BIDDER REGISTRATION FORM by 7xS3ef

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									                                     Illinois Power Agency
                                     2012 Capacity RFP
                                for Ameren Illinois Company
                                    Bidder Registration Form
                       Form Due Date: April 3, 2012, 12:00 noon CPT
                       Bidding Deadline: April 5, 2012, 2:00 pm CPT
Instructions

1. The Bidder Registration Form must be filled out in its entirety and submitted via email or fax
or courier, with an authorized officer’s signature, to:

Levitan & Associates, Inc.
Attn: Sara Wilmer
100 Summer Street, Suite 3200
Boston, MA 02110
(617) 531-2818 x15 (phone)
(617) 531-2826 (fax)
aiurfp@levitan.com

2. The Pre-Bid Letter of Credit, which can be downloaded from the procurement website, must
be executed and faxed or emailed to:

Sara Wilmer
Levitan & Associates, Inc.
(617) 531-2826 (fax)
(617) 531-2818 x15 (phone)
aiurfp@levitan.com

The original should be mailed to:

Timothy Moloney
Managing Supervisor
Ameren Services
1901 Chouteau Avenue, MC 960
St. Louis, MO 63103
(314) 613-9139

3. The faxed / emailed versions of the documents must be received by 12:00 noon CPT on April
3, 2012. The original Pre-Bid Letter of Credit can be delivered on April 4, 2012.

Once both the Bidder Registration form and the Pre-Bid Letter of Credit have been received and
accepted by the Procurement Administrator, you will be notified by email. Faxed confirmations
will be available upon request.

If received components of the Bidder Registration package are not complete, you will notified of
this by email, and will have until 5:00 pm CPT on April 4, 2012 to correct the deficiency.

No late Bidder Registration packages will be accepted under any circumstances.



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                                         Illinois Power Agency
                                           2012 Capacity RFP
                                      for Ameren Illinois Company
                                       Bidder Registration Form
                              Form Due Date: April 3, 2012, 12:00 noon CPT
                              Bidding Deadline: April 5, 2012, 2:00 pm CPT
Contact Information
(Please fill in all fields)

Legal Name of Bidding Entity:

Business Address:



Bidding Entity Officer                                 Address to which contracts should be sent
                                                       for execution if Bidding Entity is awarded
Name:                                                  capacity

Title:                                                 Address:
                                                                  Business Address
Telephone:                                                        Other:
Fax:

E-mail:
                                                       Attn:
                                                                  Bidding Entity Officer
                                                                  Contact Person on Bid Day
Contact Person on Bid Day                                         Other:
(if different from Bidding Entity Officer)
                                                       Email Contract to:
Name:                                                           Bidding Entity Officer
                                                                Contact Person on Bid Day
Telephone:
                                                                Other:
Fax:

E-mail:




                                                   2
                                     Illinois Power Agency
                                      2012 Capacity RFP
                                 for Ameren Illinois Company
                                   Bidder Registration Form
                       Form Due Date: April 3, 2012, 12:00 noon CPT
                       Bidding Deadline: April 5, 2012, 2:00 pm CPT
The Following Certifications Must Be Agreed to and Signed by the Officer Representing
the Bidding Entity.

The undersigned is an officer of the Bidding Entity with the authority to sign contracts and bind
the Bidding Entity to its bid in the Illinois Power Agency’s 2012 RFP for Capacity for Ameren
Illinois Company (“Capacity RFP”).
The undersigned certifies that the bid to be submitted by the Bidding Entity under the Capacity
RFP was prepared and will be submitted independently of any bid submitted by any other bidder
under the Capacity RFP.
The undersigned agrees that the bid(s) submitted by the Bidding Entity under the Capacity RFP
is binding, firm and irrevocable for the product offered.
If the Bidding Entity’s bid(s) under the Capacity RFP is selected by the Procurement
Administrator and approved by the Illinois Commerce Commission, the Bidding Entity is
obligated to execute the Confirmation Agreement(s) and to supply the capacity bid for the
applicable period of the June 1, 2012 through May 31, 2015 procurement.
If the Bidding Entity’s bid(s) under the Capacity RFP is selected by the Procurement
Administrator and approved by the Illinois Commerce Commission, the Bidding Entity is
obligated to execute a Supplier Fee Binding Agreement and to pay the Supplier Fee within seven
(7) business days of the Illinois Commerce Commission’s approval.
The Bidding Entity is providing the pre-bid letter of credit (Attachment C to the Capacity RFP,
Irrevocable Standby Letter of Credit) to be drawn on by Ameren Illinois Company in the event
the Bidding Entity is selected as a winning bidder and fails to execute the applicable contract(s)
within three (3) business days of being notified that the Illinois Commerce Commission has
approved the winning bid(s) of the Bidding Entity.



______________________________________                      ________________________
Signature of Officer                                        Date




______________________________________                      ________________________
Signature and Seal of Notary Public                         Date




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