Nova Scotia Power System OperatorForm MPF-04-02Issue: 01

Participant Form MPF 04-02

Application for transfer of Facility Registration

1.Applicant Identification - Transferor

Item
/ Information Provided by Applicant
Name of Applicant
Market Participant Identification
Contact Person for this Application (name & position)
Contact Person (phone)
Contact Person (e-mail)

2.Applicant Identification – Intended Transferee

Item
/ Information Provided by Applicant
Name of Applicant
Market Participant Identification
Contact Person for this Application (name & position)
Contact Person (phone)
Contact Person (e-mail)

3.Date on Which Transfer is Requested to Take Effect

Date:

Is this date dependent on other events (Y/N) ___

If yes, explain circumstances:

4.Facilities for Which the Registration is to be Transferred

(extend list as required, and attach any revisions to information per Facility or site in accordance with the relevant Appendix from the Appendix MP-04 series)

Facility description /
Facility Class
/
Waivers
List of Facilities / To be owned by Intended transferee (Y/N) / Direct (D) Embedded (E) / Gen (G) Load (L)
Dist (D) / New (N) Existing (E) / Applied for (A) Granted (G) (identify by number)

5.Authorization and Empowerment for Non-Owned Facilities

For each Facility that the intended transferee will not own, identify the owner of the Facility and the manner in which authorization and empowerment from the owner will be demonstrated by section 3.2.2.3 of Market Procedure MP-04.

Facility / Owner / Means of Demonstrating Authorization and Empowerment

6.Connection Agreement(s)

For each Facility, identify all applicable Connection Agreements required by the Market Rules by date and identity of the parties. Where one or more new Connection Agreements will be entered into, indicate the manner in which the existence of each Connection Agreement will be demonstrated and confirm whether each Connection Agreement is in the form required by, and otherwise complies with, the Market Rules. Where one or more existing Connection Agreements will be transferred or assigned, indicate the manner in which the transfer or assignment of each existing Connection Agreement will be demonstrated and confirm whether each transferred or assigned Connection Agreement is in the form required by, and otherwise complies with, the Market Rules.

Facility / Date*** of and Parties to Connection Agreement / Means of Evidencing Existence, Transfer or Assignment of Connection Agreement / Does Connection Agreement Comply with the Market Rules?(Y/N)

*** Note: Where the Connection Agreement will be executed, transferred or assigned at the time of the proposed transfer, indicate the intended date of the Connection Agreement, transfer or assignment.

7.Consent to Transfer of Registration of Embedded Facilities

For each Embedded Facility, identify the Host and the Market Participant for the Delivery Point behind which the Embedded Facility is embedded. Indicate the manner in which the consent to the transfer of registration of each Embedded Facility by the Market Participant for the Delivery Point behind which the Embedded Facility is embedded will be demonstrated.

Facility / Host / Market Participant for Delivery Point Behind Which Embedded / Means of Demonstrating Consent

8.Designation of Control Authority

For each Facility, identify the operator who will, after the transfer, have the authority and ability to control the Facility.

Facility / Control Authority Position /Title / Control Authority Location / Control Authority Phone # / Control Authority E-mail address

9.Additional Information

a)Is this an application for the transfer of provisional registration? (Y/N) ______

b)Other than elements for which Waivers have been identified in section 2, is either applicant aware of any non-compliance by the Facility with the requirements of the Market Rules? (Y/N) (If yes, provide details) ______

c)Is the underlying transfer of the Facility a confidential transaction that is being treated as such by the applicants? (Y/N) ______

d)Other relevant information, if applicable.

10.Attachments

List all documents attached to this application:

Applicant hereby applies for the transfer of the registration of the Facilities as described in this application and confirms (a) that all information contained in or filed with the NSPSO in support of this application is complete and accurate; and (b) that information pertaining to this application may be Published by the NSPSO in accordance with the Market Rules and Market Procedure MP-04.
Date: ______Signature ______
Name & position of authorized representative:
This application must be signed by a person within the applicant’s organization with signing authority for agreements and with authority to bind the applicant.
The intended transferee hereby applies for the transfer of the registration of the Facilities as described in this application and confirms (a) that all information contained in or filed with the NSPSO in support of this application is complete and accurate; and (b) that information pertaining to this application may be Published by the SO in accordance with the Market Rules and Market Procedure MP-04.
Date: ______Signature ______
Name & position of authorized representative:
This application must be signed by a person within the intended transferee’s organization with signing authority for agreements and with authority to bind the intended transferee.

Effective Date: 20121231PublicPage 1