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HomeMy WebLinkAboutContracts & Agreements_92-2005_CCv0001.pdf V SOUTHERN CALIFORNIA EDIS N' April 06, 2005 CITY OF REDLANDS PO BOX 3005 REDLADNS, CA 92373 Subject: SCE Project Number: 6731-2303 , 52078 Project Location: 168 S EUREKA ST REDLANDS, CA 92373 Thank you for the opportunity to assist you with your electrical needs. The information provided below indicates requirements needed to complete your project. Please read and follow the directions so that your project may be completed in a timely manner. o Enclosed are two copies of our invoice. Return one copy of the invoice with your payment. o An Edison Inspector must approve all underground systems . Call. (909) 307-6756 prior to construction. o Call the Edison Company at (800) 655-4555 to make application for electrical service. o Final electrical inspection from the Local Governmental Building and Safety Department must be received before we can energize your service. o ENCLOSED ARE REFUNDABLE & DISCOUNT OPTION APPENDICES . PLEASE SELECT ONE OPTION, SIGN BOTH APPENDICES & RETURN THEM ALONG WITH CONTRACT & PAYMENT Please return the documents and/or payment in the enclosed self-addressed envelope. After receipt of the required documents, your project will be scheduled for construction. If you have any questions, feel free to call me at (909) 307-6756 . Sinc rely, F S F0qRG US Customer Service Planner Enclosures 28.7 Tennessee St, Redlands,CA 92374 SOUTHERN CALIFORNIA EDI ON' An companx, April 06, 2005 SALES INVOICE NAME: CITY OF REDLANDS PROJECT LOCATION: 168 S EUREKA ST REDLANDS, CA 92373 PLEASE MAIL PAYMENT TO: SOUTHERN CALIFORNIA EDISON CO. ATTN: SARA FORGUS 287 TENNESSEE ST REDLANDS, CA 92373 PROJECT DESCRIPTION: 52078* INTERCEPT EX SERV RISER W/HH All prices are applicable for a period of 90 days from this date and are subject to change thereafter. ----------------------------------------- ------- --------------- ------CUSTOMER-INVOICE INFORMATION SCE ACCOUNTING -------- ------------------------ ------------------------ ------------- Amount To Be Paid By $ 227 . 310 ----- Cust Adv Non-Ref-ITCC/-Non-Ref Applicant To SCE 14-1 . 130 $ 130 . 00 TOTAL $ 227 . 30 ITC'-C Cust Adv//Non-Ref 253 - 930 = $ 97 . 30 -------------- PLEASE PAY THIS AMOUNT $ 227 . 30 ----------- - -- TOTA.L $ 227 . 30 RECEIVED SCE PROJECT NUMBER: APR 1 2 2005 6731-2303 , 52078 C.W.O. # C. J. 0. T411 -Name : CITY OF REDLANDS PUBLIC WORKS DEPT Prj Loc 168 S EUREKA ST REDLANDS, CA 92373 287 Tennessee St. Redlands,CA 92373 So (A F1 I RN (At V Of,N I A EDISON' 0 5 E S 1\72'C I C E : Jr OF RED-��Alql "PROJEC- oz- '-ON, 16 8 S E LTREIKA ST PEDLANDS, CA .92373 PLEASE �11AII PAYMENT TO: .Li SC)U'H7P-N 'CAT IFOR117--A E-DTS,0j,,,T 'TTh'ATT : SARZ�. FORGUS 287 TEN=SSEE ST P ED LA21\MS, CA 92373 PROjECT ESC ^�T52078* -INTERCEPT E-7- RISE-P Wl/H L11 Prices are a-P-DlJcab7e o r a r, - 0- 90 days -rom thl"' s tate ani are sub-sect +-o mange thereafter. ------- ---------- ------ - ------------- - --- ------ --- ----- - -- - --- --- ------- '7, CrTS T:)MER T JT�707CE ------------- -- - - S-E ACCO��,=JT(,- - ------ --------- - - -- --- -- - - -- -- - -------- Z ti 11 a A-1101M- To Be !-aid-Bir------------227 —30 Cusz Non-Re- 7—jr - /71on-Ref T-0 SCE --/- '130 . 00 T-OTLL $ 227 . 0 T Uust Adv/1\Ton-Reff -------------- C) PLEASE THIS 227 . -,C) - - - - -- - -22-- - --- TOTAL $ 7 . 30 SCE PROJECT -ITTUTIM-EER: 6731-23L3 , 52078 C. W. O. # I" - 0. 1,,Tame : Cff�REDL-7-1,7�DS T)1--41 L3c 168 c ETT UE 1 S T :EO?z11T:)S 92373 kedhnd�, CA ,7> CONTRACT FOR EXTENSION OF ELECTRIC DISTRIBUTION LINE RULE NO. 15 1. PARTIES This contract for Extension of Electric Distribution Line ("Contract") is issued this —6th day of April, 2005. The Parties to the Contract are: City of Redlands ("Applicant") and Southern California Edison Company("Edison"). Applicant and Edison are referred to individually as "party"and collectively as "Parties". 2. RECITALS Applicant has requested Edison, pursuant to Edison's Rule No. 15, Distribution Line Extensions, to install an electric distribution line extension ("Line Extension") to the location or locations described as follows: 168 S Eureka Redlands, Ca Mission Gables Bowl House (Hereinafter referred to as"Project") 3. AGREEMENT 3.1 Responsibilities of Applicant Construction Applicant shall, in accordance with Edison's specifications and timing requirements for the Project: • Perform route clearing, tree trimming, trenching, excavating, and backfilling and compacting; • Furnish imported backfill material and dispose of trench spoil as required; 0 Furnish, install and transfer ownership to Edison any substructures, conduit, and protective structures required other than the conduit portion of cable-in-conduit; Obtain any necessary construction permits for all work performed by Applicant under this Contract. If Applicant elects to have Edison perform any part of this work, Applicant shall pay to Edison, as specified herein and before the start of construction, Edison's estimated-installed cost thereof. Rights of Way Applicant hereby grants to Edison the rights of way and easements for the Line extension over the shortest, most practical, available, and acceptable route within Applicant's property for the purpose of making delivery of electric service hereunder. Such easement shall include the right of access and right to trim trees as necessary. Where formal rights of way, easements, land leases, or permits are required by Edison for installationOf facilities on or over Applicant's property, or the property of others, Applicant understand s and agrees that Edison shall not be obligated to install the Line extension for the Project unless and until any necessary permanent rights of way, easements, land leases, and permits, satisfactory to Edison, are granted to or obtained for Edison without cost to or condemnation by Edison. 1 Advances Applicant shall contribute or advance, before the start of construction, the refundable and non- refundable amounts as set forth in Appendix A to this Contract. This includes the costs for substructures and conduits, which Edison had previously installed at its expense in anticipation of the current Line Extension. Any necessary riser conduit, conduit covering, and miscellaneous riser material required for the Line Extension shall be furnished or paid for by Applicant and shall be installed by Edison. All contributions and advances by Applicant are taxable and shall include an Income Tax Component of Contribution (ITCC)at the rate provided in Edison's Preliminary Statement. ITCC will be either refundable or non-refundable depending on whether the corresponding contribution or advance is refundable or non-refundable. Joint Applicants, The total contribution or advance from joint Applicants will be apportioned by Edison among the members of the group in such manner as Applicants mutually agree. 3.2 Responsibilities of Edison Construction Edison shall install, own, operate, and maintain the Line Extension to serve the Project. Edison will install only those facilities that, in Edison's judgment, will be used within a reasonable time to serve permanent loads. Refunds Edison shall make refunds to Applicant in accordance with the provisions of Rule No. 15. 3.3 Ownership of Facilities Title to and ownership of the Line Extension shall vest in Edison. Applicant does hereby agree that upon completion and acceptance by Edison of any Applicant-installed facilities, title to each and every component part thereof shall immediately pass to Edison free and clear of all liens and encumbrances. 3.4 Service Facilities Service extensions shall be installed pursuant to Edison's Rule No. 16, Service Extensions. 3.5 Street Lighting Facilities Street lighting and Line Extensions within the Project solely for service to street lighting equipment shall be installed in accordance with the appropriate street light tariff schedule. Street light revenues are not applicable toward allowances or refunds for Line Extensions. Electroliers shall be located at points determined by the governmental agency having jurisdiction over streets to be dedicated to that agency or by Applicant for privately owned and maintained streets open to and used by the general public. 3.6 Non-Refundable Discount Option In lieu of contributing the total refundable amount, Applicant has the option of contributing, on a non-refundable basis, a percentage of such refundable amount as set forth in Appendix A to this Contract. Applicant has or has not chosen this option as indicated by signature on Appendix A. 3.7 Refunds The total refundable amount shall be subject to refund„ without interest, in accordance with the provisions of Rule No. 15, which include the following: Residential. Refunds will be made on the basis of any new customer permanent load connected to 2 the Line Extension, which produces additional revenues to Edison. The refund will be deducted from the total refundable amount, and the remaining amount subject to refund will represent that portion of the Line Extension cost not supported by revenues. Non-Residential. Refunds will be made on the basis of Applicant or any new customer permanent load connected to the Line Extension, which produces additional revenues to Edison. Edison shall be responsible to review Applicant's actual net revenue for the first three years from the date Edison is first read to serve. Applicant shall be responsible for notifying Edison new, permanent load is added the fourth through tenth year from the date Edison is ifYi if pe e Jes refunds to Applicant. if first read to serve. Such review shall determine if additional net revenue just Unsupported Extension Cost. When any portion of a refundable amount has not qualified for a refund at the end of twelve(12)months from the date Edison is first ready to serve,Applicant will pay to Edison an ownership charge on the remaining refundable balance. The difference between the total refundable advance and any refunds made or eligible to be made to Applicant shall serve as the basis of a monthly ownership charge("base"). Monthly ownership charges are calculated by multiplying the base times the Customer-financed added fac4lities percentage in Rule No. 2. Monthly ownership charges are distinct from the refundable amount and will normally be accumulated and deducted from refunds due to Applicant. This provision does not apply to individual residential Applicants. The monthly ownership charges herein shall automatically increase or decrease if the California Public Utilities Commission should subsequently authorize a higher or lower percentage r monthly ownership charges, effective on the date of such authorization. ate for the Refund Period. The total refundable amount is subject to refund for a subj period of ten 0)years after the Line Extension is first ready to serve. Any unref year period shall become property of Edison. unded amount remaining at the end of the ten- 3.8 Payment Adjustments Contract Compliance. If, after six(6)months following the date Utility is first serve residential loads for which allowances were granted, one(1)year for I fi read to ry Applicant fails to take service, or fails to use the service contracted for,Applicant shall pay to non-residential loads, Edison an additional contribution, based on the allowances for the loads actually installed. Excess Facilities. If the load information provided by Applicant results in Edison's having installed facilities which are in excess of those needed to serve the actual loads, and Edison elects to reduce such excess facilities,Applicant shall pay to Edison its estimated total costs to remove, abandon, or replace the excess facilities, less the estimated salvage of any removed facilities. 3.9 Reimbursement to Applicant Where mutually agreed upon by Edison and Applicant, Applicant, may perform Edison's work or install facilities normally installed by Edison. Such work shall be in accordance with Edison's specifications and timing requirements. Edison shall reimburse Applicant Edison's estimated installed cost of such facilities and work by applying a credit toward Applicant's advance. Any amount not so credited shall be reimbursed to Applicant upon acceptance of the work and facilities by Edison. 3.10 Delays in Construction Force Majeure. Edison shall not be responsible for any delay in the installation or completion of the facilities by Edison resulting from the late performance of Applicant's responsibilities under this Contract, shortage of labor or material, strike, labor disturbance, war, riot, weather conditions, governmental rule, regulation or order, including orders or judgments of any court or commission, delay in obtaining necessary land rights, act of God, or any other use or condition beyond the control of Edison. ca Go 3 Resources. Edison shall have the right, in the event it is unable to obtain sufficient supplies, materials, or labor for all of its construction requirements, to allocate materials and labor to construction projects, which it deems, in its sole discretion, most important to serve the needs of its customers. Any delay in construction hereunder resulting from such allocation shall be deemed to be cause beyond Edison's control. Contract Revision. If Applicant does not commence installation of any facilities which are Applicant's responsibility or Edison is prevented from commencing the installation of the facilities for causes beyond its reasonable control within one year form the effective date of the Contract, Edison may, in its discretion, revise its cost estimate and recalculate the refundable and/or non-refundable amounts set forth herein. Edison will notify Applicant of such increased costs and give the option to either terminate this Contract or pay Edison the additional charges. 3.11 Contract Termination If at any time during the term of this Contract, Edison is not the sole supplier of electrical requirements for the Project, this Contract may be terminated. Upon termination of the Contract, Applicant agrees to forfeit that portion of the advance paid to Edison for its expenses covering any engineering, surveying, right of way acquisition and other associated work incurred by Edison. If such expenses are greater or less than the refundable and/or non-refundable advance,Applicant shall pay to Edison, or Edison shall refund the balance to Applicant, without interest, as the case may be. 3.12 Indemnification Applicant shall, at its own cost, defend, indemnify, and hold harmless Edison, its officers, agents, employees, assigns, and successors in interest from and against any and all liability, damages, losses, claims, demands, actions, causes of action, costs including attorney's fees and expenses, or any of them, resulting from the death or injury to any person or damages to any property caused by Applicant or its contractor and employees, officers or agents of either Applicant or its contractor, or any of them, and arising out of the performance or nonperformance of their obligations under this Contract. 3.13 Assignment of Contract Applicant may assign this Contract, in whole or in part, only if Edison consents in writing and the party to whom the Contract is assigned agrees in writing, to perform the obligations of Applicant hereunder,Assignment of the Contract shall not release Applicant from any of the obligations under this Contract unless otherwise provided therein. 3.14 Joint and Several Liability Where two or more individuals or entities are joint Applicants under this Contract, all Applicants shall be jointly and severally liable to comply with all terms and conditions herein. 3.15 Warranty Applicant warrants that all work and/or equipment furnished or installed by Applicant or its contractor shall be free of defects in workmanship and material. The warranty period shall begin from the date of final acceptance by Edison and extend for one(1)year. Should the work develop defects during that period, Edison, at its election, shall either(a)repair or replace the defective work and/or equipment, or{b}demand that Applicant repair or replace the defective work and/or equipment and, in either event, Applicant shall be liable for all costs associated with such repair and/or replacement. Applicant upon demand by Edison, shall promptly correct, to Edison's satisfaction and that of any governmental agency having jurisdiction, any breach of any warranty. 3.16 Contract Effective Date 4 i This Contract shall not be effective unless it is (1)executed and delivered by Applicant to Edison together with payment required hereunder within ninety (QO)days ofthe date inParagraph 1ofthis Contract and (2) accepted bvEdison. This Contract shall then boeffective onthe date executed by EdiannondnhaUtakeefhacdxvithoutfu�herncdicetoApp|icmnL ' 3'17 Commission Jurisdiction This Contract is subject tothe applicable provisions ofEdison'atariffs, including Rule No. 15, filed and authorized bythe California Public Utilities Commission. This Contract shall, atall times, bmsubject bmsuch changes modifications by the pub//cUh/it/es Commission ofthe State ofCalifornia, as said Commission may, hmn ntimnetome. diractinthe exercise of its jurisdiction. 3'18 Completion Date �� ��Theuompletiondate requested byApplicant ie ' 4. SIGNATURE CLAUSE The signatories hereto represent that they have been opprophatehauthohoadtoenter into this (�ontnaoton beha�ofthe padyfor whom they sign. - CORPORATION, PARTNERSHIP, OR DBA: City of Redlands NAME OFAUTH{}� Susan_ Peppler, TITLE: MAILING ADDRESS: P. 0. Box 3005, Redlands, CA 92373 TELEPHONE: 989-798-7533 ADDITIONAL SIGNATURES FOR JOINT APPLICANTS NAME QFAUTHORIZED INDIVIDUAL: SIGNATURE: TITLE: MAILING ADDRESS: TELEPHONE: NAME C)FAUTHORIZED INDIVIDUAL: SIGNATURE: TITLE: MAILING ADDRESS: TELEPHONE: APPORTIONMENT OF ADVANCE AMONG JOINT APPLICANTS SOUTHERN CALIFORNIA EDISON COMPANY NAME OF AUTHORIZED INDIVIDUAL: Sara Forgus SIGNATURE: TITLE:Service Planner DATE EXECUTED: DATE EDISON FIRST READY TO SERVE: WORK ORDER NO. 6731-2303 5-2078 ASSOCIATED WORK ORDER NOS, Form No. 16-330 6950424.03 11/2001 6 SOUTHERN CALIFORNIA EDISON("SCE") DISTRIBUTION LINE AND/OR SERVICE EXTENSION APPLICANT'S INSTALLATION OPTION AND STATEMENT OF APPLICANT'S CONTRACT ANTICIPATED COSTS Applicant City of Redlands Work Order Number: 6731-2303 52078 Project Specific Location: 168 S Eureka,Redlands Ca 1. INSTALLATION OPTIONS Applicant understands that in accordance with SCE's Rule 15 and/or Rule 16, Applicant can elect to have either SCE install the Distribution Line and/or Service Extension or a Qualified Contractor/Subcontractor install the Distribution Line and/or Service Extension. 2. SCE'S ESTIMATED REFUNDABLE COST INFORMATION SCE's estimated refundable costs are based on the work that SCE would normally perform that can be performed by a Qualified Contractor/Subcontractor under the provisions of the Applicant Installation Option, Rule 15, Section G, and in accordance with SCE's Terms and Conditions Agreement for Installation of Distribution Line Extension by Applicant (Form 14-188). SCE's estimated refundable costs:* $1,714.00 If applicable, other estimated cost information may be provided below. This could include the credit amount for Rule 16, street light,or other associated installation work. SCE Rule 16 credit amount:* $ SCE street light credit amount:* $ SCE associated work credit amount:* $ 3. APPLICANT SELECTION Applicant understands the installation options under Section 1 above, and hereby elects the following Installation Option by initialing the appropriate selection below: Installation by SCE Installation by Qualified Contractor/Subcontractor Under installation by Qualified Contractor/Subcontractor, Applicant shall secure project specific bid information from Qualified Contractors/Subcontractors for the installation of the Distribution Line and/or Service extension. Applicant shall contribute or advance before the start of construction any refundable or non-refundable amounts as specified in Rules 15 and 16. *Please refer to the specific contract,Appendix A,for detailed financial information. Form 14-754, New 7/04 4. APPLICANT'S CONTRACT ANTICIPATED COST INFORMATION (to be completed only if installation is performed by a Qualified Contractor/Subcontractor as selected in Section 3 above) t Applicant and/or Applicant's Qualified Contractor/Subcontractor understands that for the portion of the Electrical Distribution and/or Service Extension that SCE would normally install, in accordance with SCE's Rule's 15 and/or 16 and the Terms and Conditions Agreement for Installation of Distribution Line Extension by Applicant, the Applicant, prior to performing any work associated I with the installation of these electrical facilities, and for the purpose of utility billing and accounting, shall elect one of the following options, and return this form to SCE prior to SCE proceeding with any further work on the Applicant's project. Option 1 Applicant elects to provide SCE with the Applicant's Contract Anticipated Costs, which. are subject to refund, that are associated with that portion of the new Distribution Line and/or Service Extension normally installed by SCE, and understands that the lower of SCE's estimated refundable cost or the Applicant's Contract Anticipated Costs, which are subject to refund, as submitted below, shall apply to any applicable SCE refunds and allowances provided in accordance with Rules 15 and 16,' or Option 2 Applicant elects not to provide SCE with the Applicant's Contract Anticipated Costs, which are subject to refund. The Applicant understands that by selecting this option, the Applicant is directing SCE to use SCE's estimated refundable cost for all billing and accounting. Applicant understands the Applicant Cost Information, as described above, and hereby elects the following by initialing the appropriate selection below: Option 1 -Applicant's Contract Anticipated Costs $ Option 2 - SCE's Estimated Refundable Costs 5. ITCC SCE shall value all trenching, conduit, backfill, street repair, substructures, and encasement, based on SCE's estimate of such items, for the purposes of collecting the applicable governmental taxes (ITCC) on contributions to SCE. 6. UTILITY RESPONSIBILITIES Upon receipt of this completed and signed form, SCE shall begin the process of producing the applicable contracts and forms based on the selections made by the Applicant. 7. SIGNATURE I declare under penalty of neriury that t oing is true and correct. Applicant's signature: ; Attest Susan Peppler V Beatrice Sanchez Applicant's printed name: , Mayor Deputy City Clerk Date: May 17, 2005 Excludes the estimated costs of work the Applicant cannot perform,such as, work on or in proximity to,energized equipment. Form 14-754, New 7/04 } s 04/06/05 APPENDIX A — DISCOUNT OPTION NON—RESIDENTIAL ELECTRIC LINE EXTENSION AGREEMENT LOC. 6731 W.O. 2303 A. I. 52078 JOB # 000407070 1 . SCE RULE 16 COST TO SERVE (A) SCE RULE 16 COST TO SERVE (B) LESS APPLICANT ALLOWANCES $2' 816 . 00 (C) EXCESS RULE 16 COST TO (LINE 5 . (A) ) $22' 093 . 00 (D) EXCESS ALLOWANCES TO (LINE 2 . ) $ • 00 $19, 277 . 00 SCE COST TO SERVE RULE 15 2 . APPLICANT ALLOWANCES (FROM LINE 1 . (D) ) $19, 277 . 00 3 . REFUNDABLE: (A) SCE RULE 15 COST TO SERVE 714 (B) PLUS ESTIMATED VALUE OF STRUCTURES $1, $90 . 00 (C) SUBTOTAL(LINE 3 . (A) + 3 . (B) ) $90 • 00 (D) LESS ALLOWANCE (LINE 2) $1, 804 . 00 (E) REFUNDABLE AMOUNT (LINE 3 . (C) — 3 , (D) ) $19, 277 . 00 (F) PLUS REFUNDABLE ITCC* ON LINE 3 . (E) $ . 00 (G) TOTAL AMOUNT (LINE 3 . (E) + 3 . (F) ) $ ' Q0 $ . 00 Ale 4 . PAYMENT OPTION SELECTED: DISCOUNT HAS CHOSEN: SIGN �. (A) NON—REFUNDABLE DISCOUNT OPTION: 500 1) 50% OF LINE G. 2) VALUE OF STRUCTURES : $ 00 3} NON—REFUNDABLE PAYMENT: $90 . 00 4) AMOUNT DUE APPLICANT: $ . 00 $90 . QQ 5 . OTHER NON—REFUNDABLE ADVANCES & CREDITS (A) OTHER NON—REFUNDABLE CHARGES $220 . 00 (RULE 16, FLAT RATE, INSPECTION, R/W, ETC. ) (B) ITCC* ON OTHER NON—REFUNDABLE $77 . 00 (C) ITCC* ON APPLICANT FURNISHED FACILITIES . $20 . 30 (D) INSTALLED COST OF SUBSTRUCTURE BY SCE $ . 00 (E) LESS APPLICANT DESIGN OR REIMBURSABLE CREDITS $ . 00 (F) TOTAL NON—REFUNDABLE (LINE 5 . (A) THRU 5 . (D) — 5 . (E) } (G) TOTAL CREDITS (LINE 5 . (E) — 5 . (A) THRU 5 . (D) ) $317. 30 $ . 00 6 . AMOUNT TO BE PAID BY APPLICANT TO SCE 7 . AMOUNT TO BE REFUNDED TO APPLICANT UPON FULFILLMENT OF ALL $227 . 30 CONTRACTUAL OBLIGATIONS $ . 00 HAS NOT CHOSEN: SIGN * INCOME TAX COMPONENT OF CONTRIBUTION r 04/06/05 APPENDIX A - REFUNDABLE' OP b9` NON-RESIDENTIAL ELECTRIC LINE EXTENSION AGREEMENT LOC. 6731 W.O. 2303 A.I. 52078 JOB # 000407070 1. SCE RULE 16 COST TO SERVE (A) SCE RULE 16 COST TO SERVE (B) LESS APPLICANT ALLOWANCES $2, 816 . 00 (C) EXCESS RULE 16 COST TO (LINE S . (A) ) $22, 093 . 00 (D) EXCESS ALLOWANCES TO (LINE 2 . ) $ . 00 $19, 277. 00 SCE COST TO SERVE RULE 15 2. APPLICANT ALLOWANCES (FROM LINE 1. (D) } $19, 277. 00 3 . REFUNDABLE: (A) SCE RULE 15 COST TO SERVE (B) PLUS ESTIMATED VALUE OF STRUCTURES $1. 714 . 00 (C) SUBTOTAL(LINE 3 . (A) + 3 . (B) ) $90 . 00 (D) LESS ALLOWANCE (LINE 2) $1, 804 . 00 (E)' REFUNDABLE AMOUNT (LINE 3 . (C) - 3 . (D) ) $19, 277 . 04 (F) PLUS REFUNDABLE ITCC* ON LINE 3 . (E) $ . 00 (G) TOTAL AMOUNT (LINE 3 . (E) + 3 . (F) ) $ . 00 $ . 00 4 . PAYMENT OPTION SELECTED: REFUNDABLE HAS CHOSEN: SIGN (A) REFUNDABLE OPTION: LINE 3 . (G) 1) VALUE OF STRUCTURES: $ . 00 2) REFUNDABLE PAYMENT: $90. 00 3) AMOUNT SUBJECT TO REFUND/CREDIT $ 00 $90 . 00 5. ` OTHER NON-REFUNDABLE ADVANCES & CREDITS (A) OTHER NON-REFUNDABLE CHARGES $220 . 00 (RULE 16, FLAT RATE, INSPECTION, R/W, ETC. ) (B) ITCC* ON OTHER NON-REFUNDABLE $77 . 00 (C) ITCC* ON APPLICANT FURNISHED FACILITIES. $20 . 30 (D) INSTALLED COST OF SUBSTRUCTURE BY SCE $ . 00 (E) LESS APPLICANT DESIGN OR REIMBURSABLE CREDITS $ . 00 (F) TOTAL NON-REFUNDABLE (LINE 5 . (A) THRU 5 . (D) - 5 . (E) } (G) TOTAL CREDITS (LINE 5. (E) - 5 . (A) THRU 5 . (D) ) $317. 30 $ . 00 6. AMOUNT TO BE PAID BY APPLICANT TO SCE 7. AMOUNT TO BE REFUNDED TO APPLICANT UPON FULFILLMENT OF ALL $227.30 CONTRACTUAL OBLIGATIONS $ . 00 HAS; NOT; CHOSEN: SIG * INCOME TAX COMPONENT OF CONTRIBUTIONZ NOR tc tt Jo- -ij 1i i k, 111 L-j