REQUEST FOR ACCESS TO THE MISO’S MODEL-ON-DEMAND SOFTWARE Market Participant The Midcontinent Independent System Operator, Inc. (“MISO”) and , acting as the MOD Security Officer and authorized representative on behalf of (“Company”), hereby enter into this agreement by which the MISO will provide access to Model-On-Demand software. As part of this agreement, and Company hereby provide the MISO with a list of individuals who should be granted access to MISO MOD Base model in the Model-on-Demand application. Furthermore, and Company represent and warrant that the Company’s NERC ID is . Company wishes to gain access to such information for employees, agents, and consultants of Company and therefore and Company hereby acknowledge and agree that he/she, as MOD Security Officer, is duly authorized to execute this Request on behalf of Company and that this Request, the MISO Universal NonDisclosure and Confidentiality Agreement and the Critical Energy Infrastructure Information (CEII) Agreement shall bind and be enforceable by and against the employees, agents, or consultants of Company who are listed below. and Company further acknowledge and agree that they will immediately notify the MISO in writing of any change to the list below. Employees, agents, or consultants requesting access to the MISO’s Model-OnDemand Software: (Please note that access to the MISO’s Model-On-Demand software shall be granted at a single level of Market Participant. This level will allow the user to access the Model-on-Demand Base case topology.) Print Name Title E-mail Address 1. Add user Modify user Delete user Add user Modify user Delete user Add user Modify user Delete user Add user Modify user Delete user 2. 3. 4. 5. Access Level Add user Modify user Delete user Be advised that a six (6) month period of inactivity on the system by a user will result in the user’s account being de-activated. The account can be reactivated by contacting Marc Even, (651) 632-8421 or meven@misoenergy.org. Additionally, the MOD Security Officer is required to certify on an annual basis that all of the individuals listed should be receiving access to the application. IN WITNESS WHEREOF, executed, effective as of the and Company have caused this Request to be day of , . ______________________________ ______________________________ MOD Security Officer By: Title: E-mail: Phone: MISO By: Title: MSO approval by representative of Management of Company: ______________________________ Print Name: Title: If you have any questions, please contact Marc Even at (651) 632-8421 or meven@misoenergy.org Please fax this executed agreement to Marc Even at (651) 632-8417.