Common use of Interconnection Customer Signature Clause in Contracts

Interconnection Customer Signature. I hereby certify that, to the best of my knowledge, the information provided in this Application is true. I agree to abide by the Terms and Conditions for Interconnecting an Inverter-Based Small Generating Facility No Larger than 10kW and return the Certificate of Completion when the Small Generating Facility has been installed. Signed: Title: Date: Contingent Approval to Interconnect the Small Generating Facility (For ISO and Connecting Transmission Owner use only) Interconnection of the Small Generating Facility is approved contingent upon the Terms and Conditions for Interconnecting an Inverter-Based Small Generating Facility No Larger than 10kW and return of the Certificate of Completion. Connecting Transmission Owner Signature: Title: Date: Connecting Transmission Owner waives inspection/witness test Yes No ISO Signature: Title: Date: Small Generating Facility Certificate of Completion Is the Small Generating Facility owner-installed? Yes No Interconnection Customer: Contact Person: Address: Location of the Small Generating Facility (if different from above): City: State: Zip Code: Telephone:

Interconnection Customer Signature. I hereby certify that, to the best of my knowledge, the information provided in this Interconnection Request Application Form is true. I agree to abide by the Terms and Conditions for Interconnecting an a Certified Inverter-Based Small Generating Facility No Larger than 10kW 20 kW and return the Certificate of Completion when the Small Generating Facility has been installed. Signed: Title: Date: Contingent Approval to Interconnect the Small Generating Facility (For ISO and Connecting Transmission Owner Utility use only) Interconnection of the Small Generating Facility is approved contingent upon the Terms and Conditions for Interconnecting an a Certified Inverter-Based Small Generating Facility No Larger than 10kW 20 kW and return of the Certificate of Completion. Connecting Transmission Owner Utility Signature: Title: Date: Connecting Transmission Owner Interconnection Request ID number: Utility waives inspection/witness test test? Yes No ISO Signature: Title: Date: Small Generating Facility Certificate of Completion for Interconnecting a Certified Inverter-Based Generating Facility No Larger than 20 kW Is the Small Generating Facility owner-installed? Yes No Interconnection CustomerCustomer Name: Contact Person: E-Mail Address: Location of the Small Generating Facility (if different from above): Address: City: State: Zip CodeZip: TelephoneCounty:

Interconnection Customer Signature. I hereby certify that, to the best of my knowledge, the information provided in this Application is true. I agree to abide by the Terms and Conditions for Interconnecting an Inverter-Based Small Generating Facility No Larger than 10kW and return the Certificate of Completion when the Small Generating Facility has been installed. Signed: Title: Date: Contingent Approval to Interconnect the Small Generating Facility (For ISO and Connecting Transmission Owner use only) Interconnection of the Small Generating Facility is approved contingent upon the Terms and Conditions for Interconnecting an Inverter-Based Small Generating Facility No Larger than 10kW and return of the Certificate of Completion. Connecting Transmission Owner Signature: Title: Date: Connecting Transmission Owner waives inspection/witness test Yes No Yes___ No___ ISO Signature: Title: Date: Small Generating Facility Certificate of Completion Is the Small Generating Facility owner-installed? Yes Yes_____ No ______ Interconnection Customer: Contact Person: Address: Location of the Small Generating Facility (if different from above): City: State: Zip Code: Telephone:

Interconnection Customer Signature. I hereby certify that, to the best of my knowledge, the information provided in this Interconnection Request Application Form is true. I agree to abide by the Terms and Conditions for Interconnecting an a Certified Inverter-Based Small Generating Facility No Larger than 10kW 20 kW and return the Certificate of Completion when the Small Generating Facility has been installed. Signed: Title: Date: Contingent Approval to Interconnect the Small Generating Facility (For ISO and Connecting Transmission Owner Authority use only) Interconnection of the Small Generating Facility is approved contingent upon the Terms and Conditions for Interconnecting an a Certified Inverter-Based Small Generating Facility No Larger than 10kW 20 kW and return of the Certificate of Completion. Connecting Transmission Owner Authority Signature: Title: Date: Connecting Transmission Owner Interconnection Request ID number: Authority waives inspection/witness test test? Yes No ISO Signature: Title: Date: Small Generating Facility Certificate of Completion for Interconnecting a Certified Inverter-Based Generating Facility No Larger than 20 kW Is the Small Generating Facility owner-installed? Yes No Interconnection CustomerCustomer Name: Contact Person: E-Mail Address: Location of the Small Generating Facility (if different from above): Address: City: State: Zip CodeZip: TelephoneCounty: