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Original: Official Ilunois Commerce Commission
Original: Official Ilunois Commerce Commission
Original: Official Ilunois Commerce Commission
APPLICATION
Best Systems Builders Inc ("Applicant"), hereby requests that the Illinois
Commerce Commission ("Commission") grant it certification to Install Energy Efficiency
Measures pursuant to Section 16-1288 of the Public Utilities Act ("Act") and 83 Ill. Adm.
Code 462 ("Part 462"). In support of its application, Applicant states as follows:
Michael Smith
Owner
800 West Washington
Pittsfield IL 62363
1
217-653-5778
bsbsys@casscomm.com
20-1066440
Applicant shall have in force, and provide proof that it has in force, general
liability insurance that shall remain in effect for a period of not less than
one year.
2
continuous and without interruption. The certificate of insurance
and the insurance policies shall contain a provision that coverage
afforded under the policies shall not be cancelled, allowed to
expire, or subjected to a reduction in the limits in any manner
unless at least 30 days prior written notice (10 days' notice in the
case of nonpayment of premium) has been given to the
Commission. The applicant shall file a copy of the additional or
replacement certificate of insurance with the Chief Clerk of the
Commission and provide a copy to the "Policy Division - EE
Installer Insurance Compliance" at least 15 days in advance of the
effective date of the certificate of insurance. The filing shall include
a cover letter that explains the purpose of the filing and shall be
identified by the name of the applicant as it appears in the most
recent Commission order granting the EE Installer certification.
3
Labor Registered Electrician Apprenticeship and Training
Program or certificate or degree program accredited by an
educational institute related to the duties of an Installer that
upon satisfactory completion will meet the requirement to
become a qualified person, provided he/she is directly
supervised by a qualified person.
9. Applicant or certificate holder shall agree to adopt and follow rules and
procedures ensuring that documentation regarding installations are
retained for a period of not less than three calendar years after the
calendar year in which they were created. These records shall be made
available by request to the Commission or its Staff on a confidential and
proprietary basis.
4
WHEREFORE, Applicant requests that the Commission grant its application for
certification as an Entity Installing Energy Efficiency Measures.
Respectfully submitted,
5
VERIFICATION
STATE OF ILLINOIS)
COUNTY OF PIKE)
Scott Bennett, being first duly sworn, deposes and says that he is Certified Professional
of Best Systems Builders; that he has read the foregoing Application of Best Systems
Builders Inc, and all of the attachments accompanying and referred to within the
Application; and that the statements contained in the Application and the attachments
are true, correct and complete to the best of his knowledge, information and belief.
Scott Bennett
, 20)1;__
OFFICIAL SEAL
JAMES SANDERSON
aotary Public Notary Public - State of Illinois
' My Commission Expires 5/31/2021
1
'"'"In.
~ BESTS-1 an1
ACORD"
'-----"' CERTIFICATE OF LIABILITY INSURANCE I 0,.18(UallDll'VV\')
THIS ceRTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS
Cl!RTIFICATE DOES NOT AFFIRMATIVELY OR NE!GATIVB.Y AMEND, E!XTE!ND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES
BELOW. THIS ceRTlFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BE!lWEEN THE ISSUING INSURER(S~ AUTHORIZED
REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER.
IMPORTANT: If tho certlflcale holder Is an ADDITIONAL INSURED, tho pollcy{las) must have ADDITIONAL INSURED provf910!18 or be endoraod.
If SUBROGATl~~s WAIVED,. ~~)ect to tho terms and conditions of the policy, ~.poncles msy require an andorsoment. A statement on
1h11 cartlflcabt not confer his to the certificate holder In lieu of su~omeme s•.
Pft0IXJCSR 217-285-2111 PatVanDeVelde
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~ - 217-285-2111 JrM-
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Pat VanDeVelde
• Pekin Insurance ComftO= 24228
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......., Bast Bulldens, Inc.
900 W aahlc St
Plttsfteld, IL
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T1ilS IS TO CERTlFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
INOICATED. NOlWITHSTAND!NO /Wf REQUIREMENT. TERM OR CONDITION OF /Wf CONTRACT OR OTHER llOCUl,ENT WITH RESPECT TO WHICH TflS
.
CERTIFICATE MAY BE ISSUED OR MAY PERTAIN. THE INSURANCE AFFORDED BY THE POlJCIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS.
EXCUJSIONSANOCONDITIONSOF SUCH:i& Lll,ITS SHOWN MAY HAVE B E E N ~ ~CLAIMS.
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lnatallatfon Repair
Status ACTIVE
Agent Street Address 800 WEST WASHINGTON President Name & Address ROBERT SMITH JR 28 QUAIL
STREET RIDGE DRIVE PITTSFIELD IL
62363
Agent City PITTSFIELD Secretary Name & Address RICHARD SMITH 20 QUAIL
RIDGE DRIVE PITTSFIELD IL
62363
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