LETTER OF AUTHORIZATION

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Letter of Authorization (LOA) - Free Energy Audit Authorization

Please fill in the form below.
Authorization Release (LOA)
I, ("Name"), of (“Company”), do hereby name EGS Advanced Energy Solutions and any 3rd party in a contractual relationship working with EGS Advanced Energy Solutions (e.g. licensed suppliers) to receive the following specific information regarding the Company’s electricity and/or natural gas account numbers:
A. Interval data at the most granular level possible (if available) provided in ASCII text file
B. Monthly billing information
C. Historical ICAP/SCR, DLRP, CSRP enrollment and performance information (APMD/ACL, CMD, Declared Values, Performance Factors, etc.) EGS Advanced Energy Solutions expressly reserves the right to use such data, retain the data in its files, and disclose it to any authorized employee, agent or representative.

This Agreement may not be modified, amended or altered without the prior written consent of all signatories hereunder. EGS Advanced Energy Solutions is authorized to present this letter as definitive proof of the authority being granted to it.

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The term of this agreement shall be one year from the date the agreement is executed.

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PLEASE FAX YOUR MOST RECENT UTILITY BILLS TO: ELECTRIC GAS SUPPLY-ADVANCED ENERGY SOLUTIONS (EGS-AES, INC.) FAX 1 (888) 228-2905.
Check the box:
WE WILL CONTACT YOU, IF MORE INFORMATION ABOUT YOUR UTILITY ACCOUNT IS REQUIRED * By checking this box I understand that EGS-Advanced Energy Solutions may require additional business account utility information *

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PRINTABLE LOA

PRINT BLANK FORM, COMPLETE & FAX 1.888.228.2905, 

or scan and email to: jeffrey@egs-aes.com

WE LOOK FORWARD TO SERVING YOU!