Program Administrator SELF-GENERATION INCENTIVE …

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Reservation Number:_______________________ (leave blank) Program Administrator555 West Fifth Street, GT-22H4Los Angeles,CA 90013-1011Fax: 213-244-8222SELF- generation INCENTIVE Program Reservation Request Form 4. Generating System Information Level 1 Fuel Cell (Renewable Fuel) PV Wind 2 Fuel Cell (Non-Renewable Fuel) 3-R (Renewable Fuel) IC Engines Small/Micro-turbines 3-N (Non - Renewable Fuel) IC Engines Small/Micro-turbines Fuel Type: ______________________________________ Hybrid* * Please check the Hybrid box if more than one type of generator technology is proposed and include a separate reservation request form for each generation technology. Manufacturer: Model Number: Power Rating** (kW/Unit) Number of Units: Total System Output (kW): (Number of Units x Power Rating**) PV & Wind systems: provide following information for the Inverter: Inverter Manufacturer/Model No: Inverter Efficiency: ** Power Rating for PV = PTC x Inverter Efficiency; for Fuel Cells, Micro-turbines, IC Engines = At ISO Conditions; for Wind = Max.

SELF-GENERATION INCENTIVE PROGRAM Reservation Request Form Rev 3 January 1, 2003 APPLICANT & HOST CUSTOMER AGREEMENTS The undersigned agree that - A. Applicant and Host Customer agree to release the Program Administrator, its affiliates, subsidiaries, current and future parent company, officers,

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