HomeMy WebLinkAboutContract
Date
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PSE WORKORDER NO.
CUSTOMER (OWNER) NAME CO-OWNER NAME (IF APPLICABLE)
SERVICE ADDRESS CITY STATE ZIP
%IL/ING ADDRESS CITY STATE ZIP
PHONE EMAIL
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Brief Description of Work:
Brief Description of Other Costs:
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Single wire run to handhole or transformer $
Each additional run of wire(per circuits) $
Each additional trip beyond 1st trip due to customer QHHGV $ per trip
Hourly rate for additional engineeringDWFXVWRPHU
VUHTXHVW $
Underground Temporary Service Charge $ Overhead Temporary Service Charge $
Overhead WR2YHUKHDGPermanent Service Charge $
By signing this contract you are authorizing PSE to continue with all the needed elements to complete your project. Upon
receipt of a signed contract, PSE will bill you for the amount indicatedRQWKH“7RWDO$PRXQWWR%H%LOOHG8QGHU7KLV&RQWUDFW”
line. The bill will VHQWWRWKHELOOLQJDGGUHVVOLVWHGRQWKLVcontractPSE requires payment of these line extension charges
prior to VFKHGXOLQJ construction. 3D\PHQWVFDQEHPDGHYLDSVHFRP IHHVPD\DSSO\ E\PDLORUDWD36(3D\6WDWLRQ
Delaying payment may result in a construction delay for your project. &XVWRPHUUHTXHVWHGFhanges in the scope of the
projectmay result in additional charges, and/or delayVWR \RXU project.
If the above Permitting Fees DUHDVVRFLDWHGZLWKVHUYLFHZRUNonly, those costs will be billed with the applicable service
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Signature:Name:Title:Date:
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8QGHUJURXQGWR8QGHUJURXQGPermanent Service Charge $
2YHUKHDGWR8QGHUJURXQGPermanent Service Charge $
Summary of Charges:
Construction Costs:
Transformation Charges:
Less Applicable Margin Allowance:
Sub-Total (Potential Refundable Costs):
Permitting Fees*:
Relocation/Removal of Existing Facilities:
Other Non-Refundable Construction Charges:
Sub-Total (Non-Refundable Costs):
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CAG-26-022
Armondo Pavone Mayor 1/27/2026
Attest: Name: Jason Seth Title: City Clerk
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352-(&7,1)250$7,21
1.The PSE drawing shows the proposed scope of your project including the location of permanent, above ground
electrical facilities required to provide electrical service to your project. Fault current information for transformers
associated with your project is noted on the work sketch drawing. Please review this drawing as soon as possible
to ensure there are no unforeseen conflicts between PSE’s design and your project. If you determine there are
conflicts or if you identify a discrepancy while reviewing the drawing for your project, please contact me at the
number below. This is attached as Exhibit A.
2.Additional construction-related information and information on metering and service entrance requirements
areprovided in PSE’s Electric Service handbook for commercial projects. If you would like a copy of the
handbook please contact me at the number below. It is your responsibility to provide your project manager, site
superintendent, and/or subcontractors with any relevant information from this correspondence that apply to their
work in support of your project.
3. The Excavation Requirements & Final Grade Certification must be signed by the project owner or designee and
returned to me along with a signed copy of this contract. This is attached as Exhibit B.
4.Transformers have been sized for diversified commercial loads only, and shall not be used for high load factor
(continuous) temporary power uses, such as electric heaters for dry-out. Fault currents for non- residential
transformers in your project are noted on the attached PSE design drawing. Please notify the PSE representative
listed on this contract immediately if you believe there are conflicts between this design and your project. It is
your responsibility to provide your project manager, site superintendent, and subcontractors with any information
from this correspondence and it’s attachments that apply to their work.
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If PSE has not provided a Margin Allowance or if your Margin Allowance exceeds $75,000, PSE agrees to calculate and
refund the Margin Allowance, subject to Schedule 85. Refund requests must be made within six (6) years of the date on
which the facilities installed under this contract are energized. Customers are responsible for making the one-time refund
request.
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Other refunds associated with the line extension charge may be available if additional permanent service hook-ups are
made to your line extension. These service hook-ups must be made within five (5) years of the date on which your
project is initially energized Customers are responsible for making all refund requests. A refund may be requested one (1)
time within six (6) years of the date on which your line extension is initially energized. It is the customer’s responsibility to
make the refund request. Your refund request should be directed to PSE’s Customer Accounting Coordinators at
Schedule85refundrequests@pse.com.
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All terms and conditions, costs, and refunds are in accordance with PSE’s Rate Schedule 85, and any discrepancies
between this contract and the Rate Schedule will be resolved in favor of the Rate Schedule. Rate Schedule 85 contains
more detailed information covering costs, refunds, rights, and obligations than is reflected in this contract. The entirety of
Rate Schedule 85 can be viewed at PSE’s website www.pse.com.
This cost information is valid for 90 days from the Date Issued, and is subject to being updated after that time. I have read
both pages and agree to the terms and conditions outlined in this contract and its attachments.
The amount noted on this contract is an estimated cost; however PSE’s Schedule 85 line extension tariff requires
customers to pay the actual cost of construction. PSE will determine the actual cost of the job once construction is
complete. If the actual cost of the job is more than 10% above or below the estimated cost, an additional billing or refund
will result to account for the difference.
5.The requirements for trenching by customers on public right-of-ways and/or on Puget Sound Energy easements
must be signed by the project owner or designee and returned along with a signed copy of this contract. This is
attached as Exhibit C.
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REQUIREMENTS FOR TRENCHING BY CUSTOMERS ON PUBLIC RIGHT-OF-WAYS AND/OR ON PUGET
SOUND ENERGY, INC. EASEMENTS
The following outlines most local governmental guidelines and company standards for trenching on a public right-of-way
or Puget Sound Energy, Inc. (PSE) easement. Any trenching performed by the customer, or their contractor, under a PSE
permit or easement must comply with these requirements.
1. All trench construction must be performed by a Washington State licensed and bonded contractor.
2. Trench excavation, backfill, restoration, and facility placement must be coordinated with a PSE designated
representative, and receive on-site approval by that representative, and local jurisdiction.
3. Right-of-way easement trenching and backfill must be performed during normal business hours, Monday through
Friday. Same day excavation and backfill is required for all trenching. Job start notification to the local jurisdiction
is the responsibility of Potelco, Inc. Customer shall notify Potelco Project Manager three working days prior to
trenching. Penalties for failure to comply with this requirement will be borne by the customer.
4. If the job scope requires excavation beyond a single day, fencing and barricading must be installed around utility
facilities exposed above the trench, if allowed, must be in accordance with local regulatory requirements.
5. PSE, all participating utilities, and One-Call Locate, must be notified a minimum of 72 hours in advance of the
date and time for right-of-way trenching and facility placement. The One-Call Locate number is 1-800-424-5555.
State law requires locating service notification.
6. Excavated material must remain clear of the roadway whenever possible. Excavation material, spoils, and debris
shall be removed off-site each day, in accordance with local regulatory requirements. All erosion control
requirements in accordance with local regulatory requirements are the responsibility of the customer.
7. Material excavated from the shoulder of the right-of-way shall be properly disposed, and replaced with select
backfill material in accordance with local regulatory requirements.
8. Proper compaction is required to comply with local regulatory specifications. If the permit requires compaction
testing, the cost of said testing is the responsibility of the customer.
9. All permit requirements, traffic control plans, traffic control and flagging shall meet local regulatory specifications
and satisfaction.
10. In the event of failure to abide by the above requirements, PSE reserves the right, at its sole discretion, to assume
trenching. In the event of delays due to equipment failure, PSE may assume trenching to meet regulatory and
joint construction requirements. The customer is responsible for all trenching costs, and will reimburse the
company for costs should PSE perform the trenching.
11. The customer agrees to indemnify, defend and hold harmless PSE from all liability (including reasonable
attorneys' fees) arising out of, or in connection with, the above mentioned trenching activities.
I AGREE TO ADHERE TO THE ABOVE CONDITIONS
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Signature:Name:Title:Date:
Work Order Number:6HUYLFH$GGUHVV:
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Armondo Pavone Mayor 1/27/2026
Attest: Name:_Jason Seth Title: City Clerk
PSE ELECTRICAL FACILITIESEXCAVATION REQUIREMENTS AND FINAL GRADE CERTIFICATION
1.
This document is an agreement between Puget Sound Energy (PSE) and the Owner/Developer (Developer) who isproviding excavation for the installation of PSE's facilities. This document does not provide an easement for operatingrights. If PSE determines that a recordable easement on the Developer's property or other property is necessary, it shall bethe Developer's responsibility to obtain such easements in a form acceptable to PSE prior to construction.
PURPOSE
Developer is responsible for acquiring utility locates by calling One-Call, 1-800-424-5555 at least 48 hours (two fullworking week days) prior to digging. The excavation must meet the requirements of the Washington AdministrativeCode and Safety Standards.
Developer shall call the PSE contact person noted below for trench and route approval prior to starting excavation.
Theelectricalprimarytrenchshallbeexcavatedtoprovideaminimumof36inchesoffacilitycoverage,toamaximumtrenchdepthof48inches.Theelectricservicetrenchshallbeexcavatedtoprovideaminimumof24inchesoffacilitycoverage,toamaximumtrenchdepthof36inches.A12inchhorizontalseparationisrequiredbetweenPSEelectricalfacilitiesandotherutilitieswithinajointtrench.
All back fill must be free of sharp objects and construction debris. Developer shall provide and install sand bedding andshading for electrical facility protection as directed by PSE's contact person. Developer is responsible for any damagescaused by improper backfill or compaction.
Developer agrees to maintain a minimum of 2 feet of horizontal clearance between PSE conduit, pipe or conductors andany foundation on Developer's property.
The vault excavation shall be dug to the dimensions noted on the attached work sketch. Vault holes shall have a solidlevel bottom with a 6 inch deep layer of crushed rock bedding.
Developer shall provide the excavation for PSE electrical facilities within the designed location. Developer shall identifyand provide final grade, property lines, and utility easements prior to installation of PSE's electrical facilities.
Developer will be financially liable for the relocation of PSE's facilities which are inadequately covered, located outsidethe area where PSE has adequate operating rights, improperly graded inhibiting standard access and/or any damagesresulting from dig-ins due to changes or variations in grade that are made after the installation of PSE's facilities.
EXCAVATION REQUIREMENTS
The requirements and conditions outlined below apply when you provide the excavation for PSE's electrical facilities as acondition of receiving electrical service for your project. If you need additional information, please call the PSE contactperson listed below.
2.
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5.
28060
6.
FINAL GRADE CERTIFICATION
By my signing below, I certify that the electrical facilities work area shall be at final grade prior to excavation. I assume full
responsibility for my excavation work and the resulting location of these facilities. I also agree to indemnify, defend, and hold
harmless Puget Sound Energy from all liability arising out of, or in connection with my work, including but not limited to all
claims, losses, damages, and expenses, including reasonable attorney's fees, which result from my failure to excavate
within easement areas or rights-of-way, or from digging without adequate rights on adjoining properties.
7.
8.
Work Order Number:6HUYLFH$GGUHVV:
Signature:Name:Title:Date:
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Armondo Pavone Mayor 1/27/2026
Attest: Name:Jason Seth Title: City Clerk
Clerk