Common use of Applicant Signature Clause in Contracts

Applicant Signature. I hereby certify that, to the best of my knowledge, all the information provided in this Interconnection Request Application Form is true and correct. For Interconnection Customer: Signature (Authorized Agent of the Legal Entity) Date: Print Name Attachment 4 SAMPLE SITE CONTROL VERIFICATIONFORM In the Matter of the Application of ) [Developer Name] for an ) SITE CONTROL VERIFICATION Interconnection Agreement ) with [Utility Name] ) I, [Authorized Signatory Name], [Title] of [Developer Name], under penalty of perjury, hereby certify that, [Developer Name] or its affiliate has executed a written contract with the landowner(s) noted below, concerning the property described below. I further certify that our written contract with the landowner(s) specifies the agreed rental rate or purchase price for the property, as applicable, and allows [Developer Name] or its affiliates to construct and operate a renewable energy power generation facility on the property described below. This verification is provided to [Utility Name] in support of our application for an Interconnection Agreement. Landowner Name(s): Land Owner Contact information (Phone or e-mail): Parcel or PIN Number: County: Site Address: Number of Acres under Contract (state range, if applicable): Date Contract was executed Term of Contract [signature] [Authorized Signatory Name] [Authorized Signatory Name], being first duly sworn, says that [he/she] has read the foregoing verification, and knows the contents thereof to be true to [his/her] actual knowledge. Sworn and subscribed to before me this day of , 201_. [signature] [Authorized Signatory Name] [Title], [Developer Name] [Signature of Notary Public] Notary Public Name of Notary Public [typewritten or printed] My Commission expires Attachment 5 Certification Codes and Standards ANSI C84.1-1995 Electric Power Systems and Equipment – Voltage Ratings (60 Hertz) IEEE 1547, Standard for Interconnecting Distributed Resources with Electric Power Systems (including use of IEEE 1547.1 testing protocols to establish conformity) IEEE Std 100-2000, IEEE Standard Dictionary of Electrical and Electronic Terms IEEE Std 519-1992, IEEE Recommended Practices and Requirements for Harmonic Control in Electrical Power Systems IEEE Std C37.108-1989 (R2002), IEEE Guide for the Protection of Network Transformers IEEE Std C37.90.1-1989 (R1994), IEEE Standard Surge Withstand Capability (SWC) Tests for Protective Relays and Relay Systems IEEE Std C37.90.2 (1995), IEEE Standard Withstand Capability of Relay Systems to Radiated Electromagnetic Interference from Transceivers IEEE Std C57.12.44-2000, IEEE Standard Requirements for Secondary Network Protectors IEEE Std C62.41.2-2002, IEEE Recommended Practice on Characterization of Surges in Low Voltage (1000V and Less) AC Power Circuits IEEE Std C62.45-1992 (R2002), IEEE Recommended Practice on Surge Testing for Equipment Connected to Low-Voltage (1000V and Less) AC Power Circuits NEMA MG 1-1998, Motors and Small Resources, Revision 3 NEMA MG 1-2003 (Rev 2004), Motors and Generators, Revision 1 NFPA 70 (2002), National Electrical Code UL 1741, Inverters, Converters, Controllers and Interconnection System Equipment for Use With Distributed Energy Resources Attachment 6 Certification of Generator Equipment Packages

Applicant Signature. I hereby certify that, to the best of my knowledge, all the information provided in this Interconnection Request Application Form is true and correct. For Interconnection Customer: Signature (Authorized Agent of the Legal Entity) Date: Print Name Attachment 4 SAMPLE SITE CONTROL VERIFICATIONFORM In the Matter of the Application of ) [Developer Name] for an ) SITE CONTROL VERIFICATION Interconnection Agreement ) with [Utility Name] ) I, [Authorized Signatory Name], [Title] of [Developer Name], under penalty of perjury, hereby certify that, [Developer Name] or its affiliate has executed a written contract with the landowner(s) noted below, concerning the property described below. I further certify that our written contract with the landowner(s) specifies the agreed rental rate or purchase price for the property, as applicable, and allows [Developer Name] or its affiliates to construct and operate a renewable energy power generation facility on the property described below. This verification is provided to [Utility Name] in support of our application for an Interconnection Agreement. Landowner Name(s): Land Owner Contact information (Phone or e-mail): Parcel or PIN Number: ELECTRONICALLY FILED - 2019 April 22 5:05 PM - SCPSC - Docket # 2019-130-E - Page 54 of 115 County: Site Address: Number of Acres under Contract (state range, if applicable): Date Contract was executed Term of Contract [signature] [Authorized Signatory Name] [Authorized Signatory Name], being first duly sworn, says that [he/she] has read the foregoing verification, and knows the contents thereof to be true to [his/her] actual knowledge. Sworn and subscribed to before me this day of , 201_. [signature] [Authorized Signatory Name] [Title], [Developer Name] [Signature of Notary Public] Notary Public ELECTRONICALLY FILED - 2019 April 22 5:05 PM - SCPSC - Docket # 2019-130-E - Page 55 of 115 Name of Notary Public [typewritten or printed] My Commission expires ELECTRONICALLY FILED - 2019 April 22 5:05 PM - SCPSC - Docket # 2019-130-E - Page 56 of 115 Attachment 5 Certification Codes and Standards ANSI C84.1-1995 Electric Power Systems and Equipment – Voltage Ratings (60 Hertz) IEEE 1547, Standard for Interconnecting Distributed Resources with Electric Power Systems (including use of IEEE 1547.1 testing protocols to establish conformity) IEEE Std 100-2000, IEEE Standard Dictionary of Electrical and Electronic Terms IEEE Std 519-1992, IEEE Recommended Practices and Requirements for Harmonic Control in Electrical Power Systems IEEE Std C37.108-1989 (R2002), IEEE Guide for the Protection of Network Transformers IEEE Std C37.90.1-1989 (R1994), IEEE Standard Surge Withstand Capability (SWC) Tests for Protective Relays and Relay Systems IEEE Std C37.90.2 (1995), IEEE Standard Withstand Capability of Relay Systems to Radiated Electromagnetic Interference from Transceivers IEEE Std C57.12.44-2000, IEEE Standard Requirements for Secondary Network Protectors IEEE Std C62.41.2-2002, IEEE Recommended Practice on Characterization of Surges in Low Voltage (1000V and Less) AC Power Circuits IEEE Std C62.45-1992 (R2002), IEEE Recommended Practice on Surge Testing for Equipment Connected to Low-Voltage (1000V and Less) AC Power Circuits NEMA MG 1-1998, Motors and Small Resources, Revision 3 NEMA MG 1-2003 (Rev 2004), Motors and Generators, Revision 1 NFPA 70 (2002), National Electrical Code UL 1741, Inverters, Converters, Controllers and Interconnection System Equipment for Use With Distributed Energy Resources ELECTRONICALLY FILED - 2019 April 22 5:05 PM - SCPSC - Docket # 2019-130-E - Page 57 of 115 Attachment 6 Certification of Generator Equipment Packages

Applicant Signature. I By the applicant’s signature below, the applicant consents and agrees as follows: - ECI is hereby certify thatauthorized to obtain a credit report to confirm the applicant’s creditworthiness; - Membership is not approved unless and until ECI signs this Application below; - Each applicant hereby agrees to be bound to and perform ECI’s Membership Policy and Trading Procedures; and - Each applicant which is not a sole proprietor, or a publicly traded corporation must sign the Personal Guaranty on the next page of this Application. Individual Sole Proprietor Applicant: -- or -- Authorized Officer, Partner, or Manager of Corporate, Partnership, or Limited Liability Applicant: Name Title Signature Date Acceptance of Application and Agreement: The applicant’s application is hereby accepted. ECI’s signature below confirms the applicant is a Member and subject to all terms and conditions of this Membership Application and Agreement. Name Signature Date PERSONAL GUARANTY OF MEMBER OBLIGATIONS THIS PERSONAL GUARANTY OF MEMBER OBLIGATIONS (“Guaranty”) is being provided by the undersigned person to induce Egg Clearinghouse, Inc. (“ECI”), to accept the best of my knowledge, all applicant as a member and to extend credit in the information provided in this Interconnection Request Application Form is true and correct. For Interconnection Customer: Signature (Authorized Agent form of the Legal Entity) Date: Print Name Attachment 4 SAMPLE SITE CONTROL VERIFICATIONFORM In applicant receiving goods from other members and services from ECI. The undersigned guarantor hereby unconditionally and irrevocably guarantees to ECI the Matter timely payment of all amounts due, and the performance of all duties owed, by the Member under ECI’s Membership Policy and Trading Procedures manual (the “ECI Manual”). The undersigned guarantor hereby waives all notice of non-performance by Member, consents to any changes to any covenant, term, or condition in the ECI Manual, assumes full responsibility for keeping fully informed of the Application financial condition of ) [Developer Name] for the Member and all other circumstances affecting the Member’s ability to pay and perform the ECI Manual. This Guaranty shall remain in full force notwithstanding the appointment of a receiver to take possession of the assets of the Member, an ) SITE CONTROL VERIFICATION Interconnection Agreement ) with [Utility Name] ) I, [Authorized Signatory Name], [Title] of [Developer Name], under penalty of perjury, hereby certify that, [Developer Name] or its affiliate has executed a written contract with the landowner(s) noted below, concerning the property described below. I further certify that our written contract with the landowner(s) specifies the agreed rental rate or purchase price assignment for the propertybenefit of creditors, as applicableor any action taken or suffered by the Member Tenant under any insolvency, bankruptcy, reorganization, moratorium, or other debtor relief act or statute. In addition to the amounts guaranteed, the undersigned guarantor(s) agree to pay reasonable attorney’s fees and all other costs and expenses incurred by the prevailing party in any action or proceeding arising out of, or relating to, this Guaranty. This Guaranty shall be binding upon the undersigned’s successors and assigns. This Guaranty shall be deemed to be made under, and allows [Developer Name] or its affiliates to construct and operate a renewable energy power generation facility on the property described belowgoverned by, New Hampshire law. This verification is provided to [Utility Name] in support of our application for an Interconnection Agreement. Landowner Name(s): Land Owner Contact information (Phone or e-mail): Parcel or PIN NumberIndividual Guarantor: County: Site Address: Number of Acres under Contract (state range, if applicable): Date Contract was executed Term of Contract [signature] [Authorized Signatory Name] [Authorized Signatory Name], being first duly sworn, says that [he/she] has read the foregoing verification, and knows the contents thereof to be true to [his/her] actual knowledge. Sworn and subscribed to before me this day of , 201_. [signature] [Authorized Signatory Name] [Title], [Developer Name] [Name Signature of Notary Public] Notary Public Name of Notary Public [typewritten or printed] My Commission expires Attachment 5 Certification Codes and Standards ANSI C84.1-1995 Electric Power Systems and Equipment – Voltage Ratings (60 Hertz) IEEE 1547, Standard for Interconnecting Distributed Resources with Electric Power Systems (including use of IEEE 1547.1 testing protocols to establish conformity) IEEE Std 100-2000, IEEE Standard Dictionary of Electrical and Electronic Terms IEEE Std 519-1992, IEEE Recommended Practices and Requirements for Harmonic Control in Electrical Power Systems IEEE Std C37.108-1989 (R2002), IEEE Guide for the Protection of Network Transformers IEEE Std C37.90.1-1989 (R1994), IEEE Standard Surge Withstand Capability (SWC) Tests for Protective Relays and Relay Systems IEEE Std C37.90.2 (1995), IEEE Standard Withstand Capability of Relay Systems to Radiated Electromagnetic Interference from Transceivers IEEE Std C57.12.44-2000, IEEE Standard Requirements for Secondary Network Protectors IEEE Std C62.41.2-2002, IEEE Recommended Practice on Characterization of Surges in Low Voltage (1000V and Less) AC Power Circuits IEEE Std C62.45-1992 (R2002), IEEE Recommended Practice on Surge Testing for Equipment Connected to Low-Voltage (1000V and Less) AC Power Circuits NEMA MG 1-1998, Motors and Small Resources, Revision 3 NEMA MG 1-2003 (Rev 2004), Motors and Generators, Revision 1 NFPA 70 (2002), National Electrical Code UL 1741, Inverters, Converters, Controllers and Interconnection System Equipment for Use With Distributed Energy Resources Attachment 6 Certification of Generator Equipment PackagesDate

Applicant Signature. I hereby certify that, to the best of my knowledge, all the information provided in this Interconnection Request Application Form is true and correct. For Interconnection Customer: Signature (Authorized Agent of the Legal Entity) Date: Print Name ELECTRONICALLY FILED - 2020 November 17 4:39 PM - SCPSC - Docket # 2019-326-E - Page 60 of 196 DEC/DEP Application - Attachment 1 Docket No. 2019-326-E Attachment 4 SAMPLE SITE CONTROL VERIFICATIONFORM In the Matter of the Application of ) [Developer Name] for an ) SITE CONTROL VERIFICATION Interconnection Agreement ) with [Utility Name] ) I, [Authorized Signatory Name], [Title] of [Developer Name], under penalty of perjury, hereby certify that, [Developer Name] or its affiliate has executed a written contract with the landowner(s) noted below, concerning the property described below. I further certify that our written contract with the landowner(s) specifies the agreed rental rate or purchase price for the property, as applicable, and allows [Developer Name] or its affiliates to construct and operate a renewable energy power generation facility on the property described below. This verification is provided to [Utility Name] in support of our application for an Interconnection Agreement. Landowner Name(s): Land Owner Contact information (Phone or e-mail): Parcel or PIN Number: County: Site Address: Number of Acres under Contract (state range, if applicable): Date Contract was executed ELECTRONICALLY FILED - 2020 November 17 4:39 PM - SCPSC - Docket # 2019-326-E - Page 61 of 196 DEC/DEP Application - Attachment 1 Docket No. 2019-326-E Term of Contract [signature] [Authorized Signatory Name] [Authorized Signatory Name], being first duly sworn, says that [he/she] has read the foregoing verification, and knows the contents thereof to be true to [his/her] actual knowledge. Sworn and subscribed to before me this day of , 201_. [signature] [Authorized Signatory Name] [Title], [Developer Name] [Signature of Notary Public] Notary Public Name of Notary Public [typewritten or printed] My Commission expires ELECTRONICALLY FILED - 2020 November 17 4:39 PM - SCPSC - Docket # 2019-326-E - Page 62 of 196 DEC/DEP Application - Attachment 1 Docket No. 2019-326-E Attachment 5 Certification Codes and Standards ANSI C84.1-1995 Electric Power Systems and Equipment – Voltage Ratings (60 Hertz) IEEE 1547, Standard for Interconnecting Distributed Resources with Electric Power Systems (including use of IEEE 1547.1 testing protocols to establish conformity) IEEE Std 100-2000, IEEE Standard Dictionary of Electrical and Electronic Terms IEEE Std 519-1992, IEEE Recommended Practices and Requirements for Harmonic Control in Electrical Power Systems IEEE Std C37.108-1989 (R2002), IEEE Guide for the Protection of Network Transformers IEEE Std C37.90.1-1989 (R1994), IEEE Standard Surge Withstand Capability (SWC) Tests for Protective Relays and Relay Systems IEEE Std C37.90.2 (1995), IEEE Standard Withstand Capability of Relay Systems to Radiated Electromagnetic Interference from Transceivers IEEE Std C57.12.44-2000, IEEE Standard Requirements for Secondary Network Protectors IEEE Std C62.41.2-2002, IEEE Recommended Practice on Characterization of Surges in Low Voltage (1000V and Less) AC Power Circuits IEEE Std C62.45-1992 (R2002), IEEE Recommended Practice on Surge Testing for Equipment Connected to Low-Voltage (1000V and Less) AC Power Circuits NEMA MG 1-1998, Motors and Small Resources, Revision 3 NEMA MG 1-2003 (Rev 2004), Motors and Generators, Revision 1 NFPA 70 (2002), National Electrical Code UL 1741, Inverters, Converters, Controllers and Interconnection System Equipment for Use With Distributed Energy Resources SC Certification Codes and Standards ELECTRONICALLY FILED - 2020 November 17 4:39 PM - SCPSC - Docket # 2019-326-E - Page 63 of 196 DEC/DEP Application - Attachment 1 Docket No. 2019-326-E Attachment 6 Certification of Generator Equipment Packages

Applicant Signature. I hereby certify that, to the best of my knowledge, all the information provided in this Interconnection Request Application Form is true and correct. For Interconnection Customer: Signature (Authorized Agent of the Legal Entity) Date: Print Name Attachment 4 SAMPLE SITE CONTROL VERIFICATIONFORM In the Matter of the Application of ) [Developer Name] for an ) SITE CONTROL VERIFICATION Interconnection Agreement ) with [Utility Name] ) I, [Authorized Signatory Name], [Title] of [Developer Name], under penalty of perjury, hereby certify that, [Developer Name] or its affiliate has executed a written contract with the landowner(s) noted below, concerning the property described below. I further certify that our written contract with the landowner(s) specifies the agreed rental rate or purchase price for the property, as applicable, and allows [Developer Name] or its affiliates to construct and operate a renewable energy power generation facility on the property described below. This verification is provided to [Utility Name] in support of our application for an Interconnection Agreement. Landowner Name(s): Land Owner Contact information (Phone or e-mail): Parcel or PIN Number: County: Site Address: Number of Acres under Contract (state range, if applicable): Date Contract was executed Term of Contract [signature] [Authorized Signatory Name] [Authorized Signatory Name], being first duly sworn, says that [he/she] has read the foregoing verification, and knows the contents thereof to be true to [his/her] actual knowledge. Sworn and subscribed to before me this day of , 201_. [signature] [Authorized Signatory Name] [Title], [Developer Name] [Signature of Notary Public] Notary Public Name of Notary Public [typewritten or printed] My Commission expires Attachment 5 Certification Codes and Standards ANSI C84.1-1995 Electric Power Systems and Equipment – Voltage Ratings (60 Hertz) IEEE 1547, Standard for Interconnecting Distributed Resources with Electric Power Systems (including use of IEEE 1547.1 testing protocols to establish conformity) IEEE Std 100-2000, IEEE Standard Dictionary of Electrical and Electronic Terms IEEE Std 519-1992, IEEE Recommended Practices and Requirements for Harmonic Control in Electrical Power Systems IEEE Std C37.108-1989 (R2002), IEEE Guide for the Protection of Network Transformers IEEE Std C37.90.1-1989 (R1994), IEEE Standard Surge Withstand Capability (SWC) Tests for Protective Relays and Relay Systems IEEE Std C37.90.2 (1995), IEEE Standard Withstand Capability of Relay Systems to Radiated Electromagnetic Interference from Transceivers IEEE Std C57.12.44-2000, IEEE Standard Requirements for Secondary Network Protectors IEEE Std C62.41.2-2002, IEEE Recommended Practice on Characterization of Surges in Low Voltage (1000V and Less) AC Power Circuits IEEE Std C62.45-1992 (R2002), IEEE Recommended Practice on Surge Testing for Equipment Connected to Low-Voltage (1000V and Less) AC Power Circuits NEMA MG 1-1998, Motors and Small Resources, Revision 3 NEMA MG 1-2003 (Rev 2004), Motors and Generators, Revision 1 NFPA 70 (2002), National Electrical Code UL 1741, Inverters, Converters, Controllers and Interconnection System Equipment for Use With Distributed Energy Resources Attachment 6 Certification of Generator Equipment Packages

Applicant Signature. I hereby certify that, to the best of my knowledge, all the information provided in this Interconnection Request Application Form is true and correct. For Interconnection Customer: Signature (Authorized Agent of the Legal Entity) Date: Print Name Attachment 4 SAMPLE SITE CONTROL VERIFICATIONFORM In the Matter of the Application of ) [Developer Name] for an ) SITE CONTROL VERIFICATION Interconnection Agreement ) with [Utility Name] Xxxxxx Xxxxxx (South Carolina Public Service Authority) I, [Authorized Signatory Name], [Title] of [Developer Name], under penalty of perjury, hereby certify that, [Developer Name] or its affiliate has executed a written contract with the landowner(s) noted below, concerning the property described below. I further certify that our written contract with the landowner(s) specifies the agreed rental rate or purchase price for the property, as applicable, and allows [Developer Name] or its affiliates to construct and operate a renewable energy power generation facility on the property described below. This verification is provided to [Utility Name] the South Carolina Public Service Authority in support of our application for an Interconnection Agreement. Landowner Name(s): Land Owner Contact information (Phone or e-maile‐mail): Parcel or PIN Number: County: Site Address: Number of Acres under Contract (state range, if applicable): Date Contract was executed Term of Contract [signature] [Authorized Signatory Name] [Authorized Signatory Name], being first duly sworn, says that [he/she] has read the foregoing verification, and knows the contents thereof to be true to [his/her] actual knowledge. Sworn and subscribed to before me this day of , 201_. [signature] [Authorized Signatory Name] [Title], [Developer Name] [Signature of Notary Public] Notary Public Name of Notary Public [typewritten or printed] My Commission expires Attachment 5 Certification Codes and Standards ANSI C84.1-1995 Electric Power Systems and Equipment – Voltage Ratings (60 Hertz) IEEE 1547, Standard for Interconnecting Distributed Resources with Electric Power Systems (including use of IEEE 1547.1 testing protocols to establish conformity) IEEE Std 100-2000, IEEE Standard Dictionary of Electrical and Electronic Terms IEEE Std 519-1992, IEEE Recommended Practices and Requirements for Harmonic Control in Electrical Power Systems IEEE Std C37.108-1989 (R2002), IEEE Guide for the Protection of Network Transformers IEEE Std C37.90.1-1989 (R1994), IEEE Standard Surge Withstand Capability (SWC) Tests for Protective Relays and Relay Systems IEEE Std C37.90.2 (1995), IEEE Standard Withstand Capability of Relay Systems to Radiated Electromagnetic Interference from Transceivers IEEE Std C57.12.44-2000, IEEE Standard Requirements for Secondary Network Protectors IEEE Std C62.41.2-2002, IEEE Recommended Practice on Characterization of Surges in Low Voltage (1000V and Less) AC Power Circuits IEEE Std C62.45-1992 (R2002), IEEE Recommended Practice on Surge Testing for Equipment Connected to Low-Voltage (1000V and Less) AC Power Circuits NEMA MG 1-1998, Motors and Small Resources, Revision 3 NEMA MG 1-2003 (Rev 2004), Motors and Generators, Revision 1 NFPA 70 (2002), National Electrical Code UL 1741, Inverters, Converters, Controllers and Interconnection System Equipment for Use With Distributed Energy Resources Attachment 6 Certification of Generator Equipment Packages