california solar initiative program california center for...

Reservation Number:

1. Host Customer 2. Applicant (if not Host Customer)Customer/Company Name (As

listed on electric bill) Company Name

Contact Name Contact Name

Mailing Address Mailing Address

Email Email

Phone Phone

Fax Fax

Does the Host Customer have legal ownership of the building and/or property where the proposed PV system will be located? If no, please indicate who owns the building and/or property, the contractual relationship with the Host Customer and the contract period

3. System Owner (if not Host Customer) 4. ContractorCompany Name Company Name

Contact Name License Number

Mailing Address

5. SellerEmail Company Name

Phone License Number

Fax

6. Project Site Information

Project Type:

Incentive Type:

Site Address

County Est. Building Sq. Ft.

Meter Number(s)

Is there any existing generation at this Site, including nonfunctioning and/or emergency back up generation

If yes, describe the type of technology for Existing Generation

Amount Description

Printed 4/13/10 1 of 4 Reservation Request Form_SB1.xls

Has this project Site received previous incentives for installed PV generation?

SID-234q M-q234Electric Utility Service Account Number(s)

Pelham, CA 10803149 Elderwood Ave, #1

Yaz's Solar CompanyCont. Lic. #

Yaz's Solar CompanyCont. Lic. #

(408) 444 4444F (989) 332 4447(408) 111 1111H (989) 332 [email protected] [email protected], CA 10803 Boston, MA 2857149 Elderwood Ave, #1 123 Yawkey Way

Carl Yastrzemski

Ichiban Hibachi Yaz's Solar Company

California Solar Initiative ProgramReservation Request Form and Program Contract

Date Printed: 4/13/10

Instructions: Please confirm you are using the current Reservation Request Form by going to your Program Administrator's website. Refer to the CSI Program Handbook for instructions, and include all required attachments with your submittal. Incomplete Reservation Requests will result in a suspended application.

Harry and CJ Fair

Return Reservation Request Form to:California Center for Sustainable Energy

California Solar Initiative8690 Balboa Avenue, Ste. 100

San Diego, CA 92123

RetrofitResidential Commercial Government, Non-profit, or Public Entity

New Construction or Expanded

YES NO

YES NO

YES NOYES NO

Reservation Number:

7. Project Incentive Calculation and Cost Information Enter Estimated Annual kWh and CSI System Size as shown on EPBB Tool at www.csi-epbb.com

Array Number

1 kW

2 kW

3 kW

4 kW

Total Annual kWh 10.977 kW kW

10.698 kW

10.698 kW Array Type (Select one):

6b

6c6d6e6f

8. Requested Project Type, Rate, and Incentive

CSI System Size kW

CSI Incentive Amount:$/watt OR $/kWh

7a


$1.10 0.15

Requested CSI Incentive = $ 11,768.35$

PBI (>50kW or opt in)

10.698

EPBB (< 50 kW or New Construction)

Line 6c - 6d - 6e - 6f (if Total $'s is not equal to $1 or zero please contact your Program Administrator) = -$ $0.00/Watt

System Owner Out of Pocket Expenses* = 108,567.21$ $10.15/Watt11,768.35$ $1.10/Watt

* Verification of Amount Shown required prior to CSI Incentive Payment

CSI Rebate Amount (7a) = Total Other Incentive Amount (6b) = -$ $0.00/WattTotal Eligible Project Costs (6a) = 120,335.56$ $11.25/WattVerify Incentives Don't Exceed System Owner's Out of Pocket Expenses

Total Other Incentives Amount: -$ $0.00/Watt$0.00/Watt$0.00/Watt

Pro-rated Eligible Project Cost 120,335.56$

Other Financial Incentives in Addition to CSI

$11.25/Watt 6a (Pro-ration to equate costs to Eligible CSI System Size)

Other Incentive Source Name Other Incentive Source Type Amount

List all other non-CSI incentive sources and amounts being received for Eligible Project Cost Items. See CSI Handbook for more information.

120,335.56$ $11.25/WattTotal Project Cost:

Project System Size:

10.69812345 kWh Total CSI System Size:

Eligible CSI System Size:

0.000

0.000

2.781 kW

8.197 kW 99.876%

90.342%

8.186

2.512

Estimated Annual kWh CEC-AC (kW) Design Factor (%) CSI System Size

Reservation Request Form and Program Contract




San Diego, CA 92123

California Solar Initiative Program

Fixed System

1-Axis or 2-Axis Tracking

Reservation Number:

9. Checklist for Other Required Documents

Completed Reservation Request Form and Program Contract with Signature

Electrical System Sizing Documentation (new/expanded load) for projects >= 5 kW

Copy of Signed Energy Efficiency Disclosure Form

Proof of Energy Efficiency documentation:

Energy Efficiency Audit -or- Title 24 Report within last 3 years

Printout of EPBB Tool Calculation (www.csi-epbb.com)

Authorization to Receive Customer Information or Act on a Customer's Behalf form (CCSE requirement only)

Certification of tax-exempt status (gov't and non-profit only)

Copy of Executed Agreement of Solar Energy System Purchase and Installation

Copy of Executed Alternative System Ownership Agreement (If System Owner is Different from Host Customer)

Application Fee (see Section 4.4.1.1 of the CSI Handbook for standardized amount based on system size) $0

Proof of at least 15% above Title 24 Standards (PERF-1 Form Certificate Signed by a Certified Energy Plans Examiner [CEPE])

Building Site Plan

Copy of New Construction Building Permit

10. CSI Program Contract


[Please see the following pages]

Additional Required Documents for Non-Residential New Construction (Commercial or Government/Non-Profit/ Public Entities):

Additional Required Documents for All Residential Customers and Commercial or Government/Non-Profit/ Public Entities < 10 kW:

Copy of Signed Commitment Agreement (EPBB Existing Commercial buildings >= 100,000 sq ft and Benchmarking <75. [Proof of Benchmarking Documentation Req'd.] )



San Diego, CA 92123

Additional Required Documents for Commericial or Government/Non-Profit/ Public Entities > 10kW:

Please complete this checklist. Refer to the latest version of the CSI Program Handbook for detailed instructions on eligibility and application requirements. The purpose of this checklist is to ensure applicants submit the all materials required for the Reservation Request and assist the Program Administrator to review the documentation.

California Solar Initiative Program

4/13/10Date Printed:


Reservation Number:

10. CSI Program Contract

Host Customer System Owner (if not Host Customer)Signature: Signature:

Name Printed: Name Printed:

Title: Title:

Date: Date:

Program AdministratorSignature:

Name Printed:

Title:

Date:

ApplicantSignature:

Name Printed:

Title:

Date:

Once complete, please send to the address below with ALL necessary attachments.

Mailing Address (Regular and Overnight)

California Center for Sustainable EnergyCalifornia Solar Initiative

8690 Balboa Avenue, Ste. 100San Diego, CA 92123


Declarations by Host Customer and System Owner:

Certification by Applicant: Where an APPLICANT has been separately identified on the Reservation Request Form, the Applicant must certify that the information provided on the Reservation Request Form is true, accurate, and complete. The Applicant is not a Party to the contract, but certifies under penalty of perjury that the information provided on the Reservation Request Form and the CSI Incentive Calculation Worksheet is true, accurate, and complete.


California Solar Initiative Program Return Reservation Request Form to:California Center for Sustainable Energy


San Diego, CA 92123


The Host Customer and System Owner are committed to completing this Project, and by signing below, are stating their intent to contract with any individual(s) necessary for completion of the Project. The Host Customer is the reservation holder and reserves the right to submit new project specifications, including a new Applicant designation, upon withdrawal from the Project and cancellation of this Agreement. The undersigned declare under penalty of perjury under the laws of the State of California that 1) the information provided in the Reservation Request Form is true and correct, 2) the above-described generating system is new and intended to offset part or all of the Host Customer’s electrical needs at the site of installation.

By execution of this document, System Owner and Host Customer each certifies that the Project meets all Program eligibility requirements and that the System Owner and Host Customer agree to abide by the rules and requirements set forth in the CSI Program Handbook. The undersigned declare under penalty of perjury under the laws of the State of California that 1) the information provided is true and correct, 2) the above-described generating system is new and intended to offset part or all of the Host Customer’s electrical needs at the site of installation.

California Solar Initiative ProgramReservation Request Signature Form

R+'(-&.:4+'B)V6/')E*2/94-+/*)F42*-)R+/:*:0$)H-43-*8)E4+(-*.()/')(4)1$).48=2$($,)*+,)'&18/W$,)/+).4+I&+.:4+)A/(6)(6$)#$'$-0*:4+)#$%&$'()G==2/.*:4+)/+)H4A$-E2$-U5))(6$)E*2/94-+/*)F42*-)R+/:*:0$)H-43-*8X')4+2/+$),*(*1*'$)(442"

1. CSI Program ParticipantsHost Customer Customer/Company Name Harry and CJ Fair

(As listed on electric bill) Ichiban Hibachi

System Owner (if not Host Customer) Company Name

Applicant (if not Host Customer) Company Name

2. Project Installation Site

Address: 149 Elderwood Ave, #1

City, State, Zip: Pelham, CA 10803

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)))))R9)7$'5),$'.-/1$)(6$)/+.$+:0$)-$.$/0$, If yes, list the amount

3. System Size and Requested Incentive

CSI System Size (kW): Indicate CSI Incentive Type and Rate (EPBB or PBI)

Requested CSI Incentive:

Name of Other Financial Incentives Amount of Other Incentives!"#$%&'()*&+,--&.--"+&.&/0&#"-$1.23$&4"1&#5$&67*#$8&6,9$*&.2:&;23$2<=$&(8">2#*&,2&1$4$1$23$&#"&#5$&?'@@&A.-3>-.#"1&">#B>#C*DE

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Host Customer System Owner (if not Host Customer)

Signature: Signature:

Name Printed: Name Printed:

Title: Title:

Date: Date:

Program Administrator

Signature:

Name Printed:

Title:

Date:E$-:>.*:4+)17)G==2/.*+(B))^6$-$)*+)GHH_REG`V)6*')1$$+)'$=*-*($27)/,$+:>$,)*140$)*+,)/+)H4A$-E2$-U5)(6$)E*2/94-+/*)F42*-)R+/:*:0$)H-43-*8)K+2/+$)Y*(*1*'$)V4425)(6$)G==2/.*+()8&'().$-:97)(6*()(6$)/+94-8*:4+)=-40/,$,)/+)H4A$-E2$-U)/')(-&$5)*..&-*($5)*+,).48=2$($"))V6$)G==2/.*+()/')+4()*)H*-(7)(4)(6$).4+(-*.(5)1&().$-:>$')&+,$-)=$+*2(7)49)=$-I&-7)(6*()(6$)/+94-8*:4+)=-40/,$,)/+)H4A$-E2$-U)/')(-&$5)*..&-*($5)*+,).48=2$($"

Applicant (if not Host Customer)

Signature:

Name Printed:

Title:

Date:Once complete, please attach this and other required documents to your application in PowerClerk or send it to one of the addresses below.

Please Mail To:California Center for Sustainable Energy

California Solar Initiative8690 Balboa Ave., Suite 100

San Diego, CA 92123

10.698

11,768$

YES NO

YES NO

YES NO

EPBB (<30 kW) PBI (>= 30 kW or opt in

YES NO

YES NO

YES NO

EPBB (<30 kW) PBI (>= 30 kW or opt in)PBI (>= 30 kW or opt in)

!! An Interconnection under Direct Access (DA)

! Customers applying for NEM who are served under Direct Access by an Energy Service Provider (ESP)must contact their ESP directly for information regarding the ESP’s Net Energy Metering program.

! An Interconnection under Community Choice Aggregation Service (CCA Service)! Customers applying for NEM who are served under Community Choice Aggregation Service by a Community

Choice Aggregator (CCA) must contact their CCA directly for information regarding the CCA’s Net EnergyMetering program

C. Customer Generating Facility Information - Where will the Generating Facility be installed? Harry and CJ Fair SID-234q M-q234

Name shown on SDG&E service account Account Number Meter Number(Must match Customer Name on SDG&E bill)

149 Elderwood Ave, #1

Street Address Pelham CA 10803

City State Zip 149 Elderwood Ave, #1

Mailing Address Pelham CA 10803

City State Zip

0 (408) 111 1111H (408) 444 4444F [email protected]

Business Phone Home Phone Fax Mandatory E-mail

D. Contractor Information (Must be completed even if Contractor will not serve as a PG&E contact). Carl Yastrzemski Yaz's Solar Company

Contractor Company Name

123 Yawkey Way,

Mailing Address Boston MA 2857

City State Zip

(989) 332 1332 (989) 332 4447 [email protected]

Business Phone Fax Mandatory E-mail! This contact person is to be used as PG&E contact and is authorized by Customer to receive confidential

Customer information and act on behalf of Customer with respect to this agreement.

By checking the box above and signing this agreement, Customer authorizes SDG&E to release information to the contact(s) named above regarding Customer’s usage and billing information, Generating Facility location, size and operational characteristics as requested in the course of this interconnection process. SDG&E is granted permission to share information with authorized recipients for a period of three years from the date this agreement is received bySDG&E. Contact(s) are also authorized to change rate schedules served under and metering arrangements which may result in charges to Customer. Should customer wish to select a different authoriziaton period, Customer may utilize the“Authorization to Receive Customer Information or Act on a Customer’s Behalf,” which may be found at: http://www.sdge.com/documents/business/loa.pdf

In addition, Customer authorizes SDG&E to release to the California Energy Commission (CEC) information regarding Customer’s facility, including customer name and Generating Facility location, size, and operational characteristics, as requested from time to time pursuant to the CEC’s rules and regulations.

Page 2 of 8Please complete this agreement in its entirety Form 142-02765 (10/2009)

!

No. Inverter Inverter Inverter Inverter Quantity Inverter Single Manufacturer Model Number Nameplate CEC of Output or

Rating2 kW Rating kW Inverters Voltage Three(per unit) (per unit) phase?

1 SB3000US (240V) 3 2 SB7000US (240V) 1

C. Photovoltaic Generator Equipment List the photovoltaic (PV) panel information requested below. If the panels are not all identical modules, list the totalcapacity connected to each inverter you listed above. (Please attach additional sheets if more space is needed).

No. PV Panel PV Panel Model PV Panel PV Panel Quantity of Total InverterManufacturer Nameplate CEC PV Panels Capacity4 number

Rating3 kW Rating kW (kW) from (B)(per unit) (per unit) above

(1 or 2)1 HIT-N215A01 43 9.245 kW 3 2 BP3220N 15 3.300 kW 1

D. Wind Turbine Equipment List the wind turbine information requested below. If there is more than one wind turbine of the same type, list thetotal capacity connected to each inverter you listed in B) above. Indicate NONE if the inverter is incorporated in thewind turbine and no inverter is required.

No. Wind Turbine Wind Wind Turbine Quantity Total Turbine Single Inverter Manufacturer Turbine Nameplate of Wind Capacity Output or number

Model Rating5 kW Turbines (kW) Voltage Three from (B)(per unit) Phase above

(1 or 2)1

E. Service Panel Short Circuit Interrupting Rating:For systems larger than 10 kW, what is the short circuit interrupting rating (SCIR) rating of the service panel connectedto this generating facility? ________________

F. Notices - Mailing Instructions and Assistance:If you prefer to mail the completed agreement, it may be mailed directly to our NEM department at:

SDG&E’S P.O. BOX ADDRESS SDG&E’S STREET ADDRESSSan Diego Gas and Electric Company San Diego Gas and Electric Company Attention: Net Metering Team Attention: Net Metering Team Mail Code CP52F P.O. Box 129831 Mail Code CP52F 8316 Century Park CtSan Diego, California 92123 San Diego, California 92123

2 The inverter rating equals the nameplate rating, in kW. If there is more than one inverter of one type being installed, the inverter rating equals thenameplate rating of one unit of the model being installed.3 The inverter rating equals the nameplate rating, in kW. If there are more than one inverter of one type being installed, the inverter rating equals thenameplate rating of one unit of the model being installed.4 The total capacity is the PV panel (or wind turbine) rating times the quantity.5 For all generation equipment ratings, please use the nameplate rating found on the equipment or in the equipment specifications.

of 8Please complete this agreement in its entirety Form 142-02765 (10/2009)

CEC Rating(kw) per unit

Wind Turbine

7.000 kW

0.193 kW

0.215 kW 0.200 kW

BP Solar 0.220 kW

SMA America 3.000 kW 3.000 kW

SMA America 7.000 kW

Sanyo Electric

APPLICATION FOR INTERCONNECTION OF A SOLAR OR WIND POWERED ELECTRICAL

GENERATING FACILITY OF LESS THAN 30 kW

APPLICATION TYPE: NEW ___ UPGRADE TO EXISTING SYSTEM _____

FUNDING BY (CHECK ONE): CEC ____ CSI ___ PBI ___ NSHP ___

IDENTIFYING YOURSELF: SDG&E ACCT# _________________________________________Accnt23234123 ____________________

Harry and CJ FairName of Applicant

149 Elderwood Ave, #1Address of Proposed Facility

Pelham, CA 10803City State Zip

149 Elderwood Ave, #1Mailing Address (If Different From Above)

Pelham, CA 10803City State Zip

(408) 111 1111H, (408) 222 2222C [email protected]

Day Phone: Home Phone: E-Mail Address: (MANDATORY)

IDENTIFYING YOUR CONTRACTOR

Yaz's Solar CompanyCompany Name of Contractor / Installer

123 Yawkey WayStreet Address

Boston, MA 2857 City State Zip

(989) 332 1332 Office Number Cell Phone: E-Mail Address: (MANDATORY) 2PVID No._____________ (assigned by SDG&E)

APPLICATION FOR INTERCONNECTION OF A SOLAR OR WIND POWERED ELECTRICAL

GENERATING FACILITY OF LESS THAN 30 kW

DESCRIBING YOUR INSTALLATION

SOLAR PANELS

Manufacturer Sanyo ElectricBP Solar

Model Number(s) HIT-N215A01BP3220N

Quantity 4315

INVERTER / CONTROLLER

Manufacturer SMA AmericaSMA America

Model Number(s) SB3000US (240V)SB7000US (240V)

Quantity 31

Total Rated "AC" Output = 15.315 kW

TYPE OF VISIBLE-OPEN & LOCKABLE AC DISCONNECT(S) (AC only)

Manufacturer

Model Number(s)

(Example: Nema 3 R, 240V AC, 60A Fusible)

NOTE OTHER CUSTOMER GENERATION FOR ACCOUNT ABOVE:

____Standby/Back-up/Portable _____ Distributed Generation (Rule 21)

3

6.72 kW8.595 kW

SAN DIEGO GAS & ELECTRIC COMPANY INTERCONNECTION AGREEMENT FOR NET ENERGY METERING

SOLAR OR WIND ELECTRIC GENERATING FACILITIES

This “Interconnection Agreement for Net Energy Metering (“Agreement”) is entered into by and between the Customer Generator (“CG”) and San Diego Gas & Electric Company (“SDG&E”). The CG and SDG&E are sometimes also referred to in this Agreement jointly as “Parties” or individually as “Party.” In consideration of the mutual promises and obligations stated in this Agreement and its attachments, the Parties agree as follows:

1. SCOPE AND PURPOSE This Agreement provides for CG to interconnect and operate a Generating Facility in parallel with SDG&E’s Distribution System to serve the electrical loads connected to the electric service account that SDG&E uses to interconnect CG’s Generating Facility.

Consistent with, and in order to effectuate, the provisions of Section 2827 and 2827.7 of the California Public Utilities Code and SDG&E’s electric rate Schedule NEM - Net Energy Metering, Parties enter into this Agreement. This Agreement applies to the CG’s Generating Facilities identified below with the specified characteristics and generating capacity, and does not allow interconnection or operation of facilities different than those described.

2. SUMMARY OF GENERATING FACILITY AND CG ACCOUNT

2.1 Generating Facility Identification Number: _________________ (Assigned by SDG&E)

2.2 CG Meter Number: SID-234q

2.3 CG Account Number: Accnt23234123

2.4 Applicable Rate Schedule: E6

2.5 Generating Facility Location:

Name: Harry and CJ Fair Address: 149 Elderwood Ave, #1 City / Zip: Pelham, CA 10803

2.5.1 This Agreement is applicable only to the Generating Facility described below and installed at the above location. The Generating Facility may not be relocated or connected to SDG&E’s system at any other location without SDG&E’s express written permission.

2.6 Generating Facility Technology: Solar Solar, Wind or Hybrid=(Both).

2.7 Generating Facility Nameplate Rating: 16 kW.

2.8 Expected maximum monthly energy production of Generating Facility: 2,298 kWh.

2.9 The Generating Facility’s expected date of Initial Operation is ___________________. The expected date of Initial Operation shall be within two years of the date of this Agreement.

Page 1 of 8 142-02760 (11/03)

12. NOTICES "

12.1 Any written notice, demand, or request required or authorized in connection with this Agreement (“Notice”) shall be deemed properly given if delivered in person or sent by first class mail, postage prepaid, to the person specified below:

If to SDG&E: San Diego Gas & Electric Company Attention: CUSTOMER GENERATIONAddress: 8316 CENTURY PARK CT, CP52F City: SAN DIEGO, CA 92123 Phone: (858) 636-5585 FAX: (619) 819-4448

If to CG : Ichiban HibachiAttention: Harry and CJ FairAddress: 149 Elderwood Ave, #1City: Pelham, CA 10803Phone: (408) 111 1111H, (408) 222 2222CFAX: (408) 444 4444F

12.2 A Party may change its address for Notices at any time by providing the other Party Notice of the change in accordance with Section 12.1.

13. DOCUMENTS INCLUDED; DEFINED TERMS

13.1 This Agreement includes the following exhibit(s) which are specifically incorporated herein and made a part of this Agreement by this reference:

Appendix A- Description of Generating Facility and Single-Line Diagram

Appendix B- (When applicable) Copy of interconnection facility financing and ownership agreement

In addition, SDG&E Electric Rules and Rates, including but not limited to Electric Rules 2, 14, and 21, Schedule NEM, and CG’s otherwise applicable rate schedule, available at SDG&E’s web-site at www.sdge.com/regulatory, or by request, are incorporated herein and made part of this Agreement.

13.2 When initially capitalized, whether in the singular or in the plural, the terms used herein shall have the meanings assigned to them either in this Agreement or in SDG&E’selectric Rule 21.

14. TERM AND TERMINATION OF AGREEMENT

14.1 This Agreement shall become effective when signed by CG and SDG&E, and shall remain in effect thereafter from month to month unless terminated by either Party on thirty (30) days’ prior written notice in accordance with Section 12.

14.2 This Agreement shall terminate, without notice, upon: (a) termination of the electric distribution service provided to CG by SDG&E; or (b) changes to CG’s electric load which cause CG to no longer satisfy all requirements of the definition of an Eligible CG set forth in Section 2827(b)(2) of the California Public Utilities Code.

Page 7 of 8 142-02760 (11/03)

15. ENTIRE AGREEMENT "

This Agreement, including any incorporated tariff schedules and rules, contains the entire agreement and understanding between the Parties, their agents, and employees as to the subject matter of this Agreement. Each party also represents that in entering into this Agreement, it has not relied on any promise, inducement, representation, warranty, agreement or other statement not set forth in this Agreement or in the incorporated tariff schedules and rules

16. SIGNATURES

In WITNESS WHEREOF, the Parties hereto have caused two originals of this Agreement to be executed by their duly authorized representatives. This Agreement is effective as of the last date set forth below.

Harry and CJ Fair SAN DIEGO GAS & ELECTRIC COMPANY (CG NAME)

By: By:Name: Harry and CJ Fair Name: Ken ParksTitle: owner Title: Team Lead, Customer GenerationDate: Date:

Page 8 of 8 142-02760 (11/03)

FAX signed form to: (619) 819-4449 OR Mail to: San Diego Gas & ElectricE-mail:[email protected] Net Metering Team

8316 Century Park Ct., CP52FSan Diego, CA 92123

Customer Name: Harry and CJ Fair

Account Number: SID-234q

Address: 149 Elderwood Ave, #1, Pelham, CA 10803(Please attach any additional account numbers and addresses on a separate sheet)

Request for Electric Rate Change:

Applicant hereby requests that San Diego Gas & Electric change the above accountfrom residential DRTOU Rate Schedule to time of use DR-SES.

Customer agrees and understands that the new rate will be in effect for aminimum of 12 months. No further rate changes will be allowed before this 12month period.

Customer:

Signature:

Type/print Name: Harry and CJ Fair

Title: owner

Date of Signature: Phone #(408) 111 1111H, (408) 222 2222C

SUBMITTED TO THE FOLLOWING.Please check all that apply:

THIS IS A LEGALLY BINDING CONTRACT _ READ IT CAREFULLY(Please Print or Type)

I, Harry and CJ Fair ownerNAME TITLE (IF APPLICABLE

of Harry and CJ Fair (Customer) have the following mailing addressNAME OF CUSTOMER OF RECORD

149 Elderwood Ave, #1 Pelham CA 10803 , and do hereby appointMAILING ADDRESS CITY STATE ZIP

Yaz's Solar Company of 123 Yawkey Way, NAME OF THIRD PARTY MAILING ADDRESS

Boston MA 2857CITY STATE ZIP

to act as my agent and consultant (Agent) for the listed account(s) and in the categories indicated below:

ACCOUNTS INCLUDED IN THIS AUTHORIZATION:

1. 149 Elderwood Ave, #1 Pelham Accnt23234123SERVICE ADDRESS CITY SERVICE ACCOUNT NUMBER

2.SERVICE ADDRESS CITY SERVICE ACCOUNT NUMBER

3.SERVICE ADDRESS CITY SERVICE ACCOUNT NUMBER

(For more than three accounts, please list additional accounts on a separate sheet and attaceh it to this form)

INFORMATION, ACTS AND FUNCTIONS AUTHORIZED-This authorization provides authority to the Agent. The Agent must thereafterprovide specific written instructions/requests (e-mail is acceptable) about the particular account(s) before any information is released oraction is taken. In certain instances, the requested act or function may result in cost to you, the customer. Requests for information maybe limited to the most recent 12 month period.

I (Customer) authorize my Agent to act on my behalf to perform the following specific acts and functions (initial all applicable boxes):

> !" #$%&$'()*+,)-$.$/0$)1/22/+3)-$.4-,'5)1/22/+3)6/'(4-7)*+,)*22)8$($-)&'*3$),*(*)&'$,)94-)1/22).*.2&2*:4+)94-)*22)49)87)*..4&+(;'<5)*')'=$./>$,)6$-$/+5-$3*-,/+3)&:2:7)'$-0/.$')9&-+/'6$,)17)(6$)?:2/(7!"

> @" #$%&$'()*+,)-$.$/0$).4=/$')49).4--$'=4+,$+.$)/+).4++$.:4+)A/(6)87)*..4&+(;'<).4+.$-+/+3);/+/:*2)*22)(6*()*==27<B

> *") C$-/>.*:4+)49)-*($5),*($)49)-*($).6*+3$5)*+,)-$2*($,)/+94-8*:4+D> 1") E4+(-*.(')*+,)F$-0/.$)G3-$$8$+('D

.") H-$0/4&')4-)=-4=4'$,)/''&*+.$)49)*,I&'(8$+('J.-$,/('D)4-,") K(6$-)=-$0/4&'27)/''&$,)4-)&+-$'420$,J,/'=&($,)1/22/+3)*,I&'(8$+('

L" #$%&$'()/+0$':3*:4+)49)87)&:2/(7)1/22;'<"

> M" #$%&$'()'=$./*2)8$($-/+35)*+,)(6$)-/36()(4)*..$'')/+($-0*2)&'*3$)*+,)4(6$-)8$($-/+3),*(*)4+87)*..4&+(;'<"

N" #$%&$'()-*($)*+*27'/'"

> O" #$%&$'()-*($).6*+3$'"

P" #$%&$'()*+,)-$.$/0$)0$-/>.*:4+)49)1*2*+.$')4+)87)*..4&+(';'<)*+,,/'.4+:+&*+.$)+4:.$'"

1The Utility will provide standard customer information without charge up to two times in a 12 month period per service account. After two requests in a year, I undertstand I may be

responsible for charges that may be incurred to process this request.

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AUTHORIZATION TO: RECEIVE CUSTOMER INFORMATION OR ACT ON A CUSTOMER'S BEHALF PG&E

SCE SDG&ESoCalGas

AUTHORIZATION TO: RECEIVE CUSTOMER INFORMATION OR ACT ON A CUSTOMER'S BEHALF

I (CUSTOMER) AUTHORIZE THE RELEASE OF MY ACCOUNT INFORMATION AND AUTHORIZE MY AGENT TO ACT ON MY BEHALF ONTHE FOLLOWING BASIS2 (initial one box only):

2If no timer period is specified, authorization will be limited to a one-time authorization

One time authorization only (limited to a one-time request for information and/or the acts and functions specified above at the time ofreceipt of this Authorization).

> One year authorization - Requests for information and/or the acts and functions specified above will be accepted and processed eachtime requested within the twelve month period from the date of execution of this Authorization.

Authorization is given for the period commencing with the date of execution until _____________________ (Limited in duration tothree years from the date of execution.) Requests for information and/or the acts and functions specified above will be accepted andprocessed each time requested within the authorization period specified herein.

RELEASE OF ACCOUNT INFORMATION:

The Utility will provide the information requested above, to the extent available, via any one of the following. My (Agent) preferred formatis (check all that apply):

Hard copy via US Mail (If applicable).

Facsimile at this telephone number: ________________________

Electronic format via electronic mail (if applicable) to this e-mail address:_______________________________________

I (Customer), Harry and CJ Fair (print name of authorized signatory), declare under penalty of perjury under the laws of theState of California that I am authorized to execute this document on behalf of the Customer of Record listed at the top of this form and that I haveauthority to financial bind the Customer of Record. I further certify that my Agent has authority to act on my behalf and request the release ofinformation for the accounts listed on this form and perform the specific acts and functions listed above. I understand the Utility reserves the right toverify any authorization request submitted before releasing information or taking any action on my behalf. I authorize the Utilty to release therequested information on my account or facilities to the above Agent who is acting on my behalf regarding the matters listed above. I hereby release,hold harmless, and indemnify the Utility from any liability, claims, demands, causes of action, damages, or expenses resulting from: 1) any release ofinformation to my Agent pursuant to this Authorization; 2) the unauthorized use of this information by my Agent; and 3) from any actions taken by myAgent pursuant to this Authorization, including rate changes. I undersatnd that I may cacnel this authorization at any time by submitting a written request. [This form must be signed by somone who has the authority to financial bind the customer (for example, CFO of a company orCity Manager of a municipality).]

> (408) 222 2222CAUTHORIZIED CUSTOMER SIGNATURE TELEPHONE NUMBER

Executed this ________________ day of __________ __________ at MONTH YEAR CITY AND STATE WHERE EXECUTED

R);G3$+(<5)6$-$17)-$2$*'$5)642,)6*-82$''5)*+,)/+,$8+/97)(6$)?:2/(7)9-48)*+7)2/*1/2/(75).2*/8'5),$8*+,'5).*&'$')49)*.:4+5),*8*3$'5)4-)$S=$+'$'-$'&2:+3)9-48)(6$)&'$)49).&'(48$-)/+94-8*:4+)41(*/+$,)=&-'&*+()(4)(6/')*&(64-/T*:4+)*+,)9-48)(6$)(*U/+3)49)*+7)*.:4+)=&-'&*+()(4)(6/')*&(64-/T*:4+5/+.2&,/+3)-*($).6*+3$'"

AGENT SIGNATURE TELEPHONE NUMBER

Yaz's Solar CompanyCOMPANY

Executed this ________________ day of __________ __________ MONTH YEAR

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