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SAN MATED COUNTY <br />PROJECT COMPLETION AND CUSTOMER ACCEPTANCE CERTIFICATE <br />Contractor Statement <br />M Lite (firm name) certifies that we installed the following: <br />In the building of: <br />Business Name: Redwood City Community Activities Building-2018-MLTG-001 <br />Street Address:1400 Roosevelt Ave City:REDWOOD CITY State:CA Zip:94061 <br />❑ By checking this box, I certify that I have complied with applicable permitting requirements, as appropriate, for this HVAC or lighting installation or replacement. <br />Permit Number Agency <br />Date: <br />Contractor Name: M Lite <br />Title: <br />Authorized Signature: <br />Print Name <br />Customer Statement <br />The undersigned hereby certifies that all equipment and materials included in the retrofit project including any change orders have been fumished and installed, <br />and that the work has been completed satisfactorily. <br />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 <br />responsible for any acts or omissions of Contractor. <br />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 <br />towards work that is covered by this agreement) from a source other than Ecology Action, <br />NOTICE TO CUSTOMER: Date : <br />Business Name: Redwood City Community Activities Building-2018-MLTG-001 <br />DO NOT SIGN this certificate until you <br />are completely satisfied that the Authorized Signature <br />(print name): <br />Page 14 Contractor Change Order 6/18/2018 <br />