128466865
September 12, 2024
Customer Payment
Coupon
References
Notification # 128466865
Contract # 50109585 V1
E13-PM # 35567266
Customer # 4529161
City of Foster City
610 Foster City Boulevard
FOSTER CITY, CA 94404
Customer Cost Summary
650 SHELL BOULEVARD, FOSTER CITY
Amounts Due Total Due
Electric Temporary Power $86,201.44
Minus the following credit
Advance Credit ($3,500.00)
$82,701.44
Important Payment Information
To complete your contract ONLINE
Follow the instructions provided with your electronic contract Submit payment at https://www.pge.com/contractpayments
To complete your contract BY MAIL
Please make check payable to: PG&E or Pacific Gas and Electric Complete, sign and return the enclosed agreement(s), the SACAC form and the customer payment coupon with your payment
Remit payment and SACAC form to:
PG&E CFM/PPC Department
PO BOX 997340
Sacramento, CA 95899-7340
IMPORTANT MESSAGE
Please review the enclosed information
and total due. This document needs
to be returned with the enclosed
agreements.
If you complete your contract ONLINE,
a copy will be saved to your Customer
Connections Online (CCO) account at
pge.com/cco.
To learn more about PG&E's gas and
electric safety initiatives and resources
please visit pge.com/safety.
Have Questions?
Please Call 1-800-422-0436
Form 79-875
Rates & Tariffs
December 15, 2004
Advice 2597-G/2599-EPage 1 of 2
* Automated document, Preliminary Statement, Part A128466865
APPLICATION AND AGREEMENT FOR
ELECTRIC AND/OR NATURAL GAS FACILITIES
WHERE FULL ADVANCE PAYMENT IS REQUIRED
Rule 13 - Temporary Service
Pacific Gas And Electric Company
REFERENCES:
128466865Notification #
50109585Contract #
35567266E-PM #
G-PM #
1V
To Pacific Gas and Electric Company:
The undersigned Applicant hereby requests you to deliver electric energy and/or natural gas to and for the equipment hereinafter described, at the location shown on Exhibit A, in accordance with the applicable rates and rules of PG&E.
In consideration of PG&E's acceptance of this application and the installation of facilities to supply temporary electric and/or natural gas service, Applicant hereby agrees to the following:
X
208Electric Service Voltage Electric Load 44Est. Max. Demand 400Electric Main Service Rating
Natural Gas Load:
Electric Equipment to be Served PHASE KVA KW HP
3Power
Lighting
0Other xxx
20 0 0
N/A
0 0
0 0
0 City of Foster City, A GOVERNMENT AGENCYBusiness or Individual's Name #sigDateR13#Dated #dbaR13#D.B.A
By:#titleR13#
#sigR13#Witness Office of Origin
Approved and accepted for Pacific Gas and Electric Company Jay Min
7. This contract shall at all times be subject to such changes or modifications by the Public Utilities Commission of the State of California as said Commission may, from time to time, direct in the exercise of its jurisdiction.
6. In the event Applicant, prior to reclassification, materially increases or decreases his electric service and/or natural gas requirements from those installed hereunder and a change is made in PG&E's facilities, settlement shall be made for the installation and removal cost of the facilities removed. A new temporary service agreement shall be entered into providing for the modified service required by Applicant.
5. Applicant hereby grants to PG&E a right-of-way for any electric and/or natural gas lines which it may be necessary to build in, on, under or over Applicant's premise for the purpose of making delivery hereunder. Where Applicant requests facilities which are in addition to, or in substitution for, the standard facilities which PG&E normally would install, the extra cost thereof shall be paid by Applicant under the provisions of PG&E's Gas or Electric Rule 2.
4. The amount of refund upon reclassification of Applicant's facilities from temporary to permanent will be made on the basis of the extension and/or service rule in effect at the time temporary service is reclassified to permanent. No interest shall be paid on any amount advanced.
3. Applicant agrees to pay, in advance to PG&E, prior to the installation thereof, the estimated cost installed plus the estimated cost of removal, less the estimated salvage of the facilities installed to provide the service herein applied for, which cost is agreed to be the sum of
2 Applicant's attention has been directed to the rate schedules applicable to the service herein described, and Applicant has elected to take and pay for service under schedule HB-1 for a maximum period of 15 months.
As specified in this schedule, Applicant elects the following optional provisions:
1. PG&E has made available for inspection its applicable rates and rules. Applicant agrees to comply therewith, and with any changes or modifications thereof which may be authorized from time to time by the Public Utilities Commission of the State of California.
Volts kW kW
Amperes
Btu/hr. psi
##Form 79-875#
City ManagerTitle
Eighty-six thousand two hundred one dollars and forty-four cents 0Gas Load 0Gas Delivery Pressure
September 12, 2024
Form 79-875
Rates & Tariffs
December 15, 2004
Advice 2597-G/2599-EPage 2 of 2
* Automated document, Preliminary Statement, Part A128466865 RULE 13 - TEMPORARY SERVICEEXHIBIT A1
City of Foster CityApplicant:
610 Foster City BoulevardMailing Address:
FOSTER CITY, CA 94404City, Zip:
650 SHELL BOULEVARDService Location:
FOSTER CITYCity, Zip:
MLX #:
Premise #:
Date of Application:
Date Service Needed:
1. Installation: Electric Gas
$65,076.01 a. By PG&E
$6,978.07 b. By Applicant
$2,043.26 2. Removal
$1,047.43 3. Inspection Fee
$0.00 4. Less Salvage
$75,144.77 Subtotal Rule 13 Costs (1+2+3-4)
(Install + Removal - Salvage)
24%ITCC (Tax Rate)
$93,179.51 Total Rule 13 Costs
$6,978.07 a. Value of Applicant Installed Facilities
6. Reduction to Charges (Credits)
SEE PMT CPNb. Engineering Advance
$0.00 c. Other
$86,201.44 Total Rule 13 Costs DUE
$18,034.74 0%
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
SEE PMT CPN
$0.00
$0.00
B. COSTS SUBJECT TO REFUND IF RECLASSIFIED TO PERMANENT SERVICE:
Payment required for permanent service based upon PG&E's distribution and service extension rules in effect at the time temporary service is reclassified to permanent service. $48.26 7. Installation cost plus salvage
$11.58 8. ITCC on Installation plus salvage only
$59.84
Total to be used for
Distribution and Service
Extension Agreement:
$69.74 9. Removal costs
$16.73 10. ITCC on removal costs only
$86.47
Total Removal Credit that
may be applied to the balance
of the Distribution and Service
Extension Agreement:
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00