Heat Pump Installation Form

Energy Information Release:
The undersigned utility customer requests and authorizes Lewis County PUD No. 1 to release billing and usage information for the account listed below to Bonneville Power Administration (BPA). With this authorization, BPA can request billing information for up to two years pre-installation and two years post-installation. The utility customer also hereby releases Lewis County PUD No. 1 from any and all liability arising from or connected with providing this information.

Release of Present and Future Claims:
In consideration of receiving the benefits and payments under the Residential Conservation Program, I agree that I will not make any claim or demand against the Public Utility District No. 1 of Lewis County and hereby release and discharge the District from any and all claims, demands, liabilities, suits, or causes of action, for any damage, injury or death allegedly arising, resulting or which may in the future result, directly or indirectly, from the measure(s) installed under the Residential Conservation Program. All program measures must be completed to meet state and local codes, it is the responsibility of the homeowner and chosen contractor to secure all necessary and required permits.

Waiver:
The customer agrees that Public Utility District No. 1 of Lewis County has no responsibility for production of energy savings estimated to result from this program. The customer agrees not to hold the District responsible for any direct or consequential damages which arise out of, or in connection with, the lack of production of energy savings.

Please provide homeowner contact information for permission and confirmation.