Appendix A

Appendix A - Schedule 1

Certificate Proceedings - Certificates to Operate / All Utilities

No. Copies Required,
Including Original
In addition to the original and twelve (12) copies of the petition, the following items are required:
13 1. If a corporation, a copy of the corporate charter or its articles of incorporation as filed with the Secretary of State. If a partnership, a copy of any written partnership agreement.
13 2. If a foreign corporation, a copy of its authority to do business in the State of Mississippi.
13 3. A copy of any municipal franchise required by law.
13 4. If a corporation, the names and addresses of its board of directors, officers and any person owning fifteen percent (15%) or more of its stock. If not a corporation, the names and addresses of all owners or partners.
2 5. An outline map of any area for which a certificate is requested using Mississippi Department of Transportation county maps to a scale of one-half inch to the mile.
13 6. A full legal description of the proposed service area.
2 7. A map of sufficiently large scale to show boundaries of the proposed service area as well as relevant geographical features.
13 8. A general description of new facilities.
13 9. An itemized estimate of costs to the utility of all new investment.
13 10. A listing of all sources of funding.
13 11. An estimate of the impact of the cost of facilities upon rate base and rates. This item shall not apply to public utilities excluded from rate regulation pursuant to Miss. Code Ann., Section 77-3-1 or 77-3-5 or to public utilities heretofore or hereafter exempt by Commission order from rate base regulation or to public utilities whose rates are allowed, by Commission order, to be filed for informational purposes only.
13 12. The number of assured and prospective customers in (a) the new area; and (b) the existing certificated area.
2 13. A complete set of engineering plans and specifications.
13 14. A copy of any required approvals from Health or Environmental Quality authorities.
13 15. An exhibit listing the names and addresses of all interested persons as defined in Rule 2K of the Commission's Rules of Practice and Procedure together with a certificate that the filing utility has served a notice of the filing upon each.
13 16. A copy of all testimony to be relied upon at hearing.
13 17. A copy of the current balance sheet and income statement.

Appendix A - Schedule 2

Certificate Proceedings - Area Certificates / All Utilities

No. Copies Required,
Including Original
In addition to the original and twelve (12) copies of the petition, the following items are required:
13 1. If the utility has made any revisions to its corporate charter or its articles of incorporation since receiving its initial authority to operate, provide a copy of said revisions. If a partnership, provide a copy of any revision to the original partnership agreement. If there have been no changes, provide the docket number of the proceeding in which the company received its initial authority to operate.
13 2. If a corporation, the names and addresses of its board of directors, officers and any person owning fifteen percent (15%) or more of its stock. If not a corporation, the names and addresses of all owners or partners.
13 3. An outline map using Mississippi Department of Transportation county maps to a scale of one-half inch to the mile showing the existing certificated area as well as the proposed additional area.
13 4. A full legal description of the new area.
2 5. A map of sufficiently large scale to show boundaries of the proposed service area as well as relevant geographical features.
13 6. A general description of new facilities.
13 7. An itemized estimate of costs to the utility of all new investment.
13 8. A listing of all sources of funding.
13 9. An estimate of the impact of the cost of facilities upon rate base and rates. This item shall not apply to public utilities excluded from rate regulation pursuant to Miss. Code Ann., Sections 77-3-1 or 77-3-5 or to public utilities heretofore or hereafter exempt by Commission order from rate base regulation or to public utilities whose rates are allowed, by Commission order, to be filed for informational purposes only.
13 10. The number of assured and prospective customers in (a) the new area; and (b) the existing certificated area.
13 11. A complete set of engineering plans and specifications.
13 12. A copy of any required approvals from Health or Environmental Quality authorities.
13 13. An exhibit listing the names and addresses of all interested persons as defined in Rule 2K of the Commission's Rules of Practice and Procedure together with a certificate that the filing utility has served a notice of the filing upon each.
13 14. A copy of all testimony to be relied upon at hearing.
13 15. A copy of the current balance sheet and income statement.

Appendix A - Schedule 3

Certificate Proceedings - Facilities Certificates / All Utilities

No. Copies Required,
Including Original
In addition to the original and twelve (12) copies of the petition, the following items are required:
13 1. If the utility has made any revisions to its corporate charter or its articles of incorporation since receiving its initial authority to operate, provide a copy of said revisions. If a partnership, provide a copy of any revision to the original partnership agreement. If there have been no changes, provide the docket number of the proceeding in which the company received its initial authority to operate.
13 2. If a corporation, the names and addresses of its board of directors, officers and any person owning fifteen percent (15%) or more of its stock. If not a corporation, the names and addresses of all owners or partners.
13 3. An outline map of the utility's existing certificated area showing the location of the proposed new facilities.
13 4. A detailed description of the facilities proposed.
13 5. A complete set of engineering plans and specifications.
13 6. A copy of any required approvals from Health or Environmental Quality authorities.
13 7. An estimate of the cost to the utility and all sources of funding for the project.
13 8. An estimate of the impact of the cost of facilities upon rate base and rates. This item shall not apply to public utilities excluded from rate regulation pursuant to Miss. Code Ann., Sections 77-3-1 or 77-3-5 or to public utilities heretofore or hereafter exempt by Commission order from rate base regulation or to public utilities whose rates are allowed, by Commission order, to be filed for informational purposes only.
13 9. An exhibit listing the names and addresses of all interested persons as defined in Rule 2K of the Commission's Rules of Practice and Procedure together with a certificate that the filing utility has served a notice of the filing upon each.
13 10. All testimony to be relied upon at hearing.
13 11. A copy of the current balance sheet and income statement.

Appendix A - Schedule 4

Certificate Proceedings - Notice to Staff / All Utilities

No. Copies Required,
Including Original
In addition to the original and three (3) copies of the petition, the following items are required:
4 1. A general description of the facility or purchase proposed including:
  (a) The approximate location of the facility.
  (b) The approximate cost of the facility.
  (c) A brief description of the purpose or justification for the facility.
  (d) A sketch or engineering drawing.
  (e) The name, address and telephone number of the utility's employee responsible for the construction or acquisition of the facility and from whom further information may be obtained regarding the facility.
  (f) A copy of any required approvals from Health or Environmental Quality authorities.