CERTIFICATION TO RUS (design)

Attachment 1

CERTIFICATION TO RUS (design)

I, ___________________________________________________________________________, Name

will be in charge of the project described below, my license # is____________________

issued by the State of __________________________________________________________

____________________________________________________________________________.

Expiration Date of license

I hereby certify, to the best of my knowledge, to the Rural Utilities Service (RUS)

RE Project (Name and Description of Substation or Transmission Project):

_____________________________________________________________________________

_____________________________________________________________________________

_____________________________________________________________________________

_____________________________________________________________________________.

______________________________________________________________________________

To the following for the Project, as set forth in 7 CFR parts 1724, 1726, and 1728:

1. the design data, plans and profile drawings for electric system facilities Project meet all applicable RUS electric design requirements;

2. the electric system facilities Project meets all applicable RUS electric system specifications;

3. the electric system facilities Project meets all applicable national, state and local requirements, including the current edition of the ICEE National Electrical Safety Code; and

4. the electric system facilities Project uses, in construction of the Project, all applicable RUS accepted materials and equipment listed in the current edition of the Informational Publication 202-1, LIST OF MATERIALS, Acceptable for Use on Systems of USDA Electrification Borrowers.

On behalf of the Borrower, I acknowledge and agree that RUS is entitled to inspect the above described Project at any time during normal business hours.

I acknowledge and understand that RUS, an agency of the United States Department of Agriculture, is relying on this certification. I understand that any materially false, fictitious or factual statement or representation may be punishable by fine or imprisonment under 18 U.S.C. § 1001.

BY

Date

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