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SCHEDULE 3-DISTRIBUTED ENERGY RESOURCES INTERCONNECTION PROCESS <br /> Interconnection Agreement * <br /> Proposed DER interconnections that are also deemed Qualifying Facilities less than 40 kW AC under <br /> Minnesota Statutes§2168.164 are eligible to sign the Utility's Uniform Contract for Cogeneration and <br /> Small Power Production Facilities. Included in this agreement are payment terms for excess power <br /> generated by the proposed DER system the Utility may purchase. In lieu of the Utility's Uniform <br /> Contract for Cogeneration and Small Power Production Facilities, the Interconnection Customer may <br /> choose to instead sign the Municipal Minnesota Interconnection Agreement(MMIA). <br /> The Interconnection Customer requests an MMIA to be executed in lieu of the <br /> Utility's Uniform Contract for Cogeneration and Small Power Production 0 Yes 0 No <br /> Facilities. <br /> Disclaimers — Must be completed by Interconnection Customer * <br /> Initials <br /> The Interconnection Customer has opportunities to request a timeline extension <br /> during the interconnection process. Failure by the Interconnection Customer to <br /> meet or request an extension for a timeline outlined in the Interconnection Process <br /> could result in a withdrawn queue position and the need to re-apply. <br /> Propose DER interconnection to the Utility's distribution submitted under the Fast <br /> Track Process may be moved into the Study Process if engineering screens are failed <br /> during the Interconnection Application review. <br /> Application Signature —Must be completed by Interconnection Customer * <br /> I designate the individual or company listed as my Application Agent to serve as my <br /> agent for the purpose of coordinating with the Area EPS Operators on my behalf <br /> throughout the interconnection process. Initials <br /> I hereby certify that,to the best of my knowledge, the information provided in this Application is true, <br /> and that I have appropriate Site Control in conformance with the Interconnection Process. I agree to <br /> abide by the Municipal Minnesota Distributed Energy Resource Interconnection Process (M-MIP) and <br /> will inform the Utility if the proposed DER system changes from the details listed in this <br /> Interconnection Application. <br /> Applicant Signature: Date: <br /> ***Please print clearly or type and return completed along with any additional documentation*** <br /> ELK RIVER MUNICIPAL UTILITIES 9 <br /> 237 <br />