Humidity Monitoring Survey

AGREEMENT TO PARTICIPATE IN HUMIDITY MONITORING STUDY

________________________________ (“I/We”) agrees to work with Steven Winter Associates, Inc. (SWA) to monitor the indoor conditions (temperature and relative humidity) of my home at _______________________ (the “Home”). Monitoring will involve:

• An initial half-day visit to collect characteristic data on the Home and install data loggers for long-term monitoring.

• Data loggers installed by SWA personnel at several locations in the home will monitor temperature and relative humidity conditions. These loggers may require servicing by SWA personnel. I/We agree, upon reasonable notice provided, to authorize and permit personnel of SWA or its partners with access to the Home during the monitoring period at pre-arranged times to service the loggers.

• Upon completion or termination of the monitoring period, the data loggers will be removed from the home at no expense to me/us by SWA personnel. I/We understand that I/we will not be offered an opportunity to keep the data loggers.

• If, during the period of this monitoring project, I/we decide to sell, move from, or rent out the Home, I/we will exert our best efforts to provide at least thirty (30) days’ advance notice to the SWA point of contact listed below so that the data loggers can either be removed or arrangements for continued monitoring can be established directly with the new occupants.

• No personally identifiable information will ever be released in any report produced by SWA as a result of the data collected from the Home, nor will personally identifiable information be shared with parties other than SWA.

• I/We agree to waive all claims against SWA, except for claims caused by the negligent acts of SWA or any of their respective employees, contractors, partners, or agents, during the term of this Agreement.

I/We hereby agree to the provisions set forth above, and agree to work with SWA representatives to facilitate this monitoring work of my/our Home.

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Homeowner Signature SWA Contact Signature

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Print Homeowner Name Print SWA Contact Name

___________________________ Steven Winter Associates, Inc

Homeowner Telephone number 50 Washington Street, Norwalk, CT 06854

Phone: 203-857-0200