STATE OF CALIFORINAEnergy Service Agreement • February 17th, 2016
Contract Type FiledFebruary 17th, 2016ENERGY SERVICE AGREEMENT FOR RENTAL PROPERTY OWNER RESET FORM Single-Family/Mobile Home Dwelling Information Tenant Name Dwelling Address City Zip Code Type Single Mobile Multi-Family Dwelling/Complex Information Number of Eligible Buildings in Complex: Use additional pages, if necessary. Building #1 Complex/Building Name (if applicable) Building Address City ZIP Code # of Units in Building # of Units to be Weatherized # of Vacant & Unqualified Units List Qualified Units List Vacant and Unqualified Units Building #2 Complex/Building Name (if applicable) Building Address City ZIP Code # of Units in Building # of Units to be Weatherized # of Vacant & Unqualified Units List Qualified Units List Vacant and Unqualified Units Building #3 Complex/Building Name (if applicable) Building Address City ZIP Code # of Units in Building # of Units to be Weatherized # of Vacant & Unqualified Units List Qualified Units List Vacant and Unqual