790 S. Buchanan. Amarillo, TX 79101

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Page 1 of X 19-XX-XXX

Texas

Application

INTERCONNECTING PRIVATE GENERATION The following information shall be supplied by the customer or customer’s designated representative. Applicable information must be complete to assure accurate evaluation of interconnection with the utility system.

For assistance, please contact Steven Hudson, principal area engineer

Email: Steven.Hudson@xcelenergy.com

Phone: 806.378.2165

Note: Be sure your inverter, converter, controller and interconnection equipment meet universal Underwriters Laboratories or Institute of Electrical and Electronics Engineers pre-certification standards UL-1741 and IEEE 1547.1 (required frequency 60 Hz).

APPLICATION FOR INTERCONNECTION AND PARALLEL OPERATION

Customer name

Service point

Street address (home, business, facility) City State ZIP

Contact name

Phone Email

Information prepared and submitted by (if different than contact)

Name

Address

Signature

Generator information

Number of individual units (photovoltaic panels, turbines, engines, batteries, etc.)

Panel manufacturer and model number, if applicable

Inverter manufacturer and model number, if applicable

Type of distributed generation to be produced (synchronous, induction, inverter)

‘Fuel’ source (solar, wind, natural gas, etc.)

Kilowatt rating (total system DC rating, 95 F at location)

Kilovolt-ampere rating (total system AC rating, 95 F at location)

Expected start-up date (energization)

Interconnecting Private Generation Application

Texas

Normal operation of interconnected private generation is expected to supply power to meet baseload, offset power consumption (demand management), provide

standby or back-up power, other (please describe)

One-line diagram attached: Yes (document title) No __________

Precertification label or type number (e.g., UL-1741, IEEE 1547.1) ____________

Layout sketch showing lockable “visible” disconnect device attached: Yes (document title) No __________

Which interconnection option do you prefer (see diagram labeled TEXAS PRIVATE GENERATION INTERCONNECTION OPTIONS)

Option 1__________ Option 2__________ Option 3__________

If you plan to export electricity, do you have an expected power export estimate (kilowatt-hours per day you expect to push onto the grid) kWh

Customer Authorized Release of Information

By signing below, customer authorizes Xcel Energy’s Southwestern Public Service Company to release customer’s proprietary information to the extent necessary

to process this application:

Customer signature Date

Please provide with application (check all that apply):

o Complete copy of all technical manuals.

o One-line diagram of the system and any other applicable schematic drawings.

o A drawing of the facility where you intend to install the system. For instance, provide the house/business location in relation to our electric service, where the private generation will be installed, and any pertinent information that provides our engineer a helpful visual description before he makes a site visit.

Return completed application to:

Resource Planning Dept.790 Buchanan St, 7th FloorAmarillo, TX 79101

Email: Steven.Hudson@xcelenergy.com

Phone: 806.378.2165

See “Texas solar and private generation” in information packet and on xcelenergy.com for interconnection options and definitions.

¹Commission rules provide for three metering and billing options for customer-owned generation through Xcel Energy rate schedule IV-86 (PUCT Substantive Rule 25.242, found at 16 Texas Administrative Code § 25.242).

xcelenergy.com | © 2019 Xcel Energy Inc. | Xcel Energy is a registered trademark of Xcel Energy Inc. | 19-11-311

Source:Southwestern Public Service CompanyElectric TariffSection No. IVSheet No. IV-150Revision No. 6