Laserfiche WebLink
Building Technologies <br />External | Bosch Building Technologies | çéàã, 2026 <br />The symbol and the Bosch logotype are registered trademarks of Robert Bosch GmbH, Germany <br />Customer Information Release Form <br />(Please print or type. Must complete areas marked with an arrow.) <br />I,, <br />Customer of Record Contact Name / Title <br />authorize to share my account information with <br />Utility Provider Name <br />the Party listed below. I am responsible for any risks involving the third party’s use of this <br />data and certify that I have the legal authority to grant this access. <br />Party: Bosch Building Technologies | Climatec Attn: Lillyan Ball <br />Consultant/Third Party Company Name Contact Name <br />2851 West Kathleen Road (602) 818-4361 <br />Address Phone Number <br />Phoenix AZ 85053 (602) 674-1279 <br />City State ZIP Fax Number <br />Information Requested: ⊠Monthly ⊠Previous 36 months <br />ƒStandard confidential customer information and basic metering data to include the following: <br />monthly consumption, consumption unit (i.e. gallons, kWh, Therms), revenue, rate codes, <br />account #, meter #, account name, service address, city, billing date, # of days in billing cycle. <br />REQUIRED Customer Account Information: <br />All information requested to be returned in electronic format (MS Excel format/.csv) or <br />obtained online. Please email information to: EnergyMV@Climatec.com. <br />Billing phone number associated with this account: <br />Tax ID number: <br />Main account number(s) for summary billing: <br />For several account numbers, please attach additional sheet with all billing account numbers. <br />I authorize release of my account information for a minimum term of one year. After initial <br />release, the monthly information (billing & IDR) for accounts will be released on scheduled <br />monthly updates. <br />Authorized Signature of Customer of Record Phone Number Date <br />àëðæÝãÜØêØåëæå <br />DSRSD and Zone 7 <br />Gerry Beaudin, City Manager <br />925-931-5002 <br />Docusign Envelope ID: 8C132635-A597-8F5D-8082-3EB7B8AE19BF <br />6/1/2026