Property Name:
Address:
City, Zip Code:
Permission For Access: I agree to allow RightLights Program staff or subcontractors access to my facility to evaluate possible energy efficient measures. I realize that this may require RightLights staff to extend ladders, and open fixtures and service hatches throughout the property.Confidentiality: I understand that any items designated below as sensitive or confidential will remain so within RightLights, Pacific Gas & Electric Company, and the California Public Utilities Commission.Liability: I understand Ecology Action is receiving funds from PG&E for the RightLights Program, but the parties agree that PG&E is not liable to either party for any losses or damages, including incidental or consequential damages, arising from this Agreement.I understand that receiving this free evaluation does not obligate me in any way , nor does it guarantee that Program benefits will be extended to my business. Check this box to agree to the above statements: Business Owner or Manager Name:
Title:
Phone Number:
Email:
PG&E Account Number:
PG&E Electric Service Agreement ID #
PG&E Gas Service Agreement ID #
PG&E Electric Rate Schedule:
A-1
A-6
A-10
E-19
Other
If other, please specify:
Please fill in your name, expressing that you are the owner or manager of the above business, and that you are authorizing a site inspection on the property:
Spam Protection: Please don't fill this in:
