Agreement with Az Public Service Company

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1 CONSTRUCTION
1.1 APS shall:  (Check the applicable for either A, B or C)  A=Line Extensions, B=Removals, Relocates, Conversions, C=Conduit Only
A
B
remove a line
relocate a line
convert a line
C
located at
1.2
Applicant 
the sketch); 
Applicant 
1.3
1.4
1.5
and to be completed on 
and to be completed on 
2
Total project payments include a refundable advance payment of 
and a non-refundable payment of
$0.00
 (includes taxes where 
 appplicable). A Breakdown of these costs is attached hereto on the Applicant Charges form.
      CUSTOMER CONSTRUCTION AGREEMENT
           (For the Construction of Electric Distribution Facilities)
provide a conduit design, survey and inspection for a conduit distribution extension (conduit only project)
construct electric distribution facilities as an extension of its present facilities in order to serve property
TBD
TBD
contingent upon scheduled completion of
.  APS’s construction is estimated to begin on
TBD
service to Applicant, as authorized by the Extension Policy.  Such payment shall include all charges for the facilities (and municipal street lighting facilities, if applicable) 
required to serve Applicant's project.  Such payment is due to APS upon Applicant's execution of this Agreement.  
$208,168.11
Distribution facilities shall be installed by APS in the location indicated on the attached sketch(es).  All suitable easements or rights-of-way required by APS for any portion of 
the extension which is either on premises owned, leased or otherwise controlled by Applicant, or other property required for the extension, shall be conveyed to APS (in APS’s 
standard Utility Easement form attached hereto) by Applicant without cost to or condemnation by APS and in reasonable time to meet proposed service requirements. Applicant 
shall provide APS access to these distribution facilities at all times, and shall not block or interfere with said access in any way, including fencing or the placement of 
obstructions adjacent to and on the door-side of cabinets, transformers, or any other equipment. 
TBD
Applicant's “on and off” site construction required in support of APS’s construction is estimated to begin on 
install equipment pads, manholes, pull boxes, junction boxes, and associated appurtenances (unless otherwise noted on 
shall provide and install all conduit(s) (unless otherwise noted on the sketch).  Applicant-
provided earthwork, conduits, materials, and installation(s) shall be provided in accordance with the attached sketch(es), specifications, and Trenching 
Agreement - Requirements, and shall be approved by an authorized representative of APS prior to APS commencing the installation of lines and 
equipment.
$208,168.11
Applicant's “on and off” site construction in accordance with APS’ specifications.  The dates of APS’s construction are provided only as estimates, are 
not binding upon APS, and are subject to change to accommodate APS’s workload, material requirements, or other factors.
PAYMENT
Refundable Line Extension (Standard) * select if none of the  payment types below apply
If Applicant cancels electric service, has electric service disconnected by APS for cause, or terminates this Agreement prior to five (5) years from the date electric service is first 
provided to Applicant or to Applicant's successors under this Agreement, then in addition to the payments set forth above in this section, Applicant will be required to pay a pro-
rated amount of the total line extension costs set forth on the Applicant Charges (Part Refundable and Part Non-Refundable or Single Family) form, minus any pre-paid amounts 
set forth on either Line 23 or Line 25. 
The line removal, relocation or conversion costs may be applied to the associated revenue project if a Line Extension Agreement is executed by the same principles within 12 
months of the Line Removal, Relocation or Conversion Agreement execution date.
WA752532
APS Work Order #
The parties to this Agreement are ARIZONA PUBLIC SERVICE COMPANY, an Arizona corporation, hereinafter called “APS,” and
hereinafter called “Applicant.” In consideration of the promises and provisions set forth below, the parties to this Agreement agree as follows: 
CITY OF GLENDALE
shall provide and Applicant shall 
18773 N 64TH DR, GLENDALE
, Arizona, in accordance with the attachments set forth in
Section 6 to this Agreement and APS’s line extension service, “Schedule 3, Revision No. 16: Conditions Governing Extensions of Electric Distribution Lines and Services,” 
hereinafter called “Extension Policy.”  The terms and conditions of APS’s Extension Policy and the attachments described in Section 6 are hereby incorporated in full into this 
Agreement.
APS 
The earthwork, conduits and materials necessary for construction shall be provided by the parties as follows:   
shall provide distribution line and service line earthwork; 
PERTAINING TO  LINE EXTENSIONS, REMOVALS, RELOCATION, CONVERSION OR CONDUIT
APS will not schedule or begin any construction pursuant to this Agreement until it receives from Applicant a payment of 
DOLLARS, which sum equals the amount required by APS (less any pre-paid amounts) to extend
All meters are to be located as shown on the sketch, a copy of which is attached to this Agreement.  No variation to the meter locations identified may be made unless approved 
in writing by an authorized representative of APS.
Non - Revenue 
Revenue 
Applicant Payment Not Required
Ref  - Rural Municipal Development
Ref - LOC / Surety Bond
Refundable 
Part Refundable and Part Non-Refundable 
Non - Refundable
Rev 3/4/2021
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Docusign Envelope ID: 4EF8FE3F-5C39-471A-98CC-E5787D53A0A0

3
4 REFUNDS (No Refunds for No Payment Agreement)
4.1
5
5.1
5.2
5.3
5.4
5.5
5.6
5.7
5.8
5.9
DOLLARS which represents the total 
 APS shall pay (reimburse) Applicant             $
reimbursement for items summarized on the Applicant Reimbursement Details attachment which represent work, trenching, excavation, materials, etc. that the Applicant has 
agreed to furnish.  Reimbursement shall be made after completion of the Applicant's work or activities and shall be contingent upon APS' Final Inspection and Approval.
NA
Basic General Service Extensions
Applicant may be eligible for a refund of the refundable advance amount if the actual annual delivery service revenue for the Applicant's project exceeds the estimated delivery 
service revenue used in the Economic Feasibility analysis. The refund eligibility period shall be five (5) years from the effective date of this Agreement. APS will complete an 
Economic Feasibility analysis at the end of the third and fifth year.
REIMBURSEMENTS
All electric facilities installed pursuant to this Agreement shall be owned by APS.
This Agreement does not require APS to construct any line extensions to future customers not included in the attached sketches.
The prevailing party in any proceedings instituted by either party regarding a dispute concerning this Agreement shall be entitled to recover its reasonable attorney’s fees, costs, 
and expenses.   *N/A for "Conduit Only Projects"
APS may use the installed facilities to serve other customers, and may extend service to other customers from the facilities located within the rights-of-way and easement(s) 
conveyed to APS pursuant to this Agreement.
GENERAL PROVISIONS
If Applicant fails to complete its “on and off” site construction requirements in support of APS’s construction within six months of the estimated date of completion for said 
Applicant construction, as set forth in Section 1.5 hereof, APS shall have the right to revise the payment amount required pursuant to Section 2 hereof which Applicant will be 
required to pay prior to APS proceeding with construction or energizing its facilities.
If Applicant fails to complete its "on and off" site construction requirements in support of APS's construction within one year of the estimated date of completion for said 
Applicant construction, as set forth in Section 1.5 hereof, APS shall have the right to cancel this Agreement, and Applicant shall be entitled to receive a refund of the amount 
paid, less all fees and costs incurred by APS associated with the Agreement prior to cancellation.
This Agreement contains the final and complete agreement between the parties for the construction of the line extension described herein and supersedes all prior and 
contemporaneous conduct, agreements, statements, representations, negotiations, course of conduct, course of dealing, and communications pertaining to the subject matter 
hereof, whether written or oral.  The parties shall not be bound by or be liable for any statement, representation, promise, inducement, or understanding of any kind not set forth 
in or formally incorporated into this Agreement.
This Agreement shall be binding upon and inure to the benefit of the heirs, administrators, executors, or assignees of the parties to this Agreement, provided, however, that no 
assignment or other transfer of this Agreement shall be binding upon APS or create any rights in Applicant's assignee until such assignment or other transfer is approved and 
accepted in writing by an authorized representative of APS.
If prior to the start of APS’s construction, Applicant notifies APS in writing of Applicant's request to cancel this Agreement, Applicant shall be entitled to receive a refund of the 
amount paid less all fees and costs incurred by APS associated with the Agreement prior to cancellation.
If any term or condition of this Agreement is held to be invalid, void, or otherwise unenforceable by any court of competent jurisdiction, that holding shall not affect the validity 
or enforceability of any other term or condition of this Agreement, unless enforcing the balance of this Agreement would deprive either party of a fundamental benefit of its 
bargain.
Rev 3/4/2021
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Docusign Envelope ID: 4EF8FE3F-5C39-471A-98CC-E5787D53A0A0

6
7
Title:
Name (Print):
Date:
Title:
Date : 
Mailing Address:
Permanent Phone #:
APS Invoice #:
ATTEST:
Type:
Signature:
Financial Inst:
Amount:         $
Date Received:
APPROVED AS TO FORM:
Signature:
Signature:
5850 W GLENDALE AVE 
GLENDALE AZ ,85301
623-930-3630
APS Invoice #:
Amount:        $
Date Received:
APS Invoice #:
Material Order Agreement Payment
SUPERVISOR METRO SVC PLANNING
KENT BUSHMAN
Name:
Town Clerk
Town Attorney
Relocation, Conversion or Removal Agreement Payment
APS Invoice #:
Amount:        $
Total Amount Paid:
$  
(including taxes)
Refundable Advance Payment by Alternate Financial Instrument
Date Received:  
Below is for Municipality Agreements Only
The individual executing this Agreement on behalf of Applicant represents and warrants: (i) that he or she is 
authorized to do so on behalf of Applicant; (ii) that he or she has full legal power and authority to bind 
Applicant in accordance with the terms herein and, if necessary, has obtained all required consents or 
delegations of such power and authority.
Line Extension Agreement Payment
Amount:        $
Date Received:
APS Invoice #:
(including taxes)
Date Received:
Applicant's Name:
The provisions, terms, and conditions of each of the following documents, attached to this Agreement, are hereby incorporated in full into this Agreement.
Amount:        $
CITY OF GLENDALE
Study and Design Agreement Payment
This Agreement will become effective only upon the execution of this document by duly authorized representatives of the parties and payment by Applicant to APS of the total 
amount set forth in Section 2, and will be deemed effective as of the date signed by APS.
EFFECTIVE DATE
Applicant's Signature:
NOTE: Documents marked below are attached
ATTACHMENTS
APPLICANT 
ARIZONA PUBLIC SERVICE COMPANY
Design Sketches
Schedule of Charges (Part Refundable and Part Non-Refundable)
Applicant Charges (Non-Refundable)
Schedule of Charges (Non-Refundable)
Schedule of Charges (Single Family Homes Non-Refundable)
Agreement to Construct Distribution Facilities
Invoice
Trenching Agreement – Requirements
Utility Easement
Dusk-to-Dawn Work Order
Street Light Details
Attachment A Signature Page
Equipment Details
Applicant Reimbursement Details
Applicant Charges (part-refundable and part non-refundable)
Applicant Charges (Single Family Homes Non-Refundable)
Rev 3/4/2021
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Docusign Envelope ID: 4EF8FE3F-5C39-471A-98CC-E5787D53A0A0

DATE:
11/07/25
INVOICE #
Work Order #:
 
Service Address and City:
Service Zip Code:
85308
Description of Work:
AMOUNT
1
 
2
208,400.76
$              
5
14,041.38
$              
6
194,359.38
$            
7
8
 
9
10
11 
 
12 Salvage and Material Credits
(232.65)
$                    
13 Salvage Scrap Value Credit
(232.65)
$                  
14
15 
 
16
17 
 
18 
 
19 
 
20 
 
21
208,168.11
$              
22 EFS Estimated Annual Delivery Revenue
$0.00
Customers Included:
1
23
$208,168.11
24
 
25
26 
 
27 
 
31
32
  
 
33
34
36
 
37 
 
38 
 
39 
 
40 
 
41 
 
42 
 
 
-
$                         
43 
 
44 
 
 
 
45
 
46
252115026
208,168.11
$              
47
$208,168.11
48
 
 
49
 
 
50 TOTAL DUE AFTER PRE-PAYMENT(S)*
$208,168.11
480-653-2397
Bill To:
 
 
CITY OF GLENDALE
5850 W GLENDALE AVE #1
GLENDALE AZ ,85301
240-426-7623
DESCRIPTION
TOTAL CHARGES TO APPLICANT (Part Refundable and Part Non-Refundable) (Line 45+46)
 
 
TOTAL REFUNDABLE ADVANCE (From Line 23, 25, 26, 27, 28, or 31)            Account #
 
Project Specific Charges
 
 
 
TOTAL LINE EXTENSION COSTS Subject to Allowances or Economic Analysis (Lines: 1+2+12+18)
 
 
EFS Refundable Advance (Amount Required to Make Extension Feasible)
 
 
Schedule 3, Revision 16
Applicant Charges (Part Refundable and Part Non-Refundable)
Project Specific Material Costs
    
 
WA752532
APS TO PROVIDE LABOR AND MATERIAL TO INSTALL - FEEDER FROM 
EXISTING SWITCHING CABINET  TO (1) NEW SWITCHING CABINET - (1) 
1500KVA 277/480V, 3PH TRANSFORMER - (1) UNDERGROUND CAPACITOR BANK - 
PRIMARY WIRE AND SERVICE WIRE IN SUPPORT OF CUSTOMERS 1600A, 
277/480V, 3 PHASE 4W SES. 
18773 N 64TH DR, GLENDALE
Project Specific Labor Costs
APS Representative:
JORDAN ACUNA
CUSTOMER PROJECT REPRESENTATIVE
P.O. BOX 53993, MAIL STATION 4620
PHOENIX, AZ 85072
 
 
 
 
 
 
 
Rev 7/31/2019
*Additional applicant charges may apply. See invoice for the total amount due.
Docusign Envelope ID: 4EF8FE3F-5C39-471A-98CC-E5787D53A0A0