Form D: Program Application Form
If you would like to take part in the Toronto Solar Neighbourhoods Initiative (“TSNI”) pilot program (the “Program”) as an eligible homeowner (the “Customer”), please read and sign the following form, as well as relevant sections of the Program Guidebook at http://www.solarneighbourhoods.ca/forms/program_guide.pdf.
Submission of this form and subsequent acceptance will constitute an agreement between the Toronto Atmospheric Fund (“TAF”) and the Customer (the “Agreement”). The Homeowner is hereinafter referred to as the “Applicant”.
An eligible TSNI Contractor (the “Contractor”) shall complete this application form with the Customer.
Customer Contact InformationCustomer Name: / For TSNI use only Participant #:
Address: / City:
Toronto / Province:
ON / Postal Code:
Telephone: / E-mail:
Does the owner live at location? Yes No
If no, name of tenant: / Telephone:
Site Information
EcoENERGY Home Audit completed ; or scheduled ; Date of ecoENERGY Home Audit:
Type of Building:
1. Single family2. Semi-detached3. Row4. Duplex / Type of Occupancy:
1. Owner occupied2. Renter occupied3. Multiple family occupancy / Number of occupants:
Rafter Type:
2” x ” / Rafter Spacing:
” on centre / Rafter Span: (at proposed location of Solar Collector)
’ ”
Hot Water Heater
Make / Model / Type:
1. Electric2. Natural Gas3. Propane4. Oil5. Other / Capacity (litres): / Age (estimate):
Pre-existing
To be installed with SDHW system / If Other: / Tank
Tankless / Rental?
Rented from:
Are water conservation and hot water efficiency improvements being implemented as part of this project? Yes No
Monitoring Option
Is the Customer interested in participating in Advanced Monitoring? Yes No
If Yes: Signature of Customer: / Date:
For Advanced Monitoring Only
Internet Access: None DSL/Cable Broadband (hi-speed) Dialup Other:; Wireless
Are SDHW system tank and controls within 5 metres of an AC outlet? Yes No
SDHW System Information
TSNI Product # / System Manufacturer / System Model / System Subclass / Freeze Protection
A. Integral Collector-StorageB. Thermosyphon SystemC. Forced CirculationD. Direct CirculationE. Indirect Circulation / 1. Closed Loop (Antifreeze)2. Drainback3. Draindown4. Seasonal Usage Only
Collector Type / No. of Collectors / Total Aperture Area (m2) / Package Type / Solar Tank Size (L) / Tank Make, Model
1. Glazed flat plate2. Evacuated tube3. Integral Collector-Storage4. Concentrating5. Other / 1. Factory Packaged2. Factory Addon Packaged3. Non-packaged Standard System
Collector Tilt: / Collector Azimuth: / Mounting Type: / Shading Losses (%)
degrees EastWest of South / Direct mount to roof
Racked mount
Warranties / Collector Warranty / Tank Warranty / Balance of System Warranty / Labour Warranty
Warranty Period (Years):
Solar Operation Mode: Year Around Seasonal: Expected operation JanuaryFebrauryMarchAprilMayJuneJulyAugustSeptemberOctoberNovember December to JanuaryFebrauryMarchAprilMayJuneJulyAugustSeptemberOctoberNovember December
Price Information
This information will be confidential between the Contractor, the Customer and the TSNI. However average costs and incentive payments may be included in public reports.
wSelect one of the following: / Rebate Option ($1,000 rebate) / Loan Option ($500 rebate + no-interest financing)
1a. SDHW System, Plumbing, Monitoring Equipment, other hardware / +$ / If backflow preventor required, please note cost in Price Notes.
1b. Labour and Design Costs / +$ / If significant engineering services required to obtain building permit, please note in Price Notes. Do not include costs paid by TSNI in price.
1c. Building Permit Cost / +$
1. System Price (1a+1b+1c) / =$0.00
2. Applicable Installer’s Discount / –$ / Include any applicable discounts, before government incentives, here.
3. Subtotal / =$0.00
4. GST / +$
5. PST (before PST rebates) / +$ / SDHW systems are eligible for PST Rebate – for details see http://www.rev.gov.on.ca/english/refund/sesr/
6. Total Sales Price (=3+4+5) / =$0.00
REBATE OPTION: / 7a. Down Payment paid by Customer / –$ / Down Payment amount to be determined between Contractor and Customer.
7b. Solar Neighbourhoods Rebate / –$1,000 / NOTE: All TSNI payments are paid to the Contractor Directly. Deduct TSNI payments from invoice total.
8b. Balance owed to Contractor from Customer after system commissioning (=6–7a-7b) / –$-1000.00
LOAN OPTION: / 7a. Down Payment paid by Customer / –$ / Down Payment amount to be determined between Contractor and Customer. Customer may pay entire down payment outright, or may finance a portion of the down payment (enter in line 8a).
7b. Solar Neighbourhoods Rebate / –$500 / NOTE: All TSNI payments are paid to the Contractor Directly. Deduct TSNI payments from invoice total.
8a. Down Payment paid by Lending Partner (not to exceed 30% of Total Sales Price from line 6) / –$ / Under loan option, Customer may elect to finance the down payment (up to 30% of the Total Sales Price) as part of the Solar Neighbourhoods loan. but the Customer will be charged a $50 administrative fee for this service ($50 cheque to accompany Conditional Sales Contract).
8b. Balance owed to Contractor from Lending Partner after system commissioning (=6–7a-7b-8a) / =$-500.00
8. Total Financed (8a+8b) / =$-1000.00 / If applying for a TSNI loan please complete the EnWise Personal Credit Application and use these values on the Conditional Sales Contract.
Other expected rebates / incentives
17. EcoENERGY Retrofit – Home
Solar Grant (Federal and Provincial) / –$ / If system does not qualify please provide a detailed explanation in Price Notes.
18. Other Grants / –$ / Please list in Price Notes, e.g. “Home Renovation Tax Credit - $900”.
19. PST Rebate (see #5) / –$ / Note: PST Rebate applies only to SDHW hardware; PST on labour and design costs is not eligible for a tax rebate.
20. Customer’s Final System Cost
(=6-7b-17-18-19) / =$
Price Notes - provide details here as necessary:
Glossary of Terms
SDHW means solar domestic hot water; TSNI means Toronto Solar Neighbourhoods Initiative; TSNI Administrator means the Program delivery agent; Agencies means the Toronto Atmospheric Fund, the Energy Efficiency Office, the Toronto Environment Office and Toronto Hydro; Customer means a TSNI participant who purchases a SDHW system through a TSNI eligible Contractor; Contractor means a contractor who applied for a been approved for participation in the Program and who sells and installs SDHW systems under the Program; Project means a SDHW installation undertaken by a Customer; Program means Phase I of the TSNI pilot program; Program Guidebook means the TSNI Phase I – Ward 30 Program Guidebook.
Program Participation Agreement: Terms & Conditions
I agree to the following terms and conditions required for participation in the Program in order to be eligible for the Program incentives as outlined in Section 1.10 of the Program Guidebook:
1. / I understand the Program requires inspections and may require measurement and verification of the performance of the Project. Therefore, I agree to provide access to the Project site for these purposes to the Contractor and the TSNI Administrator during the term of the Program, and to allow installation of any required monitoring and verification equipment. I also agree to allow system performance data to be transmitted over my existing internet connection, if present.
2. / I understand that the City of Toronto and its Agencies may publish information, photos and/ or performance data about my system, and my identifying information will be kept confidential.
3. / I understand that the City of Toronto and its Agencies have made no warranty or representation regarding the qualifications of the Contractor, and that I am solely responsible for the selection of the Contractor to implement the Project, in keeping with the Project eligibility criteria and requirements as set forth in Sections 4.1 and 4.2 of the Program Guidebook. I understand that the Contractor is an independent contractor and is not authorized to make any representations on behalf of the City of Toronto and its Agencies.
4. / I agree that the City of Toronto and its Agencies will have no role in resolving any disputes between me and the Contractor.
5. / I have authority to contract, on behalf of the legal owners of the Project site, for installation of the SDHW System and Monitoring Equipment, if required, or I have obtained the permission of the legal owner of the Project site to install the solar system and or/ monitoring equipment under my contract with the Contractor.
6. / I understand that the SDHW system is to be supplied and installed by the Contractor signed below. I further understand that the role of the City of Toronto and its Agencies is limited to making incentives for Projects that qualify under the Program, as outlined in the Program Guidebook. TSNI does not certify either products or contractors, and is not affiliated with, the person or entity responsible for installing the SDHW System for which I am seeking an incentive.
7. / I understand and acknowledge that the City of Toronto and its Agencies, directors, agents and employees shall have no liability for general, special, incidental, indirect or consequential damages, incurred by me, or anyone claiming under me, arising from, or in any way connected with the installation or performance of any SDHW system and devices for which an incentive is paid under the Program or TSNI’s performance of, or failure to perform, this Agreement, however caused, regardless of the City of Toronto and its Agencies’ negligence, whether active or passive.
8. / I further agree to indemnify, defend and hold harmless the City of Toronto and its Agencies, directors, agents and employees, from and against all claims, demands, costs, expenses and liability (legal, contractual or otherwise) which arise from or are in any way connected with any (i) death or personal injury to me or any third party; (ii) injury to my property or the property of any third party; or (iii) violation of local, provincial, or federal law, regarding the installation or performance of any SDHW system and devices for which an incentive is paid under the Program or the City of Toronto and its Agencies’ performance of, or failure to perform, this Agreement, however caused, regardless of the City of Toronto and its Agencies’ negligence, whether active or passive.
9. / I understand that the Contractor will receive the incentive payments in accordance with the terms and conditions of the Program Participation Agreement as outlined above and in Section 2 of the Program Guidebook.
CUSTOMER SIGNATURE
Name: / Signature: / Date:
Note to the Customer: Please ensure that the application has been completed in full by the Contractor and that you receive a copy. The Application has specific information on the system you are purchasing including estimated product performance and warranties.
How do you wish to be notified that your application has been approved for a loan or rebate? q Mail q Phone q Email
CONTRACTOR SIGNATURE
I agree that if this Program Participation Agreement is not approved, or if the Customer is not approved for the Program loan incentive, the Customer may be released from the installation contract with the Contractor with no penalty.
Name: / Signature:
Title, Company Name: / TSNI Contractor Number: / Date:
Phone: / Email:
Please attach a copy of: / For Loan Option Customers only, attach also:
Site Shade Analysis (may be provided post-installation) / EnWise Personal Credit Application
EnWise Conditional Sales Contract & void cheque
STEPS TO APPLY FOR A TSNI REBATE OR LOAN
1. Contractor and Customer: Complete, sign, and mail this application, along with the required attachments to the following address:
Solar Neighbourhoods - Applications
138 Hamilton St.
Toronto, ON M4M2E1
If applying for the TSNI no-interest loan option, please complete and submit the EnWise Personal Credit Application along with this Program Application. Once the loan is approved and loan documentation (the EnWise “Conditional Sales Contract”) signed by the Customer, the Contractor will be authorized to go ahead with building permit applications and system installation.
2. Customer: Do not purchase, order or install any equipment until you have been notified that your application has been approved. Deposits should be paid upon approval of the Program Participation Agreement.
3. TSNI will notify you if your application has been approved within 14 days of receiving a complete application.
4. The Contractor will have up to 90 days to install and commission the SDHW system once Project has been accepted for TSNI support.
IMPORTANT: Missing Information will delay the process of approving your application
May 26, 2009 Toronto Solar Neighbourhoods Initiative – Program Application Page 4