Pacific Gas and
Electric Company®
Electric Generation Interconnection
Mail Code N7L
P.O. Box 770000
San Francisco, CA 94177
CITY OF FORT BRAGG
300 S LINCOLN ST, FORT BRAGG, CA, 95437
Reference #125747388
Account # 4518650976
Meter #1010127026
Dear CITY OF FORT BRAGG,
PG&E has completed the costs of the upgrade for the Transformer. Attached you will find:
• Form 79-280: Agreement for Installation or Allocation of Special Facilities for Parallel Operation of Nonutility - Owned Generation and/or Electric Standby Service. • Form 79-702: Agreement for Installation or Allocation of Special Facilities for Parallel Operation of Nonutility - Owned Generation and/or Electric Standby Service - Appendix A - Detail Special Facilities Charges.
Please read these forms over carefully and return back to PG&E with a signed and dated copy. Please submit the forms via email to Biencarlo Villa ([email protected]).
In summary, the cost estimate for the required Interconnection Facilities you are responsible is listed below:
PG&E is requesting from CITY OF FORT BRAGG the total amount of $ 39,339.64 for the new Interconnection Facilities required to interconnect this NEM project of the above customer.
By Check: Please list on check the following-
Order Number: PM# 35579090, EG| Ref# 125747388, CITY OF FORT BRAGG Send payment to:
Regular Mail:
CFM/PPC Department
Po Box 997340
Sacramento, CA 95899-7340
Overnight Mail:
PG&E/Customer Fund Management
BPMPP - Payment Processing Center
885 Embarcadero Drive
West Sacramento, CA 95605
DISTRIBUTION REFERENCES
Pacific Gas and Applicant
QF Log #: 30S50473
PRaF Electric Company Division,
GM/WO#: 35579090
Const. Accounting
Accounting Ops Premises #: 524666494
Tariff Interpretation
AGREEMENT FOR INSTALLATION OR ALLOCATION OF SPECIAL FACILITIES
FOR PARALLEL OPERATION OF NONUTILITY-OWNED GENERATION
AND/OR ELECTRICAL STANDBY SERVICE
(ELECTRIC RULES 2 AND 21)
At the request of CITY OF FORT BRAGG (Applicant),
PACIFIC GAS AND ELECTRIC COMPANY (PG&E) hereby agrees to furnish at Applicant's expense within a reasonable time certain facilities consisting of Transformer Upgrade Facilities). Such Special Facilities are expected to be necessary on or about tor the interconnection of Applicant's electric generating plant with PG&E's system and/or PG&E's delivery of electrica standby service to Applicant's premises at 300 S LINCOLN ST.FORT BRAGG.CA MENDOCINO, State of California.
1. This Agreement includes Appendix A, Detail of Special Facilities Charges, which is attached and incorporated herein by reference. Appendix A may be revised or superseded by mutual written agreement and without formal amendment of the remainder of this agreement.
2. Applicant shall pay PG&E, on demand prior to commencement of any work by PG&E, an initial charge equal to the sum of the amounts which are specified in Appendix A.
3. Applicant also shall pay PG&E any applicable monthly rates and charges for service under PG&E's tariff schedules plus an ownership charge, either (a) or (b) below as specified in Appendix A, namely:
(a) COST-OF-OWNERSHIP CHARGE representing PG&E's continuing monthly cost of financing (if applicable), owning and maintaining Special Facilities; or (b) An EQUIVALENT ONE-TIME CHARGE which is equal to the present worth of the monthly COST-OF- OWNERSHIP CHARGE in perpetuity. The COST-OF-OWNERSHIP CHARGE shall commence on the date Special Facilities are first available for Applicant's use, as such date is established in PG&E's PG&E will notify Applicant, in writing, of such commencement date. The EQUIVALENT ONE-TIME CHARGE (if applicable) shall be payable by Applicant to PG&E on demand.
4. lower percentage rates, the monthly COST-OF-OWNERSHIP CHARGE shall automatically increase or decrease without formal amendment to Appendix A as of the effective date of the Commission's authorization.
5. Where it is necessary to install Special Facilities on Applicant's premises, Applicant hereby grants to PG&E:
(a) the right to make such installation on Applicant's premises along the shortest practical route thereon with sufficient legal clearance from all structures now or hereafter erected on Applicant's premises; (b) the right of ingress and egress from Applicant's premises at all reasonable hours for any purposes reasonably connected with the operation and maintenance of Special Facilities.
6. Where formal rights of way or easements are required on or over property of Applicant or the property of others for the installation of Special Facilities, Applicant agrees that PG&E shall obtain them at Applicant's expense, or if Applicant and PG&E agree otherwise, Applicant shall obtain any necessary permanent rights of way or easements, satisfactory to and without cost to PG&E.
7. PG&E shall not be responsible for any delay in completion of the installation of Special Facilities resulting from shortage of labor or materials, strike, labor disturbance, war, riot, weather conditions, governmental rule, regulation or order, including orders or judgments of any court or regulatory agency, delay in obtaining necessary rights of way and easements, acts of God, or any other cause or condition beyond the control of PG&E, nor shall PG&E be liable for incidental, indirect, special, punitive, or consequential damages for any such delay. PG&E shall have the right, if for one of the above reasons it is unable to obtain materials or labor for all of its construction requirements, to allocate materials and labor to construction projects which it deems, in its sole discretion, most important to serve the needs of its customers, and any delay in construction, hereunder resulting from such allocation shall be deemed to be a cause beyond PG&E's control. In any event, PG&E's total liability for any delay in the completion of the installation of Special Facilities shall not exceed the amount of Special Facilities Charges paid by Applicant.
Automated Document, Preliminary Statement, Part A Page 1 of 3 Form 79-280
Advice 3343-G/4141-E
November 2012
Pacific Gas and Electric Company Revised Cal. P.U.C. Sheet No. 32113-E PfSE U39 San Francisco, California Cancelling Revised Cal. P.U.C. Sheet No. 11581-E Electric Sample Form No. 79-280
Agreement for Installation or Allocation of Special Facilities for Parallel Operation of (T) Nonutility-Owned Generation and/or
Electrical Standby Service (Electric Rules 2 and 21) (T) Please Refer to Attached
Sample Form
Advice Letter No: 4141-E Issued by Date Filed November 15, 2012 Decision No. 11-05-018 Brian K. Cherr Effective November 15, 2012 Vice President Resolution No.
1C13 Regulatory Relations
Agreement for Installation or Allocation of Special
Pacific Gas and Facilities for Parallel Operation of NonUtility-Owned Electric Company Generation and/or Electrical Standby Service (Electric Rules 2 and 21)
8. In the event that PG&E is prevented from completing the installation of Special Facilities for reasons beyond its control after twelve (12) months following the date of this Agreement, PG&E shall have the right to supersede this Agreement subject to Applicant's election as provided below upon at least thirty (30) days' written notice to Applicant and adjust any amounts paid or required to be paid by Applicant hereunder that may be due based on that portion of the Special Facilities then completed, if any, utilizing the estimated costs developed by PG&E Such a superseding agreement, if any, shall be in substantially the same form as this agreement, be executed by both parties hereto, and shall provide that costs be allocated to the portion of the Special Facilities then completed, if any, consistent with those costs estimated by PG&E for this agreement. If Applicant elects not to execute a superseding agreement, this agreement shall be terminated and the provisions of paragraph 11 herein shall be applied to that portion of Special Facilities then completed, if any.
Applicant also shall reimburse PG&E for any expenses it may have incurred for engineering, surveying, right of way acquisition and other work associated with that portion of Special Facilities not installed
9. If it becomes necessary for PG&E to alter rearrange or make addition to Special Facilities in order to maintain parallel operation of Applicant's generation or electrical standby service to Applicant's premises, Applicant shall be notified, in writing, of such necessity and shall be given the option to either terminate this Agreement upon thirty (30) days' written notice to PG&E, or to pay to PG&E additional Special Facilities charges consisting of:
(a) a facility termination charge for that portion of Special Facilities which is being removed because of alteration, rearrangement or addition to Special Facilities. Such charge to be determined in the same manner as described in paragraph 11 herein; plus,
(b) an additional ADVANCE and/or REARRANGEMENT CHARGE, if any for any new Special Facilities which shall be applied in the same manner as prescribed in paragraph 2 herein; plus, (c) a revised monthly COST-OF-OWNERSHIP CHARGE or EQUIVALENT ONE-TIME CHARGE based on the estimated installed costs of all new and remaining Special Facilities. Such revised monthly COST- OF-OWNERSHIP CHARGE or EQUIVALENT ONE-TIME CHARGE shall be applies in the same manner as prescribed in paragraph 3 herein.
10. This Agreement shall become effective when executed by the parties hereto and, except as provided for in paragraphs 8 and 9 herein, shall remain in force until one of the following events occurs:
a power purchase, parallel operation, electrical standby service or other form of agreement no longer exists between Applicant and PG&E which would occasion the need for Special Facilities; or (b) the ownership of Special Facilities or any portion thereof is deeded to a public authority; or (c) Applicant fails to pay the monthly COST-OF-OWNERSHIP CHARGE prescribed in the Agreement, if applicable.
Either party shall provide the other at least thirty (30) days' written notice of termination pursuant to this paragraph.
11. Upon termination of the Agreement for any reason:
(a) Applicant shall pay to PG&E on written demand (in addition to all other monies to which PG&E may be legally entitled by virtue of such termination) a facility termination charge defined as the estimate installed cost, plus the estimated removal cost less the estimated salvage value for any Special Facilitie which can be removed, all as determined by PG&E in accordance with its standard accounting practices.
PG&E shall deduct from the facility termination charge the ADVANCE plus the unamortized balance of the EQUIVALENT ONE-TIME CHARGE previously paid, if any. If the ADVANCE paid plus the unamortized balance of the EQUIVALENT ONE-TIME CHARGE, if any, is greater than the facility termination charge, PG&E shall refund the difference, without interest to Applicant; and b) 'G&E shall be entitled to remove and shall have a reasonable time in which to remove any portion of th pecial Facilities located on the Applicant's premises; ar (c) PG&E may, at its option, alter, rearrange, convey or retain in place any portion of the Special Facilities located on other property off Applicant's premises. Where all or any portion of the Special Facilities Automated Document, Preliminary Statement, Part A Page 2 of 3 Form 79-280
Advice 3343-G/4141-E
November 2012
Agreement for Installation or Allocation of Special
Pacific Gas and Facilities for Parallel Operation of NonUtility-Owned PreF Electric Company
Generation and/or Electrical Standby Service
(Electric Rules 2 and 21)
12. In the event any of the Special Facilities are used during the term of this Agreement to provide permanent service to customers of PG&E, an adjustment shall be made in accordance with PG&E's electric Rule 21, copy attached.
13. Special Facilities shall at all times be the property of PG&E.
14. is provided in GaEs electric Rule 14, copy attached, PG&E does not guarantee electrical standby service t e free from outages, interruptions or curtailments and the charges for Special Facilities represent PG&E's cos associated with providing Special Facilities rather than for a guaranteed level of service or reliability.
15. Applicant may, with PG&E's written consent, assign this Assignment if the assignee thereof will agree in writing to perform Applicant's obligations hereunder. Such assignment will be deemed to include, unless otherwise specified therein, all of Applicant's rights to any refunds which might become due upon discontinuance of the use of any Special Facilities.
16. This Agreement shall be subject to all of PG&E's applicable tariffs on file with and authorized by the Commission, and shall at all times be subject to such changes or modifications as the Commission may direct from time to time in the exercise of its jurisdiction.
Dated this day of _ 20_
This agreement is effective when accepted and executed by PG&E.
CITY OF FORT BRAGG PACIFIC GAS AND ELECTRIC COMPANY
Customer/Company
Smith Andrea Hernandez
Authorized by (Print) Authorized by (Print)
10/8 2024
Date Date
Mailing Address:
CITY OF FORT BRAGG
300 S LINCOLN ST
MENDOCINO CA 95437
Attachments:
Electric Rule 2
Electric Rule 14
Electric Rule 21
Appendix A
Automated Document, Preliminary Statement, Part A Page 3 of 3 Form 79-280
Advice 3343-G/4141-E
November 2012
Pacific Gas and DISTRIBUTION REFERENCES
Notification# 125747388
praE Electric Company Division
Utility Log# 30550473
Customer PM# 35579090
Customer Billing
Accounting Ops.
Tariff Interpretation
Agreement for Installation or Allocation of Special Facilities for Parallel Operation of Nonutility-Owned Generation and/or Electrical Standby Service*
APPENDIX - A
Detail of Special Facilities Charges
Dated: 10/08/2024
I. Applicability
The application of charges specified herein are pursuant to the provisions of this Agreement between CITY OF FORT BRAGG (Applicant) and Pacific Gas and Electric Company (PGandE) and shall be a part thereof and in effect until superseded by mutual written agreement.
Il. Initial Charge
A. Net cost of all Special Facilities
$. 18,678.69
Less the cost of "removable and reusable" Special Facilities which are provided, installed and financed by PGandE pursuant to Rule No. 21 $( C. ADVANCE equal to PG&E's estimated installed Cost of Special Facilities which are financed by Applicant, including in lieu of cash payment, a credit for that portion of Special Facilities furnished and deeded to PG&E by Applicant (line A + line B) $( 18,678.69
Less PG&E's estimate of the cost of Special Facilities provided, installed and deeded to PG&E by Applicant includes costs of design and administration by PG&E)
E. Plus the costs of design, administration and inspection by PG&E of Special Facilities provided, installed and deeded to PG&E by Applicant $.
F. Plus REARRANGEMENT CHARGE which is equal to PG&E's estimated cost of rearranging existing facilities to accommodate the installation of Special Facilities $-
G. Plus CIAC Tax if applicable (line C + line E+ line F x Applicable CIAC Tax2 of 24 _%) $. 4,482.89
H. Initial Charge (does not include monthly Cost-of-Ownership Charge-see below $. 23,161.58 * This agreement at all times shall be subject to such modifications as the California Public Utilities Commission may direct from time to time in the exercise of its jurisdiction.
1 Used in calculation of the monthly COST OF OWNERSHIP CHARGE or EQUIVALENT ONE-TIME CHARGE 2 See the Income Tax Component of Contribution Provision in the Electric Preliminary Statement for the current applicable CIAC tax rate.
Automated Document, Preliminary Statement, Part A Page 1 of :
Form 79-702
Advice 4002-G/5349-E
August 2018
Pacific Gas and Revised Cal. P.U.C. Sheet No. 42838-E
PAGE Electric Company* Cancelling Revised Cal. P.U.C. Sheet No. 32115-E U 39 San Francisco, California
Electric Sample Form No. 79-702 Sheet 1
Agreement for Installation or Allocation of Special Facilities for Parallel Operation of Nonutility-Owned Generation and/or
Electrical Standby Service -- APPENDIX A - Detail of Special Facilities Charges Please Refer to Attached
Sample Form
Advice 5349-E Issued by Date Filed
Decision Robert S. Kenney Effective
Vice President, Regulatory Affairs Resolution
APPENDIX A -
Pacific Gas and
PraF Electric Company AGREEMENT FOR INSTALLATION OR ALLOCATION OF
SPECIAL FACILITIES FOR PARALLEL OPERATION ON
NONUTILITY-OWNED GENERATION
III. Installed Cost of GandE's Existing Facilities Allocated to Applicant's Use $. 0.00 IV. Monthly COST OF OWNERSHIP CHARGE
Special Facilities Current
Financed By Application Base Percentage Rate? Monthly Charge A. Applicant ADVANCE (II.C above equals 1. plus 2. below)
1. Cost of Distribution facilities.. ..$ 18,678.69
Less allowance for
Existing facilities... .$(
Net amount... 18,678.69 x. 0.49% = $. 91.53 /mo.
2. Cost of Transmission facilities... ....$
Less allowance for
Existing facilities.. .$L
Net amount $ 0.00 x 0.31% = $_ 0.00 /mo.
B. PG&E "Removable and Reusable" Special Facilities
(II.B above equals 3. plus 4. below)
3. Distribution facilities.. x_ = $ 0.00 /mo.
4. Transmission facilities.. .$. = $ 0.00 /mo.
C. PG&E Existing Facilities Allocated as Special
Facilities (III. above equals 5. plus 6. below)
5. Distribution facilities.. .....$ x = $ 0.00 /mo.
6. Transmission facilities. $ x. = $ 0.00 /mo.
D. Monthly COST OF OWNERSHIP CHARGE..... $. 91.53 /mo.
V. EQUIVANT ONE-TIME CHARGE (in lieu of monthly COST OF OWNERSHIP CHARGE); check I] if applicable /mo. (line IV.D) x 12 mo. x 14.73 (present worth factor).
Complete the following section only in conjunction with revision of this Appendix.
This Appendix A supersedes Appendix A dated , 20 - The changes hereon are hereby agreed to by both parties on this _day of , 20
3This percentage rate is set forth in PG&E's current electric Rule No. 2 and is subject to change upon authorization by the California Public Utilities Commission.
4Where Special Facilities displace PG&E's existing facilities, this allowance assures the exclusion of PG&E's existing ownership costs from Applicant's monthly COST OF OWNERSHIP CHARGE or EQUIVALENT ONE-TIME CHARGE Automated Document, Preliminary Statement, Part A Page 2 of 3 Form 79-702
Advice 4002-G/5349-B
August 2018
APPENDIX A -
Pacific Gas and AGREEMENT FOR INSTALLATION OR ALLOCATION OF are Electric Company
SPECIAL FACILITIES FOR PARALLEL OPERATION ON
NONUTILITY-OWNED GENERATION
This agreement is effective when accepted and executed by PG&E.
CITY OF FORT BRAGG PACIFIC GAS AND ELECTRIC COMPANY
Company
John Smith
Authorized by (Print Authorized by (Print)
Signature Signature
Supervisor, Electric Grid Interconnection
Direstor of PublicWorks
Title
10/8/2024
Date
Automated Document, Preliminary Statement, Part A Page 3 of 3 Form 79-702
Advice 4002-G/5349-E
August 2018
References
Customer Payment
Notification # 129278453
Contract # 50110134 V1
Pral Coupon
ERR-PM # 35579090
Customer # 4648057
September 25, 2024
CITY OF FORT BRAGG
300 S LINCOLN ST
FORT BRAGG, CA 95437
Customer Cost Summary
EGI 300 S LINCOLN ST, FORT BRAGG
Amounts Due Total Due
Elec Reloc & Rearrangement Non-Refundable Payment $45,763.50 $45,763.50
Important Payment Information IMPORTANT MESSAGE
To complete your contract ONLINE Please review the enclosed information • Follow the instructions provided with your electronic contract and total due. This document needs to be returned with the enclosed
• Submit payment at https://www.pge.com/contractpayments agreements.
To complete your contract BY MAIL
• Please make check payable to: PG&E or Pacific Gas and Electric If you complete your contract ONLINE, a copy will be saved to your Customer
• Complete, sign and return the enclosed agreements), the SACAC form and the customer payment coupon with your payment Connections Online (CCO) account at pge.com/cco.
• Remit payment and SACAC form to:
PG&E CFM/PPC Department To learn more about PG&E's gas and PO BOX 997340 electric safety initiatives and resources Sacramento, CA 95899-7340 please visit pge.com/safety.
Have Questions?
Please Call 1-800-422-0436
129278453
® Pacific Gas and Electric Company DISTRIBUTION: REFERENCES:
Agreement to Perform Г Applicant (Original) Notification # 129278453 Tariff Schedule Related Work • Division (Original) Contract # 50110134 V1 Pfa Г ACCTG. SVCS. RR-PM# 35579090
September 25, 2024
CITY OF FORT BRAGG, A GOVERNMENT AGENCY (Applicant) has requested PACIFIC GAS AND ELECTRIC COMPANY, a California corporation (PG&E), to perform the tariff schedule related work as located and described in paragragh 3 herein. PG&E agrees to perform the requested work and furnish all necessary labor, equipment, materials and related facilities required therefore, subject to the following conditions:
1. Whenever part or all of the requested work is to be furnished or performed upon property other than that of Applicant, Applicant shall first procure from such owners all necessary rights-of-way and/or permits in a form satisfactory to PG&E and without cost to it.
2. Applicant shall indemnify and hold harmless PG&E, its officers, agents and employees, against all loss, damage, expense and liability resulting from injury to or death of any person, including but not limited to, employees of PG&E, Applicant or any third party, or for the loss, destruction or damage to property, including, but not limited to indemnity. Applicant will pay all costs that may be incurred by PG&E in enforcing this indemnity, including reasonable attorneys' fees.
3. The location and requested work are described as follows: (Describe in detail the materials and facilities to be furnished and/or work to be performed by PG&E. If more space is required, use other side and attach any necessary drawings as Exhibits A, B, C, etc):
LOCATION: EGI 300 S LINCOLN ST, FORT BRAGG
DESCRIPTION OF WORK ELECTRIC: UPGRADE PM TX TO SUPPORT EGI.
DESCRIPTION OF WORK GAS:
Electric Gas
Engineering and Administrative Costs (+) $3.028.31 $0.00 Including Applicant Design Value of $0.00 $0.00
Re-engineering/Comp Prep/Add'l AD Plan Checks (+) $0.00 $0.00 Facilities (Cable, Transformers / Gas Pipe) (+) $31,563.24 $0.00 Trench, Conduits & Substructures (+) $0.00 $0.00
Tie-In / Meters (+) $2.314.50 $0.00
Trench Permits & Land Rights (+) $0.00 $0.00
Inspection Fees (+) $0.00 $0.00
Subtotal (=) $36,906.05 $0.00
Including Net Joint Pole Credit Value of $0.00 $0.00
plus ITCC @ 24% Electric 0% Gas (+) $8,857.45 $0.00
plus Non Taxable Work (+) $0.00 $0.00
D.0405055 Line Extension Costs - Residential (+) $0.00 $0.00 D.0405055 Line Extension Costs - Non-Residential (+) $0.00 $0.00 less Value of Relocation Applicant Design Work (-) $0.00 $0.00 less Work Provided by Applicant (-) $0.00 $0.00
less Salvage = $0.00 $0.00
Total Payment (=) $45,763.50 $0.00
Service Planning
Advice No. 1633-G/1342-E
129278453 Effective 4/02/91
* Automated document, Preliminary Statement, Part A
4. Applicant shall pay to PG&E, promptly upon demand by PG&E, as the complete contract price hereunder, the sum of Forty-five thousand seven hundred sixty-three dollars and fifty cents $45,763.50 Upon completion of requested work, ownership shall vest in: & PG&E Г Applicant 27 September 2024
Executed this day of
CITY OF FORT BRAGG, A PACIFIC GAS & ELECTRIC COMPANY
GOVERNMENT AGENCY
Applicant
-Signed by:
By: John Smitte Gregory Gillis
By:
JOHN SMITH
Print/Type/Name
Title: Sther Title: Service Planning Supervisor
Mailing Address: 300 S LINCOLN ST
FORT BRAGG, CA 95437
Service Planning
Advice No. 1633-G/1342-E
129278453 Effective 4/02/91
* Automated document, Preliminary Statement, Part Al