| Republic of the Philippines :“@iuw 4 ENERGY REGULATORY COMMISSION “one RcauLAroeY cowusow sreurritts 12iF Pacific Center Bldg. San Miguel Avenue, Pasig City ‘ COC No. : Application No. i Date Filed APPLICATION NEW/ RENEWAL FOR COC O 1p O Conventional , CRE Plant C FIT Eligible O scr OD Others 4. INFORMATION ON THE APPLICANT: Name of Owner: Name of Operator (if applic: Name of IPPA (if applicable) r 4.4 Business Name: i Type of Organization: Business Address Number & Street: 1 City/Town: Province & Zip Code: Website (if available): E-mail Address: Tel. No C) Fax No : co) 1.2. Chief Executive Officer of the Company : Name: ‘ Tel. No. 1 1 FaxNo. TT E-mail Address: + Cellphone No. 1.3. Authorized Representative to ERC: Name and Title Address: Pa Telephone: (a) Fax No. ( E-mail Address: 7 Celiphone No.FORM 1 APPLICATION NEW/ RENEWAL FOR COC OF COAL FIRED POWER PLANTS Name of Generation Company/Facility: 2. GENERATING FACILITES OWNED: Number of Units __ 2.4 EXISTING FACILITIES TUNT NO: STUNITNO.2 CNT NO. UNIT NO. 5 Exact Location Installation Date ‘Commissioning Date Target Date of Commercial Operations. Economic Life Generator Manufacturer ‘Serial No. ‘Speed Voltage Frequenc} Power Factor Rated Capacity Dependable Capacit Pin Pmax Ramp Up Rate Ramp Down Rate Turbine Manufacturer ‘Serial No. ‘Speed T Rated Capacit Fuel Heat Rate ‘Name of person who provided the above Information: Signaure: Date Accomplished ‘Rex. Cort Nas Passport No. Of Forlgaery Date Isueds Pace Tae (CST/ DGR/ MAGBY DATL._COG FORMS2014