Savings Activity in reporting period / Total / ESCs created for Energy Savings Activity in subsequent period (to date) / ESCs proposed to be created for Energy Savings Activity in subsequent period / Total
<Insert here > / <Insert here > / <Insert here > / <Insert here > / <Insert here >
<Insert here > / <Insert here > / <Insert here > / <Insert here > / <Insert here >
<Insert here > / <Insert here > / <Insert here > / <Insert here > / <Insert here >
<Insert here > / <Insert here > / <Insert here > / <Insert here > / <Insert here >
<Insert here > / <Insert here > / <Insert here > / <Insert here > / <Insert here >
<Insert here > / <Insert here > / <Insert here > / <Insert here > / <Insert here >

In respect of the RESA identified above please complete the following table.

Yes / No / N/A
Has the ACP’s name, ABN or legal status changed, or financial circumstances materially changed?
Has the ACP’s primary contact, key user contact, address, or other contact details changed?
Have the record keeping arrangements for the RESA materially changed?
Has the metering equipment and/or metering arrangements materially changed?
Has the ACP installed, or proposes to install, additional energy saving equipment other than that approved by the Scheme Administrator?
Has the ACP’s contractual liability for the energy consumed on Site (if applicable) changed?
Have there been any changes relevant to Nominations or the process for obtaining Nominations (if applicable)?
Is a different calculation Method(s) being used?
Is a different calculation Equation(s) being used?
Is a different calculation factor(s) being used?
Has there been, or is there proposed to be, any other change to the ACP’s approved ESC calculation methodology?
Has the scope or quantity of production or service from the use of electricity at the Site been reduced since time of application?
Has there been, or are there any, other changes that may materially relate to the accreditation eg the project is now required to comply with a statutory requirement?
If you have ticked ‘Yes’ to any of the above, you must attach comprehensive details and supporting documentation in regard to the changed circumstance(s), and the date on which the change in circumstance(s) occurred.

Calculations for Reporting Period

If the RESA is accredited under the Project Impact Assessment Method (PIAM),is it also accredited to forward create ESCs under clause 7.4 of the Scheme Rule?

Yes / and forward creation is for the period <Insert here > to <Insert here >
Note: If further breakdown on the forward creation period above is required, please attach the relevant information as an appendix to this annual report statement.
No / ie accredited for PIAM, but no forward creation is allowed.
N/A / ie another Rule methodology is used other than PIAM.

Is it a condition of the accreditation that ESC creation for this RESA must be audited annually?

Yes / If ESCs have been created since the most recent annual audit period (defined in the Accreditation Notice), please attach hardcopy ESC calculation spreadsheets for the ESCs subsequently created (to date). Otherwise, you are not required to attach ESC calculations spreadsheets for the actual audited period, as copies of these should have accompanied your annual ESC creation audit report to the Scheme Administrator.
No / Please attach a hardcopy and softcopy summary spreadsheet model of ESC creation calculations (as per the guidance point below), for the period(s) of:
the entire previous calendar year, and
the current year to date (if applicable).
Guidance Point 1: Calculations for the reporting period
Where calculations are required to be submitted, please attach a copy of your summary spreadsheet model (with an accompanying electronic copy) clearly identifying all inputs and elements of the calculation methodology used in creating the number of ESCs (for the calendar year period identified on the front page of this Annual Report Statement).
Notes:
 For Commercial Lighting Energy Savings Formula RESAs please provide the latest Quarterly Report summarising all your activities to date
 All calculations should be based on the time period used to create ESCs. For example, ifESCs have been created on a monthly or annual basis, the spreadsheet model should demonstrate that the calculation methodology is being appropriately applied on inputs for that monthly or annual measurement period
All relevant inputs (eg total monthly MWh figures) must be clearly identified
All relevant Factors used (default and/or approved) must be clearly identified
All relevant Equations used must be clearly identified
All relevant Methods used must be clearly identified
ESC totals should be readily identifiable

ANNEX 2

RESA NAME: / <Insert Schedule 1 RESA name here
RESA Accreditation Number / <Insert number here
ESS Rule Calculation Method / <Insert calculation method under the Scheme Rule here
RESA Identifier(s) – as per Item 1(b) of the Schedule to the Accreditation Notice: / ESCs created for Energy Savings Activity in reporting period (see front page) / ESCs proposed to be created for Energy Savings Activity in reporting period / Total / ESCs created for Energy Savings Activity in subsequent period (to date) / ESCs proposed to be created for Energy Savings Activity in subsequent period / Total
<Insert here > / <Insert here > / <Insert here > / <Insert here > / <Insert here >
<Insert here > / <Insert here > / <Insert here > / <Insert here > / <Insert here >
<Insert here > / <Insert here > / <Insert here > / <Insert here > / <Insert here >
<Insert here > / <Insert here > / <Insert here > / <Insert here > / <Insert here >
<Insert here > / <Insert here > / <Insert here > / <Insert here > / <Insert here >
<Insert here > / <Insert here > / <Insert here > / <Insert here > / <Insert here >

In respect of the RESA identified above please complete the following table.

Calculations for Reporting Period

If the RESA is accredited under the Project Impact Assessment Method (PIAM), is it also accredited to forward create ESCs under clause 7.4 of the Scheme Rule?

Yes / and forward creation is for the period <Insert here > to <Insert here >
Note: If further breakdown on the forward creation period above is required, please attach the relevant information as an appendix to this annual report statement.
No / ie accredited for PIAM,but no forward creation is allowed.
N/A / ie another Rule methodology is used other than PIAM.

Is it a condition of the accreditation that ESC creation for this RESA must be audited annually?

Yes / If ESCs have been created since the most recent annual audit period (defined in the Accreditation Notice), please attach hardcopy ESC calculation spreadsheets for the ESCs subsequently created (to date). Otherwise, you are not required to attach ESC calculations spreadsheets for the actual audited period, as copies of these should have accompanied your annual ESC creation audit report to the Scheme Administrator.
No / Please attach a hardcopy and softcopy summary spreadsheet model of ESC creation calculations (as per the guidance point below), for the period(s) of:
the entire previous calendar year, and
the current year to date (if applicable).
Guidance Point 1: Calculations for the reporting period
Where calculations are required to be submitted, please attach a copy of your summary spreadsheet model (with an accompanying electronic copy) clearly identifying all inputs and elements of the calculation methodology used in creating the number of ESCs (for the calendar year period identified on the front page of this Annual Report Statement).
Notes:
 For Commercial Lighting Energy Savings Formula RESAs please provide the latest Quarterly Report summarising all your activities to date
All calculations should be based on the time period used to create ESCs. For example, if ESCs have been created on a monthly or annual basis, the spreadsheet model should demonstrate that the calculation methodology is being appropriately applied on inputs for that monthly or annual measurement period
All relevant inputs (eg total monthly MWh figures) must be clearly identified
All relevant Factors used (default and/or approved) must be clearly identified
All relevant Equations used must be clearly identified
All relevant Methods used must be clearly identified
ESC totals should be readily identifiable

ANNEX 3

In respect of the RESA identified above please complete the following table.

Calculations for Reporting Period

If the RESA is accredited under the Project Impact Assessment Method (PIAM), is it also accredited to forward create ESCs under clause 7.4 of the Scheme Rule?

Yes / and forward creation is for the period <Insert here > to <Insert here >
Note: If further breakdown on the forward creation period above is required, please attach the relevant information as an appendix to this annual report statement.
No / ie accredited for PIAM but, no forward creation is allowed.
N/A / ie another Rule methodology is used other than PIAM.

Is it a condition of the accreditation that ESC creation for this RESA must be audited annually?