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04/26/2017 APPENDIX A - REFUNDABLE OPTION ELECTRIC LINE EXTENSION AGREEMENT LOC. W.O. A•I• LINE EXTENSION JOB # 1189266 1. SCE RULE 16 COST TO SERVE (A) SCE RULE 15 COST TO SERVE (LINE I . (H)) (A) SCE RULE 16 COST TO SERVE $834.70 (B) LESS APPLICANT ALLOWANCES $15,633.27 (C) EXCESS RULE 16 COST TO (LINE 5. (A)) $0.00 (D) EXCESS ALLOWANCES TO (LINE 2.) $14,798.57 SCE COST TO SERVE RULE 15 (E) OVERHEAD 0 FEET X $.00 UNIT COST $.00 (F) UNDERGROUND 0 FEET X $.00 UNIT COST $.00 (G) PROJECT SPECIFIC ( IF 2X UNIT COST OR COMPETITIVE BID) $15,549.18 (H) TOTAL SCE RULE 15 COST TO SERVE $15,549.18 2. APPLICANT ALLOWANCES (FROM LINE 1. (D)) $14,798.57 3. REFUNDABLE: (A) SCE RULE 15 COST TO SERVE (LINE I . (H)) $15,549.18 (B) PLUS ESTIMATED VALUE OF STRUCTURES $214.62 (C) SUBTOTAL ( LINE 3. (A) + 3. (B)) $15,763.80 (D) LESS ALLOWANCE ( LINE 2) $14,798.57 (E) REFUNDABLE AMOUNT ( LINE 3. (C) - 3. (D)) $965.23 (F) PLUS REFUNDABLE ITCC* ON LINE 3. (E) $212.35 (G) TOTAL AMOUNT ( LINE 3. (E) + 3. (F)) $1,177.58 4. PAYMENT OPTION SELECTED: REFUNDABLE HAS CHOSEN: SIGN (A) REFUNDABLE OPTION: LINE 3. (G) $1,177.58 1 ) VALUE OF STRUCTURES: $214.62 2) REFUNDABLE PAYMENT: $962.96 3) AMOUNT SUBJECT TO REFUND/CREDIT $1,177.58 5. OTHER NON-REFUNDABLE ADVANCES & CREDITS (A) OTHER NON-REFUNDABLE CHARGES ( RULE 16, FLAT RATE, INSPECTION, R/W , ETC.) $3,226.10 (B) ITCC* ON OTHER NON-REFUNDABLE $709,74 (C) ITCC* ON APPLICANT FURNISHED FACILITIES $206.69 (D) INSTALLED COST OF SUBSTRUCTURE BY SCE $0.00 (E) LESS APPLICANT DESIGN OR REIMBURSABLE CREDITS $0.00 (F) TOTAL NON-REFUNDABLE ( LINE 5. (A) THRU 5. (D) - 5. (E)) $4,142.53 (G) TOTAL CREDITS ( LINE 5. (E) - 5. (A) THRU 5. (D)) $0.00 6. AMOUNT TO BE PAID BY APPLICANT TO SCE $5,105.49 7. AMOUNT TO BE REFUNDED TO APPLICANT UPON FULFILLMENT OF ALL CONTRACTUAL OBLIGATIONS $0.00 HAS NOT CHOSEN: SIG * INCOME TAX COMPONENT OF CONTRIBUTION