Common use of INSURANCE DISCLOSURE Clause in Contracts

INSURANCE DISCLOSURE. The attached terms and conditions contain provisions related to liability and indemnification, and should be carefully considered by the interconnection customer. The interconnection customer is not required to obtain general liability insurance coverage as a precondition for interconnection approval; however, the interconnection customer is advised to consider obtaining appropriate insurance coverage to cover the interconnection customer’s potential liability under this agreement. I hereby certify that: 1) I have read and understand the terms and conditions which are attached hereto by reference and are a part of this Agreement; 2) I hereby agree to comply with the attached terms and conditions; and 3) to the best of my knowledge, all of the information provided in this application request form is complete and true. I consent to permit the PSC and interconnecting utility to exchange information regarding the generating system to which this application applies. Interconnection Customer Signature: __________________________________ Title: Date:____________________ …………………………………………………………………………………………………… Receipt of the application fee is acknowledged and, by its signature below, the EDC has determined the interconnection request is complete. Interconnection of the small generator facility is conditionally approved contingent upon the attached terms and conditions of this Agreement the return of the attached Certificate of Completion duly executed, verification of electrical inspection and successful witness test or EDC waiver thereof. EDC Signature: ____________ Date: Printed Name:___________________________Title:___________________________ Construction of the Small Generator Facility. The Interconnection Customer may proceed to construct (including operational testing not to exceed 2 hours) the Small Generator Facility once the Conditional Agreement to Interconnect a Small Generator Facility on the preceding page has been signed by the EDC.

INSURANCE DISCLOSURE. The attached terms and conditions contain provisions related to liability liability, and indemnification, indemnification and should be carefully considered by the interconnection customer. The interconnection customer is not required to obtain general liability insurance coverage as a precondition for interconnection approval; however, the interconnection customer is advised to consider obtaining appropriate insurance coverage to cover the interconnection customerInterconnection Customer’s potential liability under this agreement. I hereby certify that: 1) I have read and understand the terms and conditions which are attached hereto by reference and are made a part of this Agreementapplication/agreement; 2) I hereby agree to comply with the attached terms and conditions; and 332) to the best of my knowledge, all of the information provided in this application request form is complete and true. true and I consent agree to permit abide by the PSC attached terms and interconnecting utility to exchange information regarding the generating system to which this application appliesconditions. Interconnection Customer Signature: __________________________________ Title: Date:____________________ An application fee of $??? is required before the application can be processed. Please verify that the fee is included with the application: Application fee included …………………………………………………………………………………………………… Receipt of the application fee is acknowledged and, by its signature below, the EDC has determined the interconnection request is complete. Interconnection of the small generator facility is conditionally approved contingent upon the attached terms and conditions of this Agreement application/agreement, the return of the attached certificate Certificate of completion Completion duly executed, verification of electrical inspection and successful witness test or EDC waiver thereof. EDC Signature: ____________ Date: Printed Name:___________________________Title:___________________________ Construction of the Small Generator Facility. The Interconnection Customer may proceed to construct (including operational testing not to exceed 2 hours) the Small Generator Facility once the conditional Conditional Agreement approval Approval to Interconnect interconnect a Small Generator Facility on the preceding page has been signed provided by the EDC.