Self Generation Incentive Program SoCalGas Reservation ...

1 TRANSMIT! ALSoCalGasa Sempra Energy utilityReturn Reservation request form and Package to-Southern California Gas Company Generation Incentive ProgramReservation request Form1D001496 InstructionsThis self - Generation Incentive Program (SGfP) Reser vation request form is to be completed and submitted to the address listed to the left Refer to the SGIP Program Handbook for instructions, aid include all required attachments with your submittal Incomplete applications will result in a suspended application Upon successful submission of all Reservation request information and documents, the Applicant will receive notice from the SGIP Program Administrator that their rebate has been reservedDatePnmed December 3 201 S Program Year 2015 Host CustomerContact NameTimeyin DafetaMailing Address12000 Vista Dei MarCompany NameBureau of SanitationCity, State, ZipPlaya Dei Rey, CA, 90293 Parent CompanyCity of Los AngelesPhone(310) 648-5555 SectorGovernmentEmailumeyin,ikfeia^!

2 Itc!. >r NAICS221320 System OwnerContact NameCompany NameParent CompanySectorNAJCSA pplicantTimeyin DafetaBureau of SanitationCity of Los AngelesGovernment221320 Mailing AddressCity, Slate, ZipPhoneEmail12000 Vista Del MarPlaya Del Rey, CA, 90293 (310) 648-5555ttmeym, fitsContact Name:Company NameParent CompanySectorNAICSD irected Biogas SupplierBen AltaiBureau of SanitationCity of Los AngelesGovernment221320(if applicable)Mailing AddressCity. State. ZipPhoneEmail1149 S Broadway, 10th floorLos Angeles, California, 90015 (213) 847-5088hen nrvContact NameCompany NameParent Company NameMailing AddressCity. State, ZipPhoneGmailProject Site InformationSite Address:i2000 Vista Del MarElectric UtilityLADWPC tty, State, Zip:Peak Annual Demand fkW):Playa Del Rey. CA. Name:Hyperion Treatment PlantDemand Reduction Participation:Demand Reduction Program Name:Service Account ID:Meter ID:5036180538265008 Demand Reduction Obligation (kW)Gas Utility:Southern California Gas CompanyEstimated Load Growth;Account Name:Hypenon Treatment PlantExport to Grid:NoService Account ID 195205799 Expected On-site Load (kWh/yeai).

3 Meter !D4755072 For Internal Use Only - ID: 001496 Proposed System InformationEquipment Technology: Conventional CHPFudT>'lM:: Natural GasBiogas Source:Paired System:Paired Technology Type:Paired App Code/Project 10:Equipment DetailsDirected Biogas Produced in CA: Natural Gas Cost (S/MMBtu)- DBG cost (S/MMBtu):Gen System Heat Rate (Btu/kWh) Fuel Consumption {Btu/kWh): DBG Contract Premium:Gas Turbine Manufacturer:Steam Turbine Manufacturer: California Supplier:Requested Application Capacity (kW):Solar Turbines (Caterpillar)Dresser RandYes30,260 ModelNameplate Capacity(kW)Unit Rated Capacity (kW) QuantityTotal Rated CapacityMars 10011,35011,230 222,460 STG7, 17,800 Existing Onsite System InformationSGIP i\< I M IVIZI D SYSTEM(S) ONSITET echnology Manufacturer/Model Unit Rated Capacity (kW) Quantify Year installedNON-INCENTIVIZED SYSTEM(S) ONSITE:Technology Manufacturer/Model Unit Rated Capacity (kW) Quantity Year InstalledPrevious SGIP Generator Capacity: 0 PV System Size (kW CEC-A C)Previous SGIP Storage Capacity: 0 CSi Project ID'Project FinanceTotal Eligible Project Cost (TEPC): 00 Taking Tax Credits: NoIneligible Project Cost: ITC (as a% ofTEPC): %Other incentives ReceivedIncentive AmountIncentive 00 Prsjtcf Sfc Address: 1149 S.}

4 Brosdway luce alto A o f fUipeste*10* (b. M/S 177 City, State, Zip Los Angples, CA, 90015 For Internal Use Only - ID: 001496 Residential AES Eligibility AffidavitMuateaTHa* CuutsairtunlSyrtta Own ThuAESqnMtawnuandforHo*CusWn l u*tetMlt ncon *teuMut ofte AESsytem when oper i * in nanlM wuh te grid fnnr*k pelfermnce d t* to the Promm upon request (TO i l, tipped file of 15 onraec btervet tteu) for t period at five (5) yuan hate RcteeuM AES Paid VtnficttioclMpretiotiCemtAwce Opt toe A Heel CuMaurer aTOU Ivi-iffur Dtud K tette ProfruuiTke Ha* CuOomer a on > TOU Buff, dynamic tariff(e* PGAE't SrartRvtt or SDOAH'i Reduce Yout Use), at egrees to atKgreIc toed ihtough Die CsUfornta Independeot System Operator! Proxy Demand Response or equivalent tariff, prior to receiving te SGIP Incentive end for five (5) years hereafterCesapRaoee Optiut - Beat Customer trite* TOU Tariff or Derate ProgramHoar Caterer and/or Sysfcm Owner agrees, for a mmaoura period of five (S) years, to discharge te AES system me amount eqmvalem to 52 coenplclc cyeies per veat of te mcenllrized enern capacity, which is durmed as two hours of discharge at te SGIP aceulivired power capacity rata*.)

5 With dtsehuraes occunaut duraig te peal hours or peai day events (suck as hose cuDad by FGAE's " ~ e Program or SDGdtTs Reduce Your Use), of te appUe*de IOU servlet MaterialsInclude .9 required al with your a1. CoapJesed Reservation request Form2. Appftcaarai fat tAtl fr&cu)3. * Specifications (ASProtocolA ftoot of Utfiy Service/" J PraOmtaaryMooiiorlnsP Mmboum Operates of Adequare Fuel a(AllProf'cttJf Of Utter Servlet / Load Docianentauon (AR Pnptc*)5 pyaflmktasyMaaitortaaPtao(Pr&tcu>-Jetty) 6 Mrabrnan Oparataa Effk iency Worksheet with Back-up Docanentstsaa (Non-RtmvabU Put! Projtca Only/ 7. Proof of Adopjetc Rue! or Waste Energy Resource (Rtwewabk tmdWmsm Gas Pnjfrt tx Only)Declarations by Host Customer and System Owner_____By Execution of this document, System Owner and Host Customer each certify tint the Project meets ail Program eligibility requirements and that the System Owner and Host Customer agree to abide by the rules and requirements set forth in die SGIP Handbook.))

6 The undersigned declare under penalty of perjury under the laws of the State of California that 1) The information provided is true and correct, and 2) die above-described generating system is new and intended to offset part or all of toe Host Customer's electrical requirements at toe site of installation For Residential AES projects, the Host Customer and System Owner certify that they have real and agreed to toe terms of the Residential AES Eligibility AffidavitThe Host Customer and System Owner are committed to completing this Project, and by signing below, are starting their intent to contract with individuals) necessary for completion of toe Project The Host Customer is the Reservation holder and reserves the right to submit new project specifications, including a new application with alternative System Owner and/or Applicant designations, upon withdrawal from the Project and cancellation of this AgreementHOST CUSTOMER SIGNATUREpteNw.

7 -77rvt ayvperraSignature: ''"ft " 25 Titefrj D.* It/Z} t'5~rwgr 'SYSTEM OWNER (IF NOT HOST CUSTOMER)Print Name:APPLICANT (IP NOT HOST CUSTOMER)Ft a* Ntae: H ~T~7~TrjFor Internal Use Only - ID: 001496 Incentive ResultsIncentive CalculationEquipmentIncentive0-1 MW1-2 MW2-3 MWTotal DollarsIncentive Rate ($M/)$ $ $ (W)1,000,0001,000,0001,000,000 Eligible Capacity (W)1,000,0001,000,0001,000,000 Previous SGIP Capacitym000 Base EquipmentIncentive$440, $220, $110, Supplier Adder$88, $44, $22, EquipmentIncentive$528, $264, $132, )$924,000 00 Biogas AdderIncentive Rate ($/W)Eligible Capacity (W)0 Previous SGIP Capacity(W)0 Biogas Adder Amount0b)0 DBG Premium Capc)0 Adjusted Biogas AdderLesser of b or c d)0 Other IncentivesTotalDollarsSee other Incentive table for moreinformationImpact on SGIP IncentiveOther IOU Incentive (100%)0e)0 Other Non-lOUAAAI ncentive (50%)U /UNon-RatepayerAIncentive (0%)UAdjusted EquipmentIncentiveg)$924, Other incentives h)0 IncentiveEquipmentBiogas Adder+Other incentives <= IncentiveIncentiveAdjustmentsIncentive +Cap(s)

8 AdjustmentSGIP Contribution Cap g)(Equipment Only)$924, $76,684, *i)0 Project Incentive Cap g+i=j)$924, $5,000, **k)0(Equipment and Biogas)Eligible Cost Cap (All j+k=l) $924, incentives )Calculated SGIP incentive0 $127,807,000,00 ** m) 0$924, ) SGIP Contribution Cap = ( )*Total Eligible Cost * i =0 if g<=SGIP Contribution Cap, otherwise i = SGIP Contribution Cap - g2) Calculated SGIP Incentive = d+g+i+k+m ** k = 0 if j+d <= $5M, otherwise k = $5M- (j+d) * m = 0 if l+d+h <= Total Eligible Cost, otherwise m =Total Eligible Cost - (l+d+h)The Incentive adjustments shown above arc- based on the Total Eligible Project Cost, the Maximum Incentive Cap, and the Minimum Customer Investment See the SGJP Handbook for more information on incentivelimitationsProjected PBI CalculationExpected Total Production (kWh) 212,062,080 Total Incentive $924,000 00initial Payment $462,000 00 Performance Eased Incentive $462,000 00 PBI Rate (S/kWh)$0 0004357