Exhibit C - Regulated Charges Information Form.docx

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Provide High Voltage Electricity At US Naval Support Facility, Romanian Military Base, Deveselu, Romania
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N3319123R9002
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ELECTRICITY AND ANCILLARY SERVICES, DEVESELU, ROMANIA SOLICITATION N3319121R4015

Exhibit C Regulated Charges Information

All regulated distribution tariffs, transmission tariffs, duties (reference article 9), and any regulated pass through charges. For regulated charges that are to be invoiced identify the reference name and date that indicates the basis for the charge. Note how the charge is administered such as indicating the unit that it is based on (e.g., monthly kWh). Use the “Regulated Charges Reference” table below as part of the non-price submission.

Name or Description of Charges
Reference Name and Date (such as CEZ Distribution Tariff - as amended)
Specify Current Rate and Units (e.g. Lei/MWh, lei/kW, lei/day, etc.) to include period of application ( e.g. monthly)
Order No# and Date

Statement: The above listed tariff components are not included in the offer price and will be the only regulated tariff items invoiced as pass through charges. Tariff rates are subject to modification by Romanian regulator ANRE.

Signature and Corporation Stamp

Date

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