HomeMy WebLinkAboutAgr 2012-07-10 (PG&E)July 10, 2012
MARGARET CURRAN
THE TOWN OF TIBURON, A Government Agency
1505 TIBURON BLVD
TIBURON CA 94920
RE: Contract ID: 1143122: NED'S WAY & TIBURON BLVD
Dear MARGARET CURRAN ,
Enclosed are gas and/or electric agreements for your project located at:
600 NEDS WAY, TIBURON, 94920
This letter summarizes the agreements for this project. Non-Refundable
Payment
$4,122.52 $57,389.58 $28,453.57
$617512.10 OR $32,576.09
Gas Distribution and Service Extension
$897.94
$2,873.35
$1,195.46
Electric Distribution and Service Extension
$3,224.58
$541516.22
$27,258.11
Less `Credit (Engineering Advance, etc)
$0.00
, $0.00
O.OO
TOTAL
TOTAL PAYMENT DUE
* Only applies to Rule 15 Refundable Amounts. Amount shown is less credit for associated Applicant work.
The Income Tax Component of Contribution (ITCC) is included in the above charges when applicable.
Please sign both copies of the agreement and return one copy of the agreement to the address below along with your
payment and retain one copy for your records. If the agreement is not returned to PG&E within 90 days of the date of this
letter, the proposed agreement is canceled and PG&E may need to re-estimate the job.
Changes to the agreement, either to any of the terms or to the amount owing, are not permitted, and any change or
interlineations voids the agreement. The payment of any amount less than the full amount shown will be deposited by
PG&E, but PG&E will not begin any work on this contract until the amount is paid in full. The contract shall be deemed
effective the date a fully executed copy is received by PG&E. Please allow 45 days from PG&E's receipt of the Agreement
for construction to commence.
PG&E is committed to providing timely and efficient service and we look forward to continuing to work with you on this
and future projects.
Should you have any questions regarding these contracts, please contact your project manager Mindee Rayburn at
415-257-3203 or MDRA@pge.com.
Please send the executed Agreements and payment to:
PG&E CFM/PPC DEPARTMENT
PO BOX 997340
Sacramento, CA 95899-7340
Sincerely,
P atr~ck ~'layes
Patrick Hayes
Service Planning Supervisor
t
Jil
Refundable 50% Discount
Option* Option*
APPROVED FOR PAYMENT
Date:
Initials; _.L, -
Account
Amount;
1111111111111111111111111111111111111111111 Ref: Contract ID: 1143122:600 NEDS WAY, TIBURON, 94920
105194939D
Dear MARGARET CURRAN,
In response to your application for service, enclosed is the new CPUC-required form, "Statement of Applicant's
Contract Anticipated Costs," (SACAC) which identifies PG&E's cost for the refundable work that is PG&E's
responsibility to install as part your job. However, this is work that you can elect to provide under the competitive
bidding provisions of Gas/Electric Rules 15 and 16. You can perform this work yourself, hire a contractor, or hire
PG&E to do this work. Regardless of whom you choose to do the work, you must complete and return this form.
• If you elect to perform this work or have a contractor do it, please enter your costs in the section of
the form entitled "Applicant Costs."
• If you elect to perform this work yourself or have a contractor do it and choose not to provide your costs,
please so indicate in the section entitled "Applicant's Election Not To Provide Costs," date, sign and
return the form.
If you want PG&E to perform the work, check the section "Applicant's Election Not To Provide Costs,"
date, sign and return the form.
PG&E's costs are valid for 90 days from 07/10/2012
PG&E cannot proceed with any work on your application until you sign and return the SACAC form.
Please return this document with any other contract documents regarding this job to:
PG&E CFM/PPC DEPARTMENT
PO BOX 997340
Sacramento, CA 95899-7340
If you have any questions regarding this form please contact your project manager or our contract help
line at 1-800-422-0436.
105194939D
STATEMENT OF APPLICANT'S CONTRACT
ANTICIPATED COSTS.*
Project Name: NED'S WAY & TIBURON BLVD
Project Location: 600 NEDS WAY, TIBURON, 94920
Notification Number: 105194939
PM Number(s): (Gas) 30840622 (Electric) 30840607
APPLICANT COSTS
The following statement must only include the contracted anticipated installed costs of
facilities installed by the Applicant that are refundable and that are PG&E's responsibility
under its tariffs.
The costs provided by the Applicant must be taken from the Applicant's contract with its
contractor. If the Applicant will be performing the work itself, the Applicant must also
complete and sign this form.
The Applicant's statement of costs will be compared with PG&E's estimated installed costs of
the same facilities, the lower of which will be used to determine the amount subject to
allowances and refunds in accordance with the provisions of PG&E's Gas and Electric Rules 15
and 16.
If the Applicant chooses not to provide its costs, it must complete the last section of this
form. Until the Applicant either provides the refundable cost from its contract with its
contractor (or its own cost, if applicable), or returns this form indicating that it will not
do so, PG&E will not proceed with any work on the Applicant's project.
GAS
Residential Service Facilities:
9=1 I=rTPlr
Applicant: $
PG&E: $0.00
Number of gas service: 0 Stubs: 0
Residential Service Facilities:
Applicant: $
PG&E:
$0.00
Number of Electric service: 0
• Applicant's statement of costs include: overhead or underground service conductors,
poles, service transformers, connection fittings, service pipe, valves, service connections,
and other PG&E-owned service equipment, as detailed in Gas and Electric Rule 16.
• Applicant's statement of costs DOES NOT include: inspection fees, nonresidential
service costs, regulators, or PG&E-owned metering equipment.
corm; 79- 1003
Tarn` and Co-1-1Ph nce
:'ace i of' 2 Advice 245F-C-C2379-E
D -,c islor 02)-0~-032
kuto'"lated Qocument, Preliml;"lard Par', ~`1~CLl JU1~' 2 ~GL
GAS
Gas Distribution Facilities
and Non-Residential Service Services:
Applicant: $
PG&E: $482.43
GAS DISTRIBUTION TRENCH
Applicant: $
PG&E:
$0.00
ELECTRIC
Electric Distribution Facilities
and Non-Residential Service Services:
Applicant: $
PG&E: $21,938.21
• Applicant's statement of costs include: cables, switches, transformers, distribution
main, valves, regulators, nonresidential service costs, and other distribution facilities
required to complete the distribution line extension, as detailed in Gas and Electric Rule 15
as PG&E's responsibility.
• Applicant's statement of costs DOES NOT include: inspection fees, tie-in of system by
PG&E, distribution substructures, electric trench, conduits, feeder conduits, or protective
structures, as detailed in Gas and Electric Rule 15.
I declare under penalty of perjury that the foregoing is true and correct.
X APPLICANT'S ELECTION NOT TO PROVIDE COSTS: if this option selected, box must be checked)
I choose not to provide to the utility my refundable costs for this project as taken from my
contract with my contractor, or as performed by myself, and acknowledge that PG&E will use
its estimate of the refundable costs for this project in the contract between it and me.
Executed on -J 2v Lat TIBURON, CA
ate) (City)
By
Print Applicant Name: MARGARET CURRAN
Signed:
~/1/~ ✓ - _
Title: 4-10
Form 79-1003
Tariffs and Co!-rpiiarice
_'age % of 2 ~ d~ricc 2438-G-C !2379-F
105194939D Decision 02' -0? - 032
r-.rf-
r~ u1 c)i-na ed ~IOCUiiIC(lt, Prelii-niniar\' Staierne it, part A tecl-I've: Jilt' 1, 2004
Pacific Gas and
Electric Company°
DISTRIBUTION SERVICE AND EXTENSION AGREEMENT
DECLARATIONS 1
Subm\tted to App\\cam by .
M\NDEE RA`lBURN
DISTRIBUTION:
Applicant (copy)
Division (copy)
CFM (Original)
T&CS
REFERENCES:
Notification #
Contract #
E-PM #
G-PM #
Prior MLX E IG
Customer #
Date ot \ssuance•. July 9, 2 012
THE TOWN OF TIBURON, A Government Agency (Applicant), has requested PACIFIC GAS & ELECTRIC
COMPANY, a California corporation (PG&E), to deliver Gas & Electric energy to the property situated at 600
NEDS WAY, TIBURON, 94920 and shown on the attached drawings.
2. Applicable Documents. The cost summary for the facilities to be installed is attached hereto as Exhibit A.
These facilities shall be installed in accordance with the applicable rules on file with the California Public Utilities
Commission (which may include Gas and Electric Rules 2, 13, 15, 16, and 20), as well as the requirements
set forth in the Provisions and the General Terms and Conditions for Gas and Electric Service by Applicant.
Inglono~o
1143122
30840607
30840622
1975 1975
866690
3. Construction Options. The responsibility for providing line extension work is divided between PG&E and the Applicant.
However, Applicant may choose to have a qualified contractor perform some of the work that is PG&E's responsibility,
and may choose to have PG&E perform some or all of the work that is the Applicant's responsibility. PG&E will reimburse
or collect money based on its estimate of the costs, subject to the applicable rules. Based on Applicant's request, the
contract costs are based on the following construction options:
1
To Be Performed By
PG&E Responsibility
j
PG&E i Applicant
Main Trench
Gas
Main Pipe Installation
I
Service Pipe Installation
X
I
Distribution Wire and
Equipment Installation
Electric
j
Service Wire Installation
2 ! To Be Performed By
Applicant Responsibility j
PG&E ! Applicant
Gas Service Trench X
j Distribution Trench
Service Trench X
Electric
Distribution Substructure
Installation -
Service Substructure Installation X
1. PG&E's responsibilities per Rule 15.b.1.b and Rule 16.D.2
2. Applicant's responsibilities per Rule 15.b.1.a and Rule 16.D.1
Page 1 of 2
J
Form 62-09^015
Advice 1y0.268!-G227~54-
105194939D 1 rY r C t ~ ' hE, (-e'd De c~'mbe° 20011
L uto, gated document, Prehn-d- Statement, Part
4. N/A
Refund/Discount Option Selection
Applicant, in accordance with PG&E's extension rules, must select one of the following options for each commodity
you are requesting service (gas and/or electric). Once the selection has been made, it cannot be changed.
Gas
10-Year Subject to Refund Option
- or
XC Non-Refundable 50% Discount Option
Electric
10-Year Subject to Refund Option
- or
Non-Refundable 50% Discount Option
ACCEPTED:
APPLICANT; THE TOWN OF TIBURON, A Government Agency
t,
i
(Authorized Signature)
~
MARGARET CURRAN
~ TITLE:
(Type or Print Name)
DATE:
2S- 2~ t Z.
MAILING ADDRESS:
1505 TIBURO BLVD
TIBURON , CA 94920
PACIFIC GAS AND ELECTRIC COMPANY:
By:
P at,6c1c \-\ayes
(Authorized Signature)
Patrick Hayes
(Type or Print Name)
I
TITLE: Service Planning Supervisor
DIVISION: North Bay
DATE:
APPROVED A TO FORM
Z__12",
ANN DANFORTH
TOWN ATTORNEY
TOWN OF TIBURON
III 11111111111111111111111
~orrr 52-0980
ice Ivc. 2~8%-G"54-E
Re' 5ed -December 2005
Pacific Gas and Electric Company
DISTRIBUTION AND SERVICE EXTENSION AGREE
EXHIBIT A - COST SUMMARY
Applicant: THE TOWN OF TIBURON, A Government Agency
MENT
REFERENCES: Notification # 105194939
Contract # 1143122
E-PM # 30840607
G-PM # 30840622
Project Location/Name: 600 NEDS WAY, TIBURON, 94920
SUMMARY OF PAYMENTS
The total cash payment you need to make depends upon your selection of the 10 Year Refundable Advance
Option or the Non-Refundable Discount Option for your gas and/or electric extension under Rule 15. Since you
may elect one option for the gas extension and a different option for the electric extension, several different cash
payments are available. Each payment option is summarized below. These payments include all billing under
this Agreement including payments subject to refund, and non-refundable payments. To determine what is
refundable or non-refundable, or to see full detailed billing information, please see the attached cost summaries.
Even if you have no payment due for your gas and/or electric extension (Rule 15), you must still elect the 10 Year
Refundable or Non-Refundable Discount Option for each extension on the second page of the Declarations.
10 Year Refundable Advance Option - Gas & Electric (1) $61,512.10 (2)
OR
(3)
Non-Refundable Discount Option -Gas & Electric (1) $32,576.09
OR
10 Year Refundable Advance Option - Gas / (1) $34,253.98 (2)
Non-Refundable Discount Option - Electric
OR
10 Year Refundable Advance Option - Electric / (1) $59,834.20 (2)
Non-Refundable Discount Option - Gas
(1) Amounts shown do not include reimbursements for facilities that are normally the responsibility of PG&E per our
tariffs. See the Reimbursement Summary for a total of all Reimbursements to be paid upon acceptance of facilities.
(2) The payment amount shown on this line includes both refundable payments under Rule 15 for the gas and/or electric
extension, plus other non-refundable payments. The total payment is not subject to refund. Please see the attached
detailed Cost Summaries to determine the portion of this payment that may be subject to refund.
(3) The payment amount shown on this line includes only non-refundable payments under Rule 15 for the gas and/or electric
extension, plus other non-refundable payments. None of the payment shown is subject to refund.
Page , of 1
105194939D
automated document. Prelki-Jnarv Jtatement
62-4527 (Rev 1 /91 )
Service Planning
Advice No. 1633-G/1342-E
Part A Effective 4/62191
Pacific Gas and Electric Company
DISTRIBUTION AND SERVICE EXTENSION AGREEMENT
EXHIBIT A - COST SUMMARY
Fv
REFERENCES:
Notification # 105194939
Contract # 1143122
PM # 30840607
MLX #
ApplicantTHE TOWN OF TIBURON, A Government Agency
Project LocationlNamM0 NEDS WAY, TIBURON, 94920
ELECTRIC DISTRIBUTION LINE AND SERVICE EXTENSION COST SUMMARY
Cost of Ownership charges as described in the rules and in the Unsupported Extension Cost section of the Provisions
Agreemer Apply
Total number of residential lotslunits for this project:
Total number of non-residential lotslunits for this project: 1
Ca\cu\at\ons to determ\ne excess ces\dent~a\ serv\ce a\\owance to be applied to 6\str\bu6on \\ne refundab\e amount or\ a
per Wounit basis.
Cost of Services: c5>
Engineering & Administrative Costs
$0.00
Value of Applicant Design Work
N
$0.00
Service Tie-In Cost (Energized) by PG&E
N
$0.00
Electric Metering
H
$0.00
Others (N/A)
H
$0.00
Inspection Fees
H
$0.00(4)
Service Cost - PG&E installed # Services 0
(y)
$0.00
Service Cost - Applicant installed # Services 0
N
$0.00(5)
Total Estimated Cost of Service Subject to Allowance
$0.00
Cost of Service Within Allowance:
less Total Residential Service Allowance
$1,918.00 x 0 =
$0.000)
Excess Service Cost
$0.00
Estimated Service Cost Within Allowance (Total less Excess)
$0.00
Average Cost per Lot or Unit Within Allowance
$0.00 / 0 =
$0.00
Excess Service Allowance Applied to Distribution Line Extension Refundable
Amount per Lot or Unit:
$1,918.00 - $0.00 =
$0.00
Allowance Ave. Cost / Unit
Form 7+- 004
Tar!fts and Compliance
Advice 2552-G-B1125 1 7-E-5
105194939D P~
Decision 04-05-055
Automated document
Preliminary Statement
Part P, Effective: July 26. 2004
Allowances
Residential:
plus ITCC @ 221/6
$1,918.00 x 0
Allowance Lots / Units
Residential Allowances
SUB TOTAL Residential Allowance
Non-Residential: $150.00 / 0.1680
Net Annual Revenue Cost-of-Service-Factor
plus ITCC @ 22% Non-Residential Allowances
SUB TOTAL Non-Residential Allowances
less Residential Service Allowance:
( 0 x $0.00 ) + 22% _
Lots/Units Ave. Cost/ Unit ITCC
Total Distribution Line Extension Allowance
Amount Subiect to Refund
Engineering & Administrative Costs
Value of Applicant Design Work
Tie-In of Distribution Line Extension by PG&E
Electric Metering (Non-Residential Projects)
Other Taxable Charges: N/A
PG&E installed - Cost of Distribution Line and Non-Res Svcs.
Applicant installed - Cost of Distribution Line and Non-Res Svcs
Value of Distribution Substructures
Inspection Fees
SUB TOTAL
plus ITCC @ 22%
Total Refundable Amount
Less Total Allowances (not to exceed Total Refundable Amount)
Balance: Net Refundable Amount
10 Year Refundable Advance Option
Balance: Net Refundable Amount
Less Credit for Value of Applicant Design Work
Less Cost of Dist. Line Ext. and Non-Res Svcs. installed by Applicant
Less Distribution Substructures by Applicant
Net 10 Year Refundable Advance Option Payment
Non-Refundable Discount Option
Balance: Net Refundable Amount
less Discount $54,516.22 x 0.50 =
Balance Discount Rate
Less Credit for Value of Applicant Design Work
Less Cost of Dist. Line Ext. and Non-Res Svcs. installed by Applicant
Less Distribution Substructures by Applicant
H
H
$0.00
$0.00
$0.00
$892.86
$196.43
$1,089.29
$0.00
$13,558.59
$0.00
$8,716.69
$1,364.80
$0.00
$21,938.21
$0.0015)
$0.00
$0.00 (4)
$45,578.29
$10,027.22
$55,605.51
$1,089.29
$54,516.22
$54,516.22
$0.00
$0.0015)
$0.00
$54,516.22
$27,258.11
$0.00
on nn (5)
Z~u.uu
$1,089.29
$54,516.22 (2)
Net Non-Refundable Discount Option Payment $27,258.11 (2)
Forr 79-1004
arms ana Compliance
Advice 2552-0 -Bi25 17-E-E
105194939D Page 2 of A Decisio ; 04-05-055
T
, L 26. 2~J
Autol i aterf documeri~, Preiinninary J'ate I I`` nt. Par P, 'e
Non-Refundable Payments
Rule 16 Non-Refundable Payments
Excess Service Costs
$0.00
Service Costs Beyond Preferred Service Location
$0.00
Service Riser
$0.00
Value of Rule 16 Land Rights Costs
$0.00
Value of Service Trench, Conduits & Substructures in the
$5,552.09
Franchise Area or on 3rd Party Property
Inspection Fees
$1,436.98
Rule 16 Trench Permits Obtained by PG&E
$0.00
Other Taxable Charges: N/A
$0.00
Cost of Additional Rule 16 Applicant Design Plan Checks
$0.00
SUB TOTAL
$6,989.07
Plus ITCC @ 22%
$1,537.60
Other Non-taxable Charges: N/A
$0.00
D.04-05-055 Line Extension Costs - Residential
$0.00
D.04-05-055 Line Extension Costs - Non-Residential
$250.00
Inspection Fees (not subject to ITCC)
$0.00
Plus Service Trench, Conduits, & Substructures installed by
$0.00
PG&E on Private Property
Less Excess Service Facilities Installed by Applicant
$0.00
Less Service Costs Beyond Preferred Location by Applicant
$0.00
Less Service Riser Installed by Applicant
$0.00
Less Service Trench, Conduits, & Substructures in the
$5,552.09
Franchise Area & 3rd Party Property installed by Applicant
Less Rule 16 Applicant Design Work Associated with Excess
$0.00
Total Rule 16 Non-Refundable Payment
) $3,224.58
Rule 15 Non-Refundable Payments
Inspection Fees
$0.00
Re-engineering / Composite Fees
$0.00
Cost of Additional Applicant Design Plan Checks
$0.00
Value of Distribution Conduits
$0.00
Distribution Risers Installed by PG&E
$0.00
Value of Distribution Trench
$0.00
PG&E Land Rights Costs
$0.00
Rule 15 Trench Permits Obtained by PG&E
$0.00
N/A
$0.00
SUB TOTAL
$0.00
Plus ITCC @ 22%
$0.00
Less Distribution Conduits Installed by Applicant
$0.00
Less Distribution Trench Provided by Applicant
$0.00
Total Non-Refundable Electric Rule 15 Payment
$0.00
Relocation / Rearrangement of PG&E Facilities
Value of Relocation/Rearrangement Facilities
$0.00
Value of Relocation/Rearrangement Conduits & Substructures
$0.00
Value of Relocation/Rearrangement Trench & Excavation
$0.00
Engineering & Administrative Costs
$0.00
Form 79-10,04
i a iffs and -,ompiiance
Advice 2552-G-B/25 i ; -E-B
105194939D Paoe 3 of 4
Decision X04-05-055
Au,on fated document; Preliminarv Staternert, Part A
Effective: July 26. 2004
Value of Relocation Applicant Design Work
$0.00
Cost of Additional Applicant Design Plan Checks
$0.00
Tie-In of Relocation/Rearrangement by PG&E
$0.00
Relocation/Rearrangement Trench Permits Obtained by PG&E
$0.00
Relocation/Rearrangement Land Rights
$0.00
Relocation/Rearrangement Inspection Fees
$0.00
SUB TOTAL
$0.00
Plus ITCC @ 22%
$0.00
Plus Relocation/Rearrangement - Non Taxable
$0.00
Less Relocation/Rearrangement Facilities Installed by Applicant
$0.00
Less Conduits & Substructures Installed by Applicant
$0.00
Less Trench & Excavation Provided by Applicant
$0.00
Less Value of Relocation Applicant Design Work
$0.00
Less Relocation/Rearrangement Salvage
$0.00
Total Relocation / Rearrangement of PG&E Facilities Payment
Total Pavment for Electric Distribution Line and Service Extension
Cash Payment - 10-Year Refundable Advance Option
Rule 15 Refundable Advance Payment
Rule 16 Non-Refundable Payment
Rule 15 Non-Refundable Payment
Relocation/Rearrangement of PG&E Facilities Payment
Total
--OR--
Cash Payment - Non-Refundable Discount Option
Rule 15 Non-Refundable Discount Option Payment
Rule 16 Non-Refundable Payment (Not Subject to Discount)
Rule 15 Non-Refundable Payment (Not Subject to Discount)
Relocation/Rearrangement of PG&E Facilities Payment
Total
$0.00
$54,516.22 13)
$3,224.58
$0.00
$0.00
$57,740.80
$27,258.11 13)
$3,224.58
$0.00
$0.00
$30,482.69
Value of Electric Facility Reinforcements by PG&E: $0.00 based upon Applicant's estimated
demand of: 0.00 kVa
(Reference: Payment Adjustments. Excess Facilities section of the Provisions)
(1) Total Service Allowance not to exceed the Cost of Service
(2) 10 Year Refundable and Discount Option credit amounts will be paid upon acceptance of facilities. Credit amounts are subject
to future deficiency billing in accordance with the tariff.
(3) 10 Year Refundable and Discount Option credit amounts do not offset Other Non-Refundable or Relocation Fees. See Reimbursement
Summary for a total of Reimbursements and Credits to be paid upon acceptance of facilities.
(4) Inspection Fees (Only Refundable if Applicant's Actual Cost is Used. Applicant's Actual Cost + Inspection Cannot Exceed
PG&E's Estimate)
(5) The lower of PG&E's estimated costs or the Applicant's Contract Anticipated Costs (as documented on Form 79-1003
"Statement of Contract Anticipated Costs") will be used to establish the cost of Service and Distribution Line Extension subject to Allowance
**.PG&E USE ONLY
Excess service allowance applied to distribution refundable amount per lot/unit
$0.00 + $0.00 $0.00
Allowance 22% ITCC Refund per Residential Lot/Unit
Form 79-1004
7 ariffs and Comgiiano
Ac Vi e 2552-G-B/25 1 ' -E-ES
Pace 4 of 4
105194939D Decisz ion 04-05-055
Automated document, Preliminary State~~~en_. °art A Ef°ctive: uiy 26. 2004
Pacific Gas and Electric Company REFERENCES:
DISTRIBUTION AND SERVICE EXTENSION AGREEMENT Notification # 105194939
EXHIBIT A - COST SUMMARY * Contract # 1143122
1 G-PM # 30840622
GRR-PM #
MLX #
Applicant THE TOWN OF TIBURON, A Government Agency
Project Location/Nam, 600 NEDS WAY, TIBURON, 94920
GAS DISTRIBUTION LINE AND SERVICE EXTENSION COST SUMMARY
Cost of Ownership charges as described in the rules and in the Unsupported Extension
Cost section of the Provisions of this Agreement: Apply
Total number of residential lots/units for this project: 0
Total number of non-residential lots/units for this project: 1
Ca\cu\atlons to determine excess resident%a\ service a\\owance to be app\\ed to distribut\on \ine re\undab\e amount on a per
\otlunit basis..
Cost of Services: (5)
Engineering & Administrative Costs
$0.00
Value of Applicant Design Work
$0.00
Service Tie-in Cost (Pressurized) by PG&E
$0.00
Gas Meterinq & Requlation
$0.00
Not Available
$0.00
Inspection Fees
$0.00(4)
Service Cost - PG&E installed
# Services
0
$0.00
Service Cost - Applicant installed
# Services
0
$0:00(5)
Total Estimated Cost of Service Subject to
Allowance
$0.00
Cost of Service Within Allowance:
Residential Service Allowance
Water Heaters: $439.00
x 0
Units
$0.00
Space Heaters: $586.00
x 0
Units
$0.00
Oven / Range: $27.00
x 0
Units
$0.00
Dryer Stub: $34.00
x 0
Units
$0.00
Total Residential Service Allowance
Excess Service Cost
Estimated Service Cost Within Allowance (Total less Excess)
Average Cost per Lot or Unit Within Allowance
$0.00 / 0 =
Excess Service Allowance Applied to Distribution Line Extension Refundable
Amount per Lot or Unit:
$0.00 - $0.00 =
Allowance Ave. Cost / Unit
$0.00')
$0.00
$0.00
$0.00
,zn nn
corm 79-1004
i arif s and Cowprance
Aovic - 2552-G-B'2517-t-B
P a 3 e 1 0 47 Decision 04-05-055
105194939D ~ r=
•P Tiv~• iii iF, (1C14
Automated docurY1 en" Preiiminar~ Sta~ernent. Part r.
Allowances
Residential: $439.00 x 0
$0.00
Water Heaters: Lots / Units
$586.00 x 0
$0.00
Space Heaters: Lots / Units
$27.00 x 0
$0.00
Oven / Range: Lots / Units
$34.00 x 0
$0.00
Dryer Stub: Lots / Units
SUB TOTAL Residential Allowance
$0.00
plus ITCC @ 22% Residential Allowances
$0.00
TOTAL Residential Allowances
$0.00
Non-Residential: $101.00 / 0.1668 =
$605.52
Net Annual Revenue Cost-of-Service-Factor
$133
21
plus ITCC @ 22% Non-Residential Allowances
.
SUB TOTAL Non-Residential Allowances
$738.73
less Residential Service Allowance:
( 0 x $0.00 )
22% _
$0.00
+
Lots/Units Ave. Cost / Unit ITCC
Total Gas Distribution Main Extension Allowance
$738.73
Amount Subject to Refund
Engineering & Administrative Costs
$1,610.62
Value of Applicant Design Work
$0.00
Tie-In of Distribution by PG&E
$670.34
Gas Metering (Non-Residential Projects)
$592.77
N/A
$0.00
PG&E installed - Cost of Distribution Main and Non-Res Svcs.
$0.00
Applicant installed - Cost of Distribution Main and Non-Res Svcs.
$482.43 (5)
PG&E installed - Cost of Distribution Main Trench.
$0.00
Applicant installed - Cost of Distribution Main Trench.
$0.00(5)
Inspection Fees
$0.00(4)
SUB TOTAL
$3,356.16
plus ITCC 22%
$738.36
Total Refundable Amount
$4,094.52
Less Total Allowances (not to exceed Total Refundable Amount)
$738.73
Balance: Net Refundable Amount
$3,355.79
10 Year Refundable Advance Option
Balance: Net Refundable Amount
$3,355.79
Less Credit for Value of Applicant Design Work
$0.00
Less Cost of Dist. Main Ext. and Non-Res Svcs. installed by Applicant
$482.43 (5)
Less Distribution Main Trench by Applicant
$0.00(5)
Net 10 Year Refundable Advance Option Payment
$2,873.35 (2)
Non-Refundable Discount Option
Balance: Net Refundable Amount
$3,355.79
$3,355.79
0.50 =
$1,677.89
x
Balance Discount Rate
Less Credit for Value of Applicant Design Work
$0.00
Less Cost of Dist. Main Ext. and Non-Res Svcs. installed by Applicant
$482.43 (5)
Less Cost of Distribution Main Trench by Applicant
$0.00(5)
Net Non-Refundable Discount Option Payment
$1,195.46 (2)
III I III III III 11111111111111111
Page, 2 of 4
Automated document, Preliminary Statement; Part ,
Form 79-1004
Tariffs and Compliance
Advice 2552-G-B2517-E-E
Decision 04-05-055
Effective: July 26, 2004
Non-Refundable Payments
Rule 16 Non-Refundable Payments
Excess Service Costs
$0.00
Service Costs Beyond Preferred Service Location
$0.00
Value of Rule 16 Land Rights Costs
$0.00
Value of Gas Service Trench in the Franchise Area
$926.25
or on 3rd Party Property
Inspection Fees
$364.07
Rule 16 Trench Permits Obtained by PG&E
$0.00
Other Taxable Charges: N/A
$0.00
Cost of Additional Rule 16 Applicant Design Plan Checks
$0.00
SUB TOTAL
$1,290.32
Plus ITCC @ 22%
$283.87
Other Non-taxable Charges: N/A
$0.00
D.04-05-055 Line Extension Costs Residential
$0.00
D.04-05-055 Line Extension Costs Non-Residential
$250.00
Inspection Fees (not subject to ITCC)
$0.00
Plus Gas Service Trench installed by PG&E on Private Property
$0.00
Less Excess Service Facilities Installed by Applicant
$0.00
Less Service Costs Beyond Preferred Location by Applicant
$0.00
Less Gas Service Trench in the Franchise Area or
$926.25
on & 3rd Party Property installed by Applicant
Less Rule 16 Applicant Design Work Associated with Excess
$0.00
Total Rule 16 Non-Refundable Payment
$897.94
Rule 15 Non-Refundable Payments
Inspection Fees
$0.00
Re-engineering / Composite Fees
$0.00
Cost of Additional Applicant Design Plan Checks
$0.00
Value of Distribution Main Substructures
$0.00
PG&E Land Rights Costs
$0.00
Rule 15 Trench Permits Obtained by PG&E
$0.00
N/A
$0.00
SUB TOTAL
$0.00
Plus ITCC @ 22%
$0.00
Less Distribution Main Substructures Installed by Applicant
$0.00
Total Non-Refundable Gas Rule 15 Payment
$0.00
Relocation / Rearrangement of PG&E Facilities
Value of Relocation/Rearrangement Facilities $0.00
Value of Relocation/Rearrangement Conduits & Substructures $0.00
Value of Relocation/Rearrangement Trench & Excavation $0.00
Engineering & Administrative Costs $0.00
Form 79-1004
I Tarp is and Compliance
Ad•,,ice 2552-G-82517-E-B
~aae ~ o` 4 Decision 04-05-055
105194939D Erfective: "Lily 26, 2004
automated docunnent, Preliminary Statement, Part A
Value of Relocation Applicant Design Work
$0.00
Cost of Additional Applicant Design Plan Checks
$0.00
Tie-In of Relocation/Rearrangement by PG&E
$0.00
Relocation/Rearrangement Trench Permits Obtained by PG&E
$0.00
Relocation/Rearrangement Land Rights
$0.00
Relocation/Rearrangement Inspection Fees
$0.00
SUB TOTAL
$0.00
Plus ITCC @ 22%
$0.00
Plus Relocation/Rearrangement - Non Taxable
$0.00
Less Relocation/Rearrangement Facilities Installed by Applicant
$0.00
Less Substructures Installed by Applicant
$0.00
Less Trench & Excavation Provided by Applicant
$0.00
Less Value of Relocation Applicant Design Work
$0.00
Less Relocation/Rearrangement Salvage
$0.00
Total Payment for Gas Distribution Line and Service Extension
Total Payment for Gas Distribution Main and Service Extension
Cash Payment -10-Year Refundable Advance Option
Rule 15 Refundable Advance Payment
$2,873.35 (3)
Rule 16 Non-Refundable Payment
$897.94
Rule 15 Non-Refundable Payment
$0.00
Relocation/Rearrangement of PG&E Facilities Payment
$0.00
Total
Cash Payment - Non-Refundable Discount Option
Rule 15 Non-Refundable Discount Option Payment
$1,195.46 (3)
Rule 16 Non-Refundable Payment (Not Subject to Discount)
$897.94
Rule 15 Non-Refundable Payment (Not Subject to Discount)
$0.00
Relocation/Rearrangement of PG&E Facilities Payment
$0.00
Total
Value of Gas Facility Reinforcements by PG&E: $0.00 based upon Applicant's estimated
gas load of: 0.0 Mcfh
(Reference: Payment Adjustments. Excess Facilities section of the Provisions)
$0.00
$3,771.29
$2,093.40
(1) Total Service Allowance not to exceed the Cost of Service
(2) 10 Year Refundable and Discount Option credit amounts will be paid upon acceptance of facilities. Credit amounts are subject
to future deficiency billing in accordance with the tariff.
(3) 10 Year Refundable and Discount Option credit amounts do not offset Other Non-Refundable or Relocation Fees. See Reimbursement
Summary for a total of Reimbursements and Credits to be paid upon acceptance of facilities.
(4) Inspection Fees (Only Refundable if Applicant's Actual Cost is Used. Applicant's Actual Cost + Inspection Cannot Exceed
PG&E's Estimate)
(5) The lower of PG&E's estimated costs or the Applicant's Contract Anticipated Costs (as documented on Form 79-1003
"Statement of Contract Anticipated Costs") will be used to establish the cost of Service and Distribution Line Extension subject to Allowance
PG&E USE ONLY
Excess service allowance applied to distribution refundable amount per lot/unit
$0.00 + $0.00 $0.00
Allowance 22% ITCC Refund per Residential Lot/Unit
Form 79-1004
Tari rs and Compliance
Advice 2552-G-B2517-E-B
P a q e 4 Decision 04-05-055
105194939D v Ef.ective: Juiy 2n, 2004
Automated document, Preliminary Statement, Part A
REFERENCES:
Notification # 105194939
Pacific Gas and Electric Company contract # 1143122
DISTRIBUTION AND SERVICE EXTENSION AGREEMENT
EXHIBIT A - COST SUMMARY E15-PM # 30840622
1 El 6R-PM # 30840607
E20B-PM #
E20C-PM #
G15-PM # 30840622
G16R-PM #
Applicant: THE TOWN OF TIBURON, A Government Agency
Project Location/Name: 600 NEDS WAY, TIBURON, 94920
REIMBURSEMENT SUMMARY
Reimbursements are provided for facilities that are installed by the Applicant which are normally the responsibility of
PG&E per our tariffs. Reimbursements will be made after the facilities are accepted by PG&E, operational and ready to
supply service. Reimbursable payments made for services will be reimbursed at the average rate shown as each service
is connected. All reimbursements will be based upon PG&E's estimated costs.
Electric Rule 15
10 Year Refundable Advance Credit Amount
$0.0011,
- or -
Non-Refundable Discount Option Credit Amount
$0.0011,
Joint Pole Credits
$0.00
PG&E Betterments
$0.00
SUB TOTAL: w/ 10 Year Refundable Advance Credit Amount
$0.00
-or-
w/ Non-Refundable Discount Credit Amount
$0.00
Electric Rule 16
Joint Pole Credits
$0.00
Applicant Design Work within the Allowance
$0.00
SUB TOTAL:
$0.00
Reimbursements per Service Completion - Electric
Energized System $0.00 /service (2)
Non-energized System $0.00 /service (2)
Electric Rule 20B
Joint Pole Credits $0.00
Rule 20B Payment Credit $0.00
SUB TOTAL: $0.00
Electric Rule 20C
Joint Pole Credits $0.00
Rule 20C Payment Credit $0.00
SUB TOTAL: $0.00
Page . of 2 Forrn 79- 1004
Tariffs and Compliance
Advice 2458-G-C'2379-E-C
105194939D Decision 03-03-032
Auto r-, ated document, Preliminary Statement, Part A Effective: July 1, 2004
Streetlights
LS-1
Standard Luminaries
$0.00
Standard Poles & Arms
H
$0.00
Protective Tubes
$0.00
Internal Wiring
$0.00
Overhead Conductor
N
$0.00
Underground Conductor
N
$0.00
Connections
N
$0.00
LS-2
Connections
$0.00
SUB TOTAL:
$0.00
Gas Rule 15
10 Year Refundable Advance Credit Amount
$0.0011,
- or -
Non-Refundable Discount Option Credit Amount $0.0011,
PG&E Betterments $0.00
SUB TOTAL: w/ 10 Year Refundable Advance Credit Amount $0.00
-or-
w/ Non-Refundable Discount Credit Amount $0.00
Gas Rule 16
Stub Services $0.00
Applicant Design Work within the Allowance $0.00
SUB TOTAL: $0.00
Reimbursements per Service Completion - Gas
(2)
Pressurized System $0.00 /service
Non-Pressurized System $0.00 /service (2)
Total Reimbursement
10 Year Refundable Advance Option - Gas & Electric
OR
Non-Refundable Discount Option - Gas & Electric
OR
10 Year Refundable Advance Option - Gas / Non-Refundable Discount Option - Electric
OR
10 Year Refundable Advance Option - Electric / Non-Refundable Discount Option - Gas
(1) 10 Year Refundable and Discount Option credit amounts will be paid upon acceptance of facilities. Credit amounts are subject
to future deficiency billing in accordance with the tariff.
(2) This Reimbursement will be paid on a per service basis as each service is completed.
(3) Excludes service completion reimbursements made under Rule 16. Service completion reimbursements will be made as each
service is connected, on a per service basis.
$0.00(3)
- __(3)
$0.00(3)
$0.00(3)
Page 2 of 2 Form. 79-1004
Tariffs and Compliance
Advice 2458- C ,2379-E-C
105194939D Decision 03-03-022
Automated document, Preliminary Statement, Part A Effective: July 1, 2004