Merced Irrigation District v. Barclays Bank PLC – Western Hub Electricity Settlement

Proof of Claim and Release

If you, between November 1, 2006 and December 31, 2008, held any physical or financial contract which settled against the Intercontinental Exchange (“ICE”) or Dow Jones published daily index prices for peak or off-peak power at either the Mid-Columbia, Palo Verde, South Path 15 or North Path 15 electricity trading hubs, you may be eligible to receive a payment from the Settlement (as defined in the Notice) reached in Merced Irrigation District, on behalf of itself and all others similarly situated v. Barclays Bank PLC, No. 1:15-cv-04878-VM-GWG (S.D.N.Y.) (the “Action”).

The Notice of Proposed Class Action Settlement (“Notice”) contains the definitions of the defined terms (which are indicated by initial capital letters) used in this Claim Form. The Notice also sets forth the details of the Settlement and the Plan of Allocation by which the settlement proceeds will be distributed to Authorized Claimants.

In order to become an Authorized Claimant, you must be a member of the Settlement Class (as defined in the response to Question 6 of the Notice) and you must complete and submit this Claim Form. Your Claim Form and supporting documentation must be submitted to the Claims Administrator so that it is postmarked by October 18, 2018 or submitted online by 11:59 Eastern time on October 18, 2018. Submission of this Claim Form does not ensure that you will receive any payment from the Settlement; you will only receive a payment if you are entitled to one under the Plan of Allocation described in the Notice and the Court finally approves the Settlement and Plan of Allocation.