State of Nevada AFN: Facility Information K Road Moapa ...

State of NevadaRenewable Energy Tax Abatement Application

AFN:Facility Information K Road Moapa Solar Facility

Date of Submittal to NSOE: February 5, 2013

X

City:

Phone:APN:

Taxation District where facility is located: Clark County

x

Process Heat from Solar Energy

Transmission that is interconnected to a renewable energy or geothermal facilityTransmission that contributes to the capability of the electrical grid to accommodate and transmit electricity produced from Nevada renewable energy facilities and/or

Solar PV

415-799-4090

Nevada FacilityType of Facility (please check all that are relevant to the facility)

Solar ThermalWindBiomassWaterpowerFuel Cells

Federal Employer ID number (FEIN, EIN or FID): 27-2995257.

NAICS Code: 22114 (Solar Electric Power Generation)

Type of Incentives (Please check all that the company is applying for on this application)Sales & Use Tax Abatement Property Tax Abatement

Company Information ( Legal name of company under which business will be transacted in Nevada.)

Company Name: K Road Moapa Solar LLC

Department of Taxation's Tax Payer ID number: NV Business license # NV20101561376

Description of Company's Nevada Operations: K Road Moapa Solar is developing and will own and operate the K Road Moapa Solar Facility on the Moapa River Indian Reservation, approximately 30 miles northeast of Las Vegas.

Annual Net Production Capacity of the Facility in MWh (or other appropriate unit): ~500,000 MWh in year 1

Net Output Production Capacity of the Facility in MW: 250 MW

Percentage of Company's Market Inside Nevada: Power from the K Road Moapa Solar Facility will be sold to the Los Angeles Department of Water and Power.Mailing Address: 1 Embarcadero Center, Suite 360

San Francisco, CA 9411

Name Plate Production Capacity of the Facility: 250 MW

Geothermal

1 Last Revised ______


AFN:

Estimated total capital investment: Approximately $420 million

123456789

Purpose of the Filing with FERC: Market based rate application

Filing Date OR Anticipated filing Date: 2013

List All the county(s), Cities, and Towns where the facility will be locatedMoapa River Indian ReservationBLM land in Clark County, NV (portion of generation tie-line)

Anticipated date or time range for the start of construction: June 2013

Are you required to file any paper work with the PUC and/or FERC?

If yes, Purpose of the Filing with PUC: UEPA filing with PUCN for the ½ mile portion of the generation tie-line which is on BLM land, between the Reservation boundary and Crystal Substation.

Size of the total Facility Land (acre): 2,000 acres permitted for development by Bureau of Indian Affairs (BIA)

City: The closest city is Moapa, NV

If yes,

Anticipated date or time range for the commencement of operation of the facility: Approximately February 2014 for the first 20 MW block. Full COD in 2015.Address of the Real Property for the Generation Facility: The facility will be built on currently undeveloped land on the Moapa River Indian Reservation in Clark County, Nevada.

Filing Date OR Anticipated filing Date: Initial Application filed June 11, 2012. Order issued 9/4/12.

Anticipated first date of purchasing tangible personal property for the project: May 2013

Percent of total estimated capital investment expended in Nevada: 100%



AFN:

1

2

3

4

5

6

7

8

9 Facility Information Form

10 Employment Information, construction, and permanent employee salary schedules

11 Supplemental Information Form

12 Taxation Reporting Forms (Summary Sheet and Schedules 1 through 8)

13 Names and contact information for construction company, contractors, subcontractors

14

15 Confidential Information Identification Form

For Expansion Applications, Copy of the most recent assessment schedule and tax bill from the County Assessor's Office or the Department of Taxation

CHECKLIST - PLEASE ATTACH:

Letter from the utility or company describing the highlights of PPA, LOI, or MOU. SeeAttachment 5.

Website link to company profile. See Attachment 7.

Copy of the Current Nevada State Business License. See Attachment 8.

Copy of the Business Plan for the Nevada Facility. See Attachment 5.

Description of the Technology and Complete Facility including generation, transmission or distribution, the physical point at which the ownership of energy is transferred and nature of the connection to the transmission grid. See Attachment 3.

Complete and legal description of the location of the proposed facility, including a regional facility map that identifies the location, county boundaries and state boundaries of the proposed facility or a reference to any such map of appropriate scale. See Attachment 2.

Description of any natural or nonrenewable resources that will be affected by or required to be used in the construction or operation of the proposed facility, including statement of any areas of mitigation, controversy, issue or concern. See Attachment 3.

Summary of the PUC and FERC Dockets if any PUC and FERC filing have started. SeeAttachment 4.


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4


AFN:

Vendor 1 TBD (Surveying)Tax ID

ContactMailing Address

E-Mail

Vendor 2 Las Vegas Paving (Earthwork)Tax ID 88-0072823

Contact Dan Fitzgerald

Mailing Address 4420 S. Decatur Blvd,Las Vegas, NV 89103

E-Mail [email protected]

Vendor 3 Western Foundations & Shoring, Inc.(Pile Boring)

Tax ID 95-3866043Contact Kanda Caloca

Mailing Address P O Box 1939, Lakeside, CA 92040E-Mail [email protected]

Vendor 4HT Solar Power

[A Division of Highway Technologies, Inc.] (Pile Driving)

Tax ID 045-076-608Contact Ted Ott

Mailing Address 2295 S. Lipan St., Denver, CO 80223E-Mail [email protected]

Vendor 5 Swinerton(Modules, Inverters, DAS, Racking)

Tax ID 94-1499330Contact Karen Gauthier

Mailing Address 16798 West Bernardo Dr.,San Diego, CA 92127


Vendor 6 Sachs Electric Company(Solar Field)

Tax ID 43-0911363Contact Scott Wilkinson

Mailing Address 1572 Larkin Williams Rd.Fenton, MO 63026


Contractors and Subcontractors List

NOTE: Project contractors, subcontractors, and other entities including owner that will be purchasing goods and equipment for the construction of the Facility are entitled to claim or receive the

sales and use tax abatement

5


AFN:

Vendor 7 Dashiell Corp. (Substation/Gen-Tie)

Tax ID 20-3699713Contact Tom Luongo

Mailing Address 1100 Regency Pkwy, Cary NC 27518E-Mail [email protected]

Vendor 8 PAR Electrical Contractors, Inc.(Substation/Gen-Tie)

Tax ID 44-0591890Contact James Skinner

Mailing Address 4415 N Andrews Street,N Las Vegas, NV 89030


Vendor 9 EPC Services Company(Substation/Gen-Tie)

Tax ID 81-0535947Contact John Satchell - CFO

Mailing Address 3521 Gabel Road, Billings, MT 59102E-Mail [email protected]

Vendor 10 American Fence Company, Inc.Tax ID 86-0109542

Contact Paul MartinezMailing Address P. O. Box 19040, Phoenix, AZ 85005


Vendor 11 k RoadTax ID

ContactMailing Address

E-Mail

5


AFN:

Employment Information

Full Time Part Time

456

94.3%

$32.81

183

172

4 0

$40.87

0

$0.00

List Benefits Included (medical, dental, vision, flex spending account, etc):Various vendors will provide construction labor on the project. Names of those vendors are included in this application. Benefits for construction employees and their dependents will be determined by vendors and will be required to meet or exceed the requirements of NRS 701A.365(1)(d)(4)(I)&(II) and Regulation of the Nevada Energy Commissioner R094-10 Sec. 24(5). Compliance with these requirements is mandatory for vendors and will be so stated in the contracts entered into with vendors.

Name of Insurer:

Average hourly wage of current permanent employees, excluding managements and administrative employees

TBD, depends on vendor.

Health insurance for construction employees and an option for dependents must be offered upon employment

Number of anticipated permanent employees who will be employed as of the end of its first fourth-quarter of new operations or expansion?

Number of permanent employees who were employed prior to the expansion?

Cost of Total Benefit Package: TBD Cost of Health Insurance for Construction Employees: TBD

Employment

Percentage of anticipated construction employees who will be Nevada Residents?

Employee Benefit Program for Construction Employees

New Operations or Expansion

Number of anticipated construction employees who will be employed during the entire construction phase (FTE)?

Number of anticipated construction employees who will be employed during the second-quarter of construction?

Average anticipated hourly wage of construction employees, excluding management and administrative employees:

CONSTRUCTION EMPLOYEES

Number of anticipated second-quarter construction employees who will be Nevada Residents?

Average anticipated hourly wage of permanent employees, excluding management and administrative employees:

PERMANENT EMPLOYEES

6


AFN:

(a) (b) (c) = (a)+(b) (e) = (c) x (d) (f) =�(e) / �(c)

# Job Title

# of Nevada Employees

(FTE)

# of Non-Nevada Employees

(FTE)

Total # of Employees

(FTE)

Total Hourly Wage per category ($)

Average Hourly Wage ($)

1 Earthwork 17 1 18 $40.00

2 Boring 13 1 14 $48.17

3 Post Install 39 3 42 $26.91

4 Racking Install 87 5 92 $18.00

5 Concrete 8 1 9 $18.00

6 Electrical 234 13 247 $36.79

7 Transmission 16 1 17 $45.00

8 Substation 16 1 17 $45.00

430 26 456 $32.81

$29,620,265TOTAL CONSTRUCTION PAYROLL

TOTAL

Construction Employees, excluding Management and Administrative Employees

Construction Employee Schedule

List all anticipated construction employees and associated wages for all persons who will be working on the construction of the facility during the entire construction period.

FULL TIME EMPLOYEES

7


AFN:

(a) (b) (c) = (a)+(b) (e) = (c) x (d) (f) =�(e) / �(c)

# Job Title# of Nevada Employees

# of Non-Nevada Employees

Total # of Employees

Total Hourly Wage per job

title ($)Average Hourly Wage ($)

Construction Employees, excluding Management and Administrative Employees

1 Earthwork 5 1 6 $40.00

2 Boring 5 1 6 $48.17

3 Post Install 18 1 19 $26.91

4 Racking Install 36 2 38 $18.00

5 Concrete 2 1 3 $18.00

6 Electrical 95 6 101 $36.79

7 Transmission 4 1 5 $45.00

8 Substation 4 1 5 $45.00

169 14 183 $32.48

$11,769,318TOTAL CONSTRUCTION PAYROLL

Second Quarter Construction Employee ScheduleList all anticipated construction employees and associated wages for all persons who will be working on the construction of the facility during the second quarter of construction.

FULL TIME EMPLOYEES

TOTAL

8


AFN:

( c ) (f) =�(e) / �(c)

# Job Title# of

Employees

Total Hourly Wage per job

title ($)Average Hourly Wage ($)

1 Management and Administrative Employees 0(Management and admin employees will be off-site)

2 Permanent Employees, excluding Management 4 $40.87

and Administrative Employees

4 $40.87

$323,654

Permanent Employee Schedule

List all anticipated permanent employees who will be employed by the Nevada Facility as of the end of its first fourth-quarter of new operations or expansion and the employment per job title will continue next 20 years

FULL TIME EMPLOYEES

TOTAL ANNUAL PAYROLL

TOTAL

9


AFN:

Supplemental Information

The facility will not cross state or county boundaries. The energy generated by the facility will be sold and delivered to LosAngeles Department of Water and Power.

The facility will be owned by K Road Moapa Solar, LLC, which is a subsidiary of K Road Power Holdings, LLC (KRPH). KRPH is headquartered in New York, NY. K Road Moapa Solar is headquartered in New York, NY.

Please respond to each question. Answers to the questions will assist Department of Taxation staff in determining whether the facility should be locally or centrally assessed. Other questions will assist staff in understanding whether the reported replacement costs capture all aspects of taxable value.

1) Will you have a possessory interest in any governmentally owned property for this facility? Please describe if yes.

2) Will the facility, including generation, transmission, or distribution cross state or county boundaries? If yes, please describe.

No.

3) Is the facility owned by a subsidiary of a company that is interstate or intercounty in nature? Name and location of the subsidiary company, if yes.

4) At what physical point is the ownership of energy transferred? Describe the location and nature of the connection to the transmission grid.Ownership of energy is transferred at the project's Point of Interconnection to LADWP's transmission facilities, which will be located at or near the high side of the Moapa project collector substation. K Road will build a 500kV generation tie line from the Moapa substation to the Crystal substation. Prior to energization of the facility, K Road will transfer ownership of the line toLADWP, which incorporate the line into its Transmission System.

No.

No.

6) Has your company applied and/or been approved for any abatements or exemptions for this facility or any other facility by the State of Nevada and/or local governments? If yes, list the abatements awarded, name and location of the project, name of the awarder, date of approval, amounts and status of the accounts.

5) Will the facility be eligible for other abatements or exemptions such as pollution control exemptions? Please describe if yes

10

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: Rea

l Pro

pert

y Im

prov

emen

ts

Sche

dule

2C

ompa

ny N

ame:

____

____

____

____

____

____

____

____

____

Div

isio

n:__

____

____

____

____

____

____

____

____

____

____

_

Inst

ruct

ions

:

AB

CF

Rea

l Pro

pert

y Im

prov

emen

ts It

emiz

ed D

escr

iptio

nG

/L A

ccou

nt N

o.

(if a

pplic

able

)Es

timat

ed D

ate

of

Com

plet

ion

Estim

ated

Tot

al

Con

stru

ctio

nC

ost

Gra

nd T

otal

(5)

Atta

ch a

dditi

onal

she

ets

as n

eces

sary

.

(1) L

ist e

ach

item

of r

eal p

rope

rty im

prov

emen

ts s

ubje

ct to

pro

perty

tax

in C

ol A

. P

ursu

ant t

o N

RS

361

.035

, rea

l pro

perty

in

clud

es a

ll ho

uses

, bui

ldin

gs, f

ence

s, d

itche

s, s

truct

ures

, ere

ctio

ns, r

ailro

ads,

toll

road

s an

d br

idge

s, o

r oth

er im

prov

emen

tsbu

ilt o

r ere

cted

upo

n an

y la

nd, w

heth

er s

uch

land

is p

rivat

e pr

oper

ty o

r pub

lic p

rope

rty; a

s w

ell a

s m

obile

or m

anuf

actu

red

ht

dt

lt

Pl

lll

dS

hd

l3

(2) F

or e

ach

item

in C

ol. A

, com

plet

e th

e re

ques

ted

info

rmat

ion

in C

ol. B

(if

appl

icab

le),

and

Col

. C th

roug

h C

ol. F

.

(3) T

he to

tal e

stim

ated

cos

t rep

orte

d in

Col

. F s

houl

d in

clud

e es

timat

ed o

r act

ual c

osts

of l

abor

, mat

eria

ls, s

uper

visi

on,

cont

ract

ors’

pro

fit a

nd o

verh

ead,

arc

hite

cts’

pla

ns a

nd s

peci

ficat

ions

, eng

inee

ring

plan

s, b

uild

ing

perm

its, s

ite p

repa

ratio

n co

sts,

sal

es ta

xes

and

insu

ranc

e; c

osts

of b

uyin

g or

ass

embl

ing

land

suc

h as

esc

row

fees

, leg

al fe

es, r

ight

of w

ay c

osts

, de

mol

ition

, sto

rm d

rain

s, ro

ugh

grad

ing

or o

ther

land

impr

ovem

ent c

osts

, yar

d im

prov

emen

ts in

clud

ing

sept

ic s

yste

ms,

sig

ns,

land

scap

ing,

pavi

ng, w

alls

, yar

d lig

htin

g; o

ff-si

te c

osts

incl

udin

g ro

ads,

util

ities

, par

k fe

es, j

uris

dict

iona

l hoo

kup,

tap-

in, i

mpa

ct

(4) U

se S

ched

ule

3 to

repo

rt la

nd; S

ched

ule

4 to

repo

rt op

erat

ing

leas

es; a

nd S

ched

ule

5 to

repo

rt co

ntrib

utio

ns in

aid

of

13

Stat

e of

Nev

ada

Ren

ewab

le E

nerg

y Ta

x Ab

atem

ents

App

licat

ion

AFN

:

Prop

erty

Tax

: Rea

l Pro

pert

y La

nd

Sche

dule

3

AB

CD

EF

GH

I

Line

#

Cou

nty

City

or T

own

Tax

Dis

tric

t

1 2 3 4 5 6 7 8 9 10 11 12G

rand

Tot

al

Com

pany

:___

____

____

____

____

____

____

____

____

Div

isio

n: _

____

____

____

____

____

____

____

____

___

Brie

f Des

crip

tion,

Siz

e of

th

e La

nd (a

cre)

, Dat

e Ac

quire

d

Ow

ned

(O)

Leas

ed (L

) R

ente

d (R

td)

Sho

w th

e re

ques

ted

data

for a

ll la

nd, o

wne

d or

leas

ed, i

n N

evad

a.

G/L

Acc

ount

N

umbe

r(if

appl

icab

le)

Purc

hase

Pr

ice

(if

appl

icab

le)

Asse

ssor

's

Taxa

ble

Valu

eAs

sess

or's

Par

cel

Num

ber (

APN

)

Whe

re S

ituat

ed

14

Stat

e of

Nev

ada

Ren

ewab

le E

nerg

y Ta

x Ab

atem

ents

App

licat

ion

AFN

:

Prop

erty

Tax

: Ope

ratin

g Le

ases

Sche

dule

4C

ompa

ny N

ame:

____

____

____

____

____

____

____

____

____

Div

isio

n:__

____

____

____

____

____

____

____

____

____

____

_

Inst

ruct

ions

:

AB

CE

FG

HI

Ope

ratin

g Le

ase

Item

ized

Des

crip

tion

G/L

Acc

ount

N

o. (i

f ap

plic

able

)

Rea

l or

Pers

onal

Pr

oper

ty?

Less

or's

R

epla

cem

ent

Cos

t Per

Uni

t

Estim

ated

To

tal

Rep

lace

men

t C

ost

Annu

al

Leas

e pa

ymen

tLe

ase

Year

s R

emai

ning

Res

idua

l Va

lue

Gra

nd T

otal

(5)

Atta

ch a

dditi

onal

she

ets

as n

eces

sary

.

(1) L

ist e

ach

oper

atin

g le

ase

for r

eal o

r per

sona

l pro

perty

. Des

igna

te w

heth

er th

e le

ase

is fo

r rea

l or p

erso

nal p

rope

rty in

Col

. C.

(2) F

or e

ach

item

in C

ol. A

, com

plet

e th

e re

ques

ted

info

rmat

ion

in C

ol. B

(if

appl

icab

le),

and

Col

. C th

roug

h C

ol. F

.

(3) T

he to

tal e

stim

ated

cos

t rep

orte

d in

Col

. E a

nd C

ol. F

sho

uld

cont

ain

the

cost

s ap

prop

riate

to re

al o

r per

sona

l pro

perty

. Fo

r def

initi

ons,

ple

ase

refe

r to

Sch

edul

e 1

for p

erso

nal p

rope

rty a

nd S

ched

ule

2 fo

r Im

prov

emen

ts.

(4) R

epor

t the

Ann

ual L

ease

Pay

men

t in

Col

. G; t

he te

rm o

f the

leas

e in

Col

. H; a

nd a

ny re

sidu

al v

alue

at t

he e

nd o

f the

leas

e te

rm in

Col

. I.

15

Stat

e of

Nev

ada

Ren

ewab

le E

nerg

y Ta

x A

bate

men

ts A

pplic

atio

nA

FN:

Prop

erty

Tax

: Con

trib

utio

ns in

Aid

of C

onst

ruct

ion

Sche

dule

5C

ompa

ny N

ame:

____

____

____

____

____

____

___

Div

isio

n:__

____

____

____

____

____

____

____

____

Inst

ruct

ions

:

AB

CD

EF

Con

trib

utio

ns in

Aid

of C

onst

ruct

ion

(CIA

C)

Item

ized

Des

crip

tion

G/L

Acc

ount

No.

(if

app

licab

le)

Rea

l or P

erso

nal

Prop

erty

?N

umbe

r of U

nits

Rep

lace

men

tC

ost P

er U

nit

Estim

ated

Tota

lR

epla

cem

ent

Cos

t

Gra

nd T

otal

(1) L

ist a

ll co

ntrib

utio

ns in

aid

of c

onst

ruct

ion

(CIA

C).

CIA

C is

def

ined

in N

AC

361

.260

as

prop

erty

whi

ch h

as b

een

cont

ribut

ed to

a u

tility

by

a pr

ospe

ctiv

e cu

stom

er o

r whi

ch h

as b

een

cons

truct

ed b

y th

e ut

ility

and

pai

d fo

r by

the

pros

pect

ive

cust

omer

for w

hich

no

reim

burs

emen

t is

requ

ired

to b

e m

ade

by th

e ut

ility

to

the

pros

pect

ive

cust

omer

as

a pr

ereq

uisi

te to

obt

aini

ng s

ervi

ce.

(2) F

or e

ach

item

in C

ol. A

, com

plet

e th

e re

ques

ted

info

rmat

ion

in C

ol. B

(if

appl

icab

le),

and

Col

. C th

roug

h C

ol. F

.

(3) T

he to

tal e

stim

ated

cos

t rep

orte

d in

Col

. E a

nd C

ol. F

sho

uld

cont

ain

the

cost

s ap

prop

riate

to re

al o

r per

sona

l pro

perty

.Fo

r def

initi

ons,

ple

ase

refe

r to

Sch

edul

e 1

for p

erso

nal p

rope

rty a

nd S

ched

ule

2 fo

r Im

prov

emen

ts.

(4)

Atta

ch a

dditi

onal

she

ets

as n

eces

sary

.

16

Stat

e of

Nev

ada

Ren

ewab

le E

nerg

y Ta

x A

bate

men

ts A

pplic

atio

nA

FN:

Sale

s an

d U

se T

ax

Firs

t Yea

r of E

ligib

le A

bate

men

tSc

hedu

le 6

Com

pany

Nam

e:__

K R

oad

Moa

pa S

olar

____

____

____

____

____

____

____

____

__D

ivis

ion:

____

____

____

____

____

____

____

____

____

____

___

Inst

ruct

ions

:

AB

CD

EF

GH

Pers

onal

Pro

pert

y or

Mat

eria

ls a

nd

Supp

lies

Item

ized

Des

crip

tion

G/L

Acc

ount

N

o. (i

f ap

plic

able

)

Purc

hase

d by

Fa

cilit

y O

wne

r (FO

) C

ontr

acto

r (C

) Su

bcon

trac

tor (

SC)

Dat

e Pu

rcha

sed

Dat

e of

Po

sses

sion

Tota

lTr

ansa

ctio

n C

ost

Cou

nty

and

App

licab

le

Sale

s Ta

x R

ate

Estim

ated

Sal

es

Tax

Paid

or t

o be

Pa

id

Sol

ar P

anel

sS

win

erto

nst

artin

g ~

May

201

3st

artin

g ~

June

20

13$2

09,3

05,6

888.

10%

$16,

953,

761

Inve

rters

Sw

iner

ton

sam

esa

me

$54,

000,

828

8.10

%$4

,374

,067

SC

AD

AS

win

erto

nsa

me

sam

e$2

,564

,250

8.10

%$2

07,7

04S

ecur

ityS

win

erto

nsa

me

sam

e$1

,086

,744

8.10

%$8

8,02

6S

ubst

atio

nS

win

erto

nsa

me

sam

e$5

,584

,742

8.10

%$4

52,3

64Tr

ansm

issi

on L

ine

Sw

iner

ton

sam

esa

me

$14,

232,

631

8.10

%$1

,152

,843

DC

/ A

C C

olle

ctio

nS

win

erto

nsa

me

sam

e$4

4,91

6,95

38.

10%

$3,6

38,2

73Fe

nce

Sw

iner

ton

sam

esa

me

$1,3

26,1

938.

10%

$107

,422

Foun

datio

nsS

win

erto

nsa

me

sam

e$8

,611

,353

8.10

%$6

97,5

20O

&M

Bui

ldin

gS

win

erto

nsa

me

sam

e$2

97,8

238.

10%

$24,

124

Rac

king

Sw

iner

ton

sam

esa

me

$40,

510,

202

8.10

%$3

,281

,326

Equ

ipm

ent R

enta

lS

win

erto

nsa

me

sam

e$1

39,5

098.

10%

$11,

300

Gra

nd T

otal

$30,

988,

730

(9)

Atta

ch a

dditi

onal

she

ets

as n

eces

sary

.

(1) C

olum

n A

: Lis

t eac

h ite

m o

f per

sona

l pro

perty

or m

ater

ials

and

sup

plie

s su

bjec

t to

sale

s an

d us

e ta

x (p

leas

e in

clud

e le

ases

. R

efer

to N

RS

Cha

pter

372

for t

axab

le e

vent

s.

(2) C

olum

n B

: For

eac

h ite

m in

col

umn

A, l

ist a

pplic

able

acc

ount

nom

ber.

(3) C

olum

n C

: Lis

t the

Fac

ility

Ow

ner,

Con

tract

or o

r Sub

cont

ract

or th

at w

ill be

pur

chas

ing

the

pers

onal

pro

perty

or m

ater

ials

and

sup

plie

s su

bjec

t to

sale

s an

d us

e ta

x.

(4) C

olum

n D

: Lis

t the

dat

e th

e pe

rson

al p

rope

rty o

r mat

eria

ls a

nd s

uppl

ies

wer

e pu

rcha

sed.

(5) C

olum

n E:

Lis

t the

dat

e th

at p

osse

ssio

n of

the

pers

onal

pro

perty

or m

ater

ials

and

sup

plie

s w

ill be

take

n.

(6) C

olum

n F:

Lis

t the

cos

t of t

he p

erso

nal p

rope

rty o

r mat

eria

ls a

nd s

uppl

ies.

(7) C

olum

n G

: Lis

t the

cou

nty

whe

re p

osse

ssio

n w

ill be

take

n an

d th

e ap

plic

able

sal

es ta

x ra

te o

f tha

t cou

nty.

Fin

d th

e ap

prop

riate

sal

es/u

se ta

x ra

te o

n th

e D

epar

tmen

t of T

axat

ion'

s w

ebsi

te a

t ht

tp://

tax.

stat

e.nv

.us.

The

n sc

roll

to "Q

uick

Lin

ks" a

nd s

elec

t "S

ales

/Use

Tax

Rat

e M

ap".

(8) C

olum

n H

: Mul

tiply

Col

umn

F by

the

Sale

s Ta

x R

ate

in C

olum

n G

.

17

Stat

e of

Nev

ada

Ren

ewab

le E

nerg

y Ta

x A

bate

men

ts A

pplic

atio

nA

FN:

Sale

s an

d U

se T

ax

Seco

nd Y

ear o

f Elig

ible

Aba

tem

ent

Sche

dule

7

Com

pany

Nam

e:__

K R

oad

Moa

pa S

olar

____

____

____

____

____

____

____

____

__

Div

isio

n:__

____

____

____

____

____

____

____

____

____

____

_

Inst

ruct

ions

:

AB

CD

EF

GH

Pers

onal

Pro

pert

y or

Mat

eria

ls a

nd

Supp

lies

Item

ized

Des

crip

tion

G/L

Acc

ount

N

o. (i

f ap

plic

able

)

Purc

hase

d by

Fa

cilit

y O

wne

r (FO

) C

ontr

acto

r (C

) Su

bcon

trac

tor (

SC)

Dat

ePu

rcha

sed

Dat

e of

Po

sses

sion

Tota

l Tr

ansa

ctio

n C

ost

Cou

nty

and

Appl

icab

le

Sale

s Ta

x R

ate

Estim

ated

Sal

es

Tax

Paid

or t

o be

Pa

idS

olar

Pan

els

$08.

10%

$0In

verte

rs$0

8.10

%$0

SC

AD

A$0

8.10

%$0

Sec

urity

$08.

10%

$0S

ubst

atio

nS

win

erto

nE

arly

201

4E

arly

201

4$5

,584

,742

8.10

%$4

52,3

64Tr

ansm

issi

on L

ine

Sw

iner

ton

Ear

ly 2

014

Ear

ly 2

014

$1,4

83,6

138.

10%

$120

,173

DC

/ A

C C

olle

ctio

nS

win

erto

nE

arly

201

4E

arly

201

4$8

65,2

848.

10%

$70,

088

Fenc

e$0

8.10

%$0

Foun

datio

ns$0

8.10

%$0

O&

M B

uild

ing

$08.

10%

$0R

acki

ng$0

8.10

%$0

Equ

ipm

ent R

enta

lS

win

erto

nE

arly

201

4E

arly

201

4$4

1,60

18.

10%

$3,3

70

Gra

nd T

otal

$645

,995

(9)

Atta

ch a

dditi

onal

she

ets

as n

eces

sary

.

(3) C

olum

n C

: Lis

t the

Fac

ility

Ow

ner,

Con

tract

or o

r Sub

cont

ract

or th

at w

ill b

e pu

rcha

sing

the

pers

onal

pro

perty

or m

ater

ials

and

sup

plie

s su

bjec

t to

sale

s an

d us

e ta

x.(4

) Col

umn

D: L

ist t

he d

ate

the

pers

onal

pro

perty

or m

ater

ials

and

sup

plie

s w

ere

purc

hase

d.

(5) C

olum

n E

: Lis

t the

dat

e th

at p

osse

ssio

n of

the

pers

onal

pro

perty

or m

ater

ials

and

sup

plie

s w

ill be

take

n.

(1) C

olum

n A

: Lis

t eac

h ite

m o

f per

sona

l pro

perty

or m

ater

ials

and

sup

plie

s su

bjec

t to

sale

s an

d us

e ta

x (p

leas

e in

clud

e le

ases

. R

efer

to N

RS

Cha

pter

372

for t

axab

le e

vent

s.(2

) Col

umn

B: F

or e

ach

item

in c

olum

n A

, lis

t app

licab

le a

ccou

nt n

ombe

r.

(6) C

olum

n F:

Lis

t the

cos

t of t

he p

erso

nal p

rope

rty o

r mat

eria

ls a

nd s

uppl

ies.

(7) C

olum

n G

: Lis

t the

cou

nty

whe

re p

osse

ssio

n w

ill be

take

n an

d th

e ap

plic

able

sal

es ta

x ra

te o

f tha

t cou

nty.

Fin

d th

e ap

prop

riate

sal

es/u

se ta

x ra

te o

n th

e D

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19


AFN:

1 Contractors and subcontractors list2 Hourly Wage information3 Equipment transaction information other than total estimated sales tax

This application includes confidential and proprietary trade secret and economic

information as defined by Nevada law. Prohibitions on the public disclosure of such

information is provided in the Uniform Trade Secrets Act (NRS Chapter 600A), NRS

49.325, NRS 360.247, NRS 360.250, NRS 361.044, NRS 372.750, NRS 703.190, NRS

793.196, NRS 239.010 et. seq., NRS 241.020, and Regulation of the Nevada Energy

Commissioner R094‐10; NAC 239.699 and NAC 360.182. The confidential and

proprietary trade secret and economic information has been obscured in the

redacted version of this application.

This Application contains confidential information: Yes __X__ No

If yes, please identify any information in the within Application or documents submitted herewith, which Applicant considers confidential or trade secret information. Further, identify: (1) the applicable statutory authority or agreement preventing public disclosure of the information; and (2) Applicant’s rationale underlying non-disclosure of the information or document(s).

Applicant acknowledges that the burden of demonstrating confidentiality or trade secret status lies with the Applicant, and Applicant agrees to defend and indemnify the State and its agencies for honoring such designation. Notwithstanding, Applicant understands that the over-inclusive designation of information or documents as confidential or trade secret may cause the Nevada State Office of Energy to conduct further inquiry of the Applicant into the confidentiality of the information, potentially delaying submission of the Application to the Nevada Energy Director.

Material for which confidentiality is claimed :

Basis for claims of confidentiality :

21

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