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Program Administrator SELF-GENERATION INCENTIVE …

Reservation Number:_____ (leave blank) Program Administrator555 West Fifth Street, GT-22H4 Los Angeles,CA 90013-1011 Fax: 213-244-8222 SELF-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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Program Administrator SELF-GENERATION INCENTIVE …

www.advancedsolartechnologies.com

Note: See instructions in the Self-Generation Incentive Program Handbook for completing this form. This form must be typed or hand written neatly. If all required attachments are not included at the time of Put with signatures submission the application may be returned to the applicant. Page 1 of 2 Rev 5, February 25, 2003

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