122156139
June 10, 2024
Customer Payment
Coupon
References
Notification # 122156139
Contract # 50103710 V1
E16-PM # 35367372
E13-PM # 35367372
Customer # 3178448
City of Fresno
2223 G Street
FRESNO, CA 93706
Customer Payment Summary
BUS ANNEX FACILITY 2223 G ST #A, FRESNO
Please pay the Total Due based upon the payment option(s) you selected on page two of the enclosed Gas and Electric Extension Agreement.
Payment Options Subtotal Total Due
10-Year Refundable Advance Option Gas and Electric $1,626.40 $196,330.51 Non-Refundable 50 percent Discount Option for Gas and
Electric
$1,626.40 $196,330.51
10-Year Refundable Advance Option for Gas and
Non-Refundable 50 percent Discount Option for Electric
$1,626.40 $196,330.51
Non-Refundable 50 percent Discount Option for Gas and
10-Year Refundable Advance Option for Electric
$1,626.40 $196,330.51
Total Due also includes the following:
Please note: The referenced documents also require additional signature(s).
Elec - Temporary Power Total Payment $194,704.11
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
Gas and Electric
Extension Agreement*
* Automated document,
Preliminary Statement, Part A
"PG&E" refers to Pacific Gas and Electric Company, a subsidiary of PG&E Corporation. ©2015 Pacific Gas and Electric Company. All rights reserved.
Form 79-1169
Advice 4768-G/6973-E
June 2023Page 1 of 2
122156139
For Internal Use
122156139Notification #
50103710Contract #
35367372E-PM #
G-PM #
E-Prior MLX/PM#
G-Prior MLX/PM#
3178448Customer #
1V
June 10, 2024
City of Fresno
2223 G Street
FRESNO, CA, 93706 BUS ANNEX FACILITY 2223 G ST #A, FRESNORe:
Gregory BarfieldDear
We are writing to let you know Pacific Gas and Electric Company (PG&E) will extend its facilities to provide the requested gas and electric service to the project address listed above. PG&E's costs have been developed based on the choices and information provided in your application and may change if you make changes. This letter, including PG&E's tariffs, which are incorporated by reference below, will serve as our contract. As required by the California Public Utilities Commission (CPUC), special facilities will be handled in a separate contract. Per Decision 22-09-026, Residential Customers submitting an application for new gas service on or after July 1, 2023, do not qualify for Allowances, Refunds or Discount Option. Applicants who submit a new application for gas Distribution Main Extension(s) on or after July 1, 2023, must pay PG&E its total estimated installed cost upon contract execution, in advance of PG&E commencing its work.
Upon completion of the work and determination of actual costs, PG&E will provide Applicant with a final invoice or refund to account for a true-up to actual costs. An Applicant's failure to pay a final invoice in a timely manner is a violation of PG&E's Gas Rules 15/16 and may result in discontinuance of service. Non- Residential Customers submitting an application for new gas service on or after July 1, 2023, may qualify for Allowances, Refunds or Discount Option if approved by the CPUC. Please complete the following four steps to execute this contract. 1 Review the following work responsibilities and cost information.
Work To Be
Done By
GAS MAIN GAS SERVICE ELECTRIC DISTRIBUTION ELECTRIC SERVICE Trench Pipe Trench Pipe Trench Substr. Facilities Trench Substr. Facilities PG&E
Customer
GAS ELECTRIC
Total non-refundable project costs $0.00 $1,626.40
Refundable extension costs $0.00 $813.30
Allowances (credit) $0.00 - $813.30 -
Net refundable amount $0.00 = $0.00 =
10 YEAR REFUNDABLE OPTION
Net refundable amount $0.00 $0.00
Credit for value of design and/or
facilities provided by applicant
$0.00 - $0.00 -
Total non-refundable project costs $0.00 + $1,626.40 + Total (if you select this option) $0.00 = $1,626.40 = NON-REFUNDABLE 50% DISCOUNT OPTION
Net refundable amount $0.00 $0.00
Discount: 50% of Net refundable amount $0.00 - $0.00 - Credit for value of design and/or
facilities provided by applicant
$0.00 - $0.00 -
Total non-refundable project costs $0.00 + $1,626.40 + Total (if you select this option) $0.00 = $1,626.40 = Potential refund per residential lot/unit $0.00 $0.00 Potential reimbursement per service completion
Pressurized or energized system $0.00 $0.00
Not pressurized or energized system $0.00 $0.00
Reimbursement for other work
performed $0.00 $0.00
All amounts include the Income Tax Component of Contribution (ITCC) PG&E is required to charge customers, where applicable.
DEFINITIONS AND EXPLANATION OF TERMS
(For more detail see rules 15 and 16):
Total non-refundable project costs include costs for
work such as electric trench and excavation, conduits,
inspections, streetlights, conversion from overhead to
underground and contract processing.
Refundable extension costs include costs for facilities such as electric conductor, transformers and poles; gas pipe, gas share of distribution trench and regulators;
and meters.
Allowances are a credit against refundable extension
costs. They are based upon the number of residential
units expected to be connected within the first six
months and the expected annual non-residential net
(distribution) revenue from your project.
Allowances granted under either option are subject to
deficiency billing if the number of residential units
connected or the annual non-residential net revenue
falls below the forecast used to calculate the
allowances.
Net refundable amount is the portion of overall costs
eligible for refund to you based upon additional
residential meters being set or upon increases in non-
residential annual net (distribution) revenue. A cost-of- ownership charge is assessed against the Net
refundable amount (except for individual residential
applicants) per Rule 15.
Potential refund per residential lot/unit is for those
lots/units for which you did not already receive an
allowance (i.e., units not expected to be connected in
the first six months). Any refunds may be decreased or
eliminated by cost-of-ownership charges assessed
under the provisions of Rule 15.
Potential reimbursement per service completion is
the amount to which a customer may be entitled for
performing certain service connection work PG&E
would otherwise perform when installing service
extensions and are not to be confused with refunds.
Reimbursement for other work performed is
the amount to which a customer may be entitled
for performing certain work (other than service
completions) that normally is PG&E's responsibility.
Gas and Electric
Extension Agreement*
* Automated document,
Preliminary Statement, Part A
"PG&E" refers to Pacific Gas and Electric Company, a subsidiary of PG&E Corporation. ©2015 Pacific Gas and Electric Company. All rights reserved.
Form 79-1169
Advice 4768-G/6973-E
June 2023Page 2 of 2
122156139
2 Select one of the following payment options.
#opt1#
10-Year Refundable Option for Gas and Electric
#opt2#
Non-Refundable 50 Percent Discount Option for Gas
and Electric
#opt3#
10-Year Refundable Option for Gas and Non-
Refundable 50 Percent Discount Option for Electric
#opt4#
Non-Refundable 50 Percent Discount Option for
Gas and 10-Year Refundable Option for Electric
Gas
$0.00
$0.00
$0.00
$0.00
+
+
+
+
Electric
$1,626.40
$1,626.40
$1,626.40
$1,626.40
-
-
-
-
Advance
N/A
N/A
N/A
N/A
=
=
=
=
Total Due
$1,626.40
$1,626.40
$1,626.40
$1,626.40
3 Review these important terms and conditions.
This Gas and Electric Extension Agreement is controlled by, and incorporates by reference, PG&E's tariffs, including Gas and Electric rules 2, 15, and 16; the Distribution and Service Extension Agreement-Provisions (Form 62-0982) and the General Terms & Conditions for Gas and Electric Extension & Service Construction by Applicant (Form 79-716), all as approved and authorized by the CPUC. This agreement at all times shall be subject to such modifications as the CPUC may direct from time to time in the exercise of its jurisdiction.
You can view PG&E's tariffs online at pge.com/tariffs or contact the PG&E representative listed below. Additional details underlying the amounts shown in this agreement, as well as the calculation of allowances, refunds or deficiency bills can also be provided by your local PG&E representative. 4 After completing steps 1, 2 and 3 and having checked one, but only one, of the four payment options above, please complete and return the following items to PG&E.
Sign and return this contract as indicated below.
Submit the Payment Coupon with Total Due based on your option selected.
Sign and return the enclosed Statement of Applicant's Contract Anticipated Costs (SACAC) [Form 79-1003] (explanation in box to the right).
Please provide your payment and required forms within 90 days from June 10, 2024. PG&E is not bound by the costs set forth above if payment and the signed forms are not received by PG&E within 90 days.
If you have any questions, please contact Alan Koobatian at 559-347-5203 or by email at [email protected].
ADDITIONAL INFORMATION
What is the SACAC form
Under PG&E's rules 15 and 16 you have a choice:you can
perform the work yourself, hire a qualified contractor to perform the work or hire PG&E to do the work. We are
required by the CPUC to provide you with PG&E's costs.
This form identifies our cost for the refundable service that is PG&E's responsibility to install. PG&E's costs were
developed based on your choices within the application and may change if you change that choice.
How do I fill out the SACAC?
If you want to do this work yourself or have a qualified contractor do this work, please enter your estimated costs in the section of the SACAC form entitled "Applicant Costs" or check the box in the section entitled "Applicant's Election Not To Provide Costs," sign and return to PG&E. PG&E will send you a revised agreement by return mail only if you choose to provide your estimated costs.
If you want PG&E to do this work, please check the section "Applicant's Election Not to Provide Costs," sign and return the SACAC form along with a check for the Total Due
based on the option you selected above.
You must return the completed SACAC form to PG&E
regardless of who you choose to do the work.
Please follow payment instructions
found on your Payment Coupon.
Pacific Gas and Electric Company
This contract has been reviewed and approved by:
Juan Mejia
Service Planning Supervisor
Customer
Agreed and accepted by:
City of Fresno, A A CA MUNICIPAL CORP
Authorized Signatory Gregory Barfield
Title Director
Signature #sigMLX#
Date #sigDateMLX#
#titleMLX#
#Form 79-1169#
Cost Breakdown
1Total number of combined meters:
1Total number of non-residential lots/units for this project:
0Total number of residential lots/units for this project:
Cost of Services:
$0.00 Engineering & Administrative Costs
Inspection Fees $0.00 (+)
Others (N/A) $0.00 (+)
Electric Metering $0.00 (+)
Service Tie-In Cost (Energized) by PG&E $0.00 (+)
Including Applicant Design Value of $0.00
$0.00 (+)Service Cost - Applicant installed 0# Services $0.00 (+)0# ServicesService Cost - PG&E installed
$0.00 (=)Total Estimated Cost of Service Subject to Allowance Cost of Service Within Allowance:
less Total Residential Service Allowance
(not to exceed Total Estimated Cost of Service Subject to Allowance) Excess Service Cost
Estimated Service Cost Within Allowance (Total less Excess) Average Cost per Lot or Unit Within Allowance
Excess Service Allowance Applied to Distribution Line Extension Refundable Amount per Lot or Unit:
Applicant: Gregory Barfield
Project Location/Name BUS ANNEX FACILITY 2223 G ST #A, FRESNO $0.00 0X $0.00 (-)=
$0.00 =0/ $0.00
$0.00 (=)
$0.00 (=)
$0.00
Allowance
- $0.00
Ave. Cost / Unit
$0.00 =
Service Tie-in Cost by Applicant $0.00 (+)
**
Including Net Joint Pole Credit Value of $0.00
June 10, 2024
Pacific Gas and Electric Company
Detailed Cost Sheet - Electric Distribution
and Service Extension Costs
References
Notification # 122156139
Contract # 50103710 V1
E16-PM # 35367372
E13-PM # 35367372
Customer # 3178448
Allowances
Residential:
Amount Subject to Refund
$655.89 Engineering & Administrative Costs
Including Applicant Design Value of $0.00
Tie-In of Distribution by PG&E $0.00 (+)
Electric Metering (Non-Residential Projects) $0.00 (+) Other Taxable charges ( N/A )
PG&E installed - Cost of Distribution Line and Non-Res Svcs.
Applicant installed - Cost of Distribution Line and Non-Res Svcs. $0.00 (+) $655.89 (=)
$0.00(+)Inspection Fees
SUB TOTAL
Total Refundable Amount $813.30 (+)
$0.00(+)
$0.00(+)
$157.41 (+)24%plus ITCC @
$813.30 (-)Less Total Allowances (not to exceed Total Refundable Amount) $0.00 Balance: Net Refundable Amount
10 Year Refundable Advance Option
Balance: Net Refundable Amount $0.00
$0.00Less Credit for Value of Applicant Design Work
Less Cost of Dist. Line Ext. and Non-Res Svcs. installed by Applicant Less Distribution Substructures by Applicant
Net 10 Year Refundable Advance Option Amount
Non-Refundable Discount Option
Balance: Net Refundable Amount
Less Credit for Value of Applicant Design Work
Less Cost of Dist. Line Ext. and Non-Res Svcs. installed by Applicant Less Distribution Substructures by Applicant
Net Non-Refundable Discount Option Amount
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
Allowance
X 0
Lots / Units
$0.00 =
24%plus ITCC @ Residential Allowances $0.00 (+)
SUB TOTAL Residential Allowances $0.00 (=)
Non-Residential: $4,229.64
Net Annual Revenue
/ 0.1476
Cost-of-Service-Factor
$28,656.09 =
24%plus ITCC @ Non-Residential Allowances $6,877.46 (+) SUB TOTAL Non-Residential Allowances $35,533.56 (=)
less Residential Service Allowance:
( 0
Lots/Units
X $0.00
Ave. Cost / Unit
) + 24%
ITCC
$0.00 =
Total Distribution Line Extension Allowance $35,533.56 (=) less Discount $0.00
Balance
X 0.50
Discount Rate
= $0.00 (-)
$0.00(+)Value of Distribution Substructures
Including Net Joint Pole Credit Value of $0.00
Non-Refundable Payments
Rule 16 Non-Refundable Payments
$0.00 (+)
$0.00
Service Costs Beyond Preferred Service Location
Excess Service Costs
$0.00 (+)Service Riser
Value of Service Trench, Conduits & Substructures in the Franchise Area or on 3rd Party Property
$0.00 (+)
$0.00 (+)Value of Rule 16 Land Rights Costs
$0.00 (+)
$0.00 (+)Cost of Additional Rule 16 Applicant Design Plan Checks Other Taxable Charges: N/A
$0.00 (+)
$1,089.84 (+)
Rule 16 Trench Permits Obtained by PG&E
Inspection Fees
$0.00(+)Plus Service Trench, Conduits, & Substructures installed by PG&E on Private Property
Inspection Fees (not subject to ITCC) $0.00(+)
$275.00 (+)1 unit(s)Non-Residential Per Meter Charge
Residential Per Meter Charge = 0 unit(s) $0.00(+)
$0.00 (+)Other Non-taxable Charges:
24%Plus ITCC @ $261.56 (+)
Total Rule 16 Non-Refundable Amount $1,626.40 (=)
Less Service Trench in the Franchise Area or
on & 3rd Party Property installed by Applicant
$0.00(-)Less Rule 16 Applicant Design Work Associated with Excess Rule 15 Non-Refundable Payments
$1,089.84 (=)SUB TOTAL
Inspection Fees $0.00
Re-estimating/Composite Preparation $0.00 (+)
Cost of Additional Applicant Design Plan Checks $0.00 (+) Value of Distribution Conduits $0.00 (+)
Distribution Risers Installed by PG&E $0.00 (+)
Value of Distribution Trench $0.00 (+)
PG&E Land Rights Costs $0.00 (+)
Rule 15 Trench Permits Obtained by PG&E $0.00 (+)
Other $0.00 (+)
SUB TOTAL $0.00 (=)
24%Plus ITCC @ $0.00 (+)
Other Non-taxable Charges $0.00 (+)
SUB TOTAL $0.00 (=)
Less Distribution Conduits Installed by Applicant $0.00 (-) Less Distribution Trench Provided by Applicant $0.00 (-) Total Non-Refundable Electric Rule 15 Amount $0.00 (=)
$0.00(-)
$0.00(-)Less Service Costs Beyond Preferred Location by Applicant $0.00(-)Less Excess Service Facilities Installed by Applicant SUB TOTAL $1,626.40 (=)
Relocation/Rearrangement Inspection Fees
Relocation/Rearrangement Trench Permits Obtained by PG&E Value of Relocation Applicant Design Work
Tie-in/Meter of Relocation/Rearrangement by PG&E
Relocation/Rearrangement Land Rights
Less Relocation/Rearrangement Facilities Installed by Applicant Plus Relocation/Rearrangement - Non Taxable
SUB TOTAL
SUB TOTAL
Relocation / Rearrangement of PG&E Facilities
$0.00(+)
$0.00(+)
$0.00(+)
$0.00(+)
$0.00(-)
$0.00(+)
$0.00(=)
0%Plus ITCC @ $0.00(+)
$0.00(=)
$0.00(+)
Re-engineering/Comp Prep/Add'l AD Plan Checks $0.00 (+) Value of Relocation/Rearrangement Facilities $0.00
Value of Relocation/Rearrangement Conduits & Substructures $0.00 (+) Value of Relocation/Rearrangement Trench & Excavation $0.00 (+) Engineering & Administrative Costs $0.00 (+)
Note: This supplemental detailed cost sheet is for reference only and is not intended for use in place of the actual contract for the project listed. (1) Total Service Allowance not to exceed the Cost of Service (2) 10 Year Refundable and Discount Option credit amounts will be paid upon acceptance of facilities. Credit amounts are subject to future deficiency billing in accordance with the tariff. (3) 10 Year Refundable and Discount Option credit amounts do not offset Other Non-Refundable or Relocation Fees. See Reimbursement Summary for a total of Reimbursements and Credits to be paid upon acceptance of facilities. (4) Inspection Fees (Only Refundable if Applicant's Actual Cost is Used. Applicant's Actual Cost + Inspection Cannot Exceed PG&E's Estimate)
(5) The lower of PG&E's estimated costs or the Applicant's Contract Anticipated Costs (as documented on Form 79-1003 "Statement of Contract Anticipated Costs") will be used to establish the cost of Service and Distribution Line Extension subject to Allowance $0.00 (=)Total Relocation / Rearrangement of PG&E Facilities Amount $0.00(-)Less Relocation/Rearrangement Salvage
$0.00 Including Net Joint Pole Credit Value of
Less Value of Relocation Applicant Design Work $0.00(-) Less Trench & Excavation Provided by Applicant $0.00(-) Less Conduits & Substructures Installed by Applicant $0.00(-) D.0405055 Line Extension Costs - Residential $0.00
D.0405055 Line Extension Costs - Non-Residential $0.00 Form 79-875
Rates & Tariffs
December 15, 2004
Advice 2597-G/2599-EPage 1 of 2
* Automated document, Preliminary Statement, Part A122156139
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:
122156139Notification #
50103710Contract #
35367372E-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
480Electric Service Voltage 480Electric Load 408Est. Max. Demand 2,000Electric Main Service Rating
Natural Gas Load:
Electric Equipment to be Served PHASE KVA KW HP
3Power
Lighting
0Other xxx
0 480 0
N/A
0 0
408
0 0
City of Fresno, A A CA MUNICIPAL CORPBusiness 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 Juan Mejia
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-10 for a maximum period of 24 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#
DirectorTitle
One hundred ninety-four thousand seven hundred four dollars and eleven cents 0Gas Load 0Gas Delivery Pressure
June 10, 2024
Form 79-875
Rates & Tariffs
December 15, 2004
Advice 2597-G/2599-EPage 2 of 2
* Automated document, Preliminary Statement, Part A122156139 RULE 13 - TEMPORARY SERVICEEXHIBIT A1
City of FresnoApplicant:
2223 G StreetMailing Address:
FRESNO, CA 93706City, Zip:
BUS ANNEX FACILITY 2223 G ST #AService Location:
FRESNOCity, Zip:
MLX #:
Premise #:
Date of Application:
Date Service Needed:
1. Installation: Electric Gas
$157,019.44 a. By PG&E
$0.00 b. By Applicant
$0.00 2. Removal
$0.00 3. Inspection Fee
$0.00 4. Less Salvage
$157,019.44 Subtotal Rule 13 Costs (1+2+3-4)
(Install + Removal - Salvage)
24%ITCC (Tax Rate)
$194,704.10 Total Rule 13 Costs
$0.00 a. Value of Applicant Installed Facilities
6. Reduction to Charges (Credits)
N/Ab. Engineering Advance
$0.00 c. Other
$194,704.10 Total Rule 13 Costs DUE
$37,684.66 0%
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
N/A
$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. $0.00 7. Installation cost plus salvage
$0.00 8. ITCC on Installation plus salvage only
$0.00
Total to be used for
Distribution and Service
Extension Agreement:
$0.00 9. Removal costs
$0.00 10. ITCC on removal costs only
$0.00
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