Interconnection Customer S

INTERCONNECTION CUSTOMER’S LETTERHEAD

AFFIDAVIT

This affidavit is being submitted in satisfaction of the requirements in Section 25.1.2 of the CAISO Tariff of the California Independent System Operator Corporation (“CAISO”).

(1) I, [authorized representative’s name], the undersigned, as a representative of the [Interconnection Customer’s name and complete street address], am authorized to execute this affidavit on behalf of [Interconnection Customer].

(2) [Interconnection Customer] is the legal owner of [Generating Facility’s name] , a __MW [insert technology type] generating facility located at [Generating Facility address] and connected to the ISO Controlled Grid.

(3) [Interconnection Customer] represents that [Generating Facility’s name], [QF ID / Log. No. / Project ID] is a qualifying facility (“QF”), in accordance with the Public Utility Regulatory Policies Act of 1978 (“PURPA”) and Part 292 of the Federal Energy Regulatory Commission's Regulations (18 C.F.R. Part 292).

(4) [Interconnection Customer], pursuant to a PURPA mandated Power Purchase Agreement (“PPA”), previously sold the total net electrical generation output of [Generating Facility’s name] to [electric utility’s name that was buying power under the PPA].

[Interconnection Customer] previously sold the total electrical output of [Generating Facility’s name] to [energy buyer’s name and complete address], an on-site or adjacent customer of [Generating Facility’s name].

(5) [Interconnection Customer] now plans to sell the electrical output from [Generating Facility’s name and address] in the wholesale market, either through participation in the CAISO’s markets or by selling its partial or full generation output pursuant to a bilateral agreement.

(6) [Interconnection Customer] further represents that the total capability and/or electrical characteristics of the generating units at [Generating Facility’s name] will remain substantially unchanged.

I, [authorized representative’s name], declare under penalty of perjury that the foregoing statements are true to the best of my knowledge.

Signed Notary Public

______Authorized Representative Name

______Title

______Interconnection Customer

______Date

AFFIDAVIT_BB Page 1 of 2 1/9/2018 ______Street address, City, State

______Phone Number

AFFIDAVIT_BB Page 2 of 2 1/9/2018