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7 76Rvs-0. ,n7 <br />XcelEnergye <br />STATEMENT OF WORK REQUESTED <br />DATE: <br />WORK REQUESTED BY: <br />WORK LOCATION: <br />ADDRESS: <br />�o % , <br />I:We( <br />C <br />U� <br />16 -May 2012 <br />CITY OF LITTLE CANADA <br />RICE ST AND MINNESOTA <br />515 LITTLE CANADA ROAD EAST <br />LITTLE CANADA, MN 55117 <br />et <br />lf3 727. or <br />/y, o;t. Go <br />r34 7 S7. ,1o.._ <br />UI <br />CONSISTING OF: <br />Installation of 3-phase 600 amp PMH -9 switchgear, 1 -phase 50kva padmount transformer, 3 -phase 600amp <br />overhead disconnect switches, 600' 3 -phase 750a1 jacketed 15kv underground cable, 2795' 3 -phase 1/0 al <br />jacketed 15kv underground cable, 537' 1- phase 42 al jacketed 15kv underground cable and (2) 3 -phase <br />underground terminal pole risers. Replacement of 4- 40745'3 pole and removal of 7- poles, 7 -spans (1133') #2 <br />acsr primary and neutral overhead wires. <br />* *This Statement of Work Requested contract reflects the final payment of actual costs billed directly to the <br />City of Little Canada. r� <br />The facilities installed or removed by Northern States Power Company, a Minnesota corporation ( "Xcel Energy" <br />or the "Company ") shall be the property of the Company and any payment by customer shall not entitle <br />customer to any ownership interest or right therein. Customer's and Company's rights and obligations with <br />respect to the facilities and services provided through the facilities are subject to additional terms and <br />conditions as provided in the General Rules and Regulations and /or in the Rate Schedules of Xcel Energy's <br />Electric Rate Book for customer's specific service, as they now exist or may hereafter be changed, on file with <br />the state regulatory commission in the state where service is provided. <br />The undersigned hereby requests and authorizes Northern States Power Company, a Minnesota corporation <br />( "Xcel Energy ") to do the work described above, and in consideration thereof, agrees to pay <br />($ 47639.40 <br />M accordance with the following terms: <br />Final payment required within 30 -days <br />Receipt of the above amount hereby acknowledged on behalf of the Company by <br />Northern States Power Company, Customer <br />a Minnesota corporation ( "Xcel Energy ") <br />SUSAN GILLE, MGR - DISTRIBUTION DESIGN <br />Print Full Name and Title Print Full Name and Title Of applicable) <br />CITY OF LITTLE CANADA <br />Signature Signature <br />FOR XCEL ENERGY USE <br />Xcel Energy Representative <br />Construction$ <br />Form 17 -7012 <br />Pao Fue Vang Xcel Energy Work Order# <br />Removal $ Total $ <br />LG 'rot c 61 <br />%g/ap, t. <br />�(/ctrr <br />/fo CY7.n <br />