Florida Department of Agriculture and Consumer Services

Office of Energy

EFFICIENCY AND RENEWABLE IMPROVEMENTS

IN COMMERCIAL AQUACULTURE (ERICA) PROGRAM

COST SHARE AGREEMENT FOR ENERGY MEASURES

This Agreement is between the Florida Department of Agriculture and Consumer Services, Office of Energy and ______

Applicant (legal business name): ______
Applicant Address: ______
______
Telephone No: ______(office/business) ______(cell)
Fax No: ______
Email: ______
Representative: ______
Address: ______
Telephone No: ______(office) ______(cell)
Fax No: ______
Email: ______
Submit Invoice Originals and Copies to FDACS Contact: ______
Telephone No: ______(office) ______(cell)
Fax No: ______

In consideration of the implementation of Energy Measures (EMs) that provide for reduction in energy use as identified in the ERICA energy assessment, the Florida Department of Agriculture and Consumer Services Office of Energy (hereinafter referred to as “FDACS OOE”) agrees to provide grant funds to ______(hereinafter referred to as “Recipient”) for the improvements recommended from the energy evaluation.

RECIPIENT warrants that:

1.  I have control, for the duration of this Agreement, of the property for which the specified energy measures will be funded under this Agreement. Note: If property is leased, provide beginning and ending years of lease agreement______

2.  I have submitted an Application for Assistance to Implement the Energy Measures.

3.  I agree to periodic reviews by FDACS staff or representatives, including a review of record keeping.

4.  Any Energy Measures installed under this Agreement will be in compliance with the applicable energy assessment, Application for Assistance form (FDACS-1612 01/18), and the laws of the State of Florida, and will be maintained for a period of at least three (3) years after their installation.

5.  I have provided FDACS OOE formal estimates from my suppliers/service providers of the costs of the eligible energy measures for which I have requested funding, prior to the purchase or implementation.

6.  FDACS OOE staff shall have reasonable access to the property where measures will be implemented, before, during, and after implementation.

7.  In the event it is determined that I have violated the terms of this Agreement, I agree to reimburse the amount received under this Agreement related to the specific project to which the violation pertains.

The costs eligible for reimbursement are listed in Form FDACS-1610 01/18. The FDACS OOE will provide cost share funds in the amount specified on the Energy Measure Implementation Cost Share Allocation Form (FDACS-1610 01/18), which the FDACS OOE Project Manager will complete based upon the formal cost estimates.

In consideration of the foregoing, subject to availability of funds, and on a first-come, first-served basis, FDACS OOE will pay the Recipient for FDACS OOE-approved costs within forty-five (45) days of receipt of an executed Request for Payment form (FDACS-1602 07/11) and adequate supporting documentation.

This agreement is executed as of the last date of the required signatures, and shall remain in effect for one year from the date of final installation certification. All related applications and FDACS OOE Cost Share Allocation Forms will be attached to and part of this Agreement.

I have read the terms and conditions of this Agreement, and accept and agree to them.

RECIPIENT NAME (print): ______

d/b/a: ______

RECIPEINT SIGNATURE: ______SSN or FEIN: ______

Signed the ____ day of ______, 20_____

ACCEPTED BY: ______FDACS Office of Energy

NAME/TITLE: ______

SIGNATURE: ______DATE: ______

Date of Final Installation Certification:

______

Project Manager (Print) Signature Date

www

FDACS-01611 01/18

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