Snohomish Public Utility District 3/12/2025

Promo Code: PUD Staff: Project Name: Facility & Project Information Customer's Business Name Facility Name Facility Address Energy Efficiency Project(s) Project Verification Terms & Conditions Project Payment (Please select one option below.) Customer Receives PUD Energy Incentive Payment (Rebates) By signing below, I certify that I have read, understand, and agree to the terms and conditions above. Authorized Signature Date Print Name Title Version December 2024 - Effective Date December 1st, 2024 Customer Assigns PUD Energy Incentive Payment (Rebates) to: Estimated Annual Energy Savings $2,089.465,059 kWh Project Development Incentive2 Energy Savings Incentive 1.) Please see attached Worksheets for Details 2.) The Project Development Incentive is paid to the company primarily responsible for filling out this workbook, assembling the required documents and submitting the complete application packet. The Project Development Incentive shall be paid to: City of Everett Energy Services ● eebiz@snopud.com ● www.snopud.com City of Evt Service Cntr 2024-11 L 3200 Cedar St Everett, WA 98201City of EverettCity of Everett Participation Agreement For Energy Efficiency Projects in Commercial & Industrial Facilities Rob Marks Lighting Retrofit Project1 $2,089.46 Snohomish PUD will verify the scope of this project has been installed as Authorized. On-site progress and/or post installation verification may be required. Project Cost Cost Type Total Important Dates Complete/Sign This Form By: 4/8/2025 6/10/2025 Agreement Expires On: The Participant ("Customer") hereby applies for incentive payment from Public Utility District No. 1 of Snohomish County ("PUD") under its Commercial and Industrial Energy Efficiency 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 Agreement at any time. The Customer: •Certifies that project documentation used in developing this project accurately reflects existing conditions and project scop e. •Understands that projected energy and cost savings are estimates. •Understands that the incentive payment will not exceed 100% of the actual total project cost. •Will seek PUD approval prior to changes that may affect the savings and incentive amount. Any changes to incentive amounts ar e subject to available funding. •Assumes full responsibility for equipment selection and installation, project management and payment of contractors and/or su ppliers, as well as disposal of equipment, in accordance with all applicable federal, state and local laws, building codes and permitting requirements. •Is responsible for payment of any federal, state or local taxes and any tax liability associated with Customer’s receipt of P UD’s incentive payment, including any income tax that may be imposed on the Customer as a result of the receipt of incentive payments. •Agrees to provide all information required by PUD to evaluate and verify whether project complies with and meets PUD incentiv e payment requirements. •Understands that the PUD may, during reasonable hours, verify the project at the site identified on this agreement before, du ring and/or after the installation of equipment for the sole purpose of verifying compliance with the performance obligations required by the PUD’s Programs. The limited scope and purpose of any PUD verifica tion is not intended to 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 contrac tor and/or request inspection by appropriate governmental agencies. •Agrees to defend, indemnify and hold harmless PUD and its officials, officers, employees and agents from and against any and al l losses, liabilities, damages, costs, expenses (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 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 officials, o fficers, employees and agents. •At time of completion, customer certifies the scope of this project has been completed, specified products have been installe d, and the invoiced amount matches your records. •Certifies that, at project completion, all specified products will be installed, and the invoiced amount will match PUD records. •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 solely for the purpose of evaluating the program, confirming energy savings, and for other quality assurance purposes. For more information go to www.s nopud.com/privacy-policy/. 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 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 Alternate Payee, should the cost of the project exceed the incentive payment. Customer understands that this Assignment of Funds is entirely optional and by selecting this option Customer acknowledges that it will not receive the payment directly. SIGNATURE PUD Approval: PUD APPROVED By RLM on 3/11/25 9:36AM Cassie Franklin Mayor 03/12/2025