2010 COMMERCIAL & RESIDENTIAL WATER REBATES

Transcription

1 2010 COMMERCIAL & RESIDENTIAL WATER REBATES 1. TERMS AND CONDITIONS 2010 This program offers rebates for the purchase of new energy-efficient equipment. Applicants should review the terms and conditions listed below and fill in the corresponding rebate information on the following pages. To qualify for a rebate, these requirements must be met: Only one service address per application. The utility reserves the right to apply rebates to past due accounts. All rebates $25 and under will be applied to your account. Rebates will not exceed the purchase price. Energy-efficient equipment must be connected to a water service supplied by Austin Utilities, Owatonna Public Utilities, or Rochester Public Utilities and subject to inspection. (For example, you must have your WATER service through one of these utilities in order to receive a WATER rebate.) Equipment installations must meet our Minimum Efficiency Requirements to qualify for a rebate. WaterSense, Energy Star and ASTM standards are used. (Please refer to the appliance or equipment section of this rebate form for requirements and reference sources.) Due to limited funding, this rebate offer can be withdrawn at any time without notice. Applications will be processed on a first-come, first-serve basis. All applications from the previous year s purchases must be received by March 31. Rebates can only be offered on equipment that is installed while funding is in effect. In the event our program is discontinued due to depleted funds, we will not provide a rebate for items installed between the discontinued date and the end of that year. Return the completed application and required documentation to your utility provider. Austin Utilities Owatonna Public Utilities Rochester Public Utilities Attn: Rebate Processing Attn: Rebate Processing Attn: Rebate Processing 400-4th Street NE P.O. Box East River Road NE Austin, MN Owatonna, MN Rochester, MN (507) (507) (507) (507) fax (507) fax (507) fax ATTENTION! ALL THE FOLLOWING SUPPORT ITEMS MUST BE INCLUDED WITH YOUR FULLY-COMPLETED AND SIGNED APPLICATION OR APPLICATION WILL BE RETURNED. FOR ALL REBATES, applicants must include a final, detailed copy of the original sales receipt/invoice/picking slip, which must include the customer name, date of sale, manufacturer name, model number, and date of installation. SIGNATURE: I certify that I have read, understand, and agree to the Terms and Conditions of this rebate application and that all equipment has been installed. CUSTOMER SIGNATURE Date (Allow 6-8 weeks for processing. Missing or incorrect information will increase the processing time.) ID Appliance or Equipment Date of Inspection Approved By & Date Total Rebate Amount $

2 2. CUSTOMER INFORMATION (please print) SECTION 2 MUST BE FILLED OUT COMPLETELY OR APPLICATION WILL BE RETURNED Customer Name Address Home Phone Number (with area code) Daytime Phone Number (with area code) Mailing Address City State Zip Code + 4 Installation address (if different from mailing address) City State Zip Code + 4 Account Number / Location Number (Location Number for Austin and Owatonna customers only.) Please apply rebate to my account. Please send me a rebate check. (Any rebate $25 and under will be credited to your account.) How did you hear about CONSERVE & SAVE? Billboard Chamber of Commerce Contractor Newspaper Radio Retailer/Vendor TV Utility Mailing Utility Newsletter Utility Representative Utility Web Site Other REQUIRED: I am a: Residential Customer I am a: Commercial Customer OFFICIAL USE ONLY Owner/Occupant Owner/Occupant Gas Owner/Non-Occupant Owner/Non-Occupant Electric Renter Renter Water My home/business is heated by: Electric Gas Don t Know My water heating is: Electric Gas Don t Know Number of People Annual Household in Household Income 1 $21,695 2 $29,140 3 $36,620 4 $44,100 5 or more $51,580 The Minnesota Department of Commerce requests that utilities track the following information for statistical purposes only. Please read each step carefully and check above or below : 1) Find your household size on the table to the left. 2) Determine your annual household income, before taxes, including pension, social security, etc. 3) Is your household income above or below the amount corresponding to your household size in this table? above below (Information from this application may be shared with the Minnesota Department of Commerce and our co-op partners.) 3. RETAILER/CONTRACTOR INFORMATION (please print) Retailer s/contractor s Name Contact Person Phone Number (with area code) Installer s Name (write SELF if customer installed) Type of Appliance/Equipment Installed Retailer s/contractor s Name Contact Person Phone Number (with area code) Installer s Name (write SELF if customer installed) Type of Appliance/Equipment Installed 2

3 2010 RESIDENTIAL WATER REBATES COMMERCIAL REBATES (Pages 4-6) ARE ALSO AVAILABLE TO RESIDENTIAL CUSTOMERS EXCEPT FOR THOSE MARKED "COMMERCIAL ONLY" CLOTHES WASHERS TO APPLY FOR A CLOTHES WASHER REBATE, YOU MAY USE THIS WATER MINIMUM EFFICIENCY REQUIREMENTS: ENERGY STAR LABEL REBATE FORM OR AN ELECTRIC/GAS REBATE FORM, BUT NOT BOTH. ELECTRIC, WATER, & NATURAL GAS* REBATE: $25 $100 Note: Rebate is calculated at $50 for electric, $25 for water, $25 for gas*. (Examples: Electric Only = $50, Electric & Water = $75, Electric, Water, & Gas* = $100.) Why was this purchased? To replace a: failed unit non-failed unit new no previous unit *Natural Gas Rebate not available from RPU. (visit Electric Rebate Total: $ Water Rebate Total: $ Gas*Rebate Total: $ HIGH EFFICIENCY TOILETS (HET) RETROFIT OR NEW CONSTRUCTION MINIMUM EFFICIENCY REQUIREMENTS: WATERSENSE LABEL AND CAPACITY OF 1.28 GALLONS PER FLUSH (GPF) OR LESS REBATE: $50 PER TOILET The new HET replaced a toilet with: 1.6 gpf 3.5 gpf or greater RAIN BARREL MINIMUM EFFICIENCY REQUIREMENTS: MINIMUM SIZE EQUAL TO 40 GALLONS OR GREATER REBATE: $10 PER RAIN BARREL LIMIT 5 REBATES PER ACCOUNT Note: If applicant builds own rain barrel(s), rebate may be used for materials. All receipts for materials, along with a picture of the rain barrel, must be submitted to receive a rebate. Gallons of Water Storage per Rain Barrel: Store/Website of Purchase: Rebate Total: $ ROTATING SPRINKLER NOZZLE MINIMUM EFFICIENCY REQUIREMENTS: MUST BE INSTALLED WITH ITS OWN PRESSURE-REGULATING DEVICE TO QUALIFY REBATE: RESIDENTIAL $4 PER NOZZLE Note: Rebates will only be honored for the matched quantity of rotating nozzles and pressure regulating devices purchased. Example if a customer purchases 10 rotating nozzles but only 7 pressure-regulating devices, a rebate will be allocated for 7 nozzles. Number of Sprinkler Nozzles Installed: Number of Pressure-Regulating Devices Installed: Flow (GPM) Replaced: GPM Installed: Rebate Total: $ 3

4 2010 COMMERCIAL WATER REBATES CLOTHES WASHERS TO APPLY FOR A CLOTHES WASHER REBATE, YOU MAY USE THIS WATER MINIMUM EFFICIENCY REQUIREMENTS: ENERGY STAR LABEL REBATE FORM OR AN ELECTRIC/GAS REBATE FORM, BUT NOT BOTH. ELECTRIC, WATER, & NATURAL GAS* REBATE: $25 $100 Note: Rebate is calculated at $50 for electric, $25 for water, $25 for gas*. (Examples: Electric Only = $50, Electric & Water = $75, Electric, Water, & Gas* = $100.) Why was this purchased? To replace a: failed unit non-failed unit new no previous unit Electric Rebate Total: $ Water Rebate Total: $ *Natural Gas Rebate not available from RPU. (visit Gas*Rebate Total: $ HIGH EFFICIENCY TOILETS (HET) RETROFIT OR NEW CONSTRUCTION MINIMUM EFFICIENCY REQUIREMENTS: WATERSENSE LABEL AND CAPACITY OF 1.28 GALLONS PER FLUSH (GPF) OR LESS REBATE: $50 PER TOILET The new HET replaced a toilet with: 1.6 gpf 3.5 gpf or greater PRE-RINSE SPRAY VALVES RETROFIT COMMERCIAL ONLY MINIMUM EFFICIENCY REQUIREMENTS: 1.6 GALLONS PER MINUTE (GPM) OR LESS REBATE: $10 PER FIXTURE Note: See Electric/Gas Rebate information to see if you qualify for an additional rebate of 50% of installed costs. Rebate Total: $ 4

5 2010 COMMERCIAL WATER REBATES continued... RAIN BARREL MINIMUM EFFICIENCY REQUIREMENTS: MINIMUM SIZE EQUAL TO 40 GALLONS OR GREATER REBATE: $10 PER RAIN BARREL LIMIT 5 REBATES PER ACCOUNT Note: If applicant builds own rain barrel(s), rebate may be used for materials. All receipts for materials, along with a picture of the rain barrel, must be submitted to receive a rebate. Gallons of Water Storage per Rain Barrel: Store/Website of Purchase: Rebate Total: $ ROTATING SPRINKLER NOZZLE MINIMUM EFFICIENCY REQUIREMENTS: MUST BE INSTALLED WITH ITS OWN PRESSURE-REGULATING DEVICE TO QUALIFY REBATE: $4 PER NOZZLE (25 NOZZLE MINIMUM) Note: Rebates will only be honored for the matched quantity of rotating nozzles and pressure-regulating devices purchased. Example if a customer purchases 32 rotating nozzles but only 26 pressure regulating devices, a rebate will be allocated for 26 nozzles (25 nozzle minimum). Number of Sprinkler Nozzles Installed: Number of Pressure-Regulating Devices Installed: Flow (GPM) Replaced: GPM Installed: Rebate Total: $ LARGE ROTATING SPRINKLER NOZZLE COMMERCIAL ONLY MINIMUM EFFICIENCY REQUIREMENTS: MUST REPLACE LARGE PLASTIC ROTARY SPRINKLER HEAD WITH METAL HIGH-EFFICIENT NOZZLES REBATE: $7 PER SET 8 SET MINIMUM Flow (GPM) Replaced: GPM Installed: Rebate Total: $ COMMERCIAL WATER REBATES continued on back... 5

6 2010 COMMERCIAL WATER REBATES continued... URINALS ZERO WATER RETROFIT OR NEW CONSTRUCTION MINIMUM EFFICIENCY REQUIREMENTS: WATERSENSE LABEL; 0 GALLONS PER FLUSH (GPF) REPLACING 1.5 GPF OR GREATER REBATE: $200 PER URINAL URINALS ULTRA LOW WATER RETROFIT MINIMUM EFFICIENCY REQUIREMENTS: WATERSENSE LABEL; REBATE: $200 PER URINAL GALLONS PER FLUSH (GPF) REPLACING EXISTING URINAL(S) OF 1.5 GPF OR GREATER Why was this purchased? To replace a: failed unit non-failed unit Rebate Total: $ URINALS ULTRA LOW WATER RETROFIT MINIMUM EFFICIENCY REQUIREMENTS: WATERSENSE LABEL; REBATE: $60 PER URINAL GALLONS PER FLUSH (GPF) REPLACING EXISTING URINAL(S) OF 1.0 GPF OR GREATER Why was this purchased? To replace a: failed unit non-failed unit Rebate Total: $ URINALS ULTRA LOW WATER NEW CONSTRUCTION MINIMUM EFFICIENCY REQUIREMENTS: WATERSENSE LABEL; GALLONS PER FLUSH (GPF) INSTALLED REBATE: $60 PER URINAL 6 PRINTED ON RECYCLED PAPER 0310X