HomeMy WebLinkAboutPROPOSAL - CLIENT AGREEMENT�I R�IZ D
ELE�TR1�
4252 Bandy Blvd. Fort Pierce, FL 34981 Treasure Coast 772-466-1095
725 Commerce Ctr. Dr, Ste. J Sebastian, FL 32958 • Sebastian 772--778-•0131
2758 Old Okeechobee BI, 1. Ste. 9 Wec' --h, FL 33409 • Palm Beach 561-752-0214
PROPOSAL / CLIENT AGREEMENT
Customer(s) Name: A (�\')a (YN s' 1CA� AP2—Q 1
Address: W 9 1 'nCA e WCJ ,I ._
City: To o— 1" a'f r�e— ST _ Zip s Ll
Home:
Cell:
5116 Hat) --71435
Email: ✓}' Pz. a � � L' ➢�i� ��
Additional Info:
Generator / Electric Proposal: Kohler kw / model #
Generac # ��yl"�% 12kw 18kw Dkw 24kw # of L/S:�
# Transfer Switch(sy): �^ # of Main(s) n Main Breaker Size 2sio
Warrantee Term: yrs. Electric Dist. Total Extended
Including: Delivery, Set up, Preformed Concrete Pad, Wifi Monitoring Device,
Labor, Battery (1 yr. warr.), Materials & All Permits Required by Town or County
Propane or Gas Quote
New Propane Tank (size): 250gal. 500gal. 1000gal. Other:
Existing Natural Gas / Propane Connection Required: Yes
Fuel Line Distance: % Total _,f ft. Extended Service - /ft..
AG: UG: i/ Strapped Stub Out: Yes No
Additional Info:
Additional Products and Services:
Whole House Surge Protector Sub Panel Range Ext. 4G LTE
Other: )ITS y��al
Payment Terms:
Total Deposit Due on Signing Agreement
Total Due Upon Released of Permits
Total Due Upon Electric & Gas Installed
Total Due Upon Generator Delivered
Total Due After Final Inspection & Start Up
Notes: ;2_7 D �-70 �'C, A C; U' -7
0tO7-7
—S' " i
Sales Rep:
F!U0 /q
Day / Date Time
1 I
H OA: V-/'
Yes No
Natural Gas/ tang Prppane.
Yes V No
Size of House:
S. total
Generator Quote:
Gen. + Install: $
Discount / Coupon: $
Quote Amount: $ d
't
Propane / Gas Quote
Gas / Propane Install
& Connections: $
Discount / Coupon: $ 1
Quote Amount: $
Total Quote: Gas & Electric
9 A**,- k �j-? qs
This price is valid for 30 days
Deposit Amount per Service:
Generator: $
Gas/Propane: $
Follow Up Dates:
I, ij '-0 i (printed name), authorize Energized Electric to complete the
work in accordance with the above specifications and conditions. I agree to pay as per terms outlined above and to
additional terms on the back. w 9 r
Signature
Date
Liceiiised & Insured *E('13006279 Email: Energizedgenerators(dlemail.coin Website: www.Enerizedbenerators.cow