HomeMy WebLinkAboutM_RES_GAS_CONTRACT_220622_v1RESIDENTIAL NATURAL GAS
FACILITY SERVICE CONTRACT
Customer (Owner) Name Co-Owner Name (if applicable)
Service Address City Zip Code
Billing Address (if different from above) City State Zip Code
Primary Phone Alternate Phone Email Address
Type of Service Required Existing New Construction
Your Natural Gas Usage Plans
Which gas appliances do you plan to install and use within 12 months of PSE
Your Preferred Meter Location
Please indicate the preferred meter location in the circles below
installing your natural gas meter
IF YOU CHANGE YOUR APPLIANCE SELECTION, PLEASE NOTIFY YOUR PSE REPRESENTATIVE
Appliances BTU/HR
Space Heating
Standard Water Heater (Tank)
On-Demand Water Heater (Tankless)
Dryer
Cooking
Fireplace
Natural Gas Generator
Other:
Other:
Other:
(Meters are not allowed on back of house)
(front of house)
Total BTU/Hour:
(Street from which you are addressed)
PSE will send you a meter location sticker which can be attached to the house to more
closely identify the meter location. Please note PSE may need to change the location
to meet safety standards, but we will try to accommodate your request as closely as
possible. NOTE: If you change your desired meter location after signing this
document, please notify your PSE representative. Additional charges may apply.
Desired Delivery Pressure at Meter 6” W.C. (standard delivery) 2 psi
Trenching
Customer will provide a trench or conduit for gas line installation to the
house according to PSE Standards Yes No
TOTAL CHARGES DUE NOW:
Customer Signature Print Name Date
Notification Number
Customer Acceptance
By signing this Service Contract you are authorizing PSE to continue with all the needed elements to complete your project. Upon receipt of a
signed Service Contract, PSE will bill you for the amount indicated at the mailing address shown on the Service Contract. Please follow
payment instructions on that billing statement. PSE requires payment prior to firming up a construction date; delaying payment may result in
a construction delay. Changes in the scope of the project requested by you may result in either additional charges or refunds to the amount
billed on this Service Contract.
It is agreed and declared that the terms of conditions set forth herein and on the reverse hereof are part of this Service Contract and
binding upon the parties hereto. Customer grants permission for PSE to access credit information when necessary. This Service Contract is
not valid until accepted by PSE. Customer acknowledges the receipt of a copy of the Service Contract.
*Important Note:
In addition to the charges above, you will receive a bill from PSE for monthly basic charges as soon as the meter is installed.
If customer fails to commence gas usage within 24 months from the date of installation, then the full line extension amount is due.
Service Contract is subject to revision 90 days after
prior to scheduling installation of facility.
Customer
Initials:
*Line Extension Cost:will be billed 24 months after installation, if customer fails to use natural gas.
Customer Payment:
Security Deposit:
Payment Information
$
$ $
$
DocuSign Envelope ID: FEA82107-951B-42C1-92AC-DD837DFF93D6
WA
X
X
425-894-8671
512862235
98056
75,100
3909 Lake Washington Blvd N
X
SIN LEW
150K
RENTON
X
BBQ
2,207.75
60K
98056RENTON
X
X
X
sebastianryan76@gmail.com
X
99K
X
5/17/22
2,016.95
20k
3101 MOUNTAIN VIEW AVE N
2,016.95
422,100
9K (x2)
X
Sin Lew 05/19/2022
CANCELATION POLICY
The Customer will have three (3) business days to cancel this Service Contract from the date of Customer’s signing.The Customer may cancel the Service Contract after
that time but PSE may choose to bill the Customer for any costs incurred up to that point.
TERMS OF SERVICE CONTRACT
GENERAL
This Service Contract represents the entire understanding and Service Contract between the Customer ("Customer") and Puget Sound Energy ("PSE") and
supersedes any and all prior Service Contracts, whether written or oral, that may exist between the parties. All matters not specifically agreed to or identified
herein including but not limited to the proposed extension of distribution facilities, and natural gas consumption, are governed by the Washington Administrative Code ("WAC")
and the WN U-2 tariff (“Tariff”) for PSE on file with the Washington Utilities and Transportation Commission ("WUTC"), as such Tariff may be
revised from time to time upon approval of the WUTC. Any conflict in terms between this Service Contract and PSE's Tariff shall be resolved in favor of such Tariff. Provided,
however, that any price quoted will be honored for three (3) months.
FACILITY EXTENSION
PSE agrees to install for Customer the natural gas distribution facility extension described on the front of this Service Contract. This facility extension at all
times will remain the property of PSE. Customer in turn agrees to (a) pay the amount, if any, due for the extension; (b) make the payments to PSE as required
by this Service Contract, if applicable; and (c) abide by terms and conditions stated herein.
CUSTOMER PAYMENT
All applications to extend distribution facilities to Customers are subject to Rule No. 6 of PSE’s Tariff to determine if an extension or modification is justified
without additional customer payment and the level of additional customer payment, if required.
SECURITY DEPOSIT
If a security deposit is noted on the front of this Service Contract, the Customer is required to post a security deposit. The amount of the deposit is for advance security and will not
limit the other remedies otherwise available to PSE. The Customer authorizes PSE to run a credit report on the Customer for purposes of determining credit worthiness for the
facilities installation or modification. The Customer agrees to provide a security deposit and other remedies if required by
PSE.
POTENTIAL REFUNDS
If the customer is required to pay a security deposit, it is refundable upon completion of the build-out of all lots/phases within five years as required by this Service Contract.
Refund requests must be made within six years from the time the initial gas main is installed. The customer is responsible for making all refund requests. The Company will
perform one security deposit review during the six-year period. If the customer is eligible for a refund, the refund amount will include applicable interest in accordance with WAC
480-90-113. Questions concerning refunding should be directed to PSE’s Customer Contract Analysts at Rule6_Refund._Requests@pse.com. Any refund amount will be sent to
the Customer noted on the front of this Agreement. This should be noted and accounted for in the corresponding sales agreement if the customer sells this project to a
subsequent owner. You will find it useful to retain this agreement to use as a reference when making your refund request.
PAYMENT SCHEDULE
Customer's payment period will be the same as the natural Gas Service account, or a period equivalent to the calendar month if no natural Gas Service account is established.
EXTRAORDINARY COSTS
Charges shown on the front of this Service Contract are based on PSE’s estimated construction costs at the time this Service Contract is prepared. Any additional requirements
imposed by government authorities that are not included in the original estimated costs are considered extraordinary costs. PSE reserves the right
to revise the charges shown on the front of this Service Contract if costs other than standard construction costs are imposed by any government authority after
this Service Contract is signed. Extraordinary cost(s) caused by a customer request becomes the direct responsibility of the Customer. PSE will make a reasonable effort to identify
these extraordinary costs prior to the signing of this Service Contract.
LATE CHARGES
If payment is not received by the due date, a late charge may be assessed in accordance with the PSE's Tariff, as described in Rule No. 9: Bills and Payment for Service.
CUSTOMER UNABLE TO ACCEPT SERVICE CHARGE
If PSE shows up to a scheduled appointment to install distribution facilities and the Customer has not complied with PSE specifications, such as having the construction route
cleared and to grade, providing trench, or obtaining necessary inspections or permits, the Customer may be charged the crew, equipment,
and other costs associated with the trip.
*UNUSED FACILITIES EXTENSIONS
If PSE provides a facilities extension and the Customer fails to commence natural gas usage within twenty-four (24) months from the date of installation, PSE will
bill the Customer for Line Extension Costs.
RIGHTS OF WAY
If PSE determines that is it necessary to obtain Operating Rights to perform any work, it shall be the Customer's responsibility to obtain such Operating Rights in
a form acceptable to PSE prior to construction. If PSE chooses to obtain such Operating Rights, all costs associated with said acquisition shall be the responsibility
of the Customer. If the cost to obtain adequate Operating Rights exceeds or is less than the original estimated line extension costs, PSE reserves the right to
adjust the charges due from the Customer. PSE shall not be required to provide service, and may interrupt or discontinue service, if all or any portion of its
facilities or Operating Rights are taken through the exercise of the power of eminent domain or are taken under threat thereof or are otherwise lost,
terminated, or canceled.
OWNERSHIP OF FACILITIES
PSE shall own, operate, maintain and repair all natural gas distribution facilities installed by or for PSE, including replacement of such facilities if necessary so long
as such replacement is not inconsistent with this rule or a contract governing such facilities. PSE shall not own and shall have no responsibility to operate,
maintain, repair or replace any natural gas distribution facilities that were not installed by or for PSE.
METER PROTECTION
It is the Customer’s responsibility to provide adequate protection for the natural gas meter(s) per PSE specifications in accordance with PSE’s Tariff, as described in Rule No. 13:
Customer’s Responsibility.
DEFAULT
Time is of the essence and the occurrence of either of the following shall constitute and be defined as a Default: (1) any failure by Customer to pay when due any payment
required by this Service Contract; or (2) any failure by Customer to perform any provision required by this Service Contract or by law. Whenever a Default shall occur, PSE or
assigns may, at its option, at any time thereafter and without notice, as allowed by law, accelerate payment of the unpaid balance and demand and be entitled to immediately
receive from Customer the unpaid balance plus any earned interest and late charges. Customer agrees to pay on demand the amount of all expenses reasonably incurred by PSE
or assigns in an effort to collect the balance due hereunder and to minimize PSE's loss. In the event that this Service Contract is referred to an attorney for protecting, collecting or
defending PSE's interest, Customer agrees to pay PSE's reasonable attorney fees and legal expenses.
CANCELATION POLICY
The Customer will have three (3) business days to cancel this Service Contract from the date of Customer’s signing. The Customer may cancel the Service Contract after that time
but PSE may choose to bill the Customer for any costs incurred up to that point.
Rev Date: 11/13/2020
DocuSign Envelope ID: FEA82107-951B-42C1-92AC-DD837DFF93D6