Loan Particulars. This table is to be completed by PG&E Total Cost Incentive Customer Contribution (if applicable) Loan Balance 1 Monthly Payment Term 2 (months) Number of Payments $ $ $ $ $ Check Made Payable to Contractor □ or Customer □ [customer to select payment method. Note that only one check can be issued] Customer Details Federal Tax ID or Social Security #, Customer Contractor Details Federal Tax ID or Social Security #, Contractor PG&E Account # / Service Agreement # Account Name, Customer Name, Contractor Service Address, Customer Address, Contractor Name and Title of Authorized Representative of Customer Name and Title of Authorized Representative of Contractor Signature of Authorized Representative of Customer Date ACCEPTED: Pacific Gas & Electric Company By Date PG&E On-Xxxx Xxxxxxxxx Program Manager Address: PG&E Integrated Processing Center P.O. Box 7265 San Francisco, CA 94120-7265 Pacific Gas and Electric Company San Francisco, California U 39 Revised Cal. P.U.C. Sheet No. 32058-E Cancelling Revised Cal. P.U.C. Sheet No. 32053-E* ELECTRIC TABLE OF CONTENTS Sheet 1 TABLE OF CONTENTS SCHEDULE TITLE OF SHEET CAL P.U.C. SHEET NO. Title Page ..32058-E Rate Schedules 31846, 31847, 31858, 31849 ,31850, 31851,31852, 31541, 31853-E Preliminary Statements 31854,29900,30376,31855,31139,30846,31678-E Rules 30402, 31609, 32054-E Maps, Contracts and Deviations… ….29909-E Sample Forms 30680*,31610,32055,31154,31611,32056,30513,30682,32059,30683,29920,29921-E (T) (T) (Continued) Advice Letter No: 4060-E-A Issued by Date Filed September 24, 2012 Decision No. Xxxxx X. Xxxxxx Effective June 13, 2012 Vice President Resolution No. 1H7 Regulatory Relations Pacific Gas and Electric Company Revised Cal. P.U.C. Sheet No. 32059-E San Francisco, California Cancelling Revised Cal. P.U.C. Sheet No. 31686-E U 39 ELECTRIC TABLE OF CONTENTS Sheet 30 SAMPLE FORMS CAL P.U.C. FORM TITLE OF SHEET SHEET NO. Sample Forms Miscellaneous (Cont’d) 79-966 Agreement for Schedule E-OBMC .. 29529-E 79-984 Interval Meter Installation Service Agreement .. 18693-E 79-985 Interval Meter Data Management Service Agreement .. 18708-E 79-993 Agreement for Schedule E-POBMC .. 27810-E 79-995 Agreement for Customers Taking Service on Schedule E-31 .. 20623-E 79-1006 Municipal Departing Load - Nonbypassable Charge Statement .. 25892-E 79-1029 Community Choice Aggregator (CCA) Service Agreement .. 27499-E 79-1031 Community Choice Aggregator (CCA) Non-Disclosure Agreement .. 30745-E 79-1039 Agricultural, Commercial, Residential Rate Schedule Selection Customer Agreement .. 30095-E 79-1040 Non-Disclosure and Use of Information Agreement .. 23601-E 79-1050 Contract for Customer Provision of Physically Assured Load Reduction .. 24956-E 79-1075 Notice to Add or Delete Customers Participating in the Capacity Bidding Program .. 27875-E 79-1076 Agreement for Aggregators Participating in the Capacity Bidding Program .. 28277-E 79-1079 Agreement for Aggregators Participating in the Base Interruptible Load Program .. 28420-E 79-1080 Notice to Add or Delete Customers Participating in the Base Interruptible Program .. 28421-E 79-1102 Section 399.20 Power Purchase Agreement .. 30761-E 79-1103 Small Renewable Generator PPA .. 30762-E 79-1118 General On-Bill Financing Loan Agreement .. 29493-E 79-1126 Off-Bill and On-Bill Financing Loan Agreement for Self-Installed Projects ..29686-E 79-1127 Agreement to Perform Tariff Schedule Related Work, Rule 20A General Conditions.. .29717-E 79-1128 Customer Affidavit Form for the Self Certification of Small Business Customers under Government Code Section 14837 .. 29725-E 79-1138 CHP Simplified Contract for Eligible CHP Facilities With a Power Rating of Less Than 500kW 31683-E 79-1141 Agreement for Schedule A-15 Fixed Usage Estimate 31456-E 79-1143 California State Government Customers On-Bill Financing Loan Agreement ..32057-E (N) (Continued) Advice Letter No: Decision No. 4060-E-A Issued by Xxxxx X. Xxxxxx Vice President Date Filed Effective Resolution No. September 24, 2012 June 13, 2012 3 0H6 Regulatory Relations Advice 3308-G-A/4060-E-A September 24, 2012 Redline Version of Gas and Electric Sample Form No. 79-1143 CALIFORNIA STATE GOVERNMENT CUSTOMERS ON-BILL FINANCING LOAN AGREEMENT GENERAL CALIFORNIA STATE GOVERNMENT CUSTOMERS ON-BILL FINANCING LOAN AGREEMENT The undersigned customer (“Customer”) has contracted for the provision of energy efficiency/demand response equipment and services (the “Work”) which qualify for one or more of PG&E’s applicable rebate or incentive programs. Subject to the conditions (including the process for Adjustment and preconditions to funding) set forth below, Pacific Gas & Electric Company (“PG&E”) shall extend a loan (the “Loan”) to Customer in the amount of the loan balance (the “Loan Balance”) pursuant to the terms of this On-Bill Financing Loan Agreement (“Loan Agreement”) and PG&E’s rate schedules E-OBF and/or G-OBF, as applicable (the “Schedule”). To request the Loan, Customer has submitted a completed On-Bill Financing Application and associated documentation as required by PG&E (the “Application”). Collectively the Application and this Loan Agreement (including any Adjustment hereunder) comprise the “Agreement".
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Loan Particulars. This table is to be completed by PG&E Total Cost Incentive Customer Contribution (if applicable) Loan Balance 1 Monthly Payment Term 2 (months) Number of Payments $ $ $ $ $ Check Made Payable to Contractor □ or Customer □ [customer to select payment method. Note that only one check can be issued] Customer Details Federal Tax ID or Social Security #, Customer Contractor Details Federal Tax ID or Social Security #, Contractor PG&E Account # / Service Agreement # Account Name, Customer Name, Contractor Service Address, Customer Address, Contractor Name and Title of Authorized Representative of Customer Name and Title of Authorized Representative of Contractor Signature of Authorized Representative of Customer Date ACCEPTED: Pacific Gas & Electric Company By Date PG&E On-Xxxx Xxxxxxxxx Program Manager Address: PG&E Integrated Processing Center P.O. Box 7265 San Francisco, CA 94120-7265 Pacific Gas and Electric Company San Francisco, California U 39 Revised Cal. P.U.C. Sheet No. 3205829930-E G Cancelling Revised Cal. P.U.C. Sheet No. 3205329898-E* ELECTRIC G GAS TABLE OF CONTENTS Sheet 1 TABLE OF CONTENTS SCHEDULE TITLE OF SHEET CAL P.U.C. SHEET NO. Title Page ..32058.. 29930-E G Rate Schedules 31846, 31847, 31858, 31849 ,31850, 31851,31852, 31541, 3185329899,29860-E G Preliminary Statements 31854,29900,30376,31855,31139,30846,3167829861,29619-E G Rules 30402, 31609, 32054.. 29737-E G Maps, Contracts and Deviations… ….29909Deviations .. 29288-E G Sample Forms 30680*,31610,32055,31154,31611,32056,30513,30682,32059,30683,29920,2992129289,29738,27262,28662,29931,28503-E (T) G (T) (Continued) Advice Letter No: 40603308-EG-A Issued by Date Filed September 24, 2012 Decision No. Xxxxx X. Xxxxxx Effective June 13, 2012 Vice President Resolution No. 1H7 Regulatory Relations Pacific Gas and Electric Company Revised Cal. P.U.C. Sheet No. 32059-E San Francisco, California Cancelling Revised Cal. P.U.C. Sheet No. 31686-E U 39 ELECTRIC TABLE OF CONTENTS Sheet 30 SAMPLE FORMS CAL P.U.C. FORM TITLE OF SHEET SHEET NO. Sample Forms Miscellaneous (Cont’d) 79-966 Agreement for Schedule E-OBMC .. 29529-E 79-984 Interval Meter Installation Service Agreement .. 18693-E 79-985 Interval Meter Data Management Service Agreement .. 18708-E 79-993 Agreement for Schedule E-POBMC .. 27810-E 79-995 Agreement for Customers Taking Service on Schedule E-31 .. 20623-E 79-1006 Municipal Departing Load - Nonbypassable Charge Statement .. 25892-E 79-1029 Community Choice Aggregator (CCA) Service Agreement .. 27499-E 79-1031 Community Choice Aggregator (CCA) Non-Disclosure Agreement .. 30745-E 79-1039 Agricultural, Commercial, Residential Rate Schedule Selection Customer Agreement .. 30095-E 79-1040 Non-Disclosure and Use of Information Agreement .. 23601-E 79-1050 Contract for Customer Provision of Physically Assured Load Reduction .. 24956-E 79-1075 Notice to Add or Delete Customers Participating in the Capacity Bidding Program .. 27875-E 79-1076 Agreement for Aggregators Participating in the Capacity Bidding Program .. 28277-E 79-1079 Agreement for Aggregators Participating in the Base Interruptible Load Program .. 28420-E 79-1080 Notice to Add or Delete Customers Participating in the Base Interruptible Program .. 28421-E 79-1102 Section 399.20 Power Purchase Agreement .. 30761-E 79-1103 Small Renewable Generator PPA .. 30762-E 79-1118 General On-Bill Financing Loan Agreement .. 29493-E 79-1126 Off-Bill and On-Bill Financing Loan Agreement for Self-Installed Projects ..29686-E 79-1127 Agreement to Perform Tariff Schedule Related Work, Rule 20A General Conditions.. .29717-E 79-1128 Customer Affidavit Form for the Self Certification of Small Business Customers under Government Code Section 14837 .. 29725-E 79-1138 CHP Simplified Contract for Eligible CHP Facilities With a Power Rating of Less Than 500kW 31683-E 79-1141 Agreement for Schedule A-15 Fixed Usage Estimate 31456-E 79-1143 California State Government Customers On-Bill Financing Loan Agreement ..32057-E (N) (Continued) Advice Letter No: Decision No. 4060-E-A Issued by Xxxxx X. Xxxxxx Vice President Date Filed Effective Resolution No. September 24, 2012 June 13, 2012 3 0H6 Regulatory Relations Advice 3308-G-A/4060-E-A September 24, 2012 Redline Version of Gas and Electric Sample Form No. 79-1143 CALIFORNIA STATE GOVERNMENT CUSTOMERS ON-BILL FINANCING LOAN AGREEMENT GENERAL CALIFORNIA STATE GOVERNMENT CUSTOMERS ON-BILL FINANCING LOAN AGREEMENT The undersigned customer (“Customer”) has contracted for the provision of energy efficiency/demand response equipment and services (the “Work”) which qualify for one or more of PG&E’s applicable rebate or incentive programs. Subject to the conditions (including the process for Adjustment and preconditions to funding) set forth below, Pacific Gas & Electric Company (“PG&E”) shall extend a loan (the “Loan”) to Customer in the amount of the loan balance (the “Loan Balance”) pursuant to the terms of this On-Bill Financing Loan Agreement (“Loan Agreement”) and PG&E’s rate schedules E-OBF and/or G-OBF, as applicable (the “Schedule”). To request the Loan, Customer has submitted a completed On-Bill Financing Application and associated documentation as required by PG&E (the “Application”). Collectively the Application and this Loan Agreement (including any Adjustment hereunder) comprise the “Agreement".2012
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