Agmt18 A Bright Idea DBA M Lite - Laserfiche WebLink

Browse Search

SAN MATEO COUNTY 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 Community Activities Building 2018-DLTG-COl Street Address: 1400 Roosevelt Ave City:REDWOOD CITY State:CA Zip:94061 1:1 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 Agenor Contractor Name : M Lite Authorized Signature: Print Name: Customer Statement The undersigned hereby certifies that all equipment and materials included in the retrofit and that the work has been completed satisfactorily. I understand that the Contractor is not an employee or representative of Ecology Action. I responsible for any acts or omissions of Contractor. Date: Title: including any change orders have been furnished and installed, and agree that Ecology Action is not in any way liable or By the signature below I certify that I have not accepted any incentives (i.e., rebates offer d 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: Date : Business Name: Redwood City Community Activities Building 2018-DLTG-COl DO NOT SIGN this certificate until you are completely satisfied that the Authorized Signature (print name): Page 8 Contractor Change Order 6/18/2018