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Alaska Weatherization Assistance Program
LANDLORD - TENANT AGREEMENT
PERMISSION TO ENTER PREMISES / RENTAL AGREEMENT
• Landlord, complete this page and the Landlord Certification on the back. Also, provide proof of ownership.
• Tenant, complete the Renter Certification on the back.
, certify that I am the owner/authorized agent, herein
Name (Please print.)
referred to as "Owner" for the property located at:
Street Address or Legal Description
The property is presently rented to the following:
Number of rental dwelling units in this structure:
Owner/Agent authorizes Alaska Community Development Corporation as provider of Weatherization services to conduct
energy related building inspections and assessments, repairs, and improvements. Any materials installed under this
agreement shall remain as part of the premises.
The amount of materials and labor provided by the Weatherization provider will not exceed $3,000 per unit for buildings
with four or fewer units ($2,000 per unit for buildings with five or more units) unless the Owner is willing to contribute.
Owner will be asked to contribute 50% of the cost of Weatherization services above the not-to-exceed limit. The
Weatherization Provider will match dollar-for-dollar an Owner contribution up to an amount estimated by the
Weatherization assessor, not to exceed $6,000 per unit for buildings with four or fewer units ($4,000 per unit for
buildings with five or more units). The cost of building permits shall be borne by the Owner of the building.
An addendum defining the scope of work to be accomplished on this building will be attached to this agreement
following the Weatherization assessment, should the Owner choose to participate financially or with in-kind services.
Owner will be asked to contribute toward Weatherization improvements. Please indicate the option you think best suits
your needs. [Note: Option “c.”