120 Adelaide Street West Suite 1600 Toronto, Ontario M5H 1T1 T 416-967-7474 F 416-967-1947 www.ieso.ca FORM OF RESTATEMENT REPORT FOR CHP CONTRACT contract.management@ieso.ca IESOCM-FORM-015(2011-10) SUBMIT FORM BY E-MAIL TO contract.management@ieso.ca Pursuant to Section [No.] of the Contract, the Supplier is hereby submitting this completed Restatement report to the Buyer. Capitalized terms not defined herein have the meanings ascribed thereto in the Contract. If the Restatement involves reconfiguration, modifications, etc, construction progress reports are required for the construction reconfiguration. The frequency of the report depends on the forecasted duration of the work. If the period of construction upon Restatement is: less than 6 months in duration: the Supplier is required to submit a monthly report to the IESO. greater than 6 months and less than 12 months: the Supplier is required to submit a bi-monthly report to the IESO. greater than 12 months: the Supplier is required to submit a quarterly report to the IESO. ■ ■ ■ Date Legal Name of Supplier Name of Facility Contract Title (the “Contract”) Contract Date Revised Contract Capacity (if applicable) Revised Useful Heat Output Reporting Period From (YYYY/MM/DD) 1. Description of Restatement (In bullet form, provide description of Restatement.) 2. Executive Summary (In bullet form, provide status of Restatement.) 3. Development, Design and Construction Progress Related to Restatement Item Status of Efforts / Progress Description Reportable Events To (YYYY/MM/DD) % Complete Date (YYYY/MM/DD) Contractual Forecast Actual Progress: 1 Regulatory Permitting Issues: FORM OF RESTATEMENT REPORT FOR CHP CONTRACT IESOCM-FORM-015(2011-10) Page 1 of 2 Independent Electricity System Operator 2 Outage Application, Execution and Grid Re-Connection Progress: Issues: Progress: 3 Equipment Ordered Issues: Progress: 4 Equipment Delivered Issues: Progress: 5 Commencement of Restatement Issues: Progress: 6 Completion of Restatement Issues: Progress: 7 4. Restatement Date Issues: Proof of Construction Insurance Coverage Please send certificates or other statements in PDF format by email to contract.management@ieso.ca 5. Progress Photos Provide five to ten photos that best represent the progress of construction work. ■ ■ ■ Photos should not be inserted into the report They should be sent as JPEG attachments in a separate email (the email must not exceed 10MB) Use descriptive filenames to reflect or explain the content of each photo (“Turbine installation in progress.jpg” and not “Photo 1.jpg”) FORM OF RESTATEMENT REPORT FOR CHP CONTRACT IESOCM-FORM-015(2011-10) Page 2 of 2