Lighting Catalog Energy Efficiency Rebates for Your Business

Transcription

1 Pacific Gas and Electric Company Lighting Catalog Energy Efficiency Rebates for Your Business Carefully read the specifications below to determine that you are installing a qualifying product(s). You must attach the manufacturer s specification sheet documenting the characteristics of lamps, ballasts and fixtures. L895 L292 L896 L956 L955 L954 FIXTURES INTERIOR LINEAR FLUORESCENT FIXTURES Only complete new T8 or T5 or High Output (HO) T5 fixtures qualify. New fixtures must not exceed the maximum Wattage listed in the rebate table below for each range of lamp Wattage being replaced and must have a lower Wattage than the fixture being replaced. *Fixtures must be equipped with linear fluorescent lamps and ballasts that meet the specifications defined in the T8 or T5 Linear Fluorescent Lamps with Electronic Ballasts category. New fixtures must replace, one-for-one, existing Incandescent, Mercury Vapor, T12/High Output Fluorescent, T12/Very High Output Fluorescent, Standard Metal Halide, or High Pressure Sodium Fixtures in interior installations. Existing Pulse Start Metal Halide installations do not qualify. Exterior installations do not qualify. All fixtures must be hardwired. Fixtures are not eligible for additional rebates under the Compact Fluorescent Fixtures and T8 or T5 Linear Fluorescent Lamps with Electronic Ballasts categories, but may qualify for an occupancy sensor rebate under the Occupancy Sensor category, provided all requirements are met. To qualify for the 400 Watt and > 400 Watt categories, fixtures must be installed at a height over 12 above the finished floor. COMPACT FLUORESCENT FIXTURES >400 Watt lamp basecase, up to 600 Watt replacement fixture $125.00/Fixture 400 Watt lamp basecase, up to 244 Watt replacement fixture (Tier 1) $100.00/Fixture 400 Watt lamp basecase, 245 to 360 Watt replacement fixture (Tier 2) $75.00/Fixture Watt lamp basecase, up to 192 Watt replacement fixture $75.00/Fixture Watt lamp basecase, up to128 Watt replacement fixture <100 Watt lamp basecase, up to 64 Watt replacement fixture Only complete new Compact Fluorescent fixtures qualify. New fixtures must not exceed the maximum Wattage listed in the rebate table below for each range of lamp Wattage being replaced and must have a lower Wattage than the fixture being replaced. *Fixtures must be equipped with Compact Fluorescent Lamps and electronic ballasts. CFL ballasts must be Programmed-start or Programmed Rapid-start with a Power $50.00/Fixture $35.00/Fixture Factor (PF) of > 0.90 and Total Harmonic Distortion (THD) of < 20%. New fixtures must replace, one for one, existing Incandescent, Mercury Vapor, T12/High Output Fluorescent, T12/Very High Output Fluorescent, Standard Metal Halide, or High Pressure Sodium Fixtures in interior installations. Exterior installations qualify for existing lamps < 100 Watts only. Existing Pulse Start Metal Halide installations do not qualify. All fixtures must be hardwired. Fixtures are not eligible for additional rebates under the Interior Linear Fluorescent Fixtures and T8 or T5 Linear Fluorescent Lamps with Electronic Ballasts categories, but may qualify for an occupancy sensor rebate under the Occupancy Sensor category, provided all requirements are met. To qualify for the > 400 Watt category, fixtures must be installed at a height over 12 above the finished floor. L965 Interior > 400 Watt lamp basecase, up to 390 Watt replacement fixture $45.00/Fixture L964 L963 L962 LA00 Interior Watt lamp basecase, up to 275 Watt replacement fixture Interior Watt lamp basecase, up to 160 Watt replacement fixture Interior < 100 Watt lamp basecase, up to 70 Watt replacement fixture Exterior < 100 Watt lamp basecase, up to 70 Watt replacement fixture $20.00/Fixture $20.00/Fixture $17.00/Fixture $17.00/Fixture INTERIOR PULSE-START METAL HALIDE FIXTURES Complete new Pulse Start Metal Halide Fixtures or Retrofit Kits qualify as replacements. Retrofit kits may be used on existing Mercury Vapor, Standard Metal Halide or High Pressure Sodium Fixtures only. New fixtures or retrofit kits must not exceed the maximum Wattage listed in the rebate table below for each range of lamp Wattage being replaced and must have a lower Wattage than the fixture or lamp being replaced. *Replacements must be equipped with Pulse Start Metal Halide lamps and either magnetic or electronic ballasts. Basecase Lamp Wattages below 175 Watts do not qualify under this category. New fixtures must replace, one for one, existing Incandescent, Mercury Vapor, T12/High Output Fluorescent, T12/Very High Output Fluorescent, Standard Metal Halide, or High Pressure Sodium Fixtures in interior installations. Exterior installations do not qualify. All replacements must be hardwired. Fixtures may qualify for an occupancy sensor rebate under the Occupancy Sensor category, provided all requirements are met. To qualify for the 400 Watt and > 400 Watt categories, fixtures must be installed at a height over 12 above the finished floor. L969 >400 Watt lamp basecase, up to 820 Watt replacement fixture (Tier 1) $100.00/Fixture *Please Note: In all cases, the Wattage of the replacement fixture must be less than the Wattage of the existing lamp. The maximum replacement Wattage listed in the table for each category is typically associated with the highest Wattage in the basecase range.

2 Pacific Gas and Electric Company Lighting Catalog Energy Efficiency Rebates for Your Business L971 >400 Watt lamp basecase, up to Watt replacement fixture (Tier 2) $50.00/Fixture L968 L967 L966 L974 L973 L Watt lamp basecase, up to 400 Watt replacement fixture $45.00/Fixture Watt lamp basecase, up to 275 Watt replacement fixture $40.00/Fixture 175 Watt lamp basecase, up to 190 Watt replacement fixture $10.00/Fixture EXTERIOR PULSE-START METAL HALIDE FIXTURES Complete new Pulse Start Metal Halide Fixtures or Retrofit Kits qualify as replacements. All installations for this measure are for exterior applications only. Interior installations do not qualify. New fixtures must replace, one-for-one, existing Incandescent, Mercury Vapor, T12/High Output Fluorescent, T12/Very High Output Fluorescent, Standard Metal Halide, or High Pressure Sodium Fixtures. Retrofit kits may be used on existing Mercury Vapor, Standard Metal Halide, or High Pressure Sodium Fixtures only. New fixtures or retrofit kits must not exceed the maximum Wattage listed in the rebate table below for each range of lamp Wattage being replaced and must have a lower Wattage than the fixture or lamp being replaced.* Replacements must be equipped with Pulse Start Metal Halide lamps and either magnetic or electronic ballasts. Basecase Lamp Wattages below 175 Watts do not qualify under this category. All replacements must be hardwired. To qualify for the 400 Watt and > 400 Watt categories, fixtures must be installed at a height of over 12 above the finished floor. L975 >400 Watt lamp basecase, up to 820 Watt replacement fixture (Tier 1) $100.00/Fixture L976 >400 Watt lamp basecase, 821 up to 950 Watt replacement fixture (Tier 2) $50.00/Fixture 400 Watt lamp basecase, up to 400 Watt replacement fixture $45.00/Fixture Watt lamp basecase, up to 275 Watt replacement fixture $40.00/Fixture 175 Watt lamp basecase, up to 190 Watt replacement fixture $10.00/Fixture INTERIOR INDUCTION FIXTURES Only complete new Induction fixtures qualify. New fixtures must not exceed the maximum Wattage listed in the rebate table below for each range of lamp Wattage being replaced and must have a lower Wattage than the fixture being replaced. *Fixtures must be equipped with Induction lamps and drivers. New fixtures must replace, one-for-one, existing Incandescent, Mercury Vapor, T12/High Output Fluorescent, T12/Very High Output Fluorescent, Standard Metal Halide, or High Pressure Sodium fixtures in interior installations. Existing Pulse Start Metal Halide installations do not qualify. Exterior installations do not qualify. All fixtures must be hardwired. Fixtures may qualify for an occupancy sensor rebate under the Occupancy Sensor category, provided all requirements are met. To qualify for the 400 Watt category, fixtures must be installed at a height over 12 above the finished floor. L Watt lamp basecase, up to 360 Watt replacement fixture $100.00/Fixture L959 L958 L Watt lamp basecase, up to 180 Watt replacement fixture Watt lamp basecase, up to 160 Watt replacement fixture LAMPS $75.00/Fixture $35.00/Fixture 100 Watt lamp basecase, up to 95 Watt replacement fixture $35.00/Fixture BI-LEVEL STAIRWELL/HALL/GARAGE FIXTURES Eligible units shall be hardwired fluorescent fixtures with electronic ballasts and manufacturer integrated occupancy sensors. All lamps shall be pin-based. Each unit shall contain a passive infrared and/or ultrasonic occupancy sensor that controls the individual fixture. Fixtures controlled by manual on overrides are not eligible. During occupied periods the fixture shall operate at full output, and during unoccupied periods the fixture shall operate at reduced light output and Wattage. This measure is not eligible for additional rebates under the Occupancy Sensor category. L733 Bi-Level Stairwell/Hall/ Garage Fixtures $25.00/Fixture T8 OR T5 LINEAR FLUORESCENT LAMPS WITH ELECTRONIC BALLASTS Rebate applies to existing T12 lamps and magnetic ballasts that are replaced by T8 or T5 lamps with the electronic, high frequency (>20kHz), Underwriters Laboratory (UL) listed ballasts that are warranted against mechanical or electrical defects for five years, and have a Power Factor (PF) of >0.90. At full light output, ballasts for 4-foot and 8-foot lamps must have Total Harmonic Distortion (THD) of <20%, while ballasts for2-foot and 3-foot lamps must have THD of <32%. Programmed Start/Programmed Rapid-start ballasts must be used for T5 lamp installations. Customers installing T5 lamps for direct lighting in low ceilings should consult a lighting professional to address the possibility of excessive glare. T8 and T5 replacement lamps must meet the Color Rendering Index (CRI) and Rated Lamp Life standards listed, and the *Please Note: In all cases, the Wattage of the replacement fixture must be less than the Wattage of the existing lamp. The maximum replacement Wattage listed in the table for each category is typically associated with the highest Wattage in the basecase range.

3 Pacific Gas and Electric Company Lighting Catalog Energy Efficiency Rebates for Your Business manufacturer s specification sheet must document these characteristics for each ballast type. When T8 lamps are being installed and occupancy sensors are not in use, Instant Start ballasts must be used. When occupancy sensors are installed to control circuits in lamp/ballast retrofits Programmed Start or Programmed Rapid-start ballasts are recommended in order to maximize lamp life. Occupancy sensor rebates are allowed with linear fluorescent lighting retrofits, but must meet the requirements of the Occupancy Sensor category. Replacement lamps and ballasts rebated in this category are not eligible for rebates under the Interior Linear Fluorescent Fixtures category. Lamp and Ballast Requirements Lamp Type Ballast Type CRI Minimum Rated & Size Lamp Life (3 hrs/start) T8 2-ft, Programmed Start or 3-ft, 4-ft Programmed Rapid-start >80 24,000 hours T8 Instant Start >80 18,000 hours All sizes T5 Programmed Start or All sizes Programmed Rapid-start >82 20,000 hours A de-lamping rebate may also apply. De-lamping is the permanent removal of existing T12 lamps/ballasts and unused lampholders (tombstones) from existing fixtures without replacing the lamps. To receive credit for de-lamping, customers must not remove more than half of the existing lamps and ballasts (along with lamp holders) from each fixture. The total number of lamps claimed for de-lamping may not be more than the number of replacement T8 or T5 lamps installed. Customers are responsible for deciding whether de-lamping will maintain adequate light levels. INSTALLED L170 2-ft lamp/installed $3.50/Lamp L171 3-ft lamp/installed $4.25/Lamp L290 4-ft lamp/installed $4.25/Lamp L299 8-ft lamp/installed $7.50/Lamp DELAMPED L17 2-ft lamp/removed $4.00/Lamp L18 3-ft lamp/removed $4.00/Lamp L19 4-ft lamp/removed $6.00/Lamp L20 8-ft lamp/removed $9.00/Lamp COLD CATHODE LAMPS Must replace incandescent lamps of at least 10 Watts. Cold cathode lamps must range from 2 Watts to 8 Watts and may be medium (Edison) or candelabra base. Product must be rated for at least 18,000 average life hours. L734 Cold Cathode Lamps $2.00/lamp ACCENT/DIRECTIONAL LIGHTING Must replace existing reflector-type incandescent, PAR halogen, or PAR halogen IR lamps or fixtures. Accent lighting, flood lighting, or down lighting in interior installations qualify. INTEGRATED BALLAST CERAMIC METAL HALIDE PAR LAMPS Only 25 Watt integrated ballast ceramic metal halide PAR lamps with a rated lamp life of 10,500 hours or greater are eligible. Customers are responsible for determining if the lamp will fit in their existing equipment and for verifying compatibility with existing lighting controls. L984 Integrated Ballast CMH PAR Lamps $12.50/Lamp CERAMIC METAL HALIDE DIRECTIONAL LIGHTING FIXTURES Only Ceramic Metal Halide directional light fixtures with a nominal lamp Wattage of 39 Watts or lower qualify. Customers are responsible for verifying compatibility with existing lighting controls. L982 L985 Ceramic Metal Halide Directional Lighting Fixtures $45.00/Fixture SCREW-IN COMPACT FLUORESCENT WATTS, REFLECTOR LAMPS Screw-in compact fluorescent reflector lamps with integrated ballasts must be listed as ENERGY STAR qualified. Screw-in induction reflector lamps also qualify if it can be demonstrated that lamp performance is equivalent to ENERGY STAR. Screw-in Compact Fluorescent, Watts, Reflector Lamps $5.00/Lamp SIGNAGE HIGH EFFICIENCY EXIT SIGNS Only new Light Emitting Diode (LED), Electroluminescent, or Photoluminescent exit signs that replace incandescent or compact fluorescent lamps (CFL) qualify. All new exit signs must

4 Pacific Gas and Electric Company Lighting Catalog Energy Efficiency Rebates for Your Business meet UL-924 requirements. Exit signs must have a usage level <5 Watts and a minimum product life of 10 years or be listed as ENERGY STAR qualified. Manufacturer s information stating the model number and ENERGY STAR qualification or other qualifying specification sheet must be submitted with each rebate form. New exit signs must meet local fire codes. Retrofit kits are not eligible. OCCUPANCY SENSORS This rebate applies to hardwired passive infrared and/or ultrasonic detectors that control interior lighting fixtures only. Self-contained wall-box lighting sensors are defined as units without an exterior switch pack or relay that are designed to replace a standard wall switch. Fixture-integrated sensors are defined as units that are factory-installed in a lighting fixture and used in interior installations and must control all lamps in the fixture. New fixtures equipped with fixture-integrated sensors used in stairwells, halls, or garages may qualify under LA01 Exit Sign, Incandescent basecase $27.00/Fixture LA02 Exit Sign, CFL basecase $15.00/Fixture CHANNEL SIGNS (LED) Must replace incandescent-lighted or neon-lighted channel letter signs. LED retrofit kits or complete LED replacement signs are eligible. Replacement signs cannot use more than 20% of the actual input power of the sign that is replaced. Measure the length of the sign as follows: 1. Measure the length of each individual letter at the centerline. Do not measure the distance between letters. 2. Add up the measurements of each individual letter to get the length of the entire sign being replaced. L282 Indoor < 2 ft. Retrofit $4.00/Foot L286 Indoor < 2 ft. Replacement $4.00/Foot L284 Outdoor < 2 ft. Retrofit $2.00/Foot L288 Outdoor < 2 ft. Replacement $2.00/Foot L283 Indoor > 2 ft. Retrofit $6.00/Foot L287 Indoor > 2 ft. Replacement $6.00/Foot L285 Outdoor > 2 ft. Retrofit $3.00/Foot L289 Outdoor > 2 ft. Replacement $3.00/Foot CONTROLS the Bi-level Stairwell/Hall/Garage Fixtures category. Wattage controlled requirements are listed in the table below where applicable. For fluorescent lamps, programmed rapid start ballasts are generally recommended for use with occupancy sensors. Customers shall ensure that the appropriate ballast is in use for the installation. L82 Wall-box $16.50/Sensor L859 Wall- or Ceiling-Mounted < 500 Watts $20.00/Sensor L860 Wall- or Ceiling-Mounted > 500 Watts $44.00/Sensor L861 L978 Fixture-Integrated in Installations Over 12 $20.00/Sensor Fixture-Integrated in Installations 12 or Under $7.00/Sensor PHOTOCELLS Rebate applies to built-in or stand-alone photoelectric cells that switch outdoor lighting loads on at dusk and off at dawn. L36 Photocells $7.00/Photocell TIME CLOCKS Time clocks must control lighting equipment. All units must feature a minimum 3-hour battery back-up to avoid time loss during power outages. For outdoor lighting without a photocell, astronomical time clocks (where on-off time follows sunset and sunrise) are required. L31 Time Clocks $36.00/Time Clock PLUG LOAD OCCUPANCY SENSORS This rebate applies to passive infrared and/or ultrasonic detectors only. Plug-load sensors must control electricity using equipment in offices or cubicles, including shared copiers and /or printers. L65 Plug Load Occupancy Sensor $15.00/Sensor DEFINITIONS Basecase Refers to the existing lighting equipment, prior to retrofitting, based on lamp (bulb) Wattage Replacement Fixture Refers to new equipment being installed based on system (lamp and ballast) Wattage Electroluminescent Exit Sign Exit sign using materials containing phosphors that light up when voltage is applied Photoluminescent Exit Sign Non-electrified exit sign containing materials that absorb and reradiate light For more information visit or call the Business Customer Service Center at "PG&E" refers to Pacific Gas and Electric Company, a subsidiary of PG&E Corporation Pacific Gas and Electric Company. All rights reserved. These offerings are funded by California utility customers and administered by PG&E under the auspices of the California Public Utilities Commission. Printed on recycled paper using soy-based inks. Rev. January 2009 C-0116

5 SECTION 1 Pacific Gas and Electric Company Energy Efficiency Rebates for Homes, Businesses and Multifamily Properties Complete pages 1 and 2 of this application. Please see pages 3 and 4 for instructions. SECTION 2 CUSTOMER INFORMATION 2009 INTERIM APPLICATION FORM This Application Form and Instructions supersedes and replaces the Energy Efficiency Rebate Application Form and Instructions. ACCOUNT INFORMATION PG&E Account Number Name as it appears on PG&E bill Name of mobile home park or apartment complex PG&E Electric Service ID # Address where item(s) installed Apt/Space # City State Zip PG&E Gas Service ID # If you have multiple Service ID #s, please list in section 4. TENANT RESIDENTIAL CUSTOMER Single Family YEAR BUILT PROPERTY OCCUPIED BY Single Story Multi-Story OWNER PROPERTY TYPE Mobile Home MULTIFAMILY PROPERTY CUSTOMER SQUARE FOOTAGE Single Wide Double Wide BUSINESS CUSTOMER (see page 2, section 8) Mailing address (If different from installation address) City State Zip Contact name Contact telephone number Contact fax number address SECTION 3 BUSINESS PAYEE TAX INFORMATION Tax Status: Corporation Partnership Individual/Sole Proprietor Exempt (Tax exempt, non-profit) Tax ID number: EIN Federal Tax ID SSN Tax Liability: Rebates are taxable if greater than $600 for business customers, and will be reported to the IRS unless you are exempt. Pacific Gas and Electric Company will report your rebate as income to you on the IRS Form 1099 unless you have checked Corporation or Exempt tax status above. You are urged to consult your tax advisor concerning the taxability of rebates. Pacific Gas and Electric Company is not responsible for any taxes that may be imposed on your business as a result of receipt of this rebate. SECTION 4 REBATE PRODUCT INFORMATION Please refer to your PG&E bill for your Service ID #, PG&E s Energy Efficiency Rebate Product Catalog(s) for, Unit Measure and Rebate per Unit and your invoice/receipt for manufacturer and model number. Please locate the appropriate product(s) in the affiliated technology catalog for either Homes or Businesses. Multifamily Properties see page 3, 4D. Enter the PG&E Service ID #, the appropriate PG&E catalog product code number, manufacturer name, model number, installation date, unit measure, number of units, rebate per unit and rebate total in the table below. Read the product specifications carefully before proceeding with your purchase. SERVICE ID # GAS/ELECTRIC (10 DIGITS) PRODUCT CODE # (3 OR 4 DIGITS) MANUFACTURER MODEL # INSTALL DATE UNIT MEASURE (SQ.FT.,WATTS, TON) # OF UNITS A REBATE PER UNIT B REBATE TOTAL A x B = C SECTION 5 SIGN HERE X CUSTOMER SIGNATURE I HAVE READ AND UNDERSTOOD THE TERMS AND CONDITIONS ON PAGE 2, SECTION 6 OF THIS FORM. I CERTIFY THAT THE INFORMATION I HAVE PROVIDED IS TRUE AND CORRECT AND THE PRODUCT(S) AND/OR EQUIPMENT FOR WHICH I AM REQUESTING A REBATE MEETS THE REQUIREMENTS IN THIS APPLICATION. Customer Name (Please Print and Sign in Ink) Signature Date Product offerings and rebate amounts are subject to change during the program term. TOTAL REBATE DUE: Mail the completed forms and other required documentation with proofs of purchase to: Pacific Gas and Electric Company Integrated Processing Center Energy Efficiency Rebates - MM P.O. Box 7265 San Francisco, CA PROOF OF PURCHASE INCLUDED? YES Web 1

6 Energy Efficiency Rebates for Homes, Businesses and Multifamily Properties SECTION 6 TERMS AND CONDITIONS: READ, SIGN, AND DATE PAGE 1, SECTION INTERIM APPLICATION FORM This Application Form and Instructions supersedes and replaces the Energy Efficiency Rebate Application Form and Instructions. 1. To be eligible for a rebate I understand that I must be a customer of Pacific Gas and Electric Company (PG&E) with an active meter serviced by PG&E. I understand that if I am installing products at more than one residence or facility, I must identify each individual address and Service ID # on the "Rebate Product Information" section. All uses herein of the words "install", "installation", or similar phrases shall mean complete installation such that the subject products are fully functional and operational. 2. As a business customer, I agree to provide PG&E with 100% of the energy savings for the rated life of the product(s) or for a period of three (3) years from receipt of rebate, whichever is less. If I do not provide the energy savings or if I cease to be a customer of PG&E during the 3 years, I shall refund a prorated amount of rebate dollars based on the time installed. 3. I understand the program term is January 1, 2009 through December 31, 2009 or sooner if allocated funds are depleted. During this program term, qualifying new products installed in 2009 are eligible for a rebate. Program offerings and rebate amounts may change during the program term. Resale products, products leased less than 3 years, rebuilt, rented, received from warranty or insurance claims, exchanged, won as a prize, or new parts installed in existing products, do not qualify. The program may be modified or terminated without prior notice. Qualifying new products purchased and installed January 1, 2006 through December 31, 2008 are eligible for a rebate based on the Energy Efficiency Rebates for Homes, Businesses and Multifamily Properties terms and conditions and subject to availability of program funds. To be eligible for a rebate, applications with proper supporting documentation must be submitted to PG&E s Integrated Processing Center (IPC) postmarked no later than March 31, I understand that this signed and dated "2009 Interim Application Form", completed "Rebate Product Information" incorporated herein by this reference, all appropriate proof(s) of purchase, and other required documentation as referenced in this application must be sent to PG&E's IPC to be considered eligible for payment of a rebate. A rebate check for qualifying product(s) is generally mailed 6 to 8 weeks after PG&E receives and approves a completed application including all required documentation unless an application is selected for a verification, which may add additional time. An incomplete application cannot be processed for payment. 5. I will allow, if requested, a representative from PG&E, the California Public Utilities Commission (CPUC), or any authorized third party reasonable access to my property to verify the installed product I have purchased before a rebate is paid. I understand that a rebate will not be paid if I refuse to participate in any required verification. The verification of installation must be scheduled within 30 days of customer contact by PG&E. I understand that PG&E may contact the qualifying product vendor and/or installer, if needed, to verify purchase and/or installation and may provide my name and/or address to complete this verification. 6. I have installed a qualifying product(s) and understand that the energy-efficiency eligibility requirements for each stated product (as defined in the Catalog) determines the rebate amount. The rebate amount cannot exceed the purchase price. 7. I have installed a qualifying new product(s) in accordance with all applicable federal, state, and local laws, building codes, and manufacturer s specifications. 8. I understand that I cannot receive a rebate for the same product or equipment from more than one California investor-owned utility or third party energy-efficiency program offering rebates, financing or other rebates funded with CPUC Public Goods Charge funds. Products discounted by PG&E at the point of sale are not eligible for additional rebates. 9. THE UTILITY MAKES NO REPRESENTATION OR WARRANTY, AND ASSUMES NO LIABILITY WITH RESPECT TO QUALITY, SAFETY, PERFORMANCE, OR OTHER ASPECT OF ANY DESIGN, SYSTEM OR APPLIANCE INSTALLED PURSUANT TO THIS AGREEMENT, AND EXPRESSLY DISCLAIMS ANY SUCH REPRESENTATION, WARRANTY OR LIABILITY. I AGREE TO INDEMNIFY PACIFIC GAS & ELECTRIC COMPANY, ITS AFFILIATES, SUBSIDIARIES, PARENT COMPANY, OFFICERS, DIRECTORS, AGENTS, AND EMPLOYEES AGAINST ALL LOSS, DAMAGE, EXPENSE, FEES, COSTS AND LIABILITY ARISING FROM ANY MEASURES INSTALLED. 10.If a tenant, I am responsible for obtaining the property owner's permission to install the measure for which I am applying for a rebate payment. My signature on this application indicates I have obtained this permission. 11.I understand that PG&E is not responsible for items lost or destroyed in transit through the mail or electronic medium. Original applications will become the property of PG&E. SECTION 7 AUTHORIZED BY: PG&E Customer of Record (please print) Signature Date Check should be made payable to: PAYMENT RELEASE AUTHORIZATION COMPLETE THIS SECTION ONLY IF PAYMENT IS GOING TO SOMEONE OTHER THAN THE PG&E CUSTOMER OF RECORD ON PAGE 1, SECTION 2. I AM AUTHORIZING THIS PAYMENT OF MY REBATE TO THE THIRD PARTY ( PAYEE ) NAMED BELOW AND I UNDERSTAND THAT I WILL NOT BE RECEIVING THE REBATE CHECK FROM PG&E. IF PAYEE IS A BUSINESS, PAGE 1, SECTION 3 NEEDS TO BE COM- PLETED. I ALSO UNDERSTAND THAT MY RELEASE OF THE PAYMENT TO THE THIRD PARTY DOES NOT EXEMPT ME FROM THE RE- BATE REQUIREMENTS OUTLINED IN THIS APPLICATION. FOR UTILITY USE ONLY Post field date Vendor number Rep ID Rep phone # Mail check to field office CEE ID TPI code Payee: Individual / Business name Telephone number Total rebate Reviewer/Authorized signature #1 Payee mailing address City State Zip Authorized signature #2 (if > $5,000) SECTION 8 BUSINESS PROPERTY TYPE DESCRIPTION Education Community College Education Primary School Education Secondary School Education University Assembly Grocery Health Medical Hospital Health Medical Clinic Lodging Guest Rooms If not found, please describe: Lodging Hotel Lodging Motel Manufacturing Bio Tech Manufacturing Light Industry Office Large Office Small Retail Single Story Small Retail Single Story Large Retail 3 Story Large Product offerings and rebate amounts are subject to change during the program term. Restaurant Fast Food Restaurant Sit Down Food Processing and Kindred Products Paper and Allied Products Chemicals and Allied Products Petroleum and Coal Products Metals Storage Warehouse Conditioned Storage Warehouse Unconditioned Storage Warehouse Refrigerated Web 2

7 Energy Efficiency Rebates for Homes, Businesses and Multifamily Properties 2009 INTERIM APPLICATION INSTRUCTIONS This Application Form and Instructions supersedes and replaces the Energy Efficiency Rebate Application Form and Instructions. Pacific Gas and Electric Company s Energy Efficiency Rebates are available to eligible PG&E customers who install qualifying energy-efficient products in homes, businesses or multifamily properties. Please refer to the appropriate product catalog for information on product specifications including energy-efficiency requirements, rebate amounts and product codes. APPLICATION INSTRUCTIONS MAIL APPLICATION TO: Pacific Gas and Electric Company Integrated Processing Center Energy Efficiency Rebates - MM P.O. Box 7265 San Francisco, CA CONTACT INFORMATION Residential Customers Business Customers energysavingsrebates/ rebatesincentives/ Multifamily Property Owners Read the Terms and Conditions on page 2, section 6 and sign your acceptance on page 1, section 5 included in this application. 2. Read the Product Specifications for the item(s) in the corresponding catalog for which you are applying. The catalog will detail the requirements for qualifying products including eligibility dates, if applicable. 3. Install qualifying new product(s) between January 1, 2009 and December 31, These dates may change if funds are depleted sooner. Qualifying products must be installed before submitting your application. All applications should be returned within 90 days of purchase date to be considered eligible. 4. Complete the Application Form - pages 1 and 2. You will need the rebate catalog affiliated with your purchase, your receipt and a copy of your PG&E bill: A. Account Information page 1, section 1. Complete all required fields, account number(s), Property Occupied By and Property Type. B. Customer Information page 1, section 2. Print your name as it appears on your PG&E bill, address information and telephone number. Provide installation address, mailing address and contact information. C. Business Customers or Multifamily Property Owners or Energy Efficiency Trade Professionals who will be authorized to receive the rebate from the PG&E Customer of Record, please complete page 1, section 3 with your Tax Status and Tax ID Number. D. Rebate Product Information - page 1, section 4. Complete all required information including: Service ID #, product code number, manufacturer, model number, install date, unit of measure, number of units, rebate per unit and total rebate amount. Business Applicants: you must include Service ID # for the location of each product if products were installed at different service addresses. Multifamily Properties Applicants: you must complete the Apartment Product Location Form or Common Area Product Location Form in the Multifamily Properties Catalog, instead of page 1, section 4 of this application form. E. Business Property Type Description - page 2, section 8. Business customers must check one of the boxes or provide a written description of their business. F. Multifamily Properties - In addition to the attached forms, Multifamily property owners MUST complete the Reservation Form in the Multifamily Properties Catalog. 5. Signature and date required in the following sections: A. Page 1, section 5, accepting the Terms and Conditions. Your signature is required and must be in INK to accept the Terms and Conditions of the application. B. Rebate check to be paid to a trade professional, landlord or other party? In addition to providing your signature on page 1, section 5 when the rebate is to be paid to a party other than the Customer of Record as provided on the PG&E bill, the Payment Release Authorization on page 2, section 7 of this application MUST be signed in INK. 6. Make and Keep a Copy of the completed Application Form and all required documentation, such as receipts, and Home Improvement Contracts for your records. Submitted applications will become the property of PG&E. 7. Mail the completed Application Form and other required documentation with proofs of purchase to Pacific Gas and Electric Company. Product offerings and rebate amounts are subject to change during the program term. Web 3

8 Energy Efficiency Rebates for Homes, Businesses and Multifamily Properties 2009 INTERIM APPLICATION INSTRUCTIONS This Application Form and Instructions supersedes and replaces the Energy Efficiency Rebate Application Form and Instructions. PROOF OF PURCHASE REQUIREMENTS Proof of purchase and other documentation required to process your rebate application may differ depending on who completes the installation you or your contractor. All Customers Homes, Businesses and Multifamily Properties 1. Retail Product Receipt/Invoice Proof of purchase and supporting documentation should be submitted within 90 days of purchase date and must include all of the following information: A. Retailer/Contractor name, address, and phone number B. Itemized listing of each product including quantity, product description, manufacturer, model number, or other identifying information, i.e., SKU # as appropriate C. Purchase price per product D. Date Paid in Full or payment terms, such as Charge or Net 30 E. Product installation date Read the product specifications included in the appropriate catalog to make sure all requirements are met. Residential and Multifamily Property Customers Only Depending on your energy-efficiency project, you may need to submit a Home Improvement Contract as additional documentation to be submitted to PG&E, along with your proof of purchase. 2. Home Improvement Contract (HIC) A. The California State License Board (CSLB) requires that licensed contractors must provide you with an HIC if the materials and labor total for the product(s) and installation is $500 or more. It is recommended that you request an HIC from your contractor even if the contractor s product and installation costs are less than $500. B. If an HIC is your proof of purchase it must be given to you by your contractor and must be signed and dated by both you and your licensed contractor. C. If the signatures are not dated, the date that the HIC was written will determine the product order/purchase date. For additional information on Home Improvement Contracts or the status of your contractor s license, visit or call the Contractors State License Board at CSLB. BUILDING A NEW HOME? CUSTOMER DEFINITIONS CONTACT INFORMATION For more information about energy-efficient new homes, please visit SOLAR INCENTIVES AVAILABLE For more information about the California Solar Initiative and solar incentives, please visit Residential Customers living in a Home, Mobile Home, Apartment or Condominium. Business Customers and Commercial Property Owners. Multifamily Properties - Residential/ apartment buildings and condominium communities of two or more units, and mobile home parks. Products may be installed in existing apartments, or in the common areas of apartment buildings, condominium communities, and mobile home parks. Residential Customers Business Customers energysavingsrebates/ rebatesincentives/ Multifamily Property Owners Product offerings and rebate amounts are subject to change during the program term. www. pge.com "PG&E" refers to Pacific Gas and Electric Company, a subsidiary of PG&E Corporation Pacific Gas and Electric Company. All rights reserved. This program is funded by California utility customers and administered by Pacific Gas and Electric Company, under the auspices of the California Public Utilities Commission. Printed on recycled paper using soy-based inks January 2009 C-0100 Web 4