SmartLights Program: Application

Please fill out this form as thoroughly as possible. This will help us process your application more quickly.

* = required field

I. CONTACT INFORMATION

*Business Name

*Name of Owner/Decision Maker

*Primary Contact Person

*Street Address

*City

*Zip

*Phone

*Email

Business Hours

Best Time to Call

Best Time to Visit

Is English your primary language?

How would you like to receive your report?

Notes


II. BUSINESS INFORMATION

1. How did you hear about SmartLights?

2. What is the nature of your business?

If you selected other, please describe your business type.

3. Do you employ 10 or more employees?


III. BUILDING INFORMATION

Do you own or lease the building?

Square footage to be surveyed

If other, please note.

I need the property owner's approval to retrofit equipment at this facility.

In approximately what year was the building built?


IV. ENERGY USAGE

Is your facility air conditioned?

PG&E Electrical Account Number(s)

Service Address ID

PG&E Rate Schedule(s) (Control + click for multiple selections.)

If A10 or E19, please provide billing demand in kW.


V. CONFIRMATION

AGREEMENT: Yes, please have an authorized specialist come to my facility and perform a FREE energy savings and lighting and/or refrigeration evaluation. This evaluation and report will be provided at no cost to me. Signing this application authorizes a SmartLights specialist or participating contractor to visit my business and perform the evaluation only; it does not mean I am obligated to pay for any future goods or services. In the unlikely event that any incidental or consequential damage occurs during the evaluation process, each party assumes responsibility for its own negligence, including responsibility for the negligence of its employees, contractors, subcontractors, and agents, and for the claims of third parties resulting from such negligence.

WHAT HAPPENS AFTER THE EVALUATION? After reviewing the results of the evaluation, I can choose whether or not to proceed. If I decide to make the recommended upgrades, I will enter into a work order agreement with a participating contractor and will be responsible for paying costs that are not covered by the SmartLights rebate. If I decide not to upgrade my equipment, I am under no further obligation.

PLEASE NOTE: SmartLights is offered by the East Bay Energy Watch Program, a joint project of Pacific Gas and Electric Company, Community Energy Services Corporation, and participating cities in Alameda, Contra Costa, and Solano counties. This program is funded by California utility ratepayers and administered by Pacific Gas and Electric Company under the auspices of the California Public Utilities Commission. California consumers are not obligated to purchase any full fee service or other service not funded by this program. Funding is limited. Services and incentives are provided on a first-come, first-served basis, and only while funding lasts. For more information, please go to: www.pge.com/energywatch.


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