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CW <br />a c+% SOUTHERN CALIFORNIA EDISON ( "SCE " ) <br />DISTRIBUTION LINE AND/OR SERVICE EXTENSION <br />G1 9 2012 APPLICANT"S INSTALLATION OPTION AND <br />STATEMENT OF APPLICANT'S CONTRACT ANTICIPATED COSTS <br />Applicant : CITY OF SANTA ANA <br />Product Number : 1189266 <br />Project Specific Location: '3039 314 S BRISTOL ST CA 92704 <br />1. INSTALLATION OPTIONS <br />Applicant understands that in accordance with SCE's Rule I5 and/or Rule 16, Applicant can elect to have <br />either SCE install the Distribution Line and/or Service Extension or a Qualified Contractor/Subcontractor <br />install the Distribution Line and/or Service Extension. <br />2. SCE's ESTIMATED REFUNDABLE COST INFORMATION <br />SCE's estimated refundable costs are based on the work that SCE would normally perform that can be <br />performed by a Qualified Contractor/Subcontractor under the provisions of the Applicant Installation Option, <br />Rule 15, Section G, and in accordance with SCE's Terns and Conditions Agreement for Installation of <br />Distribution Line Extension by Applicant (Form 14-188). <br />SCE's estimated refundable costs:* $15,549.18 <br />If applicable, other estimated cost information may be provided below. This could include the credit amount <br />for Rule 16, street light, or other associated installation work. <br />SCE Rule 16 credit amount : * $834.70 <br />SCE street light credit amount :* $0.00 <br />SCE associated work credit amount:* $0.00 <br />3. APPLICANT SELECTION <br />Applicant understands the installation options under Section 1 above, and hereby elects the following <br />Installation Option by initialing the appropriate selection below: <br />Installation by SCE <br />Installation by Qualified Contractor/Subcontractor <br />Under installation by Qualified Contractor/Subcontractor, Applicant shall secure project specific bid <br />information from Qualified Contractors/Subcontractors for the installation of the Distribution Line and/or <br />Service extension. Applicant shall contribute or advance before the start of construction any refundable or <br />non-refundable amounts as specified in Rules 15 and I6. <br />*Please refer to the specific contract, Appendix A, for detailed financial information. <br />Form 14-754, New 7/04 <br />