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<br />PUD Staff
<br />Project Name
<br />Customer & Facility
<br />Customer's Business Name:Facility Name:Facility Address (Project Site Address):
<br />Energy Efficiency Project(s)1
<br />Total:
<br />Additional incentive if project is completed by December 1, 2023:
<br />1.) Please See attached worksheet(s) for details. Total:
<br />Project Verification
<br />Terms & Conditions
<br />Project Payment (Please select one option below.)
<br />Customer Receives Energy Efficiency Incentive Payment (Rebates)
<br />By signing below, I certify that I have read, understand, and agree to the terms and conditions above.
<br />Authorized Signature Print Name Date Title
<br />Version August 2024 - Effective Date August 1st, 2024
<br />13,589 kWh $5,940.00
<br />59,054 kWh
<br />Snohomish PUD will verify the scope of this project has been installed as Authorized. Additional measure and verification of the pre and post energy savings may be
<br />required for this project. Will require access to Pelican Controls on-line for verification - read only.
<br />$13,125.00Advanced Rooftop Controls 45,465 kWh
<br />$24,765.04
<br />PUD Approval
<br />$16,125.00
<br />$0.00 $0.00
<br />$16,125.00
<br />2.) The Project Development Incentive is paid to the company primarily responsible for filling out this workbook, assembling the required documents and
<br />submitting the complete application packet. The Project Development shall be paid to: City of Everett
<br />Self-InstallCustomer Assigns Energy Efficiency Incentive Payment (Rebates) to:
<br />$3,000.00
<br /> Energy Services ● eebiz@snopud.com ● www.snopud.com
<br />Rob Marks
<br />3200 Cedar St Everett, WA 98201City of EverettCity of Everett
<br />Connected Thermostats
<br />Estimated Annual
<br />Energy Savings
<br />City of Everett Serv Cntr 2024-08 R-ARC
<br />Project
<br />Development
<br />Incentive2
<br />$2,625.00
<br />$375.00
<br />$3,000.00
<br />Project
<br />Cost
<br />Energy
<br />Efficiency
<br />Incentive(s)
<br />$3,000.00
<br />$18,825.04
<br />The Participant ("Customer") hereby applies for incentive payment from Public Utility District No. 1 of Snohomish County ("PU D")under its Commercial and Industrial Energy Efficiency
<br />Programs. Incentive payment will be made when the project satisfies the PUD’s requirements. PUD reserves the right to change and/or terminate the program or extend the term of the
<br />Agreement at any time.
<br />The Customer:
<br />•Certifies that project documentation used in developing this project accurately reflects existing conditions and project scope.
<br />•Understands that projected energy and cost savings are estimates.
<br />•Understands that the incentive payment will not exceed 100% of the actual total project cost.
<br />•Will seek PUD approval prior to changes that may affect the savings and incentive amount. Any changes to incentive amounts are subject to available funding.
<br />•Assumes full responsibility for equipment selection and installation, project management and payment of contractors and/or suppliers, as well as disposal of equipment, in
<br />accordance with all applicable federal, state and local laws, building codes and permitting requirements.
<br />•Is responsible for payment of any federal, state or local taxes and any tax liability associated with Customer’s receipt of PUD’s incentive payment, including any income tax that
<br />may be imposed on the Customer as a result of the receipt of incentive payments.
<br />•Agrees to provide all information required by PUD to evaluate and verify whether project complies with and meets PUD incentive payment requirements.
<br />•Understands that the PUD may, during reasonable hours, verify the project at the site identified on this agreement before, during and/or after the installation of equipment for the
<br />sole purpose of verifying compliance with the performance obligations required by the PUD’s Programs. The limited scope and purpose of any PUD verification is not intended to
<br />discover or report any defects, code violations or hazards of any kind. For that reason, the Customer should carefully inspect the performance of any equipment supplier and any
<br />contractor and/or request inspection by appropriate governmental agencies.
<br />•Agrees to defend, indemnify and hold harmless PUD and its officials, officers, employees and agents from and against any and all losses, liabilities, damages, costs, expenses
<br />(including attorney's fees and expenses), claims, or judgments (individually and collectively referred to as “Claims”) arising out of or in connection with Customer’s participation in
<br />this program, but nothing herein shall require Participant to indemnify PUD for that portion of any such Claims attributable to the negligent acts or omissions of PUD and its
<br />officials, officers, employees and agents.
<br />•At time of completion, customer certifies the scope of this project has been completed, specified products have been installed, and the invoiced amount matches your records.
<br />•Certifies that, at project completion, all specified products will be installed, and the invoiced amount will match PUD records
<br />•Understands that the PUD may release account information related to your participation in this program including billing and energy usage information to third party evaluators
<br />solely for the purpose of evaluating the program, confirming energy savings, and for other quality assurance purposes. For more information go to www.snopud.com/privacy -
<br />policy/.
<br />Important Dates
<br />Complete/Sign This Form By:
<br />12/10/2024
<br />5/15/2025
<br />Agreement Expires On:
<br />Participation Agreement
<br />For Rebates in Commercial & Industrial Facilities (Non -Lighting)
<br />SIGNATURE
<br />Customer hereby assigns the incentive payment from the PUD for the project at the Facility identified above to the Alternate Payee and hereby authorizes the
<br />PUD to pay the incentive payment to the Alternate Payee. Customer understands that Customer will be responsible to pay any additional balance due to the
<br />Alternate Payee, should the cost of the project exceed the incentive payment. Customer understands that this Assignment of F unds is entirely optional and by
<br />selecting this option Customer acknowledges that it will not receive the payment directly.
<br />PUD APPROVED
<br />By ST on 11/12/24 7:35PM
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<br />Cassie Franklin Mayor11/22/2024
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