120408897
October 31, 2022
Customer Payment
Coupon
References
Notification # 120408897
Contract # 50045422 V2
E20B-PM # 35238867
Customer # 2843736
TH DENALI LLC
3001 Bishop Dr. Ste. 100
SAN RAMON, CA 94583
Customer Cost Summary
MCKINLEY AVE, MANTECA
Amounts Due Total Due
Rule 20B Non-Refundable Payment $731,221.57
$731,221.57
Important Payment Information
To complete your contract ONLINE
Follow the instructions provided with your electronic contract Submit payment at 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
ATTACHMENT 3 EXHIBIT A
* Automated document, Preliminary Statement, Part A
120408897
62-4527 (Rev 1/91)
Service Planning
Advice No. 1633-G/1342-E
Effective 4/02/91
Pacific Gas and Electric Company
Agreement to Perform
Tariff Schedule Related Work
DISTRIBUTION:
Applicant (Original)
Division (Original)
ACCTG. SVCS.
REFERENCES:
Notification # 120408897
Contract # 50045422
R20-PM # 35238867
V2
October 31, 2022
TH DENALI LLC, A CA LIMITED LIABILITY CO (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 property of PG&E, Applicant or any third party, arising out of or in any way connected with the performance of this agreement, however caused, except to the extent caused by the active negligence or willful misconduct of PG&E, its officers, agents and employees. Applicant will, on PG&E's request, defend any suit asserting a claim covered by this 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: MCKINLEY AVE, MANTECA
DESCRIPTION OF WORK: Rule 20B - Underground existing overhead electric facilities Engineering & Administrative Costs $142,695.97
Including Applicant Design Value of $0.00
Cost of Additional Applicant Design Plan Checks (+) $0.00 Value of 20B Underground System (+) $381,375.95
Tie-In of 20B by PG&E (+) $95,953.86
PG&E Land Rights Costs (+) $3,963.21
Inspection Fees (+) $5,352.19
Value of 20B Trench & Excavation (+) $55,643.00
Value of 20B Conduits & Substructures (+) $518,470.08
Rule 20B Trench Permits Obtained by PG&E (+) $750.00
less Cost of Equivalent Overhead System (-) $156,538.58 SUB TOTAL (=) $1,047,665.68
Including Net Joint Pole Credit Value of $0.00
plus ITCC @ 24% (+) $251,439.76
Value of 20B Trench, Excavation & Conduit for Others (no ITCC) (+) $0.00 SUB TOTAL (=) $1,305,334.65
less 20B Underground System Installed by Applicant (-) $0.00 less 20B Trench & Excavation Provided by Applicant (-) $55,643.00 less 20B Conduits & Substructures Installed by Applicant (-) $518,470.08 less Value of Applicant Design Work (-) $0.00
Electric Rule 20B Cash Payment (=) $731,221.57
Amount shown does not include PG&E Contribution of: $30,374.04 #Form 62-4527#
ATTACHMENT 3
* Automated document, Preliminary Statement, Part A
120408897
62-4527 (Rev 1/91)
Service Planning
Advice No. 1633-G/1342-E
Effective 4/02/91
4. Applicant shall pay to PG&E, promptly upon demand by PG&E, as the complete contract price hereunder, the sum of Seven hundred thirty-one thousand two hundred twenty-one dollars and fifty-seven cents $731,221.57 Upon completion of requested work, ownership shall vest in: PG&E Applicant Executed this #signDayWPA# day of #signMonWPA# #signYrWPA#
TH DENALI LLC, A CA
LIMITED LIABILITY CO
Applicant
PACIFIC GAS & ELECTRIC COMPANY
By: #sigWPA# By: Jennifer Betancourt
Tony Bosowski
Print/Type/Name
Title: Signatory Title: Service Planning Supervisor
#titleWPA#
Mailing Address: 3001 Bishop Dr. Ste. 100
SAN RAMON, CA 94583
ATTACHMENT 3