20230120INT to Staff Attachment - Response to No. 31_48520 Attch 1_KETO Heating_CoOp.pdf

Form IGC-237 revised 6/17
INTERMOUNTAIN GAS COMPANY COOPERATIVE ADVERTISING AGREEMENT
ADVERTISER __________________________________________________________________________
ADDRESS ___________________________ TOWN ____________ STATE________ ZIP_______________
Intermountain Gas Company (IGC) agrees to pay a portion of the advertising scheduled by the above seller/installer
of natural gas equipment pursuant to the terms herein. The named advertiser must be, in fact, able to bid and
actively attempt to sell natural gas appliance before such advertising will be eligible for cooperative participation.
The percent reimbursement is dependent upon the adherence to the following terms and conditions:
To qualify for reimbursement, advertising must be run in IGC Service Area daily, weekly, or monthly newspapers,
supplements, or magazines, or on regularly broadcasting IGC Service Area radio broadcast stations. Television ads
require approval prior to airing by the Manager Energy Services. Printed or broadcast copy must stress that the
equipment is for natural gas and no other appliance using other energy is to be mentioned in the ad, with the
exception of; natural gas heating and electric air conditioning combinations and Yellow Page advertisements.
All reimbursement requests must be accompanied by proof of advertising in the form of a tear-sheet (print) or an
affidavit & broadcast copy (radio/TV) along with a duplicate bill showing the actual rate billed for the advertising.
These materials are submitted to the local IGC office. Upon IGC General Office approval, payment will be made
directly to the advertiser via check or ACH for a portion of the cost as outlined below.
Reimbursement Amounts:
The maximum annual reimbursement per advertiser within IGC’s service area is not to exceed $3,600 per calendar
year and is allocated toward that annual allowance in the month received by IGC for processing. For example, form(s)
received in January for activity in the previous year, count toward the current year’s allowance. Monthly maximums
are as follows:
•$300.00 –
“Natural Gas, Worth Asking For!”
•$450.00 –
“There’s never been a better time to convert to natural gas”
Advertising media: ____________________________________________ City _____________________
Advertising run month: ____________________ Total cost of advertising: $ ______________________

Eligible amount for reimbursement: $_________________ x _________% = $ ____________________
 Reviewed: _____________  Reviewed: ____________
______________________________________ ________________________________
Accounting Code 485_____. 5714. 29130
No sums will be paid hereunder if such advertising does not conform to the terms hereof. The above Advertiser has no authority to bind Intermountain Gas Company
to any advertising agreement except as stated herein and the liability of Intermountain Gas Company for advertising hereunder is limited to the term hereof.
 Heating  Water heating  Cooking  Clothes Drying  Other _____________
Payment amount
Signature for Advertiser Manager Approval
Equipment
Advertised:
Initial Initial
Invoice
Date
12/30/2021
Invoice #
2423
Bill To
KETO Heating & Cooling
Sophia Fleming
1680 W Franklin Rd
Meridian, ID 83642
Christian Living Magazine
P.O. Box 867
Meridian, ID 83680
208-703-7860
P.O. No.Terms
Due on receipt
Project
Thank YOU for continuing to help us make a difference!Total
DescriptionQuantity Rate Amount
Jan/ Feb 2022 edition1 550.00 550.00
$550.00