Rate Schedule 5.  Appendix I
Restoration Services Certification Form

[Name of Generator] hereby certifies that the [name/location of unit] performed a Black Start Capability Test on [date] and [successfully completed/did not complete] this test in accordance with the applicable ISO Procedures. 

[Name of Generator] further certifies that it has identified a list of critical components in its units providing Restoration Services (e.g., batteries, diesel back-up generators, inverters etc.), maintains such critical components, and has performed tests to verify the condition of these critical components in accordance with good utility practice.

      ________________________________________

        Signature of Officer