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Business Documents Examples Self Generation Incentive Program Project Cost Breakdown Wo

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					                                                                      Self-Generation Incentive Program
                                                                      Project Cost Breakdown Worksheet

HOST CUSTOMER NAME & RESERVATION #: _______________________________________________________________________________________________________

HOST CUSTOMER FACILITY ADDRESS: _______________________________________________________________________________________________________

INSTRUCTIONS: Refer to the Self-Generation Incentive Program Handbook before completing and then submitting this form
               along with the Proof of Project Advancement or Incentive Claim documentation.

SECTION 1: ELIGIBLE PROJECT COSTS (refer to SGIP Handbook for further definitions and examples ):

Item
 No.           Eligible Cost Elements                                                                        Item Description                        Cost of Item(s)

  1     Planning & Feasibility Study Costs

  2     Engineering & Design Costs

  3     Permitting Costs (air quality, building permits, etc.)

  4     Self-Generation Equipment Costs (generator, ancillary equipment)

  5     Waste Heat Recovery Costs (not including thermal application.)

  6     Construction & Installation Costs (labor & materials)

  7     Interconnection Costs - Electric (customer side of meter only)

  8     Interconnection Costs - Gas (customer side of meter only)

  9     Warranty Cost (if not already included in Item 4)

  10    Maintenance Contract Cost (only if warranty is insufficient)

  11    Sales Tax

  12    Other Eligible Costs (Itemize Below)
         12.a
         12.b
         12.c
                                  (A) TOTAL ELIGIBLE PROJECT COSTS:                                                                                                     $0


SECTION 2: PROJECT COSTS CONSIDERED NOT ELIGIBLE (refer to SGIP Handbook for further definitions and examples ):

Item
 No.           Ineligible Cost Elements                                                                      Item Description                        Cost of Item(s)

  1     Fuel Supply Costs (digesters, gas gathering, etc.)

  2     Ineligible Self-Generation Equipment Cost

  3     Electricity Storage Devices

  4     Thermal Load Costs (new absorption chillers, boilers, etc.)

  5     Interconnection Costs - Electric (work on utility side of meter)

  6     Interconnection Costs - Gas (work on utility side of meter)

  7     Warranty Costs (beyond SGIP requirement)

  8     Maintenance Contract Costs (beyond SGIP requirement)

  9     Other Ineligible Costs (Itemize Below)
         9.a Buildings to house and/or support generation equipment
         9.b
         9.c

                                 (B) TOTAL INELIGIBLE PROJECT COSTS:                                                                                                    $0


                                                                                         Amount representing the total cost to install the
                                  (C) = (A) + (B) = TOTAL PROJECT COST:                                                                                                 $0
                                                                                         generating system.


       Printed 11/13/2010                                                             Page 1 of 1                                            f496ba66-7e3b-4ede-b754-6f6f3c7916c3.xls

				
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