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04/17/2015 to 04/16/2016 04/15/2015 • MONROE COUNTY BOARD OF COUNTY COMMISSIONERS ORIGINAL SOCIAL SERVICES LOW INCOME HOME ENERGY ASSITANCE PROGRAM UTILITY PAYMENT AGREEMENT WITH UTILITY BOARD OF THE CITY OF KEY WEST, FL D /B /A KEYS ENERGY SERVICES. P.O. BOX 6100 KEY WEST, FLORIDA 33040 (305) 295 -1020 FAX: (305) 295 -1034 The undersigned home energy supplier hereby agrees to the following conditions in order to receive utility payments from the Low Income Home Energy Assistance Program (LIHEAP): 1. This agreement will begin on (APRIL 17, 2015) and will end on (APRIL 16, 2017). The agreement will be reviewed /renewed no later than (MARCH 31, 2017). 2. The Recipient agrees to provide the Utility with a list of names and contact information for all agency personnel authorized to commit LIHEAP funds. The Utility will only accept payment commitment from authorized Recipient personnel. Changes (additions /deletions) to the authorized personnel list must be approved in writing by an authorized Recipient representative. 3. The Utility agrees to provide the Recipient with a list of names and contact information of all Utility representatives authorized to resolve the LIHEAP eligible customer's energy payment crisis. 4. The Recipient agrees to provide energy payments directly to the Utility on behalf of the LIHEAP eligible customer. 5. The Utility assures that no customer receiving LIHEAP assistance will be treated adversely because of such assistance under applicable provisions of state law or public regulatory requirements. 6. The Utility receiving direct payments on behalf of a customer agrees that the eligible customer will not to be treated differently than any other KEYS customer, either in the cost of goods supplied or the services provided. 7. The Utility understands that only energy related elements of a utility bill are to be paid with LIHEAP funds. No water or sewage charges may be paid except if required by the Utility to resolve the crisis. 8. The Utility understands that only direct costs of energy related elements of a utility bill are allowed. No charges that result from illegal activities such as bad checks or meter tampering will be paid with LIHEAP funds. The Utility is aware that such charges are the responsibility of the customer and it is the Recipient's responsibility to identify such charges and exclude them from their payment to the Utility. - MONROE COUNTY BOARD OF COUNTY COMMISSIONERS SOCIAL SERVICES LOW INCOME HOME ENERGY ASSITANCE PROGRAM UTILITY PAYMENT AGREEMENT WITH UTILITY BOARD OF THE CITY OF KEY WEST, FL D /B /A KEYS ENERGY SERVICES. 9. The Utility understands that when the LIHEAP benefit amount does not pay for the complete charges owed by the customer, that the customer is responsible for the remaining balance owed. 10. The Utility agrees to assist the Recipient in verifying the LIHEAP customer's account information. Subject to the Utility's privacy requirements, the Utility agrees to provide the Recipient with the following detailed customer account information: (1) current amount owed, (2) due date /disconnect dates and (3) amount necessary to resolve the crisis situation. 11. The Recipient agrees to provide a purchase order or payment transmittal sheet, which is a binding commitment to pay, to the Utility within 10 days from the date of the Recipient's promise to pay. The Recipient shall provide payment to the Utility within 30 days from the issuance of the purchase order or payment transmittal sheet. 12. This Utility agreement will be signed by Recipient and Utility upper level management with authority to enter into such commitments. 13. If a LIHEAP payment to the Utility cannot be applied to a customer's account, the funds will be returned to the Recipient. RECIPIENT UTILITY MONROE COUNTY BOARD OF COUNTY UTILITY BOARD OF THE CITY OF KEY COMMISSIONERS WEST, FL P.O. BOX 6100 KEY WEST, FLORIDA 33040 - „Le_ : a , BY: BY: e , /. 4, (Signatur (Signature) ` Te I� h nom- O � / Cc. t' ` S�.el -y 1 F ra�m� Sr'. 17 � recce r � , (Name and Tit e) (Name an itle) 5 32 �,s 3jd 5 late) I (Date) ��.. i '7--- ( 4 TY + i ORNEV .`. M � a v � T. FORM ���� 3/25/15 �� / ir D , J ,1c ATTa RN A,* ,„ II Danny FE hage A ,� Title: Ma or i "5 25 U "' , : Date: �/•�'� — Date f � �frN ■fMMO�