HomeMy WebLinkAboutINSTALLATION AGREEMENT - 18-00204 - Utah Mattress Outlet - Bulb Upgrade1324001 1324001-A
Marcus Stansfield 4/16/18 208-821-1825 3.68
Richard Henke Business Owner
Date:
Date:
Dear Rocky Mountain Power Customer:
The installed energy saving
upgrades are warrantied for 1
year for Willdan installed parts
and labor. The manufacturer's
warranty continues beyond this
time frame.
Customer Co-Pay:$1,021.58Annual kWh saved
Customer Payment Due Upon
Completion:
-
Richard Henke
Authorization for Installation of Energy Saving UpgradesAnnual kW saved
5. PAYMENT: Customer is responsible for the balance of project costs (Customer Co-Pay) after credit of the SBD incentive. All payments are
due immediately upon completion of work. A monthly late fee of $10 will be applied for past due individual project balances past 30 days of
installation date. Upon receipt of full payment, the title of installed measures transfers to the Customer. Unpaid balances past 90 days will be
assigned to a collections agency. Customers will be responsible for all expenses incurred, including, but not limited to collection costs, legal
fees, and attorney fees for collection of this account. If a customer has multiple projects, it must pay the balance on projects as they are
completed. A customer may not withhold payment on completed projects due to other projects not yet being completed.
Pay Back Period (months)Less: Program Incentive:$3,064.73
14 Additional Work Performed:
Eligibility Requirements and Other Terms and Conditions
1. ELIGIBILITY: Rocky Mountain Power's (RMP) wattsmart Small Business Direct (SBD) Program offers discounted project costs to qualifying
RMP customers as outlined in the program requirements discussed or provided to the customer. An instant incentive is applied to the project
costs and the customer is credited for the estimated energy savings (kWh) resulting from the installation of energy-efficiency measures at the
location where the qualifying project is to be installed.
2. ELECTRICAL VIOLATIONS: If electrical violations (as defined by the State Electrical Code) are found within the establishment, SBD
representative must inform the owner or the responsible representative of the life-safety electrical situation that exists before proceeding with
the project scope. The existing violations must be corrected by the owner prior to participation in the SBD Program.
3. QUALIFYING PROJECTS AND MEASURES: Qualifying projects include replacement of eligible electric energy-efficiency measures
proposed by RMP's wattsmart SBD Implementation contractor, Willdan Lighting & Electric (Willdan), based on an energy assessment of the
building. Qualifying projects do not include any electric energy-efficiency measures or energy-efficiency equipment or services purchased,
contracted for, or installed prior to the program start date. Customer agrees that it may be required to pay additional costs to repair any
existing failing equipment (not covered by program) such as, but not limited to, light switches, lamps sockets, or other fixture components.
Willdan will disclose and provide a quote and request customer approval prior to replacement of any equipment.
$1,021.5810,568
Customer Name:34
Thank you for your participation in the Rocky Mountain Power’s wattsmart Small Business Direct (SBD) Program. This Customer Installation
Agreement discloses eligibility requirements, and terms and conditions applied to your project as defined by the itemized Work Order attached.
The specific replacement measures are listed on the attached Customer Work Order, hereafter referred to as the “Scope of Work.”
The Customer or a representative must authorize and agree to the items below by signing this Agreement prior to Project Installation.
Marcus Stansfield
4. INSTALLATION AGREEMENT: By signing this Installation Agreement, the customer authorizes Willdan or its subcontractors a) to access
the building’s RMP energy use for the previous 12-24 months, b) to enter the building for the purposes of i) conducting an energy assessment
of the building, ii) installing SBD Program measures, iii) installing any energy-efficiency measures agreed to in the "Scope of Work", iv)
inspecting installed measures, and v) evaluating the performance of the installed measures.
Customer Signature:
Auditor Name:
Auditor Signature:
UTAH MATTRESS OUTLET
Assessor Assessment
Date Customer Phone Survey Tool Version
Total Cost of Installed Measures:
160 W MAIN ST # STORE
REXBURG ID, 83440 Contact Name Contact Title
accountant@utahmattressoutlet.com,books@utahmattressoutlet.com
Estimated Annual Savings Payment Terms
Shortened RMP ACCOUNT #Installation Agreement #
$4,086.31$875.00
This energy saving program is brought to you by Rocky Mountain Power and implemented by Willdan Energy Solutions.
Terms and Conditions
Installations Complete for Energy Saving Upgrades
No Job Complete: No Field Supervisor Signature: Date:
Customer Signature: Date:
Customer Paid:
16. OVERALL LIABILITY: Willdan's entire liability and obligation under this agreement will not exceed the net customer cost.
Under no circumstances will Willdan be liable for any special, incidental, indirect, punitive and/or consequential losses or
damages of any kind or nature whatsoever (including, without limitation, for lost profits, time, or revenue) for anything arising
out of the performance or nonperformance of this agreement, whether claims for said losses or damages are premised on
warranty, negligence, strict liability, contract or otherwise.
10. DISPUTES: RMP will have sole discretion to decide on the final resolution of any issues including but not limited to eligibility or incentives.
13. POLYCHLORINATED BIPHENYL (PCBs): Any materials containing PCBs, specially, but not limited to, fluorescent light ballasts, will not
be removed and replaced. It is recommended to contact the state environmental agency to understand what steps are required to safely
remove and replace these materials.
By signing the below I agree to the following:
1. The installation of the energy efficiency measures listed was completed and number of measures actually was filled in on each line.
2. All material was properly cleaned up at the job site.
3. I understand that all work identified on this work order above in the section "RMP Contribution" is paid for by Willdan. I understand that I
am responsible to pay the contractor identified above for that portion of the total cost identified above in the section "Customer Pays
Contractor" at the time that the installation is completed. I further understand that I may pay the subcontractor by any of the following
methods: check or money order.
15. INSTALLATION and DISPOSAL REQUIREMENTS: All work must be in full compliance with the requirements of applicable laws, rules,
and regulations of authorities having governmental and regulatory jurisdiction. Work must be by performed by participating contractors or
subcontractors approved by Willdan and RMP for participation in the SBD Program. Additionally, work must be completed within 30 days of the
signature date on the Installation Agreement. The applicant agrees that as a requirement of the program, the contractor or subcontractor
carrying out installation of measures under this program shall remove and dispose of any and all equipment or materials that are replaced or
removed in accordance with all applicable laws, rules, and regulation. The customer agrees not to keep existing lamps, fixtures, or other
energy measures that were replaced in the program.
14. DISCLAIMER: Neither RMP nor Willdan makes representations or warranties, expressed or implied, and do not guarantee that
implementation of energy-efficiency measures or use of the equipment purchased or installed pursuant to this program will result in energy-
cost savings. Accordingly, RMP recommends that all customers consider engaging qualified engineers or other qualified consultants to evaluate
the risks and benefits, if any, of such implementation and use on energy consumption, cost savings, or operation of customers’ facilities.
11. PROGRAM CHANGES: RMP and Willdan reserve the right to change, modify, or terminate this program at any time without any liability
except as expressly stated herein. RMP and Willdan will honor all terms in the Scope of Work provided to customers prior to the date of any
change, modification or termination of this program, provided that project installations are fully completed within the time specified in the
Scope of Work.
12. PROJECT OFFER and PROGRAM EXPIRATION : This project offer will expire 5 days following the end of your community’s enrollment
period, which may be found on the SBD Website. This program will expire September 1, 2019, when funds are depleted, or when the program
is terminated, whichever comes first.
6. CUSTOMER WORK AUTHORIZATION AND PROJECT WORK PLAN: Willdan, or its subcontracted partners, will meet with the customer
to review the project Scope of Work during the pre-inspection, provide information on alternatives, discuss work process, and create a work
schedule. Willdan, RMP’s implementation contractor, will complete, or select and provide an approved installation subcontractor to complete
the measure installation work. Willdan will schedule and/or monitor the required installation services. The Customer will be provided
scheduling opportunities available during the limited installation period in their community. The Customer is expected to prep work site in
advance by having the site free and clear for installation of measures. Any delays by customer in scheduling or limited access to site may
impact the install schedule and may resulting in cancelation of the project. Installation dates and times will range Monday-Friday, from 7am-
6pm; excluding holidays and weekends.
7. POST-INSPECTION OF WORK AND PAYMENT OF INCENTIVES: The customer shall pay the customer Co-Pay balance defined in the
Scope of Work upon completion of the project’s post-inspection process. It is the responsibility for the Customer to set up Purchase Orders in
Advance. Willdan will conduct a post-installation inspection to ensure satisfactory project installation. Installation will commence within 30
days of execution of this agreement and all requested data.
8. CUSTOMER INFORMATION: Customer agrees that RMP may provide customer information including customer name, account number,
electric consumption data and electric savings to its third-party evaluation contractor for program evaluation purposes. The evaluation
contractor will keep customer information confidential. Customer information may also be provided to the State Public Service Commission.
Any customer information provided to the State Public Service Commission will be aggregated with information about other customers and will
not be personally identifiable.
9. TAX LIABILITY and CREDITS: Neither RMP nor Willdan will be responsible for any taxes which may be imposed on the customer as a
result of measures installed under this program or as a result of the customer’s receipt of any rebate. The project costs paid by this program
(incentives) may have tax implications for the customer and the customer is encouraged to consult the customer's tax advisor. The customer
must provide Willdan with a valid and completed IRS Form W-9. If the customer claims exemption from any tax the customer must provide
appropriate documentation prior to the installation of measures. The IRS will be advised of the customer rebate on a Form 1099 if the
customer receives a rebate greater than $600, unless the customer provides a Federal Tax-Exempt Form.
Customer
Inspection
Color
Temp Ht.Existing Measures QTY Extended
QTY QTY Installed P/F
4000 10 FL. (2) 48" T12 30W ES LAMP MAG-ES
Troffer 58 116
4100 8 FL. (1) 48" T12 30W ES LAMP MAG-ES
Troffer 11 11
4100 8 FL. (2) 96" T12 60W ES LAMP MAG-ES 4 8
4100 8 FL. (2) 48" T12 30W ES LAMP MAG-ES
Troffer 6 12
4100 8 FL. (2) 48" T12 30W ES LAMP MAG-ES
Troffer 6 12
4100 8 FL. (4) 48" T12 30W ES LAMP MAG-ES
Troffer 2 8
4100 8 FL. (2) 48" T12 30W ES LAMP MAG-ES
Troffer 1 2
4100 8 FL. (2) 48" T12 30W ES LAMP MAG-ES
Troffer 1 2
4100 8 FL. (2) 48" T12 30W ES LAMP MAG-ES
Troffer 4 8
Location Replacement Measures Customer
Initials
Main Show room 2X 4000 - 10W 48" TLED/ 32W Equivalent
Down Lighting 4000 - 10W 48" TLED/ 32W Equivalent
Back Storage And Back
Storage entry 2X 28W F96 TLED 4000
Right Open Area 2X 4000 - 10W 48" TLED/ 32W Equivalent
Right Open Area 2X 4000 - 10W 48" TLED/ 32W Equivalent
Back office 4X 4000 - 10W 48" TLED/ 32W Equivalent
Back office 2X 4000 - 10W 48" TLED/ 32W Equivalent
RR 2X 4000 - 10W 48" TLED/ 32W Equivalent
Show room desk area 2X 4000 - 10W 48" TLED/ 32W Equivalent
Customer Installation Agreement-Work Order (Page 1 of 3)
Customer Installation Agreement-Work Order (Page 1 of 1)
Shortened RMP ACCOUNT #Installation Agreement #
1324001 UTAH MATTRESS OUTLET 1324001-A
ENERGY SAVINGS UPGRADES Only required if
different QTY
Customer
Inspection
Color
Temp Ht.Existing Measures QTY Extended
QTY QTY Installed P/F
Customer Installation Agreement-Work Order (Page 2 of 3)
Customer Installation Agreement-Work Order (Page 1 of 1)
Shortened RMP ACCOUNT #Installation Agreement #
1324001 UTAH MATTRESS OUTLET 1324001-A
ENERGY SAVINGS UPGRADES Only required if
different QTY
Location Replacement Measures Customer
Initials
Customer Installation Agreement #
1324001 1324001-A
Inspection
Color
Temp Ht.Existing Measures QTY Extended
QTY QTY Installed P/F
Customer Installation Agreement-Work Order (Page 1 of 1)
Shortened RMP ACCOUNT #
UTAH MATTRESS OUTLET
Only required if
different QTY
Customer
Initials
ENERGY SAVINGS UPGRADES
Location Replacement Measures
Customer Installation Agreement-Work Order (Page 3 of 3)
MATERIALS SUMMARY REPORT
Customer Installation Agreement #
1324001 1324001-A
UTAH MATTRESS OUTLET
Replacement Measures Lamp Code QTY Ballasts Needed QTY Kits Needed QTY
4000 - 10W 48" TLED/ 32W Equivalent 468280 171 ICN-4P32-N 2
28W F96 TLED 4000 469254 8 ICN-2P32-N 76
ICN-1P32-N 11
4
Wire Work Needed
No
Notes
UTAH MATTRESS OUTLET
Assessor Marcus Stansfield
Lift Needed
No
QTP-2X59T8/UNV-
SIN-SC
Shortened RMP ACCOUNT #
Date
Installer
Field Supervisor
Field Supervisor
Assessor
I certify that I have been issued the parts listed above and am
responsible for installing or returning these parts.Signature Printed Name