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AgdaPkt 2025.05.12 Joint SA PFA
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AgdaPkt 2025.05.12 Joint SA PFA
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5/23/2025 12:53:20 PM
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CC Index - Document Type
Agenda Packet
Date
5/12/2025
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Gas and Electric <br />Extension Agreement* <br />* Automated document, <br />Preliminary Statement, Part A <br />"PG&E" refers to Pacific Gas and Electric Company, a subsidiary of PG&E Corporation. ©2015 Pacific Gas and Electric Company. All rights reserved.Form 79-1169 <br />Advice 4862-G/7158-E <br />January 2024Page 2 of 2 <br />125588483 <br />2 Select one of the following payment options. <br />#opt1# <br />10-Year Refundable Option for Gas and Electric <br />#opt2# <br />Non-Refundable 50 Percent Discount Option for Gas <br />and Electric <br />#opt3# <br />10-Year Refundable Option for Gas and Non- <br />Refundable 50 Percent Discount Option for Electric <br />#opt4# <br />Non-Refundable 50 Percent Discount Option for <br />Gas and 10-Year Refundable Option for Electric <br />Gas <br /> $0.00 <br /> $0.00 <br /> $0.00 <br /> $0.00 <br />+ <br />+ <br />+ <br />+ <br />Electric <br /> $409,592.63 <br /> $213,383.83 <br /> $213,383.83 <br /> $409,592.63 <br />- <br />- <br />- <br />- <br />Advance <br />SEE PMT CPN <br />SEE PMT CPN <br />SEE PMT CPN <br />SEE PMT CPN <br />= <br />= <br />= <br />= <br />Total Due <br /> $409,592.63 <br /> $213,383.83 <br /> $213,383.83 <br /> $409,592.63 <br />3 Review these important terms and conditions. <br />This Gas and Electric Extension Agreement is controlled by, and incorporates by <br />reference, PG&E's tariffs, including Gas and Electric rules 2, 15, and 16; <br />the Distribution and Service Extension Agreement-Provisions (Form 62-0982) and <br />the General Terms & Conditions for Gas and Electric Extension & Service <br />Construction by Applicant (Form 79-716), all as approved and authorized by the <br />CPUC. This agreement at all times shall be subject to such modifications as the <br />CPUC may direct from time to time in the exercise of its jurisdiction. <br />You can view PG&E's tariffs online at pge.com/tariffs or contact the PG&E <br />representative listed below. Additional details underlying the amounts <br />shown in this agreement, as well as the calculation of allowances, refunds <br />or deficiency bills can also be provided by your local PG&E representative. <br />4 After completing steps 1, 2 and 3 and having checked one, but <br />only one, of the four payment options above, please complete and <br />return the following items to PG&E. <br />Sign and return this contract as indicated below. <br />Submit the Payment Coupon with Total Due based on your option selected. <br />Sign and return the enclosed Statement of Applicant's Contract Anticipated <br />Costs (SACAC) [Form 79-1003] (explanation in box to the right). <br />Please provide your payment and required forms within 90 days from November <br />18, 2024. PG&E is not bound by the costs set forth above if payment and the <br />signed forms are not received by PG&E within 90 days. <br />If you have any questions, please contact Rick Stemen <br />at 6507690637 or by email at R71C@PGE.COM. <br />ADDITIONAL INFORMATION <br />What is the SACAC form <br />Under PG&E's rules 15 and 16 you have a choice:you can <br />perform the work yourself, hire a qualified contractor to <br />perform the work or hire PG&E to do the work. We are <br />required by the CPUC to provide you with PG&E's costs. <br />This form identifies our cost for the refundable service that <br />is PG&E's responsibility to install. PG&E's costs were <br />developed based on your choices within the application and <br />may change if you change that choice. <br />How do I fill out the SACAC? <br />If you want to do this work yourself or have a qualified <br />contractor do this work, please enter your estimated costs <br />in the section of the SACAC form entitled "Applicant Costs" <br />or check the box in the section entitled "Applicant's Election <br />Not To Provide Costs," sign and return to PG&E. PG&E will <br />send you a revised agreement by return mail only if you <br />choose to provide your estimated costs. <br />If you want PG&E to do this work, please check the section <br />"Applicant's Election Not to Provide Costs," sign and return <br />the SACAC form along with a check for the Total Due <br />based on the option you selected above. <br />You must return the completed SACAC form to PG&E <br />regardless of who you choose to do the work. <br />Please follow payment instructions <br />found on your Payment Coupon. <br />I,__________________________________ (Applicant), hereby attest and certify that this project does not meet the definition of Mixed- <br />Fuel New Construction as described in PG&E Gas and Electric Rules 1 and 15, provided below: <br />MIXED-FUEL NEW CONSTRUCTION: A new end-use load or consistent with the definition of New Construction in the CEC 2022 Building <br />Energy Efficiency Standards, a building that has never been used or occupied for any purpose, or any renovation where 50 percent or <br />more of the exterior weight bearing walls are removed, that uses gas and/or propane in addition to electricity. <br /> <br />Pacific Gas and Electric Company <br />This contract has been reviewed and approved by: <br />Renee Romo <br />Service Planning Supervisor <br />Customer <br />Agreed and accepted by: <br />CITY OF REDWOOD CITY, A GOVERNMENT AGENCY <br />Authorized Signatory Vicky Lau <br />Title Assistant Engineer <br />Signature #sigMLX# <br />Date #sigDateMLX# <br />#titleMLX# <br />#Form 79-1169# <br />6.A. - Page 7 of 13 <br />11
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