I authorize the Electric and Local Gas Utility to release electric and/or gas consumption records for the past, present, and future years of the building owner listed on this form, for the purpose of tracking fuel use in my building. These records will be used solely for the purpose of measuring performance outcomes from any Home Energy Savings funded retrofitting and will remain confidential.
I certify that I currently own and occupy the above-mentioned property as my principal residence. I understand and agree that such occupancy is a condition of eligibility for the Home Energy Savings offering. I certify that I have read and understand this requirement.
As of the time of making this application, any inaccuracy in the status of the subject property as my principal residence, shall be grounds for rescission and recapture of any retrofit work made to the undersigned by the Chicago Bungalow Association. I agree that in such instance, my proceeds shall be immediately due and payable in full to the Chicago Bungalow Association.
I agree to pay any charges or other costs that the Chicago Bungalow Association may incur as a result of collection actions, including, but not limited to, attorney’s fees.
I will be informed of services to be provided in writing, in the form of a contractor’s work order, before agreeing to have the work done.
Significant structural issues or extreme barriers to access may impede the weatherization repair/retrofit process.
The Chicago Bungalow Association reserves the right to consider these situations on a case-by-case basis. This application does not constitute a contract. I acknowledge that the Chicago Bungalow Association reserves the right to reject the application for any reason.
