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 Application Form is true and correct. For Interconnection Customer: Signature (Authorized Agent of the Legal Entity) Date: Print Name I, [Authorized Signatory Name], [Title] of [Developer Name], under penalty of perjury, hereby certify that, [Developer Name] or its affiliate has executed a written contract with the landowner(s) noted below, concerning the property described below. I further certify that our written contract with the landowner(s) specifies the agreed rental rate or purchase price for the property, as applicable, and allows [Developer Name] or its affiliates to construct and operate a renewable energy power generation facility on the property described below. This verification is provided to [Utility Name] in support of our application for an Interconnection Agreement. Landowner Name(s): Land Owner Contact information (Phone or e-mail): Parcel or PIN Number: County: Site Address: Number of Acres under Contract (state range, if applicable): Date Contract was executed Term of Contract [Authorized Signatory Name] [Authorized Signatory Name], being first duly sworn, says that [he/she] has read the foregoing verification, and knows the contents thereof to be true to [his/her] actual knowledge. Sworn and subscribed to before me this day of , 201_. [signature] [Authorized Signatory Name] [Title], [Developer Name] 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 Resources

Applicant Signature. I hereby certify that, to the best of my knowledge, all the information provided in this Interconnection Request Application Form is true and correct. For Interconnection Customer: Signature (Authorized Agent of the Legal Entity) Date: Print Name I, [Authorized Signatory Name], [Title] of [Developer Name], under penalty of perjury, hereby certify that, [Developer Name] or its affiliate has executed a written contract with the landowner(s) noted below, concerning the property described below. I further certify that our written contract with the landowner(s) specifies the agreed rental rate or purchase price for the property, as applicable, and allows [Developer Name] or its affiliates to construct and operate a renewable energy power generation facility on the property described below. This verification is provided to [Utility Name] in support of our application for an Interconnection Agreement. Landowner Name(s): Land Owner Contact information (Phone or e-mail): Parcel or PIN Number: County: Site Address: Number of Acres under Contract (state range, if applicable): Date Contract was executed Term of Contract [Authorized Signatory Name] [Authorized Signatory Name], being first duly sworn, says that [he/she] has read the foregoing verification, and knows the contents thereof to be true to [his/her] actual knowledge. Sworn and subscribed to before me this day of , 201_. [signature] [Authorized Signatory Name] [Title], [Developer Name] 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 Resources

Applicant Signature. I hereby certify that, to the best of my knowledge, all the information provided in this Interconnection Request Application Form is true and correct. For Interconnection Customer: Signature (Authorized Agent of the Legal Entity) Date: Print Name I, [Authorized Signatory Name], [Title] of [Developer Name], under penalty of perjury, hereby certify that, [Developer Name] or its affiliate has executed a written contract with the landowner(s) noted below, concerning the property described below. I further certify that our written contract with the landowner(s) specifies the agreed rental rate or purchase price for the property, as applicable, and allows [Developer Name] or its affiliates to construct and operate a renewable energy power generation facility on the property described below. This verification is provided to [Utility Name] in support of our application for an Interconnection Agreement. Landowner Name(s): Land Owner Contact information (Phone or e-mail): Parcel or PIN Number: County: Site Address: Number of Acres under Contract (state range, if applicable): Date Contract was executed Term of Contract [Authorized Signatory Name] [Authorized Signatory Name], being first duly sworn, says that [he/she] has read the foregoing verification, and knows the contents thereof to be true to [his/her] actual knowledge. Sworn and subscribed to before me this day of , 201_. [signature] [Authorized Signatory Name] [Title], [Developer Name] 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 SC Certification Codes and Standards

Applicant Signature. I hereby certify that, to the best of my knowledge, all the information provided in this Interconnection Request Application Form is true and correct. For Interconnection Customer: Signature (Authorized Agent of the Legal Entity) Date: Print Name I, [Authorized Signatory Name], [Title] of [Developer Name], under penalty of perjury, hereby certify that, [Developer Name] or its affiliate has executed a written contract with the landowner(s) noted below, concerning the property described below. I further certify that our written contract with the landowner(s) specifies the agreed rental rate or purchase price for the property, as applicable, and allows [Developer Name] or its affiliates to construct and operate a renewable energy power generation facility on the property described below. This verification is provided to [Utility Name] in support of our application for an Interconnection Agreement. Landowner Name(s): Land Owner Contact information (Phone or e-mail): Parcel or PIN Number: ELECTRONICALLY FILED - 2019 April 22 5:05 PM - SCPSC - Docket # 2019-130-E - Page 54 of 115 County: Site Address: Number of Acres under Contract (state range, if applicable): Date Contract was executed Term of Contract [Authorized Signatory Name] [Authorized Signatory Name], being first duly sworn, says that [he/she] has read the foregoing verification, and knows the contents thereof to be true to [his/her] actual knowledge. Sworn and subscribed to before me this day of , 201_. [signature] [Authorized Signatory Name] [Title], [Developer Name] ELECTRONICALLY FILED - 2019 April 22 5:05 PM - SCPSC - Docket # 2019-130-E - Page 55 of 115 ELECTRONICALLY FILED - 2019 April 22 5:05 PM - SCPSC - Docket # 2019-130-E - Page 56 of 115 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 ELECTRONICALLY FILED - 2019 April 22 5:05 PM - SCPSC - Docket # 2019-130-E - Page 57 of 115

Applicant Signature. I hereby certify that, to the best of my knowledge, all the information provided in this Interconnection Request Application Form is true and correct. For Interconnection Customer: Signature (Authorized Agent of the Legal Entity) Date: Print Name I, [Authorized Signatory Name], [Title] of [Developer Name], under penalty of perjury, hereby certify that, [Developer Name] or its affiliate has executed a written contract with the landowner(s) noted below, concerning the property described below. I further certify that our written contract with the landowner(s) specifies the agreed rental rate or purchase price for the property, as applicable, and allows [Developer Name] or its affiliates to construct and operate a renewable energy power generation facility on the property described below. This verification is provided to [Utility Name] the South Carolina Public Service Authority in support of our application for an Interconnection Agreement. Landowner Name(s): Land Owner Contact information (Phone or e-maile‐mail): Parcel or PIN Number: County: Site Address: Number of Acres under Contract (state range, if applicable): Date Contract was executed Term of Contract [Authorized Signatory Name] [Authorized Signatory Name], being first duly sworn, says that [he/she] has read the foregoing verification, and knows the contents thereof to be true to [his/her] actual knowledge. Sworn and subscribed to before me this day of , 201_. [signature] [Authorized Signatory Name] [Title], [Developer Name] 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 Resources

Applicant Signature. I hereby certify that, to the best of my knowledge, all the information provided in this Interconnection Request Application Form is true and correct. For Interconnection Customer: Signature (Authorized Agent of the Legal Entity) Date: Print Name ELECTRONICALLY FILED - 2020 November 17 4:39 PM - SCPSC - Docket # 2019-326-E - Page 60 of 196 DEC/DEP Application - Attachment 1 Docket No. 2019-326-E I, [Authorized Signatory Name], [Title] of [Developer Name], under penalty of perjury, hereby certify that, [Developer Name] or its affiliate has executed a written contract with the landowner(s) noted below, concerning the property described below. I further certify that our written contract with the landowner(s) specifies the agreed rental rate or purchase price for the property, as applicable, and allows [Developer Name] or its affiliates to construct and operate a renewable energy power generation facility on the property described below. This verification is provided to [Utility Name] in support of our application for an Interconnection Agreement. Landowner Name(s): Land Owner Contact information (Phone or e-mail): Parcel or PIN Number: County: Site Address: Number of Acres under Contract (state range, if applicable): Date Contract was executed ELECTRONICALLY FILED - 2020 November 17 4:39 PM - SCPSC - Docket # 2019-326-E - Page 61 of 196 DEC/DEP Application - Attachment 1 Docket No. 2019-326-E Term of Contract [Authorized Signatory Name] [Authorized Signatory Name], being first duly sworn, says that [he/she] has read the foregoing verification, and knows the contents thereof to be true to [his/her] actual knowledge. Sworn and subscribed to before me this day of , 201_. [signature] [Authorized Signatory Name] [Title], [Developer Name] ELECTRONICALLY FILED - 2020 November 17 4:39 PM - SCPSC - Docket # 2019-326-E - Page 62 of 196 DEC/DEP Application - Attachment 1 Docket No. 2019-326-E 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 SC Certification Codes and Standards ELECTRONICALLY FILED - 2020 November 17 4:39 PM - SCPSC - Docket # 2019-326-E - Page 63 of 196 DEC/DEP Application - Attachment 1 Docket No. 2019-326-E