MERCHANT HVDC INTERCONNECTION REQUEST APPLICATION The undersigned Interconnection Customer submits this request to interconnect a Merchant HVDC Transmission Facility with the Transmission System, pursuant to the Tariff, with the following specifications: 1. Description of proposed interconnection facilities: 2. Planned In-Service Date 3. Location of Proposed HVDC Convertor Stations (County, State) Rectifier Invertor 4. Point of Interconnection(s): Transmission Owner and substations where interconnection customer proposed to interconnect: 5. Each transmission circuit and substation, including new facilities, associated with the merchant transmission proposal; 6. Nominal operating voltage level in kV and voltage characteristics (i.e., AC or DC) for each transmission circuit associated with the merchant transmission proposal Page 1 of 4 7. Typical and maximum MW power flow schedules, in each direction, for all proposed DC transmission circuits associated with the merchant transmission proposal; 8. Normal and emergency summer and winter load ratings for each transmission circuit associated with the merchant transmission proposal; Summer Normal Winter Normal Summer Emergency Winter Emergency 9. List of all transmission buses associated with the merchant transmission proposal, including nominal operating voltage level in kV, voltage characteristics, and terminating transmission branches and shunts; 10. Attach proposed substation one-line diagrams for all new substations associated with the merchant transmission proposal, including circuit breaker and bus configuration details; 11. Load ratings, winding connections, impedances, tap data, and any other relevant information for load carrying equipment and facilities associated with the merchant transmission proposal, as applicable; 12. Provide modeling files to model proposed facilities and relevant new contingencies in power flow, stability, short-circuit and other relevant study models. Page 2 of 4 13. Name, address, telephone number, and email address of the Interconnection Customer’s and its agent’s contact person: Name: Address: City: State: Phone: Zip: Email: Agent’s Contact Person: 14. Applicable deposit amount as specified in the tariff. 15. Evidence of Site Control. 16. This Merchant HVDC Interconnection Request shall be submitted to the representative indicated below: USPS Mailing Address: MISO Attn: Manager Interconnection Planning P.O. Box 4202 Carmel, IN 46082-4202 Overnight Address: MISO Attn: Manager Interconnection Planning 720 City Center Drive Carmel, IN 46032 Page 3 of 4 17. Representative of the Interconnection Customer to contact: Name: Address: City: State: Phone: Email: Zip: 18. This Interconnection Request is submitted by: By (signature): Name (type or print): Title: Date: Page 4 of 4