20200313INT to Staff Attach 2 Type B Contract - Single Service Point - Draft.pdf

INTERMOUNTAIN GAS COMPANY
LINE EXTENSION CONTRACT - TYPE B – SINGLE SERVICE POINT

Intermountain Gas Company (hereafter referred to as "Intermountain") and the Applicant(s) described below mutually agree
to the terms of this contract dated ___________________________.

1. Applicant(s) hereby applies for a gas line extension, (hereafter referred to as the "Project") to be constructed in accordance
with Intermountain's General Service Provisions, as described below:

PROJECT DESCRIPTION

2. Intermountain's calculated Project Cost Estimate and Allowable Investment for this Project are as follows:
Service Cost Main Cost Total Project Cost Service Allowance Main Allowance

3. The Allowable Investment for Mains exceeds the Main Project Cost. Pursuant to Intermountain's General Service
Provisions, Intermountain agrees to construct the Main Project at no cost to the Applicant(s).

4. If the Service Cost exceeds the Service Allowance, Applicant(s) agree to pay Intermountain the Service Payment amount
shown below. Such amount shall be paid prior to construction of the Project and is non-refundable. Applicant(s) further
agrees that a natural gas service line will be initiated for the service address shown below and to install the appliances
shown below.
Service Payment Appliances to be Installed

5. Applicant(s) agrees to provide additional payment to Intermountain in the amount of $XXX if gas service is not initiated at
the service address below within six (6) months of the date the Project was completed.

6. Intermountain reserves the right to cancel this contract if the Applicant(s) defer construction for more than six (6) months
from the date of this contract, or has not prepared the locations where the project is to be constructed to a condition sufficient
for the Company to begin construction within six (6) months of the date of this contract.

7. Intermountain shall retain all ownership in the Project.

8. This agreement is entered into pursuant to and subject to Intermountain's General Service Provisions in effect and on file
with the Idaho Public Utilities Commission. All service rendered by Intermountain shall be in accordance with the rates,
rules and regulations promulgated by the Idaho Public Utilities Commission.

Applicant: Intermountain:
Name: _________________________________________________ Name: _________________________
Service Address: __________________________________________ Title: _________________________
Billing Address: __________________________________________ Signature:
Signature: ________________________________
___________________________________________ _____________

Project #XXXXXXXX WO# XXXXXXXX
Date Project Construction Complete: XXXXXXX