East Bay SmartLights ProgramEast Bay SmartLights ProgramEast Bay SmartLights Program

Application for Lighting and Refrigeration Evaluation Auditor __________ Audit # ______

Enrollments can be sent online, emailed to smartlights@ebenergy.org, or faxed 510-981-0102

Site/Business Name

Address City Zip

Site Contact Title

—————————————————————————————————————————–—————

Site Phone Fax

—————————————————————————————————————————–—————

Email Cell

Owner (Decision Maker) Title

—————————————————————————————————————————–—————

Address City Zip

————————————————————————————————————————————–——

Phone Fax

—————————————————————————————————————————–—————

Email Cell

Business Hours

Best Time to Call Best Time to Visit

How would you like to receive your report? In person Fax Mail Email

Notes

1. How did you hear about SmartLights? ______________________________________________________

2. Type of Business : ________________________________________________________________________

3. PG&E Electrical Account # _______________________ Electrical Service ID# _____________________

PG&E Rate Schedule (please circle one) A1 A6 A10* E19* E20*

* If A10, E19, or E20, please provide billing demand, in kW _______

4. Building Information:

Do you own or lease the building? Own Lease

Do you need the property owner’s approval to retrofit equipment at this facility ? Yes No

Square footage to be surveyed _____________ What year was the building built? __________

Check if facility has: Air Conditioning____ Heating____ Hot Water____ Solar____

Agreement: Yes, please have an authorized specialist come to my facility and perform a no-cost energy savings and lighting and/or

refrigeration evaluation. The evaluation and report will be provided at no cost to me. Signing this application authorizes a SmartLights specialist or participating contractor to visit my business and perform the evaluation only; it does not obligate me to pay for any future goods or services.* In the unlikely event that any incidental or consequential damage occurs during the evaluation process, each party assumes responsibility for its own negligence, including responsibility for the negligence of its employees, contractors, subcontractors, and agents and for the claims of third parties resulting from such negligence. What Happens After the Evaluation? After reviewing the results of the evaluation, I can choose whether or not to proceed. If I decide to make the recommended upgrades, I will enter into a work order agreement with a participating contractor and will be responsible for paying costs that are not covered by the SmartLights rebate. If I decide not to upgrade the equipment, I am under no further obligation.

Signature of Business Representative ____________________________________________________ Date: _____________ * SmartLights is offered by the East Bay Energy Watch Program, a joint project of Pacific Gas and Electric Company, Community Energy Services, and participating cities in

Alameda and Contra Costa Counties. This program is funded by California utility customers and administered by PG&E under the auspices of the California Public Utilities

Commission. California consumers are not obligated to purchase any full-fee service or other service not funded by this program. Funding is limited. Services and incentives are

provided on a first-come, first-served basis and only while funding lasts. “PG&E” refers to Pacific Gas and Electric Company, a subsidiary of PG&E Corporation. © 2013 Pacific

Gas and Electric Company. All rights reserved. For more information, go to www.smartlights.org

SmartLights

is a program of

Community Energy

Services Corp.

1013 Pardee Street

Berkeley, CA 94710

Tel: (510) 981-7750

Fax: (510) 981-0102

Email: smartlights

@ebenergy.org

www.smartlights.org

Funded by

East Bay

Energy Watch,

a joint project of

Pacific Gas and

Electric Company,

Community Energy

Services Corp,

and participating

cities in Alameda and

Contra Costa Counties

www.eastbay

energywatch.com

www.pge.com/

energywatch

Cash Rebates Available for East Bay Small Businesses

Trim Your Energy Costs with the SmartLights Program! SmartLights is specially designed to help small businesses upgrade to energy-efficient

lighting and refrigeration. The Program offers no-cost start-to-finish technical assistance

and cash rebates to help defray the cost of installing energy-efficient lighting and limited

refrigeration products.

Why Energy-Efficiency? Lighting can constitute as much as 50% of your energy

bill, depending on your facility type. Energy-efficient

lighting can be a good way to reduce energy costs.* Door closers and refrigeration controls are low-cost

improvements that can help you cut your

refrigeration energy costs

Who’s Eligible for the Program? East Bay small businesses

Small institutions in the East Bay

Common areas of multifamily buildings (5 or more

units)

What Does SmartLights Give Me?

No-cost no-obligation energy assessment

Typical financial incentives range from 25%-75%

of total project costs depending on measures

implemented.

Negotiated discounts with qualified installation

contractors.

Rebates paid directly to contractor to help defray

your out-of-pocket costs

No-cost start-to-finish project management

The First Step

The first step is a no-cost, no-obligation assessment for your business.

Call SmartLights at 510-981-7750, or fax/mail us the simple, one-page application

(see reverse side of this flyer).

Visit us at www.smartlights.org. You can enroll online, too!

* These energy saving estimates are based on typical small businesses in PG&E’s service territory. Actual savings will vary, including but not limited to the actual

equipment installed, building construction, customer operation, age of existing equipment, and location. Funding is limited. Services and incentives are provided on a st-

come, 1st-served basis and only while funding lasts. CA consumers are not obligated to purchase any full-fee service or other service not funded by this program.

This program is funded by California utility customers and administered by PG&E under the auspices of the California Public Utilities Commission. “PG&E” refers to

Pacific Gas and Electric Company, a subsidiary of PG&E Corporation. © 2013 Pacific Gas and Electric Company.

“Working with PG&E and SmartLights has been a big win, win, win. We save money, protect the environment, and have a more consistent and comfortable system of lighting for the staff and our patients.” William van Dyk, DDS

Attention Small Business Owners!

SmartLights

is a program of

Community Energy

Services Corp.

1013 Pardee Street

Berkeley, CA 94710

Tel: (510) 981-7750

Fax: (510) 981-0102

Email: smartlights

@ebenergy.org

www.smartlights.org

Funded by

East Bay

Energy Watch,

a joint project of

Pacific Gas and

Electric Company,

Community Energy

Services Corp,

and participating

cities in Alameda and

Contra Costa Counties

www.eastbay

energywatch.com

www.pge.com/

energywatch