Common use of Interconnection Facilities Information Clause in Contracts

Interconnection Facilities Information. Will a transformer be used between the generator and the point of common coupling? Yes No Will the transformer be provided by the Interconnection Customer? Yes No Transformer Data (if applicable, for Interconnection Customer-owned transformer): Is the transformer: Single phase Three phase Size: kVA Transformer Impedance: % on kVA Base If Three Phase: Transformer Primary: Volts Delta Wye Wye Grounded Transformer Secondary: Volts Delta Wye Wye Grounded Transformer Tertiary: Volts Delta Wye Wye Grounded Transformer Fuse Data (if applicable, for Interconnection Customer-owned fuse): (Attach copy of fuse manufacturer’s Minimum Melt and Total Clearing Time-Current Curves) Manufacturer: Type: Size: Speed: Interconnecting Circuit Breaker (if applicable): Manufacturer: Type: Load Rating (Amps): Interrupting Rating (Amps): Trip Speed (Cycles): Interconnection Protective Relays (if applicable): If Microprocessor-Controlled: List of Functions and Adjustable Setpoints for the protective equipment or software: Setpoint Function Minimum Maximum

Interconnection Facilities Information. Will a transformer be used between the generator and the point of common coupling? Yes No Will the transformer be provided by the Interconnection Customer? Yes No Transformer Data (if applicableIf Applicable, for Interconnection Customer-owned transformerOwned Transformer): Is the transformer: Single single phase Three phase three phase? Size: kVA Transformer Impedance: % on kVA Base If Three Phase: Transformer Primary: Volts Delta Wye Wye Grounded Transformer Secondary: Volts Delta Wye Wye Grounded Transformer Tertiary: Volts Delta Wye Wye Grounded Transformer Fuse Data (if applicableIf Applicable, for Interconnection Customer-owned fuseOwned Fuse): (Attach copy of fuse manufacturer’s 's Minimum Melt and Total Clearing Time-Current Curves) Manufacturer: Type: Size: Speed: Interconnecting Circuit Breaker (if applicable): Manufacturer: Type: Load Rating (Amps): Interrupting Rating (Amps): Trip Speed (Cycles): Interconnection Protective Relays (if applicableIf Applicable): If Microprocessor-Controlled: List of Functions and Adjustable Setpoints for the protective equipment or software: Setpoint Function Minimum MaximumMaximum 1.

Interconnection Facilities Information. Will a transformer be used between the generator and the point of common coupling? Yes No Will the transformer be provided by the Interconnection Customer? Yes No Transformer Data (if applicableIf Applicable, for Interconnection Customer-owned transformerOwned Transformer): Is the transformer: Single single phase Three phase three phase? Size: kVA Transformer Impedance: % on kVA Base If Three Phase: Transformer Primary: Volts Delta Wye Wye Grounded Transformer Secondary: Volts Delta Wye Wye Grounded Transformer Tertiary: Volts Delta Wye Wye Grounded Transformer Fuse Data (if applicableIf Applicable, for Interconnection Customer-owned fuseOwned Fuse): (Attach copy of fuse manufacturer’s 's Minimum Melt and Total Clearing Time-Current Curves) Manufacturer: Type: Size: Speed: Interconnecting Circuit Breaker (if applicable): Manufacturer: Type: Load Rating (Amps): Interrupting Rating (Amps): Trip Speed (Cycles): Interconnection Protective Relays (if applicableIf Applicable): If Microprocessor-Controlled: List of Functions and Adjustable Setpoints for the protective equipment or software: Setpoint Function Maximum Minimum Maximum1.

Interconnection Facilities Information. Will a transformer be used between the generator and the point of common coupling? Yes No Will the transformer be provided by the Interconnection Customer? Yes No Transformer Data (if applicableIf Applicable, for Interconnection Customer-owned transformerOwned Transformer): Is the transformer: Single single phase Three phase three phase? Size: kVA Transformer Impedance: % on kVA Base If Three Phase: Transformer Primary: Volts Delta Wye Wye Grounded Transformer Secondary: Volts Delta Wye Wye Grounded Transformer Tertiary: Volts Delta Wye Wye Grounded Transformer Fuse Data (if applicableIf Applicable, for Interconnection Customer-owned fuseOwned Fuse): (Attach copy of fuse manufacturer’s 's Minimum Melt and Total Clearing Time-Current Curves) Manufacturer: Type: Size: Speed: Interconnecting Circuit Breaker (if applicable): Manufacturer: Type: Load Rating (Amps): Interrupting Rating (Amps): Trip Speed (Cycles): Interconnection Protective Relays (if applicableIf Applicable): If Microprocessor-Controlled: List of Functions and Adjustable Setpoints for the protective equipment or software: Setpoint Function Minimum MaximumMaximum 1. 2. 3.

Interconnection Facilities Information. Will a transformer be used between the generator and the point of common coupling? Yes ❑ No ❑ Will the transformer be provided by the Interconnection CustomerMember? Yes ❑ No ❑ Transformer Data (if applicable, for Interconnection CustomerMember-owned transformer): Is the transformer: ❑ Single phase ❑ Three phase Size: kVA Transformer Impedance: % on kVA Base If Three Phase: Transformer Primary: Volts Delta Wye Wye Grounded Transformer Secondary: Volts Delta Wye Wye Grounded Transformer Tertiary: Volts Delta Wye Wye Grounded Transformer Fuse Data (if applicable, for Interconnection CustomerMember-owned fuse): (Attach copy of fuse manufacturer’s Minimum Melt and Total Clearing Time-Current Curves) Manufacturer: Type: Size: Speed: Interconnecting Circuit Breaker (if applicable): Manufacturer: Type: Load Rating (Amps): Interrupting Rating (Amps): Trip Speed (Cycles): Interconnection Protective Relays (if applicable): If Microprocessor-Controlled: List of Functions and Adjustable Setpoints for the protective equipment or software: Setpoint Function Minimum Maximum

Interconnection Facilities Information. Will a transformer be used between the generator and the point of common coupling? Yes No Will the transformer be provided by the Interconnection Customer? Yes No Transformer Data (if applicableIf Applicable, for Interconnection Customer-owned transformerOwned Transformer): Is the transformer: Single single phase Three phase three phase? Size: kVA Transformer Impedance: % on kVA Base If Three Phase: Transformer Primary: Volts Delta Wye Wye Grounded Transformer Secondary: Volts Delta Wye Wye Grounded Transformer Tertiary: Volts Volts Volts Delta Delta Delta Wye Wye Wye Wye Grounded Wye Grounded Wye Grounded Transformer Fuse Data (if applicableIf Applicable, for Interconnection Customer-owned fuseCustomer- Owned Fuse): (Attach copy of fuse manufacturer’s Minimum Melt and Total Clearing Time-Current Curves) Small Generator Interconnection Request 5 Manufacturer: Speed: Type: Size: Speed: Interconnecting Circuit Breaker (if applicable): Manufacturer: Type: Load Rating (Amps): Interrupting Rating (Amps): Trip Speed (Cycles): Interconnection Protective Relays (if applicable): If Microprocessor-Controlled: List of Functions and Adjustable Setpoints for the protective equipment or software: Setpoint Function Minimum Maximum):

Interconnection Facilities Information. Will a transformer be used between the generator and the point of common coupling? Yes No Will the transformer be provided by the Interconnection Customer? Yes No Transformer Data (if applicableIf Applicable, for Interconnection Customer-owned transformerOwned Transformer): Is the transformer: Single single phase Three phase three phase? Size: kVA Transformer Impedance: % on kVA Base If Three Phase: Transformer Primary: Volts Delta Wye Wye Grounded Transformer Secondary: Volts Delta Wye Wye Grounded Transformer Tertiary: Volts Delta Wye Wye Grounded Transformer Fuse Data (if applicableIf Applicable, for Interconnection Customer-owned fuseOwned Fuse): (Attach copy of fuse manufacturer’s 's Minimum Melt and Total Clearing Time-Current Curves) Manufacturer: Type: Size: Speed: Interconnecting Circuit Breaker (if applicable): Manufacturer: Type: Load Rating (Amps): Interrupting Rating (Amps): Trip Speed (Cycles): Interconnection Protective Relays (if applicableIf Applicable): If Microprocessor-Controlled: List of Functions and Adjustable Setpoints for the protective equipment or software: Setpoint Function Minimum MaximumMaximum 1. 2.

Interconnection Facilities Information. Will a transformer be used between the generator and the point of common coupling? Yes No Will the transformer be provided by the Interconnection Customer? Yes No Transformer Data (if applicableIf Applicable, for Interconnection Customer-owned transformerOwned Transformer): Is the transformer: Single single phase Three phase three phase? Size: kVA Transformer Impedance: % on kVA Base If Three Phase: Transformer Primary: Volts Delta Wye Wye Grounded Transformer Secondary: Volts Delta Wye Wye Grounded Transformer Tertiary: Volts Delta Wye Wye Grounded Transformer Fuse Data (if applicableIf Applicable, for Interconnection Customer-owned fuseOwned Fuse): (Attach copy of fuse manufacturer’s 's Minimum Melt and Total Clearing Time-Current Curves) Manufacturer: Type: Size: Speed: Interconnecting Circuit Breaker (if applicable): Manufacturer: Type: Load Rating (Amps): Interrupting Rating (Amps): Trip Speed (Cycles): Interconnection Protective Relays (if applicableIf Applicable): If Microprocessor-Controlled: List of Functions and Adjustable Setpoints for the protective equipment or software: Setpoint Function Minimum MaximumMaximum 1. 2.