Non-Residential Application

1
Have you or your entity been a BVU customer before?* This field is required.
YESNO
2
Please provide an address where you've had BVU services before.* This field is required.
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Please Select
Please Select
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
The Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Cook Islands
Costa Rica
Cote d'Ivoire
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Democratic Republic of the Congo
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Polynesia
Gabon
The Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
North Korea
South Korea
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Nagorno-Karabakh
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Turkish Republic of Northern Cyprus
Northern Mariana
Norway
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn Islands
Poland
Portugal
Puerto Rico
Qatar
Republic of the Congo
Romania
Russia
Rwanda
Saint Barthelemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
Somaliland
South Africa
South Ossetia
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard
eSwatini
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Transnistria Pridnestrovie
Trinidad and Tobago
Tristan da Cunha
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
British Virgin Islands
Isle of Man
US Virgin Islands
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Other
Country
3
When would you like to start services?* This field is required.Please select your preferred activation date. NOTE: Service activation not guaranteed on specified date and may take up to three business days for activation. Customer becomes responsible for the account upon completed service activation.
Date
Year
Month
Day
4
Requested Service* This field is required.Please select all that apply
Electricity
Water / Wastewater
Private Area Lighting
5
Service Address* This field is required.Please include unit number, if applicable.
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Please Select
Please Select
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
The Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Cook Islands
Costa Rica
Cote d'Ivoire
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Democratic Republic of the Congo
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Polynesia
Gabon
The Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
North Korea
South Korea
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Nagorno-Karabakh
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Turkish Republic of Northern Cyprus
Northern Mariana
Norway
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn Islands
Poland
Portugal
Puerto Rico
Qatar
Republic of the Congo
Romania
Russia
Rwanda
Saint Barthelemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
Somaliland
South Africa
South Ossetia
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard
eSwatini
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Transnistria Pridnestrovie
Trinidad and Tobago
Tristan da Cunha
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
British Virgin Islands
Isle of Man
US Virgin Islands
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Other
Country
6
Customer Name* This field is required.Name to appear on billing statements.
7
Legal Entity Name* This field is required.
8
Type of Entity* This field is required.
Individual
Partnership
Corporation
LLC
Government
Non-Profit
9
Social Security Number* This field is required.
10
Federal Tax ID Number* This field is required.
11
Is your Mailing Address different from your Service Address?* This field is required.
YESNO
12
Mailing Address* This field is required.
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Please Select
Please Select
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
The Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Cook Islands
Costa Rica
Cote d'Ivoire
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Democratic Republic of the Congo
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Polynesia
Gabon
The Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
North Korea
South Korea
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Nagorno-Karabakh
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Turkish Republic of Northern Cyprus
Northern Mariana
Norway
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn Islands
Poland
Portugal
Puerto Rico
Qatar
Republic of the Congo
Romania
Russia
Rwanda
Saint Barthelemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
Somaliland
South Africa
South Ossetia
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard
eSwatini
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Transnistria Pridnestrovie
Trinidad and Tobago
Tristan da Cunha
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
British Virgin Islands
Isle of Man
US Virgin Islands
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Other
Country
13
Entity Phone Number* This field is required.
Area Code
Phone Number
14
Primary Contact* This field is required.Please let us know who we should contact with any account issues.
First Name
Last Name
15
Primary Contact Phone Number* This field is required.
Area Code
Phone Number
16
Primary Contact Email
example@example.com
17
Do you own or rent the Service Address?* This field is required.
OwnRent
18
Please provide your Landlord's name and phone number* This field is required.
Landlord Name
Phone Number
19
Driver's License* This field is required.Please upload a photo of your valid, government-issued photo ID (Driver's License, Passport, etc.)
Drag and drop files here
Select files to upload
Max. file size: 10.6MB
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20
Form W-9* This field is required.Please upload a copy of your valid Form W-9.
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Select files to upload
Max. file size: 10.6MB
Cancelof
21
Proof of Ownership / Occupancy* This field is required.Please upload a photo/scan of your closing documents, or lease agreement (first and last page required).
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Select files to upload
Max. file size: 10.6MB
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22
Certification* This field is required.AGREEMENT. BVU Authority (“BVU”) is hereby requested to supply utility service to the applicant, either as an owner or by their agent or guarantor, at the service address indicated on the corresponding Non-Residential Service Application (Application/Contract for Service). By applying, the applicant (“Customer” upon completion of the Application/Contract for Service process) agrees to pay for electricity consumed according to the monthly meter reading and at BVU’s published rates applicable to such services. The Customer agrees to abide by all applicable Service Regulations of BVU for such services, including maintaining their wiring and electrical equipment in conformance with all applicable standards. If the Customer becomes in arrears in payment or if a deficiency in wiring or equipment is detected, a duly authorized agent of BVU is authorized to enter the premises and remove any BVU-owned equipment as specified in the applicable Service Regulations. In the case of a delinquent account, the Customer understands that the past due balance must be paid, along with reconnection fees and deposit (if applicable), for reconnection of service. Service may be denied if the account remains in arrears, and any prior balance may be added to present or future accounts, per applicable Service Regulations. The Customer acknowledges that it is unlawful to apply for service with the intent to avoid payment or assist others in avoiding payment for electricity. For value received, Customer hereby guarantees payment of all bills under this Application/Contract for Service. Customer warrants that all answers above are both true and complete and submitted to obtain service(s) from BVU. REGULATIONS. By completing this Application/Contract for Service, the Customer understands services shall be furnished, subject to all applicable Service Regulations, copies of which are available upon request. Service Regulations are applicable to all customers. For a complete copy of the BVU Service Regulations, please contact BVU Customer Service or download a printable copy from www.bvua.com. RATES & FEES. By completing this Application/Contract for Service, the Customer understands services shall be furnished, subject to all approved Rate Schedules, copies of which are available upon request. Service Rate Schedules are applicable for all customers. For a complete copy of the BVU Rate Schedules, please contact BVU Customer Service or download printable copies from www.bvua.com. DEPOSITS. Deposit requirements must be met, per BVU Authority’s Service Regulations, before an application is processed. Deposits are not automatically refunded until the customer no longer has an account with BVU, at which time the last bill for the location will be deducted. The deposit balance and any accrued interest will be refunded, at the Customer’s request, after twelve (12) consecutive months of payment history without late fees and/or other penalties. Any deposit interest is applied annually to the account. Based upon BVU extending credit to the Customer by billing for service usage after consumption, the Customer understands BVU will request a credit report from a local or national credit bureau in determining deposit requirements. Additionally, any deposit balance will be applied to the final bill when the customer voluntarily or involuntarily closes the service account. After applying deposit to the final bill for the location, any remaining balance, including any accrued interest, will be refunded to the customer by check. The refund process may take up to 30 days from the date of account closure. CONSENT TO CONTACT. Customer hereby authorizes BVU to contact them via an automated dialing system using prerecorded /artificial voice messages, text messages, or email using the telephone number(s) (including wireless telephone numbers) and/or email address(s) associated with Customer’s account, which could result in charges to Customer. Customer acknowledges Customer is the subscriber to the telephone number(s) and email address(s) provided on this Application/Contract for Service. Further, the Customer understands that they are not required to provide consent to contact to receive services from BVU. The customer may revoke authorization to contact them via automatic dialing at any time by notifying BVU during normal business hours and allowing up to seven business days to accommodate such requests. Customer hereby assumes responsibility for keeping BVU informed when any of the Customer’s contact information changes. PAYMENT TERMS. Invoices are due when issued. Invoices should be paid when received. The Customer may return payments via any of the approved methods outlined in the applicable Service Regulations. Please note: Recent payments may not have been deducted from the invoice. · Good payment history: A good payment history may be established by paying monthly statements by the net due date. · Past due invoices: The net amount is generally due within 15-20 days from the billing date. After the published Due Date, a Late Fee may be added to the net amount due. Failure to receive an invoice does not release customers from their obligation to pay. Customers who are unable to pay by the Due Date may contact BVU to discuss eligibility for any available Board-approved Payment Arrangements. Customers failing to pay invoices on time will be mailed a disconnect notice. Disconnect notices indicate the Due Date and the amount required to avoid interruption of service. Upon expiration of the notice, service may be disconnected. Receiving the next monthly invoice does not replace or void a pending disconnect notice. · Non-Payment: If service is discontinued for non-payment, payment of the full past due amount plus any applicable fees is required before service will be restored. Trip Fees and Reconnect Fees will apply, and a deposit or additional deposit may also be required. The Customer will be responsible for all charges for such service until BVU is notified in writing to the contrary and the service is discontinued. TREE-LINE MAINTENANCE AGREEMENT. The American National Standards Institute (ANSI) requires a minimum of 10 feet of clearance surrounding overhead power distribution lines and up to 50 feet of clearance surrounding overhead power transmission lines. This safety zone is intended to prevent power line and tree conflicts which are costly, dangerous, and may cause service interruptions. Trees must be planted at a safe distance from power lines. No trees shall be planted directly underneath electric power lines. Any trees planted directly underneath power lines are subject to removal without compensation to the owner. Large tree varieties require the greatest distance from power lines. Recommended distances are as follows: 25' minimum for distribution lines and 50' minimum for transmission lines. LEGAL EXPENSE RECOVERY. In the event of legal proceedings arising from this Agreement, Customer acknowledges and agrees that BVU can recover legal expenses, including attorney fees, court costs, and other associated costs, incurred by BVU in enforcing this Agreement. ELECTRONIC SIGNATURE. By selecting the "I agree." buttons, Customer is signing this Agreement electronically. Customer agrees his/her/its electronic signature is the legal equivalent of a manual/handwritten signature on this Agreement. By selecting "I agree." using any device, means or action, Customer consents to the legally binding terms and conditions of this Agreement. Customer further agrees the signature on this document (hereafter referred to as Customer’s "Electronic Signature") is as valid as if Customer signed the document in writing. Customer also agrees that no certification authority or other third-party verification is necessary to validate Customer’s Electronic Signature and that the lack of such certification or third-party verification will not in any way affect the enforceability of Customer’s Electronic Signature or any resulting contract between Customer and BVU. Customer also represents that Customer is authorized to enter into this Agreement for all persons who own or are authorized to access any of Customer’s accounts and that such persons will be bound by the terms of this Agreement. Customer further agrees that each use of his/her/its Electronic Signature in obtaining an account with BVU constitutes Customer’s agreement to be bound by all applicable BVU Service Regulations.
I Understand and Agree.I Decline Utility Service.
23
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24
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