Property Information 1Property Information2Utility Bills3Signed Document & Logins4Letter of Authorization5Confirm & Submit Property InformationFill out all required fields (in red) and fill out the remaining fields to the best of your knowledge.Contact InformationCustomer Name(Required) Property Name Building Address(Required) Phone(Required)Email(Required) Building InformationAsset ClassOfficeRetailIndustrialHospitality/HotelMultifamilyData Center/Mission CriticalOtherAsset Class (Other) Building ClassClass AClass BClass CRetail Type Type Total Property Square Foot(Required)Indoor (Air Conditioned Space) Square FootOutside (Parking) Square Foot# of Hotel Rooms (if applicable)# of Tenants Current Occupancy Yearly Occupancy Rate (if applicable)Years of OperationYear of Prior RenovationPlease enter a number from 1900 to 2050.Additional Notes For What Renovations Have Been CompletedFloors in BuildingType of Windows Additional NotesAdditional Attachments Drop files here or Select files Max. file size: 80 MB. Photos, Design Documents, etc.LightingTotal Light CountTotal LED light count (as either % or #)Total Non-LED light count (as either % or #)Attach a copy of the lighting audit/count, if applicable Drop files here or Select files Max. file size: 80 MB. Forensic Utility AuditThe first step in identifying and providing solutions to your utility billings charges is a Forensic Utility Bill Audit. Dalrada Energy Services, in conjunction with our specialized partners, thoroughly reviews your electric, natural gas, water, and wastewater charges to identify any unique characteristics that impact utility consumption. If nothing is found or the client does not move forward with any findings presented, there is no fee charged to the client for the audit. The work performed by Dalrada Energy is purely contingent based. If answered yes to any of the following questions, the information data will be sent to our 3rd partner: Utility Advisors. *If you are not completing our Forensic Utility Audit, we will follow up with you to discuss your inquiry further. Feel free reach out to us at (858) 704-2244 or at inquiries@dalrada.comIs the customer willing to complete a forensic utility audit?(Required) Yes No Is the customer willing to give us the authorization to receive and use log-in information for access to all utilities? Yes No EnergyInclude gas bills and the cost of gas in the fields belowIs gas included in the electricity bills?(Required) Yes No Annual Energy Cost (as USD)Include Gas cost in total energy calculationConsumption units in KW MW Annual Energy Consumption (KW/hr)Current Energy Cost (rate $/KW)(Required)Annual Gas Cost (USD)Attach copies of gas/electric bills from the last 12 months Drop files here or Select files Max. file size: 80 MB. If you are unable to answer the fields above, attach copies of the billsWaterAnnual Water Cost (as USD)Annual Water Consumption (total gallons)Water Cost ($/1000 gallons)Main Water Line Size (Inches):Attach copies of water bills from the last 12 months Drop files here or Select files Max. file size: 80 MB. If you are unable to answer the fields above, attach copies of the billsSewageAnnual Wastewater Cost (USD)Annual Wastewater Consumption (Gallons)Sewage Cost ($/1000 Gallons)Dip Test (BOD & TSS) Amounts, if applicableAttach DIP Test (if applicable) Drop files here or Select files Max. file size: 80 MB. Attach copies of sewage bills from the last 12 months Drop files here or Select files Max. file size: 80 MB. If you are unable to answer the fields above, attach copies of the billsAdditional Utility BillsFor any other utility bills that were not mentioned, please indicate and includeAttach copies of (all) additional utility bills from the last 12 months Drop files here or Select files Max. file size: 80 MB. Forensic Utility AuditThe information below is required to complete a forensic utility audit. To ensure your Audit and Savings are delivered in a timely manner, we ask that you: 1. Identify all pre-existing investigations or negotiations regarding any account that should be excluded from the audit before the audit begins. 2. Provide a response to our emails, phone calls, etc. within five (5) business days. 3. Provide a response to our Audit Savings Opportunities within five (5) business days. 4. Communicate vendor inquiries during your audit to Dalrada Energy Staff. 5. Provide prompt payment of our invoice(s) upon receipt. Industry FaxState Tax ID Federal Tax ID Online AccessDownload and sign the attached PDF to allow online accessDownload Authorization Form (PDF)Signed Document Drop files here or Select files Max. file size: 80 MB. Consent: I maintain that I have the authority to sign on the behalf of the referenced businessIf you are unable to sign the attached pdf, check this box and sign below.Signature:If you are unable to sign the attached pdf, check the above box and sign.Online Log-Ins Utility Username Password Actions Edit Delete There are no Online Access. Add Online Access Maximum number of online access reached. Bills and AgreementsCable Bill(s) Drop files here or Select files Max. file size: 80 MB. Propane Bill(s) Drop files here or Select files Max. file size: 80 MB. Telephone Bill(s) Drop files here or Select files Max. file size: 80 MB. Telecom Agreement(s) Drop files here or Select files Max. file size: 80 MB. Cellular Phone Bill(s) Drop files here or Select files Max. file size: 80 MB. 501c3 Certificate & DR-14 Drop files here or Select files Max. file size: 80 MB. Customer Agreement(s) Drop files here or Select files Max. file size: 80 MB. Customer Authorization(s) Drop files here or Select files Max. file size: 80 MB. Waste Disposal Drop files here or Select files Max. file size: 80 MB. ContactsWho should we contact at your company with Questions?Company Contacts Name & Title/Role Phone Email Actions Edit Delete There are no Company Contacts. Add Company Contact Maximum number of company contacts reached. Billing Contacts Name & Title/Role Phone Email Actions Edit Delete There are no Billing Contacts. Add Billing Contact Maximum number of billing contacts reached. Billing IssuesPlease List all billing issues currently under Review to be excluded from the audit, if any Utility Account Issue Actions Edit Delete There are no Billing Issues. Add Billing Issue Maximum number of billing issues reached. Online AccessDownload Authorization Form (PDF)Signed Document Drop files here or Select files Max. file size: 80 MB. Consent: I maintain that I have the authority to sign on the behalf of the referenced businessIf you are unable to sign the attached pdf, check this box and sign below.Signature:If you are unable to sign the attached pdf, check the above box and sign.Online Log-Ins Utility Username Password Actions Edit Delete There are no Online Access. Add Online Access Maximum number of online access reached. Letter of AuthorizationNote: This page is not required to be filled out if the prior page was uploaded. To Whom It May Concern: Permission is hereby granted to Dalrada Energy Services. to act as our agent and to have copies of the billing history, agreements, and Customer Service Records for the account number(s) shown below. This authorization will remain in effect for a period of 24 months. Contact Name(s): Consultant Address: Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country Consultant Phone:Consent: I maintain that I have the authority to sign on the behalf of the referenced businessSignature:Name: First Last Title: Date: MM slash DD slash YYYY Federal Tax ID # Confirm EntryDalrada Energy Services is only compensated on the findings the client chooses to move forward with. When findings are uncovered, our team will present a findings report to the client. The client then has the option to choose which findings they want our team to implement. We will not receive compensation on findings that the client does not move forward with. In return, our team is only compensated on findings the client approves and actually receives. As a result, we are incentive-driven to maximize refunds and reductions and present findings in a clear, easy-to-understand format.{all_fields}
