Business And Service Location InformationUtility*CFGFPUCNUITECOBusiness Name*Customer ClassTECO Utility Account #*NUI Utility Account #*FPUC Utility Account #*CFG Utility Account #*Corporate StructureBusiness PracticeEIN/SSN #Contact Name*TitleService Address*Service Address Line 2City*State*FloridaZip*County*Phone*FaxEmail* Is your billing information different from the contact information above?*YesNoBilling InformationBilling NameContact NameTitleBilling AddressCityStateFloridaAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces PacificZipPhoneFaxEmail Pricing InformationFixed Price Our fixed price program may be your ideal solution. We know managing cash flow can be tricky, especially when dealing with fluctuating monthly expenses. Our fixed price option allows you to lock-in at a set price so you know exactly what you are paying per unit all year long. As costs rise and fall, your price does not. Gain protection against market volatility. Maximum savings achieved when market spikes. Allows budget control. Variable Pricing Current Monthly Variable Price $/therm If you prefer to float with the market, our variable pricing option may be your best bet. Gain the greatest flexibility to ride current market conditions for however long you wish and lock-in a rate at any time. Start working with Mirabito, get comfortable with our team and how we do business. Then lock-in a rate when it makes sense. Pricing Program*Please select your desired pricing program. FixedVariableVariable PriceFor custom pricing, please click here.Fixed Price InformationTerm Start (Month)* Dec 2019Jan 2020Feb 2020Term*12 Months24 Months36 MonthsTerm End (Month)*Price*Per thermCurrent TECO Market PricePer thermCurrent FPUC Market PricePer thermApplication AgreementThe price for all gas sold under this Agreement shall be the FIXED PRICE noted above and all applicable state and local sales and use taxes. For Convenience, either party may terminate this Agreement for any reason or for no reason upon sixty (60) days prior written notice to the other. If Customer terminates the Agreement for convenience, it will pay Seller (i) an early termination fee of $75 plus (ii) an amount equal to the average monthly usage as billed to the Customer since the first month in which the current FIXED PRICE arrangement started multiplied by the remaining number of months in the term multiplied by $0.25 (the “Termination Fee”). I acknowledge that the representative did identify himself/herself as being from Mirabito and I understand that he/she is not affiliated with my local utility or any government agency. I understand that I am choosing Mirabito as my new energy supplier even though choosing a new supplier is not mandatory. I acknowledge that the representative did identify himself/herself as being from Mirabito and I understand that he/she is not affiliated with my local utility or any government agency. I understand that I am choosing Mirabito as my new energy supplier even though choosing a new supplier is not mandatory. Customer may cancel this agreement before midnight on the third business day after executing this agreement. Term Start (Month)* Dec 2019Jan 2020Feb 2020Application Agreement* I agree with the terms listed above NATURAL GAS SUPPLY AGREEMENT This Natural Gas Supply Agreement (together with all attachments and exhibits, the “Agreement” dated (the “Effective Date”) between (“Customer”) and Mirabito Natural Gas, LLC (Mirabito) for the provision of natural gas: Mirabito agrees to sell and deliver and Customer agrees to purchase the quantity of natural gas (“gas”) as estimated by Mirabito necessary to serve Customer’s consumption profile or as scheduled by the Local Distribution Utility (“Utility”). The Customer will pay Mirabito for the natural gas it uses, as measured by the Utility’s meter readings, and any applicable taxes and/or late fees. Customer will pay all amounts on each invoice in full within fifteen (15) days of Customer’s receipt of the invoice. All amounts not paid within the above-referenced time period will be subject to a late payment charge of 1.5% per month. Customer shall be liable for all collection fees and expenses reasonably incurred by Mirabito to collect any outstanding undisputed amounts. The term of this Agreement shall begin as of the first scheduled meter reading by the Utility after the date on which Customer is enrolled by Mirabito to participate in the Utility’s Natural Choice Program and shall continue until the scheduled meter reading occurring months thereafter (“Initial Term”). Once the Initial Term has expired customer will sign a new Agreement for a new FIXED PRICE, or a new CAPPED PRICE and a new CAPPED PRICE PREMIUM or be automatically switched to Mirabito’s monthly price. Customer authorizes Mirabito to obtain credit history from credit reporting agencies. Customer shall make credit arrangements satisfactory to Mirabito in its commercially reasonable discretion, which may include provision of a deposit or some other form of security. Venue for any disputes arising from this Agreement shall lie exclusively in Fort Lauderdale, Florida and this Agreement shall be governed by the laws of the State of Florida. Customer may not assign this Agreement without the written consent of Mirabito, which consent may not be unreasonably withheld. Mirabito shall not be liable for any damages arising hereunder including but not limited to, incidental or consequential damages (such as lost profits, loss of use, replacement costs, third-party claims), punitive damages or any other type of damages whatsoever. Mirabito shall be relieved of any liability for failure of performance if the failure is due to natural disasters, strikes, riots, acts of God, shortages of labor or materials, wars, terrorism, governmental laws, regulations, or restrictions, or any other causes of any kind whatsoever which are beyond the control of Mirabito (collectively “Force Majeure”) or any other act or cause deemed a Force Majeure by the LDU or any natural gas transportation or transmitting entity. I understand that Mirabito is not affiliated with my local utility or any government agency and that I am choosing Mirabito as my new energy supplier even though choosing a new supplier is not mandatory.NATURAL GAS SUPPLY AGREEMENT This Natural Gas Supply Agreement (together with all attachments and exhibits, the “Agreement” dated (the “Effective Date”) between (“Customer”) and Mirabito Natural Gas, LLC (Mirabito) for the provision of natural gas: Mirabito agrees to sell and deliver and Customer agrees to purchase the quantity of natural gas (“gas”) as estimated by Mirabito necessary to serve Customer’s consumption profile or as scheduled by the Local Distribution Utility (“Utility”). The Customer will pay Mirabito for the natural gas it uses, as measured by the Utility’s meter readings, and any applicable taxes and/or late fees. Customer will pay all amounts on each invoice in full within fifteen (15) days of Customer’s receipt of the invoice. All amounts not paid within the above-referenced time period will be subject to a late payment charge of 1.5% per month. Customer shall be liable for all collection fees and expenses reasonably incurred by Mirabito to collect any outstanding undisputed amounts. The term of this Agreement shall begin as of the first scheduled meter reading by the Utility after the date on which Customer is enrolled by Mirabito to participate in the Utility’s Natural Choice Program and shall continue until the first scheduled meter reading occurring 12 months thereafter (Initial Term). This Agreement shall automatically renew for successive one-year periods (Renewal Term). The price for all gas sold under this Agreement shall be Mirabito’s monthly price, which shall be established each month based upon the natural gas market pricing, transportation or transmission and other market price related factors plus all applicable state and local sales and use taxes. Either party may terminate this Agreement for any reason or for no reason upon sixty (60) days prior written notice to the other. Customer authorizes Mirabito to obtain credit history from credit reporting agencies. Customer shall make credit arrangements satisfactory to Mirabito in its commercially reasonable discretion, which may include provision of a deposit or some other form of security. Venue for any disputes arising from this Agreement shall lie exclusively in Fort Lauderdale, Florida and this Agreement shall be governed by the laws of the State of Florida. Customer may not assign this Agreement without the written consent of Mirabito, which consent may not be unreasonably withheld. Mirabito shall not be liable for any damages arising hereunder including but not limited to, incidental or consequential damages (such as lost profits, loss of use, replacement costs, third-party claims), punitive damages or any other type of damages whatsoever. Mirabito shall be relieved of any liability for failure of performance if the failure is due to natural disasters, strikes, riots, acts of God, shortages of labor or materials, wars, terrorism, governmental laws, regulations, or restrictions, or any other causes of any kind whatsoever which are beyond the control of Mirabito (collectively “Force Majeure”) or any other act or cause deemed a Force Majeure by the LDU or any natural gas transportation or transmitting entity. I understand that Mirabito is not affiliated with my local utility or any government agency and that I am choosing Mirabito as my new energy supplier even though choosing a new supplier is not mandatory.Authorized Signature*Authorized Signature is signing on behalf of the Customer and as a Personal Guarantor Print Name*Title*Date* Is your organization tax exempt?*YesNoTax Exempt CertificationCertification of Florida Sales & Use Tax Exemption Issued to Seller: Mirabito Natural Gas Address: Mirabito Natural Gas 1801 South Perimeter Road Suite 130 Ft Lauderdale, FL 33309I certify that this business is engaged as a registered:WholesalerRetailerManufacturerLessorDescription of BusinessI hereby certify that the purchase of natural gas is to be used in the following manner: Boiler fuels exclusively used in an industrial manufacturing, processing, compounding, or production process at a fixed location in the State of Florida for the purpose of processing, compounding, or producing items of tangible personal property for sale. Rule 12A-1.059 (2)(a) F.A.C.* By a public or private utilities, including municipal corporations and rural cooperative associations in the generation of electric power or energy for sale. Exclusively for exempt residential use. Rule 12A-1.059 (1)(a) F.A.C. Other exemption allowed under Statute 212. State exemption:*Sales & Use Tax Certificate of Registration Number:State of Florida Exemption Certificate Number:*I further certify that if any property or service so purchased tax free is used or consumed by the firm as to make it subject to a Sales or Use Tax, we will pay the tax due directly to the proper taxing authority when state law so provides or informs the seller for added tax billing. This certificate shall be part of each order which we may hereafter give to you, unless otherwise specified, and shall be valid until canceled by us in writing or revoked by the city or state. Under penalties of perjury, I swear or affirm that the information on this form is true and correct as to every material matter. Natural Choice Transportation Service - Letter of AuthorizationPeoples Gas System ("PGS) P.O. Box 2562 Tampa, Florida 33601-2562 This letter constitutes a formal request by the undersigned (“Customer”) for gas transportation service pursuant to PGS’s NCTS and other applicable provisions of PGS’s applicable Natural Gas Tariff, as the same may be amended from time to time, for the indicated PGS customer account number(s). As signified by initials in the box, Customer hereby authorizes PGS to release to the “Pool Manager” named below, the twelve-month historic gas usage for the accounts listed above. Customer understands that said Pool Manager will be assessed a fee of $20 per account, payable upon receipt of request, for the authorized information. Customer has entered, or intends to enter, into one or more agreement(s) with Pool Manager providing for Pool Manager’s delivery of the gas purchased by Customer from or through Pool Manager to PGS pursuant to the Firm Delivery and Operational Balancing Agreement between PGS and Pool Manager (the “Firm Delivery Agreement”). Provided the Firm Delivery Agreement is in effect at the time gas is tendered to PGS by or on Behalf of Pool Manager for Customer’s account(s) listed above, PGS will transport gas delivered for such account(s) pursuant to Rider NCTS and the applicable provisions of PGS’s tariff on file with the Florida Public Service Commissions (“FPSC”), as the same may be amended from time to time. Subject to the terms of Rider NCTS and the Firm Delivery Agreement, such service shall continue until Customer, Pool Manager, or PGS gives written notice to the others of the termination of such service in accordance with Rider NCTS. If the Firm Delivery Agreement is terminated for any reason as it applies to any Gas to be delivered for Customer’s account(s) for transportation by PGS, PGS shall have the right to immediately terminate transportation service to the above account(s) under Rider NCTS. Customer understands that it may terminate participation in rider NCTS with thirty (30) days notice and return to sales service from the Company. However, the Customer must then remain on sales service for the following twelve-month period. In the event the Pool Manager terminates its agreement with the Customer without the Customers consent, the Customer may return to Rider NCTS, but not to the same Pool Manager within the twelve-month period. Customer agrees to pay PGS in accordance with the applicable rate schedule for the transportation of gas for Customer’s account(s), including charges that may be applicable under Rider NCTS that are not applicable under sales service. Customer understands that it is responsible for the payment of all bills rendered to Customer by Pool Manager and that each Pool Manager’s bill for gas purchased by Customer will be rendered separately from PGS’s bill for transportation service. It is the Customer’s obligation to make payments to the company (or to an Authorized Payment Agent of the Company) of all bills rendered. Payment by a Customer to a third party (including a Third Party Gas Supplier) which has not been designated by Company as an Authorized Payment Agent will not satisfy the Customer’s obligation to make payment of Company’s bill for Gas Service. Customer affirms that it has been informed of the list of approved pool managers for the supply of gas for transportation under Rider NCTS, available on the PGS website (www.peoplesgas.com).The undersigned Pool Manager agrees that it will keep confidential, and not use or disclose to any person not named herein, information released pursuant to the above authorization, or information received from the above Customer, except to the extent necessary to deliver gas to PGS for Transportation to the above Customer account(s), or as may be required by law (in which case Pool Manager will provide notice to PGS prior to making such disclosure.) Pool Manager: Mirabito Gas of Florida By: Michael Baratz Title: Division Leader Florida Choice Aggregated Transportation Agreement Letter of AuthorizationThis letter constitutes a formal request by the undersigned, “Customer,” for gas transportation service pursuant to Central Florida Gas’ (CFG) provisions of the applicable Natural Gas Tariff, as the same may be amended from time to time for the above account number(s). Pool Manager: Mirabito Natural Gas Customer authorizes CFG to release to the Pool Manager named above, the twelve-month historic gas usage for the above account(s). Subject to the terms of this agreement, this service shall continue until the Customer, Pool Manager or CFG gives written notice to the others of termination of this agreement. If this agreement is terminated for any reason as it applies to gas to be delivered for Customer’s account(s), and Customer has not executed a service contract with another Pool Manager, CFG has the right to immediately reassign Customer to the Transitional Transportation Service (TTS) Customer Pool, as defined in Section 17.3 of the CFG FPSC approved tariff. In the event the Pool Manager terminates its agreement with the Customer, the Customer may select a new Pool Manager without penalty. Customer understands that it may select a new Pool Manager or terminate participation in the Florida Choice Program and enter the TTS Customer Pool by providing a thirty-day written notice to CFG. The first customer requested change of Pool Manager will be made at no charge. Subsequent changes within a twelve-month period will incur a $25 administrative fee. Customer understands that it is responsible for the payment of all bills rendered to them by the Pool Manager and that bills for gas purchased by the Customer may be rendered separately from CFGs’ bills for transportation service. Application CompleteYour application is now complete! Please click submit below.
