Appendix A to Subpart B to Part 1730 - Review Rating Summary, RUS Form 300

Borrower Designation XXXX Date Prepared XXXX

Ratings on form are:

0: Unsatisfactory—no records 1: Unsatisfactory—corrective action needed 2: Acceptable, but should be improved—see attached recommendations 3: Satisfactory—no additional action required at this time N/A: Not applicable PART I—TRANSMISSION and DISTRIBUTION FACILITIES 1. Substations (Transmission and Distribution) a. Safety, Clearance, Code Compliance—Rating: XXXX b. Physical Condition: Structure, Major Equipment, Appearance—

Rating: XXXX

c. Inspection Records Each Substation—Rating: XXXX d. Oil Spill Prevention—Rating: XXXX 2. Transmission Lines a. Right-of-Way: Clearing, Erosion, Appearance, Intrusions—

Rating: XXXX

b. Physical Condition: Structure, Conductor, Guying—Rating: XXXX c. Inspection Program and Records—Rating: XXXX 3. Distribution Lines—Overhead a. Inspection Program and Records—Rating: XXXX b. Compliance with Safety Codes: Clearances—Rating: XXXX Compliance with Safety Codes: Foreign Structures—Rating: XXXX Compliance with Safety Codes: Attachments—Rating: XXXX c. Observed Physical Condition from Field Checking: Right-of-Way—Rating: XXXX Observed Physical Condition from Field Checking: Other—Rating: XXXX 4. Distribution—Underground Cable a. Grounding and Corrosion Control—Rating: XXXX b. Surface Grading, Appearance—

Rating: XXXX

c. Riser Poles: Hazards, Guying, Condition—Rating: XXXX 5. Distribution Line Equipment: Conditions and Records a. Voltage Regulators—Rating: XXXX b. Sectionalizing Equipment—

Rating: XXXX

c. Distribution Transformers—

Rating: XXXX

d. Pad Mounted Equipment—Safety: Locking, Dead Front, Barriers—-Rating: XXXX Pad Mounted Equipment—Appearance: Settlement, Condition—Rating: XXXX e. Kilowatt-hour and Demand Meter Reading and Testing—Rating: XXXX PART II—OPERATION AND MAINTENANCE 6. Line Maintenance and Work Order Procedures a. Work Planning and Scheduling—

Rating: XXXX

b. Work Backlogs: Right-of-Way Maintenance—Rating: XXXX Work Backlogs: Poles—Rating: XXXX Work Backlogs: Retirement of Idle Services—Rating: XXXX Work Backlogs: Other—Rating: XXXX 7. Service Interruptions a. Average Annual Hours/Consumer by Cause (Complete for each of the previous 5 years) 1. Power Supplier XXXX 2. Major Storm XXXX 3. Scheduled XXXX 4. All Other XXXX 5. Total XXXX Rating: XXXX b. Emergency Restoration Plan—Rating:XXXX 8. Power Quality General Freedom from Complaints—Rating:XXXX 9. Loading and Load Balance a. Distribution Transformer Loading—Rating:XXXX b. Load Control Apparatus—Rating:XXXX c. Substation and Feeder Loading—Rating:XXXX 10. Maps and Plant Records a. Operating Maps: Accurate and Up-to-Date—Rating:XXXX b. Circuit Diagrams—Rating:XXXX c. Staking Sheets—Rating:XXXX PART III—ENGINEERING 11. System Load Conditions and Losses a. Annual System Loses, XXXX%—Rating:XXXX b. Annual Load Factor, XXXX%—Rating:XXXX c. Power Factor at Monthly Peak, XXXX%—Rating:XXXX d. Ratio of Individual Substation Peak kW to kVA, XXXX—Rating:XXXX 12. Voltage Conditions a. Voltage Surveys—Rating:XXXX b. Substation Transformer Output Voltage Spread—Rating:XXXX 13. Load Studies and Planning a. Long Range Engineering Plan—Rating:XXXX b. Construction Work Plan—Rating:XXXX c. Sectionalizing Study—Rating:XXXX d. Load Data for Engineering Studies—Rating:XXXX e. Load Forecasting Data—Rating:XXXX PART IV—OPERATION AND MAINTENANCE BUDGETS

For Previous 2 Years:

Normal Operation—Actual $XXXX Normal Maintenance—Actual $XXXX Total—Actual $XXXX

For Present Year:

Normal Operation—Budget $XXXX Normal Maintenance—Budget $XXXX Total—Budget $XXXX

For Future 3 Years:

Normal Operation—Budget $XXXX Normal Maintenance—Budget $XXXX Additional (Deferred) Maintenance—Budget $XXXX Total—Budget $XXXX

14. Budgeting:

Adequacy of Budgets For Needed Work—Rating:XXXX

15. Date Discussed with Board of Directors XXXX

Remarks: XXXX EXPLANATORY NOTES Item No. XXXX Comments XXXX Rated by XXXXXXXX Title XXXX Date XXXX Reviewed by XXXX Manager XXXX Date XXXX Reviewed by XXXX RUS GFR XXXX Date XXXX