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Building Electrification Program Application

Building Electrification Program Application 

Contact Information

Building Information

List number of each type of unit below:


How Heard


Authorization.  The person(s) named in this application (“Participant”, “you” or “your”) represents that he, she or they, as appropriate, is/are the owner(s) of the property identified in this application (the “Property”). Participant represents that Participant is authorized to submit this application (this “Application”) for participation in the Building Electrification Program (the “Program”) administered by Elevate Energy (“Elevate”, “we” or “us”). Participant understands and agrees that by submitting this Application, Participant is agreeing to the “Program Terms” below.


Program Terms


Agreement.  By submitting this Application, Participant agrees that the information provided in this Application is true and correct to the best of Participant’s knowledge. Participant agrees that these Program Terms govern your participation in the Program.


Eligibility.  To participate in the Program you must meet the following criteria:

·       The Property must be one of the following types and meet the following location requirements:

o   A building with five (5) or more residential units (“multifamily building”) located in the state of Illinois, Michigan or Wisconsin; or

o   A residential-only building that has no more than four (4) units and is located within the City of Chicago.

·       The Property must have gas OR electric resistance heat. 

·       The Property is owned by and/or serves as the residence of occupants who meet affordability requirements of at least one of the following:

o   Federal programs that provide housing subsidies;

o   Located in a census tract within one of the localities where the Program operates and where at least 50% of residents of that census tract is at or below 80% of area median income limits; and/or

o    U.S. Department of Housing and Urban Development (HUD) HOME affordable rent level limits.

·       Other Program requirements as determined by Elevate and communicated to you.


Participant Cooperation. You agree that your cooperation in the Program, including providing access to energy billing records and those areas and systems of the Property requested by Elevate, in its reasonable discretion, is crucial to the success of the Program. You further agree to cooperate, provide information and access in a timely manner.


Your Information.  Participant agrees that Elevate may use any data or information Elevate obtains as a result of Participant’s participation in the Program including, without limitation, information you provide in this Application and as a result of your participation in the Program, your utility account data including the Utility Data as defined below and information we may observe or obtain as the result of the assessment or site visits to the Property (“Data”) for any Program purpose. This may include, but is not limited to, performing our work in connection with the Program, assessing the Program, conducting research, developing new programs, services and/or products and obtaining additional funding in support of Elevate’s work.


We may also use your personal information to contact you about the Program or other programs that we administer. We may share Data and/or your personal information with other organizational partners, agencies and vendors working with Elevate including, without limitation, contractors who may perform Program work, our funders and other organizations involved in the Program (each a “Program Affiliate”). In addition, we may share your personal information to comply with law or legal requirements or to protect our rights or property or to protect the safety of us or others. We will not make any of your personal information available to non-Program Affiliates unless it is de-identified and/or aggregated in a manner that prevents you from being personally identified.


You may revoke this Data access authorization at any time by making a request in writing to Elevate (which may be provided by email to your Program contact) or by following the instructions in the applicable communication. You understand that such revocation will be effective upon notice from you, and that it will result in termination of your participation in the Program.

Utility Data Authorization. You understand that Elevate seeks access to Participant’s utility usage information for each of the utility accounts you provided above or otherwise provided by you in connection with the Program (collectively the “Utility Data”). The Utility Data may include your utility bill history, utility usage levels (including but not limited to, electricity usage levels for distinct time periods no longer than 60 minutes to the extent that information has been recorded and retained by your electricity utility provider) and other information provided by each utility for which you’ve provided account information or access to Elevate.

With respect to your electricity usage information, you authorize your electricity utility to provide your electricity usage information to Elevate solely for the purpose of participating in the Program as specified in these Program Terms. Elevate acknowledges that you do not authorize use of the Utility Data for purposes other than those explicitly authorized in these Program Terms. Elevate may disclose your Utility Data to its contracted third-party vendors or its affiliates for this purpose only. Elevate, its affiliates and its third-party vendors will not sell or license your electricity usage information to any other party for any purpose.

You authorize the utilities specified above to provide your Utility Data to Elevate. The Utility Data may include electricity usage information for the previous 24 months as well as 24 future months.

This authorization to access and use your Utility Data will expire: (a) immediately upon the occurrence of any legally mandated expiration which, for your electricity usage information, is 24 months after your submission of this Application to Elevate; or (b) upon notification by you to Elevate or to the relevant utility that you have revoked Elevate’s authorization to access your Utility Data.

You understand that you can report any concerns about your rights under this authorization and Elevate’s or the relevant utility’s compliance with its duties under this disclosure to:



Chicago: 800-386-5438; 800-864-3013 (TTY)

Springfield: 800-243-0618; 877-844-5461 (TTY)

Carbondale: 800-243-0607; 877-675-9339 (TTY)






Program Term.  Elevate may terminate the Program, or your participation in the Program, at any time upon notice to you. You may terminate your participation in the Program at any time upon written notice to us. The provisions of these Terms that, by their nature, should survive expiration or termination of the Program or your participation in the Program, will survive including, without limitation, Elevate’s right to use Data obtained prior to the date of expiration or termination.


Disclaimer. Participant acknowledges that energy and/or cost savings are subject to a number of variables over which we have no control including, without limitation, fuel prices, weather, occupant behavior, maintenance activities and additional factors. Elevate makes no representation or warranty of any kind including, without limitation, that your participation in the Program will result in reduced energy consumption, energy use savings, reduced building operating costs, any benefit of any kind; or of the accuracy or completeness of any information, data, reports or other materials in whatever form or format that may be provided to you; or of the continued safety, performance or cost-effectiveness of any information, materials, equipment, product, system, facility, procedure or policy discussed, provided or recommended by us. Use of or reliance on any of the foregoing by Participant is at Participant’s sole risk.


Limitation of Liability; Indemnification.  To the fullest extent allowable by law, Elevate will not be liable for injury to or death of any person or damage to any property (including the Property) in connection with the Program or otherwise, except to the extent caused by the sole gross negligence or willful misconduct of Elevate (including any Elevate employee or officer). You agree to indemnify Elevate and hold it forever harmless from and against any loss, cost, damage or expense, including reasonable attorneys’ fees and costs, arising out of or relating to your participation in the Program and/or Participant’s acts or omissions. IN NO EVENT WILL ELEVATE BE LIABLE FOR ANY INDIRECT, CONSEQUENTIAL, SPECIAL OR INCIDENTAL DAMAGES OF ANY KIND.


Insurance.  You agree that you have and will maintain during the Program term adequate liability insurance in the forms and amounts standard for operation of the Property and sufficient to protect Participant and any party to whom you have an obligation to indemnify under these Terms or at law or in equity. Upon request, you will furnish to Elevate insurance certificates evidencing such coverage.


Entire Agreement; Modification.  This Application and these Program Terms together constitute an agreement between you and Elevate with respect to the Program. Any prior agreements, whether written, oral or otherwise expressed are superseded by these Terms. From time to time, we may modify these Program Terms. We will notify you of any material changes by email sent to the email address we have on file for you. Your continued participation in the Program upon any such modification will affirm your agreement to these Program Terms, as modified. You agree that your participation in the Program will comply with all applicable laws, rules, ordinances and regulations including, without limitation any law and/or regulation regarding operation of the Property. Neither the course of conduct, any oral statement nor any trade practice will act to modify these Program Terms.


Assignment. You will not assign or delegate any obligations hereunder, in whole or in part, whether voluntarily or by operation of law, without the prior written consent of Elevate. Any purported assignment or delegation by you without the appropriate prior written consent of Elevate will be null and void.


Governing Law.  The Program, including these Program Terms will be in all respects governed by and construed in accordance with the laws of the State of Illinois without regard to the conflict of law provisions thereof. 

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