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 is true and correct. For Interconnection Customer: Date: 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

Applicant Signature. I hereby certify that, to the best of my knowledge, all the information provided in this Interconnection Request is true and correct. For Interconnection CustomerMember: Date: 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 ResourcesResources These references include and incorporate by reference any updates or additions to the listed standards and these standards (or “families” of standards) shall apply to any future applications.

Applicant Signature. I hereby certify that, to the best of my knowledge, all the information provided in this Interconnection Request is true and correct. For Interconnection Customer: Date: Name: Date: County: Commission Expires: 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)70, current National Electrical Code UL 1741, Inverters, Converters, Controllers and Interconnection System Equipment for Use With Distributed Energy ResourcesResources IEEE Std 929-2000, IEEE Recommended Practice for Utilities Interface of Photovoltaic (PV) Systems

Applicant Signature. I hereby certify that, to the best of my knowledge, all the information provided in this Interconnection Request is true and correct. For Interconnection Customer: Date: Small Generator Interconnection Request 8 IEEE1547 Standard for Interconnecting Distributed Resources with Electric Power Systems (including use of IEEE 1547.1 testing protocols to establish conformity) IEEE Std 100-2000UL 1741 Inverters, IEEE Standard Dictionary of Electrical Converters, and Electronic Terms IEEE Std 519-1992, IEEE Recommended Practices and Requirements Controllers for Harmonic Control Use in Electrical Independent Power Systems IEEE Std C37.108929-1989 2000 IEEE Recommended Practice for Utility Interface of Photovoltaic (R2002PV) Systems NFPA 70 (2002), IEEE Guide for the Protection of Network Transformers National Electrical Code 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 C37.108-1989 (R2002), IEEE Guide for the Protection of Network Transformers 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 ANSI C84.1-1995 Electric Power Systems and Equipment – Voltage Ratings (60 Hertz) IEEE Std 100-2000, IEEE Standard Dictionary of Electrical and Electronic Terms NEMA MG 1-1998, Motors and Small Resources, Revision 3 IEEE Std 519-1992, IEEE Recommended Practices and Requirements for Harmonic Control in Electrical Power Systems NEMA MG 1-2003 (Rev 2004), Motors and Generators, Revision 1 NFPA 70 (2002), National Electrical Code UL 1741, Inverters, Converters, Controllers Small Generator Certification Codes and Interconnection System Equipment for Use With Distributed Energy ResourcesStandards 1

Applicant Signature. I hereby certify that, to the best of my knowledge, all the information provided in this Interconnection Request is true and correct. For Interconnection Customer: Date: IEEE1547 Standard for Interconnecting Distributed Resources with Electric Power Systems (including use of IEEE 1547.1 testing protocols to establish conformity) IEEE Std 100-2000UL 1741 Inverters, IEEE Standard Dictionary of Electrical Converters, and Electronic Terms IEEE Std 519-1992, IEEE Recommended Practices and Requirements Controllers for Harmonic Control Use in Electrical Independent Power Systems IEEE Std C37.108929-1989 2000 IEEE Recommended Practice for Utility Interface of Photovoltaic (R2002PV) Systems NFPA 70 (2002), IEEE Guide for the Protection of Network Transformers National Electrical Code 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 C37.108-1989 (R2002), IEEE Guide for the Protection of Network Transformers 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 ANSI C84.1-1995 Electric Power Systems and Equipment – Voltage Ratings (60 Hertz) IEEE Std 100-2000, IEEE Standard Dictionary of Electrical and Electronic Terms NEMA MG 1-1998, Motors and Small Resources, Revision 3 IEEE Std 519-1992, IEEE Recommended Practices and Requirements for Harmonic Control in Electrical Power Systems 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 Resources1

Applicant Signature. I hereby certify that, to the best of my knowledge, all the information provided in this Interconnection Request is true and correct. For Interconnection Customer: Date: South Carolina Public Service Authority Open Access Transmission Tariff Electric Tariff Sheet No. 38 Amended and Restated Second Replacement Volume No. 1 IEEE1547 Standard for Interconnecting Distributed Resources with Electric Power Systems (including use of IEEE 1547.1 testing protocols to establish conformity) IEEE Std 100-2000UL 1741 Inverters, IEEE Standard Dictionary of Electrical Converters, and Electronic Terms IEEE Std 519-1992, IEEE Recommended Practices and Requirements Controllers for Harmonic Control Use in Electrical Independent Power Systems IEEE Std C37.108929-1989 2000 IEEE Recommended Practice for Utility Interface of Photovoltaic (R2002PV) Systems NFPA 70 (2002), IEEE Guide for the Protection of Network Transformers National Electrical Code 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 C37.108-1989 (R2002), IEEE Guide for the Protection of Network Transformers 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 ANSI C84.1-1995 Electric Power Systems and Equipment – Voltage Ratings (60 Hertz) IEEE Std 100-2000, IEEE Standard Dictionary of Electrical and Electronic Terms NEMA MG 1-1998, Motors and Small Resources, Revision 3 IEEE Std 519-1992, IEEE Recommended Practices and Requirements for Harmonic Control in Electrical Power Systems NEMA MG 1-2003 (Rev 2004), Motors and Generators, Revision 1 NFPA 70 (2002)“June 23, National Electrical Code UL 17412014” replaces “June 25, Inverters2012” “July 1, Converters2014” replaces “July 1, Controllers and Interconnection System Equipment for Use With Distributed Energy Resources2012”

Applicant Signature. I hereby certify that, to the best of my knowledge, all the information provided in this Interconnection Request is true and correct. For Interconnection CustomerMember: _________________________________ Date: __________ 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 ResourcesResources These references include and incorporate by reference any updates or additions to the listed standards and these standards (or “families” of standards) shall apply to any future applications.

Applicant Signature. I hereby certify that, to the best of my knowledge, all the information provided in this Interconnection Request is true and correct. For Interconnection Customer: Date: Name: Date: 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)70, current National Electrical Code UL 1741, Inverters, Converters, Controllers and Interconnection System Equipment for Use With Distributed Energy ResourcesResources IEEE Std 929-2000, IEEE Recommended Practice for Utilities Interface of Photovoltaic (PV) Systems