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DocuSign Envelope ID:93947146-BB7D-40E2-B4AF-57AA1709C4AF
PSC PUGET SOUND ENERGY
EXHIBIT A
Form of Custom Street Lighting Order
PROJECT NAME: Cambrian&9th Order#: 105091698
LOCATION: Bremerton
CUSTOM STREET LIGHTING ORDER—SCHEDULE 53
This Custom Street Lighting Order(this "Order"), dated May 13, 2019, is made and entered into by and between C
PUGET SOUND ENERGY, INC.("PSE")and City of Bremerton ("Customer")(each a"Party,"�Y� ✓ i)/
the"Parties") - _ - • .. .._.._ . _ . .
This Order covers certain Lighting and Construction
Services authorized by this Order and is,along with the associated Schedule,incorporated into and made a part of
the Agreement. Unless specifically defined otherwise herein,terms used in this Order with initial letters capitalized
have the meanings given them in the Agreement. The Parties agree as follows:
ASSOCIATED SCHEDULE: !.
This Order is also entered into between the Parties in accordance with PSE's Schedule 53,Electric Tariff G,and any
future modifications of or changes to such Schedule as may be approved by the WUTC.
LIGHTING SERVICES DESCRIPTION:
The installation charge of the listed lighting units was estimated to be$105.66,
Description:
Install at SL1(621335-155053)1)52 W LED CHFL on 1)8'arm
At SL2(621305-155052)1)52W LED CHFL on 1)8'arm.Both on existing wood poles,orient lights as shown
on print.
CONSTRUCTION SERVICES DESCRIPTION:
Install at SL1 (621335-155053)1)52 W LED CHFL on 1)8'arm
At SL2(621305-155052) 1)52W LED CHFL on 1)8'arm.Both on existing wood poles,orient lights as shown
on print.
BILLING:
Billing under this Order will be in accordance with the terms and conditions contained in the terms&conditions of
Schedule 53,Electric Tariff G,and the Agreement, and any future modifications of or changes to such Schedule as
may be approved by the WUTC.
The basis of the monthly energy charge for the Lighting Services as currently constituted under Rate Schedule 53 is
as follows:
Units and Wattage breakdown:
2)52W LED$10.68 each
The total monthly charge for this installation is as follows:
-1-
DocuSlgn Envelope ID:93947146-BB7D-40E2-B4AF-57AA1709C4AF
Total monthly charge: $21.36
For Construction Services and Costs,these costs will be billed as follows:
Upon completion of the Construction Services,PSE shall provide the Customer with an invoice for the Construction
Costs incurred by PSE. Customer shall remit payment to PSE for the Construction Costs within thirty(30)days of
receiving the invoice.
SERVICE TERM/REMOVAL AND SALVAGE COSTS:
Service under this Order is effective for a minimum of twenty five(25)years from the date of this Order(the"Base
Term")unless earlier terminated as provided for in the Agreement. If this Order is terminated for any reason during
the Base Term, the Customer shalt be responsible for all costs of removal of any Facilities associated with the
Services, as well as any costs associated with PSE's efforts to salvage the removed Facilities, as set forth in the
applicable Schedule. After the expiration of the Base Term, this Order shall continue on a year-to-year basis until
terminated by either Party upon at least one (1)year's notice in writing (each, an"Extended Term" and, together
with the Base Term, the"Term")unless earlier terminated as provided for elsewhere in this Agreement. The Term
may be adjusted by PSE in writing for existing systems purchased by PSE,based on the estimated remaining life
and purchase price. If this Order is terminated during any Extended Term,the Customer shall not be responsible for
the costs of removal of any Facilities associated with the Services, or any costs associated with PSE's efforts to
salvage the removed Facilities.
ADDITIONAL TERMS:
1. To transfer the energy and maintenance monthly billing,the new billing party must contact PSE in writing.
2. Non-standard facilities are not kept in PSE inventory for the purpose of maintenance;therefore replacement
of non-standard components may not be within the same time as replacement of standard components.
Are non-standard components included in this Order? Yes ❑ No N
3, The monthly billing party for the energy and maintenance will be: City of Bremerton
This Order, executed by Customer's duly authorized representative as of the date first written above, is for the
Lighting Services described above delivered under PSE's Schedule 53.
Customer:City of Bremer
Signator • Date: /Z- ✓'
Printed Name: "urc'ULi'u°r" "Th emu knack,
Title: /»te/im Pub/ Works Direc/- r / tidy Lvov e
-2-
DocuSign Envelope ID:93947146-BB7D-40E2-84AF-57AA1709C4AF
Company: Puget Sound En ped b
eviA,Lt
Signature: Date: 5/13/2019
hUi11I)A3A3f.D9491
Printed Name: Lisa Kinney
Title: Account Sales manager
-3-
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