eco@work
Commercial/Industrial Heating, Cooling and Water Heating Rebate Program
[Enter you utility’s information here]
Application Directions:
- Equipment must be installed in a facility located in [Municipal Utility’s] service territory. Equipment must be purchased and installed between January 1, 2011 and December 31, 2011 to qualify for the 2011 rebate program.
- After equipment is installed and operating, complete this application, including the signature.
- Attach original sales receipt(s)/invoice(s) to the rebate application. The receipt(s) must indicate the purchase date, quantity, and price.
- Mail or bring the completed application and receipts/invoices to: [Municipal Utility Address].Please allow 4 to 5 weeks for payment.
Terms and Conditions
- No customer shall receive more than [X]heating, cooling, or water heating rebates or [X] worth of rebates from [Municipal Utility] during any period of 12 consecutive months.
- [Municipal Utility] does not guarantee that the installation and operation of energy efficiency equipment will result in reduced usage or demand or in cost savings. [Municipal Utility] makes no warranties, expressed or implied, with respect to any equipment purchased and/or installed, including, but not limited to, any warranty or merchantability or fitness for a particular purpose. In no event shall [Municipal Utility] be liable for any incidental or consequential damages or injuries resulting from defective equipment or installation.
- [Municipal Utility] reserves the right to cancel or change these programs at any time.
- [Municipal Utility’s] acceptance of this application does not guarantee payment of the incentive.
- Prior to any payment of rebates, [Municipal Utility] reserves the right to verify sales transactions and installation.
- [Municipal Utility] will not be responsible for any tax liability that may be imposed on the customer as a result of the payment of rebates.
- [Municipal Utility] does not endorse any particular manufacturer, product, system design, claim, or retailer in promoting this program.
Customer Information (Please Print)
Business Name / Phone / Installation Date
Mailing Address / City / State / ZIP Code
Installation Address / City / State / ZIP Code
Utility Account Number (Found on Utility Bill)
Email Address (By providing your email address, you are granting The Utility permission to send emails regarding this project or updates on our incentive programs.)
Building Use Office Retail 24-hour Facility Warehouse Restaurant Lodging Grocery Manufacturing K-12 School College Healthcare Clinic Hospital Other/Miscellaneous______
Customer Agreement:
My signature indicates consent to and agreement with all program terms and conditions. It certifies that all information in this application is correct and that all of the listed new equipment has been purchased, installed, and is operating at the indicated location. I understand that my utility company reserves the right to inspect and verify installation before and after issuing payment.
Customer Signature / Printed Name / Date
Air Conditioners
Measure / Qualification / Rebate / Quantity / EER / Total Rebate
Split System Equipment <65,000 BTU/h / SEER ≥14.5 / $100/unit / units / $
SEER ≥16 / $200/unit / units / $
Rooftop/Unitary/Split System AC ≥65,000 Btu/h and <135,000 Btu/h / 11.5 EER / ($50 x (EER - 11.4)) x tons / tons / $
Rooftop/Unitary/Split System AC ≥135,000 Btu/h and <240,000 Btu/h / 11.5 EER / ($50 x (EER - 11.4)) x tons / tons / $
Rooftop/Unitary/Split System AC ≥240,000 Btu/h and <760,000 Btu/h / 10.5 EER / ($50 x (EER - 10.4)) x tons / tons / $
Air Source Heat Pumps
Measure / Qualification / Individual Rebate / Quantity / EER / Total Rebate
Split System Equipment <65,000 BTU/h / SEER ≥14.5 / $200 / units / $
SEER ≥16 / $400 / units / $
Rooftop/Unitary/Split System AC ≥65,000 Btu/h and <135,000 Btu/h / 11.5 EER, COP 3.4 / ($50 x (EER - 11.4)) x tons / tons / $
Rooftop/Unitary/Split System AC ≥135,000 Btu/h and <240,000 Btu/h / 11.5 EER, COP 3.2 / ($50 x (EER - 11.4)) x tons / tons / $
Rooftop/Unitary/Split System AC ≥240,000 Btu/h and <760,000 Btu/h / 10.5 EER, COP 3.2 / ($50 x (EER - 10.4)) x tons / tons / $
Ground Source (Geothermal) Heat Pumps
Measure / Qualification / Individual Rebate / Quantity / Total Rebate
Closed Loop ≤240,000 Btu/h / 14.1 EER, 3.3 COP / $2,000/System
Open Loop ≤240,000 Btu/h / 16.2 EER, 3.6 COP / $1,000/System
Gas Furnaces and Boilers
Measure / Qualification / Individual Rebate / Quantity / Total Rebate
Furnace <225,000 Btu/h / 90% AFUE / $200/Unit
94% AFUE / $325/Unit
96% AFUE / $400/Unit
Boiler <300,000 Btu/h / 85% AFUE / $150/Unit
90% AFUE / $400/Unit
Water Heaters (for domestic hot water)
Measure / Qualification / Individual Rebate / Quantity / Total Rebate
Gas Storage, Power Vented, <75,000 Btu/h and ≥30 gallons / EF ≥0.67 / $50/Unit
Gas Tankless Water Heater / EF ≥0.80 / $300/Unit
Electric Heat Pump Water Heater / $100/Unit
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