Common use of Interconnection Customer Signature Clause in Contracts

Interconnection Customer Signature. I hereby certify that, to the best of my knowledge, the information provided in this Application is true. I agree to abide by the Terms and Conditions for Interconnecting an Inverter-Based Small Generating Facility No Larger than 10kW and return the Certificate of Completion when the Small Generating Facility has been installed. Signed: Title: Date: (For ISO and Connecting Transmission Owner use only) Interconnection of the Small Generating Facility is approved contingent upon the Terms and Conditions for Interconnecting an Inverter-Based Small Generating Facility No Larger than 10kW and return of the Certificate of Completion. Connecting Transmission Owner Signature: Title: Date: Connecting Transmission Owner waives inspection/witness test Yes No ISO Signature: Title: Date: Is the Small Generating Facility owner-installed? Yes No Interconnection Customer: Contact Person: Address: Location of the Small Generating Facility (if different from above): City: State: Zip Code: Telephone:

Interconnection Customer Signature. I hereby certify that, to the best of my knowledge, the information provided in this Application is true. I agree to abide by the Terms and Conditions for Interconnecting an Inverter-Based Small Generating Facility No Larger than 10kW and return the Certificate of Completion when the Small Generating Facility has been installed. Signed: Title: Date: (For ISO and Connecting Transmission Owner use only) Interconnection of the Small Generating Facility is approved contingent upon the Terms and Conditions for Interconnecting an Inverter-Based Small Generating Facility No Larger than 10kW and return of the Certificate of Completion. Connecting Transmission Owner Signature: Title: Date: Connecting Transmission Owner waives inspection/witness test Yes No Yes___ No___ ISO Signature: Title: Date: Is the Small Generating Facility owner-installed? Yes Yes_____ No ______ Interconnection Customer: Contact Person: Address: Location of the Small Generating Facility (if different from above): City: State: Zip Code: Telephone: