Do Lazzxzow'eszwo PM Submittedtp DOE ELECTRIC-EMRGENCY-INCEENTW EMOTICE Tins repud- is mandatory under Public Law 93-215 Failure to comply may ninth in criminal nes nzmi penalties and other sanctions as law For the sanctions and the provisions concerning the con denoahty ofmformnnon on this idiot - see Gemini Infmmatior'i pditidn ofthe instructions Title 18 USC 1801 makes it a criminal offense for any pet son _knov'vingly- ind willingly to make to any Agency or Department of the United Sidtes my fdlse ctitious or fraudulent statements as to any indtter within its jurisdiction Vithin 1 boiit'ofthe incident submit Schednie I and nesM- Qin Schedule2 asanEmergencyAleitrepmt 3- are met Within bours ofthe incident - snbmit- Schedule 1 and nesM as By the late of hours after the recognition of the incitinnt OR the end ofihe next business day nibnnt Scheduie 118p nes Q in Schedule 2 an a System Report ifgiteria _13 -24 an met Nate 4- 001 than tints wt bin considered _th'e end 91% but-trims _dqy Sitbmit _imdates ds needed and or a nai _repott xii of Sohedules 1 and 2 within 72- hows ofth e ionident For NRC reporting- entities registered it the United States WERE his approved that the third meets the submittdl' requirements 'forNERCi Thete may be other applicable regionnL state- and local reporting reqnn'ements OF FILING RESPONSE Retain a completed copy- of ns int your led - Oniide Suhnnt form via online snbmission at 1 13 31wa no and doe gow OEdl'If FAX Fdn'n 05 41 to the foiiowmg 'facsnniie number 302 5856 8435 - Alterntito Titian are unable to submit on 'n or by _fzi'x finids may be entailed low or can and report the information to the Int- lowing- Elephant number 202 5863100- SCHEDULE ALERT CRITERIA Pdge 1' of4 Criteria jar Fibng Check all that apply See instr'iic on's For Mirth Information l Physicai attack that causes ninja interruptions or to critical facilities or to operations 2 Cybe event that causes interruptions of electrical system operations Eb ilgfg igiff r 3 Complete apprehend failure or shutdown of the transmission audio distribution electn'cal system - 4 I Elecnicai System Separation Mending where part or parts ofa power grid rmnain s Opennimal in an otherwise $212312 blacked out are or widiin the partial adore of an mtemted electrical system gm 1 0 13 5 loss of 300 Megawatts or more of ce system loads for 15 minutes or more from a single Alert twin Ale Shims er Line 6 Firm load shedding of 100 Megawatts or more impiemenxed Wide emergency opmiionai po cy 7 System-wide voltage tedoctioos of 3 percent or more 3 I 1 Public zipped 0 reduce the use of elechicity for purposes ofmainlenn'ng the continuity of the Bed Electric System NDRELAL REPGRT File witbin 15-Hour 9 I 3 Physical attack that coutd potentially impact electric power system adequacy or reliability or vandalism which targets components of any security systems Ifato'hnth light is chetked none oftbe I 10 Cypher event that could potentially impact electric power system adequacy or re nbi ty boxes 1-3 are checked this uid-must behind within 6 Ii- Los's of electric service tomato than 503000 customem for 3 hour or more lions-of the incident check anndIRnport for themed 12 I Fuei emergencies that could impact electIic power system adequacy or reliability Sta-titans line A below SCHEDULE 1 ALERT CONTINUED Page 2 of 4 317811231113301212 File sews shoes-5 9 93 Hahybox 13124 mike right is- checked AND none of the boxes 1 121m Checked this 01111 hoist he led hv the later 24 1101113 after the reoogoitim of the incident #3 -by the end of the next business 1333 Note 4 00pm local time will he c0115i113eii the end of 'the business day Check System Report for the Alex am as Link A sciss 13 I Damage or destruction ofa Facility within its Reliability Coordinator Area Balancing Authority Ania or Transmission Operator Area that remdts in aetiou s to avoid 3 Butt Beckie System Emergency 14 Damage or'desmnetioo of its Facility that results rm actual or mpected intentional human action 15 1 Physical threat to its Facility excluding weather or natural disaster relete 'thxeets which has the potential to degrade the 1101111313 operation of the Facility 0r suspicious device or activity at its Facility 16 1 Physical thzeat to 115131121 Eiectric System control center excluding weather or natural disaster related Meats which has the potential to degade the 1101111111 operation ofthe control center 0 suspicious device or activity at its Bulk Electric System cootroi Center 17 i Bulk Electric System Emageocy resulting in voltage deviation on a Facility A voltage deviation equal to or gamer than 10% ofnomioal voltage sustained for greaterthon or equal to 15 continuous mhmees 18- 1 Uncooh'oiled loss of 200 Megawatts or more of rm system loads for 15 minutes or more 110111 a singie incident for entities with previous year's peak demand less than or aqua to 3 000 Megawatts 19 Total genetation loss within one minute of greater than or equal to 2 000 Megawatts in the 15am or Western Interconnection or greater than or equal to L400 Megawatts in the ERCOT Interconnection 20 I Comhlete loss ofoff site power LOOP affecting amides genetat'ing station per the Nuclear Plant Interface Requireznetus 21 i Unexpected Transmission loss within its ares contrary to design of three or more Bulk Electn'c System Facilities caused by a common dismbame excluding success ll automatic reciosing 22 I Unplanned evacuation from its Built Electric 35mm control came facility 01 30 continuous minutes or more 23 I Complete loss of Intexpersooai and Alternative Interpersonal Communication capability a ecting its staffed Bulk Elecoic System control center 1130 continuous minutes or more 24 I 1 Complete toss of monitoring or control capabitity at its staged Bulk Electric System control center 30 continuous minutes or more f sigm caot changes have occurred a er ling initial report re- le the 01111 with the chaoges said check Update for the Alert Ste1us on Line A below - The form must be re led within 72 hours of the incident ofi i the latest mformaoon sod Fina Alert Status shocked on Line A below unless updated Alert Semsi'chedc' we B Gimme Nome Address of Principal Business Of ce 2130 South 1300 East Suite 600 Salt Lake City Utah 84106 Submitted to DOE ELECTRIC SCHEDULE 1 AL Geographic Ate s Affected Cahfomm Kent County 1 05 Argeles County Utah 832 Lake CouMy Wyommg Converse County County State Incident Begag - - ml 119 32 Eastm Central Mountain using 24-hour clock m0 dd 1121 mm Paci c 1-Alaska I 1 Hawaii Datcfl ime Incident Ended Easzem Central Mmmtain mm-dd yyl' hh mm Its-mg 24 hour dock mo dd yy hi 3 Paci c Alaska 3 Hawaii - Did the inciden disnnbance engiuaza in your systemfar'ea check me N0 1 Unknown Estimate of Amount of Danami Involycd Peak Mcgwatts 212m Unknown I Wadi-Number of Customers Affacted Zero Unknown SCHEDUI OF Check all that apply J Cakes 1 Impact 1 Ac dn'faken CI None 1 Contra center loss failure orevacuaticn 3 Loss or degradation of central center monitoring or comm u'cation Unknown Damage 0 destruction of a cihty 3 Physical attack Ci Elaclncal system separates 1512131de None I Threat attack C1 Complete operational feature or shutdawn of the El Sh ad Finn Load Load shedding of 100 thdaiism in bu uou system MW or more implemented under Theft 3 Major system mtemipuon three or $1 ng operationni policy mammaliy Ci Suspicious activity more RES cinema or automatically via UFLS or remediai El mm in mmation technoiogy a Mal mm mm action scheme event operationai technology i3 Unconim ed 1055 Of 290 or more of Em MG appeai to reduce the use of Fuel supply emergencies or Wm loads for 15 85 Gr eicctricity for the pmpose of maintaining de ciency '3 Loss ofclectnc to man than 50'0 the- coniinuify of the electn'c power E3 Genmtor loss or failure not due to le amply mus for i hour or man system intemjption or de ciency or hammism'on 3 System-Wide voltage reductions or 3 yucca 01' Implemented a warning 31m 01' failure more de tingcucy plan Ci Transmission equipment aiiure not including E3 Volta ga dewauen on an 151th Of Ci Voltage reduction substation or switchyard 310% f 25 Wt mm Shed Intermptibtc Load Ci Faihu'e at high vellagc substation or writchyard Inadequate aleatnc resources to serve Ioad El Repaired or restored 3 Weather or mutual disaster Genamang capacaty 1055 Of L400 MW car more Mtigation implemented 3 tor acticn Ci Generating capauty loss of 2 000 MW or more I Other Complate loss of o isne power to a nuclear Additional Inf tionlCo is Additional informationJCommams genesatmg statmn w gm ag m1 3189mm renamed that 3 Mali exploit ew new to Other 93W yummy Sewing to an murmak y 5 minute mr cadma outage 3 Additional Farewell reboots in brief u - between me site and We Cents swamSubmittem 99E 3 7120 9 5 ELECTRIC DISTURBANCE SCHEDULE 2 NARRATIVE DESCRIPTION Pa ge 4 of 4 In rmaifqn on Schedule 2 WIN mar be disclosed to the pubiic to this extent r dt it subways the c ie afor axemptiqn under the Madam Aer g exemptions 9r comfden ai- 'cbmmerchl fnj bmuzrfan and rude game s erfain fafoma hn that endanger the pIzy mI ga x' qf an or infomatiori designated as Cn tiCaI Energy In amadum Infomation