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SAP! HiATED CONITY PROJECT COMPLETION AND CUSTOMER ACCEPTANCE CERTIFICATE Contractor Statement M Lite (firm name) certifies that we installed the following: In the building of: Business Name: Redwood City Police Station 2018-MLTG-COl Street Address:1301 Maple St City:REDWOOD CITY State:CA Zip:94063 ❑ By checking this box, I certify that I have complied with applicable permitting requirements, as appropriate, for this HVAC or lighting installation or replacement. Permit Number Agency Contractor Name : M Lite Date Authorized Signature: Title: Print Name: Customer Statement The undersigned hereby certifies that all equipment and materials included in the retrofit project including any change orders have been furnished and installed, and that the work has been completed satisfactorily. I understand that the Contractor is not an employee or representative of Ecology Action. I understand and agree that Ecology Action is not in any way liable or responsible for any acts or omissions of Contractor. By the signature below I certify that I have not accepted any incentives (i.e., rebates offered by Pacific Gas and Electric or any other energy -efficiency program towards work that is covered by this agreement) from a source other than Ecology Action. NOTICE TO CUSTOMER: DO NOT SIGN this certificate until you are completely satisfied that the Date : Business Name: Redwood City Police Station 2018-MLTG-COl Authorized Signature (print name): Page 1 l Contractor Change Order 6/18/2018