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220   CALIFORNIA SOLAR INITIATIVE PROGRAM



                      EDISION                      California Solar Initiative
                                              Project Cost Breakdown Worksheet

                                           Reservation Number:
                              HOST CUSTOMER SITE ADDRESS (street):
                                              (City, State Zip)
                                          Original Submittal
                                               Revision                dd/mm/yy
                                            Final Submittal
                Instructions: Refer to the latest California Solar Initiative Program Handbook before completing and then submitting this form,
                along with the Proof of Project Advancement or Incentive Claim documentation.
                Eligible Project Costs (refer to CSI Handbook for further definitions and examples):
                Item
                      Eligible Cost Elements                Item Description  Cost of Item(s)
                 No.
                 1   Planning & Feasibillty Study Costs                             $0.00

                 2   Engineering & Design Costs                                     $0.00
                 3   Permitting Costs (air quality, building permits, etc.)         $0.00

                 4   PV Equipment Costs (generator, ancillary equipment)            $0.00
                       PV Modules                                                   $0.00
                       Inverter                                                     $0.00

                 5   Construction & Installation Costs (Iabor & materials)          $0.00
                 6   Interconnection Costs - Electric (customer side of meter only)  $0.00

                 7   Warranty Cost (if not already included in Item 4)              $0.00
                 8   Maintenance Contract Cost (only if warranty is insufficient)   $0.00

                 9   Sales Tax                                                      $0.00

                 10  Metering Costs                                                 $0.00
                       Hardware (Meter, Socket, CTs, PTs, etc.)                     $0.00
                       Communication (Hardware & Service Provider)                  $0.00
                       Power Monitoring (PMRS)/Meter Data Mgt (MDMA)                $0.00

                 11  Other Eligible Costs (Itemize Below)                           $0.00
                    10.a                                                            $0.00
                    10.b                                                            $0.00
                    10.c                                                            $0.00
                          Total Eligible Project Costs:                               $0
                                                       PV Module Costs              $0.00
                                                       Inverter Costs               $0.00
                                                       Metering Costs               $0.00
                                                       Balance of System (BOS) Costs  $0.00
                                                       Feasibility & Engineering Design Costs  $0.00
                                                       Installation Costs           $0.00
                                                       Fees/Permiting Costs         $0.00
                 Figure 8.2  Southern California Edison CSI program cost breakdown.
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