Compressed Air Systems

Transcription

1 Rebate Form Valid January 1 - June 30, 2013 Compressed Air Systems

2 Steps to Getting Your Rebate: 1. Confirm that equipment is eligible and obtain rebate reservation if required. 2. Purchase and install new equipment. 3. Submit completed rebate form and invoice. Submit completed form and invoice to: Mail: Efficiency Vermont c/o Rebate Coordinator 128 Lakeside Ave., Suite 401 Burlington, VT Fax: For Burlington projects, submit form to: Burlington Electric Department c/o Energy Services Area 585 Pine St., Burlington, VT Need-to-Know Info: New in 2013: Rebate reservations are required for all boiler, furnace, and agricultural projects, and are recommended for all other projects. To reserve rebates for 90 calendar days, contact Efficiency Vermont at or visit See Terms and Conditions on the back of this form. For more information or to confirm eligibility, visit or call Burlington Electric Department (BED) administers efficiency programs for the City of Burlington, including the rebates listed on this form. For more information, call CUSTOMER INFORMATION & AGREEMENT Business Name Contact Name/Title Address (of installation location) City/Town State Zip Mailing Address (if different) City/Town State Zip Telephone # Address Electric Utility Company Electric Utility Account # (of installation location) Is equipment installed in a newly constructed building? Yes No If yes, provide project sq. ft. (and see Terms & Conditions on back of form) I certify that all equipment for which I am requesting a rebate has been installed, that I meet the eligibility requirements of this rebate program, and that all information submitted as part of this application, including proof of purchase, is correct to the best of my knowledge. I agree to the terms and conditions listed on the back of this form. CUSTOMER SIGNATURE (required even if rebate is going to vendor) PAYEE INFORMATION Rebate check payable to: Payee s Federal Tax Payer Identification Number (please select one): Corporation Tax-Exempt Organization City, County, or State Dept., Govt. or Agency Other (provide SSN or EIN): Social Security Number Employer Identification Number Contact Name (leave payee contact information blank if same as customer contact information) Mailing Address City/Town State Zip Reservation # For Internal Use Project # W Compressed Air Systems Page 2

3 1 Variable Frequency Drive (VFD) rotary Screw AND VANE s These rebates are available for horsepower () compressors. (Custom rebates may be available for larger VFD compressors.) s must be less than 90% loaded. (s consistently loaded at 90% or higher do not benefit from VFD controls.) , , , , , , ,200 Type (rotary screw or rotary vane) Quantity of s Rebate Amount Total Rebate Section 1 2 Air Receiver Tanks for Load / No-Load Screw AND VANE s These rebates are available for air receiver tanks of sufficient size for compressors. (Custom rebates may be available for larger tanks.) Air receiver tanks must meet or exceed the minimum tank size (5 gallons of storage per CFM compressor output). s must be non-variable speed driven and equipped with load / no load controls. Minimum Tank Size Air Receiver (gallons) Tank , ,060 1,300 Air Receiver Tank Size (gallons) Quantity of Air Receiver Tanks Air Receiver Tank Rebate Amount Total Rebate Section Compressed Air Systems Page 3

4 3 Cycling Refrigerated Thermal Mass Dryers These rebates are available for dryers of up to 300 CFM capacity. (Custom rebates may be available for larger cycling dryers.) CFM Capacity Dryer Dryer Dryer Dryer Size (CFM) Quantity of Dryers Dryer Subtotal Total Rebate Section 3 4 No-Loss Drains & AIR-ENTRAINING AIR NOZZLES No-Loss Drains: 100 / Drain Timed Drains are not eligible. Air-Entraining Air Nozzles: 5 / Nozzle These rebates are available for nozzles that use less than 15 CFM at 100 psi. (Custom rebates may be available for higher capacity nozzles.) Nozzles must be listed on the Compressed Air Eligible Products List, available at (Equivalent products must be pre-approved.) Type Control System Modulation Variable Frequency Drive Load/No-load with 1 gal/cfm Load/No-load with 3 gal/cfm Load/No-load with 5 gal/cfm Control Code MD VFD LNL1 LNL3 LNL5 Drain or Nozzle Drain or Nozzle Control Code Drains only: System Pressure (psi) Quantity of Drains or Nozzles Drain or Nozzle Subtotal Total Rebate Section 4 REBATE FORM TOTAL Sections Compressed Air Systems Page 4

5 TERMS & CONDITIONS REBATE is for new equipment purchased and installed between January 1, 2013 and June 30, 2013 by customers of Vermont electric utilities. Rebate forms must be post-marked or received via or fax by July 31, Rebate offer is subject to change without notice and may not be combined with any other offer. REBATE RESERVATIONS are required to reserve rebates for all boiler, furnace, and agricultural projects. Reservation forms must include quotes or proposals and are not effective until confirmed by Efficiency Vermont. PRE-APPROVAL: Projects with more than 100 items, or rebate payment greater than 5,000, or any new construction project greater than 10,000 sq. ft. must be pre-approved by Efficiency Vermont. All new construction projects within the City of Burlington must receive pre-approval from Burlington Electric Department. PROOF OF PURCHASE: Invoice(s) must include the quantity, size, type, manufacturer, model or part number, purchase date, and vendor of the efficient equipment. All sales transactions and installations are subject to verification and inspection. LIMITATION OF LIABILITY: Performance of installed equipment is not guaranteed expressly or implicitly. ENDORSEMENT: No particular manufacturers, products, or system designs are endorsed through this program. PAYMENT: Allow 60 days for delivery of payment. Incomplete or missing information will delay processing of rebate form and payment. MAXIMUM PAYMENT will not exceed 100% of the equipment purchase price. Customer is responsible for all costs associated with sales tax, installation, and disposal/recycling. Customer is responsible for any tax liability associated with rebate payment. CAPACITY CREDITS/ENVIRONMENTAL CREDITS: In accepting these financial incentives, the customer agrees that Efficiency Vermont (or, for customers within its service territory, Burlington Electric Department) holds the sole rights to any electric system capacity credits and environmental credits associated with the energy efficiency measures for which incentives have been received. These credits will be used for the benefit of Vermont ratepayers. 128 Lakeside Ave., Suite 401 Burlington, VT Printed using soy-based inks on paper that contains 100% recycled post-consumer waste and is 100% process chlorine free. EVTRX197a-0113