Electric Service Conversion Overhead-to-Underground Xcel Energy Electric Connections Minnesota Process Please fill out these forms and complete this checklist to begin your application process: 1) Overhead-to-Underground Conversion Bid Sheet. Complete the enclosed bid sheet to include the appropriate billing address and estimated footage of the service installation. 2) Residential Underground Service Contract. Fill out the site address at the top and read this agreement thoroughly. Make sure you fill in the total amount due from your bid sheet and sign. 3) Preliminary Site Sketch. This form helps us understand your lot layout and assists us in our planning. 4) Send the following: •Bid sheet •Signed residential service contract •Preliminary Site Sketch form. Plot plan is not accepted as a replacement for the Site Sketch. You can submit your application by emailing a pdf to builders.call.line@xcelenergy.com, online through xcelenergy.force.com/FastApp or sending it by mail to: Xcel Energy Attention: Builders Call Line 1518 Chestnut Ave Minneapolis, MN 55403 7. Underground Residential Service Rate; Xcel Energy's Tariff. I agree to pay applicable monthly rates related to underground residential service as provided in the General Rules and Regulations and/or in the Rate Schedules of Xcel Energy's Electric Rate Book for Customer's specific service, as they now exist or may hereafter be changed, on file with the state regulatory commission in the state where service is provided. CUSTOMER CHARGES - the charges set forth herein comply with the Standard Installation and Extension Rules, as provided in the General Rules and Regulations and/or in the Rate Schedules of Xcel Energy's Electric Rate Book for Customer's specific service, as they now exist or may hereafter be changed, on file with the state regulatory commission in the state where service is provided. MINNESOTA, NORTH DAKOTA & SOUTH DAKOTA RESIDENTIAL UNDERGROUND SERVICE CONTRACT Replace overhead service line with underground service line $ Winter Construction Charge $ Preferred Service $ Customer: Please Location Print FullCharge Name Date Requested Other Charges $ TOTAL AMOUNT DUE PRIOR TO CONSTRUCTION $ Service Address Print Full Name Customer Signature Xcel Energy Rep Home Phone Date City, State, Zip Work Phone Print Name Northern States Power Signature In thisFull agreement, Company, a Minnesota corporation (“Xcel Energy”) and the Customer (“I” or “my”) follows: Reminder: Before Xcel Energy will perform theagree work as you must sign and return this agreement with your payment. Xcel Energy Work Order # Form 17-5709 1. Request for Electric Service. I request that Xcel Energy install an underground electric service at the Rate Code service address designated above, consisting of 120/240 volt, 1 phase, 3 wire. Xcel Energy agrees to install or have installed the facilities for electric service. I grant Xcel Energy any right, privilege or White – Customer Yellow – Xcel Energy easement necessary to install, operate, own and maintain its electric service on the property. EXAMPLE 2. Installation Requirements. I agree that prior to Xcel Energy starting work: (1) the route of Xcel Energy’s service installation will be accessible to Xcel Energy’s equipment; (2) I will remove all obstructions from the route at no cost or expense to Xcel Energy; (3) I will clearly expose all septic tanks, drainfields, sprinkler systems, water wells, owner-installed electric or pipeline facilities, invisible fence, or other Customerowned facilities in the installation route; and (4) the ground elevation along the route will not be above or more than four inches below the final grade. I agree Xcel Energy is not responsible for damage to Customer-owned underground facilities not exposed at the time of installation. Xcel Energy will contact the state utility location service to locate third party utility facilities (phone, cable, etc) on my property. 3. Installation Cost Contribution. I agree to pay an installation cost contribution provided in the Customer Charges section below and as provided in the General Rules and Regulations and/or in the Rate Schedules of Xcel Energy's Electric Rate Book for customer's specific service, as they now exist or may herafter be changed, on file with the state regulatory commission in the state where service is provided. I understand that I must pay this amount before Xcel Energy will install the electric service. I understand Winter Construction Charges may apply if I have not signed and returned this agreement and I have not forwarded my electrical inspection to Xcel Energy by October 1. I agree to pay Winter Construction Charges if Xcel Energy determines winter condition exists when the underground facilities are installed and I have not forwarded my electrical inspection to Xcel Energy by October 1. 4. Restoration. Xcel Energy will restore the boulevard, and will backfill the service trench on my property with existing soil. I am responsible for final compacting, loaming, seeding, sodding or watering of the service trench at my expense. I will also be responsible for restoration in areas where I have exposed my own underground facilities listed above. 5. Ownership of Facilities. The underground electric facilities installed by Xcel Energy shall be the property of Xcel Energy and any payments made by me or my contractor shall not entitle me or my contractor to any ownership interest or rights therein. 6. Relocating Facilities. I agree to pay the cost of relocating any portion of said underground facilities made to accommodate me or required due to altering of grade, additions to structures, installations of patios, decks, gardens, sidewalks, curbing, paving, blacktop, sod, landscaping or any other surface or subsurface condition which makes maintenance of Xcel Energy’s facilities impracticable. 5) Easement. Check your pole location. Is your pole located on your own property? •YES – continue with checklist •NO – Do not proceed with electrical work. You may require an easement to proceed with your overheadto-underground conversion. Please contact Builders Call Line at Xcel Energy about how to move forward. 6) Permits. If Xcel Energy has to cross a public road, boulevard or alley to install your service, we will arrange to get the proper permits. Please keep in mind, however, that these permits may delay the process of converting your service by six to eight weeks. 7) Install an Xcel Energy-approved meter socket. Your electrician has or can get Xcel Energy information on which meter sockets are approved. 8) Acknowledgement. That the electrical work has been approved or been completed by a certified electrician. •An approval call from state/city certified electrical inspector; or •Copy of the affidavit from a licensed electrical contractor. •To determine which form of acknowledgement is required for your area, verify at the state website at dli.mn.gov/CCLD/ ElectricalInspect.asp or call the Builders Call Line at 1-800628-2121, between 7 a.m. and 4:30 p.m., Monday through Friday. 9) Other utilities. If you want other utilities buried at the same time, it is your responsibility to have your phone and cable TV provider(s) get the wire on site before Xcel Energy starts the installation. If the phone and cable TV wires are not there when Xcel Energy comes to do the conversion, we will bury the electrical wire only. Note: Not available with all utilities. 10)Prepare the work area. Clear a 10-foot-wide path from the utility pole to the new meter location. This includes rocks, brush or trees around the pole, any gardens or flower beds, and any other obstacles that would prevent us from digging a trench in your yard. Xcel Energy will install the underground cable from the first utility pole to the house. We will fill the trench, but will not restore disturbed ground to its original condition. Also remember that the disturbed area will settle over time. •We need an open work area at least 4 feet by 4 feet if there is a sidewalk, patio or concrete/hard-scape below or within 4 feet of your meter. You’ll need to open an area so the wires can be brought from underground into the new meter and you will be responsible for the restoration. •If the work area is open but enclosed by a fence, you are responsible for providing an opening at least 10 feet wide to get our equipment in and out of the fence. Note: If a neighbor’s fence is in the path to the pole, it is the customer’s responsibility to gain approval and discuss removal with that homeowner. Xcel Energy will not remove or re-install sections of fence. 11)If lot is not to finished grade. Please be within 4 inches of final grade 12)Private underground obstacles. Include this information on site sketch. Expose all private underground obstacles such as sprinkler systems, invisible fencing, drain tiles or old septic or oil tanks. Also expose any other buried lines that do not belong to a utility, such as a private electrical line from your house to a garage or lamp in your yard. Xcel Energy will not be financially responsible for damage to any unexposed facilities. 13)Conduit: future decks, sidewalks or patios •Note: NO DISCOUNTS FOR CUSTOMER INSTALLED CONDUIT •We don’t install conduit as part of an overhead-to-underground installation. However, if you have or plan to build a deck, sidewalk or patio near or abutting the house and above the new service wire, you will need to install a 2-inch gray electrical conduit 24 to 36 inches below finished grade and extending at least 3 feet beyond deck, sidewalk or patio. The conduit should be made of either galvanized rigid steel (meeting the requirements of the ASA Standard C80.1) or OVC (meeting the requirements of Scheduled 40, ASTM-D-1785). Conduit may also need to be installed if the path of installation is not wide enough for our equipment or too steep of a path. •If conduit is installed, customer is responsible to fill in trench prior to Xcel Energy electric install. •Additional pipes are required for the telephone and cable TV. Please consult these companies for exact requirements. •Xcel Energy will not install service wire under any structures, existing or future, e.g. garages or sheds. 14)Scheduling. Xcel Energy will contact you to schedule when: •We have received the signed Residential Underground Service Contract, Bid Sheet and Site Sketch. •Invoice has been paid in full. •An Xcel Energy-approved meter socket has been installed and checklist numbers 7 and 8 have been completed and filed. •Please inform us at this time if your phone or cable TV utilities will be involved with this installation (see checklist number 9). OVERHEAD TO UNDERGROUND CONVERSION BID SHEET The estimate you calculate on this bid sheet will be invoiced and sent to the responsible party for billing. This party will also receive additional billing or a refund of the difference after the conversion is complete. Final billing will be calculated off Xcel Energy crew’s final footage and any other work that was provided. If you are requesting a removal of a utility pole that is owned by Xcel Energy, an additional $200 will be assessed per pole (if applicable). Site Address Billing Address (if different) ________________________________________ _________________________________________ Print Full Name Print Full Name ________________________________________ _________________________________________ Service Address Billing Address ________________________________________ City, State, Zip _________________________________________ City, State, Zip EXAMPLE EXAMPLE 1 Base Charge $340.00 2 Circuit Footage (from pole to meter) 65ft X $6.50 = 3 Pole Removal (if applicable) 1ea X $200.00 = TOTAL $422.50 $200.00 _________ $962.50 Note: All prices are subject to change annually. Call Builders Call Line at 1-800-628-2121 to confirm TO BE COMPLETED BY CUSTOMER $340.00 1 Base Charge 2 Circuit Footage (from pole to meter) ft X $6.50 = $__________ 3 Pole Removal (if applicable) ea X $200.00 = $__________ TOTAL $__________ *From October 1st through April 15th, a $1,500 Winter Construction Deposit is required with regular payment Customer Signature: ________________________________ Date: ___________________ •Xcel Energy has completed a site precheck. Note: All prices are subject to change annually. Call the Builders Call Line at 1-800-628-2121 to confirm. Overhead to Underground Conversion Sample Site Sketch Note: All prices are subject to change annually. Call the Builders Call Line at 1-800-628-2121 to confirm. Overhead-To-Underground Preliminary Site Sketch Form Please use these symbols to show us where customer-owned buried facilities or obstructions are located on the property. Closest pole Use these codes to distinguish the type of customer-owned buried facility New cable route X Meter location E Electric lines to detached buildings L Lighting Private buried facilities G Propane gas lines IF Invisible fence Sidewalk or driveways T Telephone lines to detached buildings SE Septic system C Cable TV lines to detached buildings ST Satellite TV S Sprinkler system W Water lines Trees, shrubs, & flowerbeds ++++++ Retaining walls An accurate sketch will ensure the installation will occur in a timely manner. SIDEWALK 5’ 6’ 100’ 20’ EXAMPLE IF HOUSE PLEASE INDICATE NORTH PROPERTY LINE PROPERTY LINE # # # # # # # Grade changes GARAGE G PROPANE IF Is there an alley? Yes No If yes, is pole on your side of the alley? Yes No Utilities to be buried at same time Phone Company Name _______________________________________________________ (CUSTOMER TO COORDINATE WIRE DROPPED OFF AT HOME.) Cable TV Company Name _______________________________________________________ John and Jane Public 5/16/11 20 Main Street Anytown Street address & community ______________________________________________________________________________________ Frank Ave. Cross street __________________________________________________________________________________________________ 612-555-1234 johnandjane@gmail.com Phone __________________________________________________ Email* _____________________________________________ Customer or contact name _______________________________________________________________ Date submitted ___________ FOR INTERNAL USE ONLY Xcel Energy project number: _____________________________________________________ 1-800-481-4700 | xcelenergy.com © 2011 Xcel Energy Inc. | Xcel Energy is a registered trademark of Xcel Energy Inc. | Northern States Power Company-Minnesota, an Xcel Energy Company | 11-04-406 | 04/2011 Minimum Clearances for Outside Gas and Electric Meter Installations 17” approx 3’ 3’ 3’ 3’ 3’ 3’ 3’ 3’ Natural gas meter, clear zone for ignition sources, top view Restoration Xcel Energy will install the underground cable from the first utility pole to the house. We will fill in the trench, but will not restore disturbed ground to its original condition. Also remember that the disturbed area will settle over time. We will be extremely cautious around your trees and shrubs, but Xcel Energy is not financially responsible for any damages that may occur. You will have to put anything moved, such as fencing or swing sets, back in place. Natural gas meter, clear zone for ignition sources, front view view Ignition sources include outlets, switches and other electric contact points. Electric meters are not considered ignition sources, but for extra safety, Xcel Energy needs a 3-foot separation between the gas meter & vent and the electric meter stand pipe. 6’ Max. 4’ Min. Converting Residential Overhead Electric Service to Underground (up to 400 amps) Xcel Energy strongly recommends that you hire a licensed electrician to complete any necessary work beyond our wires, which go to the top of the mast. For example, your meter socket, fuse box or internal wiring may need to be upgraded. Your electrician also coordinates with your local inspector when the work is finished. Xcel Energy will not accept customer-installed underground service wire. If you still have questions after reading this brochure, call the number listed below. We are pleased to be your power provider and we’re happy to assist you further. Xcel Energy Conversion Charges Other Costs Xcel Energy charges to convert your overhead service to underground between April 15 and Oct. 1 are as follows: In most cases it will be necessary to hire a professional electrician to make some changes to your system. For example, the overhead mast may need to be removed from the top of your meter box; or your fuse box or meter socket may need to be upgraded to accept the underground service. Xcel Energy does not recommend that you try to do these things yourself. Also, some communities require permits for this type of work and may charge a fee for the permit application. If you are burying telephone or cable TV, those companies may also charge a fee (see Customer Responsibilities inside.) Base Charge: $340 per service conversion Circuit Footage Charge: $6.50 per trench foot (length of service path) If actual footage exceeds our estimate, you’ll be charged for the actual footage when the job is complete. Charges include material and labor for the service installation from Xcel Energy point of service to the customer meter socket regardless of installation method. No discounts for conduit installation. Customer is responsible to ensure an unobstructed 10-foot-wide path for installation. Xcel Energy will determine method of installation. Installation does not include restoration of your yard back to its original condition. Pole Removal: $200 per utility pole if applicable. Winter Construction charges, including a $1,500 deposit, apply to service conversions from Oct. 1 through April 15. Please call the Builders Call Line at 1-800-628-2121 for more information. In Minnesota, North Dakota and South Dakota, once your service is changed, your Xcel Energy account will be placed on the Residential Underground Rate. This will increase your monthly service charge by $2. Note: Xcel Energy reserves the right to refuse conversion from an overhead-to-underground service due to excess costs, impractical field conditions, easement issues, etc. All prices are subject to change annually. Call the Builders Call Line at 1-800-628-2121 to confirm. Questions? If you have additional questions not covered in this brochure, please feel free to call the Xcel Energy Builders Call Line between 7 a.m. and 4:30 p.m., Monday through Friday, at 1-800-628-2121. Please note that the Xcel Energy charge does not include any other costs for work done by your electrician (see Other Costs). xcelenergy.com| © 2016 Xcel Energy Inc. | Xcel Energy is a registered trademark of Xcel Energy Inc. | 16-03-368