SOLAR SYSTEM SALE CONTRACT APPLYING COLLECTIVE TECHNOLOGIES (ACT) ON SOLAR, INC

John Zagunis

2223 NW 43rd Ave

Camas, WA 98607-9553

360-834-0674

Participant Information
Participant name / Home Phone / Work Phone
Installation Address (Street, suite, city, zip) / Occupancy:
Owner occupied Rental
Mailing Address (if different) / Type of Project:
Residential Commercial Industrial
If Commericial
Government Private Nonprofit
Project Name (if different from participant’s name)
Utility Account #
Utility: PGE Pacific Power Clark PUD NW Natural / Type of Building: New Construction? Yes
Site Information
Prime Solar Fraction: As calculated on the Sun Chart. For PV, PSF must be above 85%
______%
Orientation: _____Degrees
East of true South
West of true South /
Tilt:
____ Degrees from Horizontal
/
Type of mount:
Roof Pole
Ground /
If roof mount, age of roof where array will be installed. ______Years. Must be > 15 years of roof life
Describe type and condition of roof: ______.
Customer may be required to provide a receipt showing date of roof installation or a letter from roofing contractor estimating roof life.
System Description
System Name /
System model Number
/
OG-300 Number
/
System Type:
Drainback
PV/Collector manufacturer
/
Model
/

Quantity X Panels Watts/size = Total collector area/capacity

Inverter/Heat Exchanger manufacturer

/

Model

/

Type of Exchanger:

Internal

/ Minimum input Voltage ______
Maximum Input Voltage ______

Solar Storage Tank Two Tank ___Gallon ___% efficiency

/

Backup water heater Tank ___ Gallon ___ % efficiency

Performance Estimate

Shading Impact 100% - Loss from external shading ____= (% loss on annual output from sun chart) ===== ______%

Tilt and Orientation Factor from 1st paragraph on sun chart (1 kW DC/annual AC output) ===== ______%
Estimated Annual Production
System Yield: Climate Zone ___; (SRCC energy Yield ______* SI * TOF) ===== ______kwh/yr

Terms and Conditions

PROPERTY RIGHTS: The purchaser of the System (“Owner”) (“Owner” includes Owner’s successors in interest) represents and warrants that he/she is legally authorized to install the solar water heating system (“System”) on the property listed as the Installation Address in this Form. And that all necessary landlord, owner, or other consent has been obtained.
INFORMATION RELEASE: Owner understands and agrees that ACT on Solar may include a description of this project, including the Owner’s name, services provided, project cost and energy savings, in reports, studies, and other documentation. Owner acknowledges this release of information by initialing here ______.
CONTRACTORS’ PROPOSAL AND CONTRACT:
We propose to furnish all materials and perform all labor necessary to complete to installation of a solar ______system consisting of _____ square feet of ______collectors. All work to be completed in a professional manner according to standard practices for the sum of ______dollars ($______).
Payment is to be made as follows: 40% down payment, 50% upon substantial completion when system is first operational, and 10% upon inspection approval. Price includes all necessary permits. Price includes all major components for the completion of the said Solar system.
ACT on Solar warrants that the above system does/does not (circle one) qualify for a Electrical Utilitiy rebate/tax credit in the amount of $______under the Certified Dealer program. This incentive may vary from amount listed due to Utility changes in policy and will be updated when instalaltion is complete. ACT on Solar warrants installation and all components for two years. This System’s panels carry a 10/12/20 (circle one) year limited warranty. Other components are also covered and are listed in the System Notebook provided at the end of the installation.
By: ______
John Zagunis d/b/a ACT on Solar IBU 602-433-332

ACCEPTANCE

You are hereby authorized to furnish all materials and labor required to complete the work mentioned in the above proposal for which I agree to pay in accordance with the terms thereof. Buyers’ 72 hour right to cancel: I acknowledge that I may cancel this agreement without penalty, cancellation fee, or other financial obligation within three business days by sending written notice to the above address. In such event, all deposits will be returned to me within 10 days.
Accepted: Owner Signature______date______
Spouse Signature______date ______