Interconnection Service Request

INTERCONNECTION SERVICE REQUEST

This Interconnection Service Request (the "Request") is submitted by Requesting Party Name: to Service Provider Name: on Submission Date:

WHEREAS

WHEREAS, Requesting Party Name: operates or will install an electric generation or storage facility (the "Facility") and requests interconnection services to enable operation in parallel with Service Provider's distribution system;

WHEREAS, Service Provider Name: has responsibility for authorizing and providing interconnection services subject to technical, safety and operational requirements; and

WHEREAS, the parties desire to set forth the requested scope, technical information, fees, terms and conditions for study, approval, installation, testing and operation of the Facility as more fully set forth in this Request.

PARTIES AND CONTACTS

PROJECT LOCATION / POINT OF INTERCONNECTION

SYSTEM DATA AND TECHNICAL INFORMATION

REQUESTED INTERCONNECTION SERVICE & SCHEDULE

Requested In-Service Date: Estimated Commissioning Window:

ATTACHMENTS (Required with Submission)

FEES & PAYMENT TERMS

Total Estimated Interconnection Fee: $

Late Payment Fee:    Invoices shall be payable within days of invoice receipt.

Invoicing Address:

TERM AND TERMINATION

Term Commencement Date:    Term Expiration Date:

Either party may terminate this Request and any related interim agreement for cause if the other party materially breaches obligations and fails to cure within the notice period above. Service Provider may suspend interconnection work for failure to timely pay fees or to provide required documentation, without prejudice to its other remedies.

CONFIDENTIALITY

The parties acknowledge that information exchanged in connection with this Request, including system design, protection settings, and commercial terms, may constitute Confidential Information. Each party shall (i) hold such information in confidence using at least the same degree of care it uses to protect its own confidential information, (ii) not disclose it to third parties except to advisors or contractors with a need to know and who are bound by confidentiality obligations, and (iii) use such information only for evaluation and implementation of the interconnection contemplated herein. Confidentiality obligations shall survive termination for a period of three (3) years.

GOVERNING LAW

This Request and any agreements or approvals arising from it shall be governed by and construed in accordance with the laws of the state or jurisdiction where the Point of Interconnection is located. Governing Jurisdiction:

ENTIRE AGREEMENT

This Request, together with any mutually executed interconnection agreement, exhibits, and accepted study reports, constitutes the entire agreement between the parties with respect to the subject matter herein and supersedes all prior understandings, whether written or oral. No amendment shall be effective unless in writing and signed by authorized representatives of both parties.

CERTIFICATIONS AND ACKNOWLEDGEMENTS

Sign Now