Low Income Ductless Heat Pump Program

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Low Income Ductless Heat Pump Program In order for Lane Electric and its members to insure quality heat pump installation, we are requiring that all systems meet the necessary qualifications for the Bonneville Power Administration (BPA) Energy Efficiency Incentive (EEI) Program. DHPs must be a split system employing an inverter driven outdoor compressor, with inverter driven or variable speed indoor blowers. System efficiency requirements are: 9.0 HSPF for single head units and 8.0 HSPF for multi-head systems. Systems must be listed on BPA s DHP Qualified products list. All systems must be pre-authorized by Lane Electric before any incentives can be offered. If a member wishes to participate in our loan or rebate program, please contact us and ask for a heat pump packet before starting any work on the installation. The maximum rebate for a qualifying low income ductless heat pump is $3800. Because these members have a limited income, only DHPs that fall at or below the maximum grant amount are eligible. Participating contractors are required to have a signed agreement on file at Lane Electric prior to beginning work under our program. Lane Electric will inspect the installations once we have received an inspection request from the homeowner and the contractors final invoice. over... 787 BAILEY HILL ROAD EUGENE, OREGON 97402 541.484.1151 (FAX) 541.484.7316 www.laneelectric.com

Heat Pump Installers Alpine Heating & Air Conditioning Associated Heating Automatic Heat Company Beymer Heating PO Box 251 90330 Hwy 99 N 1140 Ocean St 300 River Rd Creswell, OR 97426 Eugene, OR 97404 Phone (541) 688 0426 Phone (541) 683 2590 Phone (541) 726 7656 Phone (541) 688 5004 (541) 607 0287 (541) 726 7657 (541) 688 0954 193586 106275 188592 4483 Coleman / Rheem / Carrier, Lennox Comfort Flow Heating Emerald Valley Weatherization Home Comfort Heating & Air Conditioning Innovative Air, Inc 1951 Don St 148 N 14th St 2730 Rooselvelt 5120 Franklin Blvd. #7 Springfield, OR 97477 Springfield, OR 97477 Eugene, OR 97403 Phone (541) 726 0100 Phone (541) 726 1027 Phone (541) 345 2838 Phone (541) 746 1040 (541) 726 4577 (541) 744 7841 (541) 302 3070 (541) 746 4099 460 105404 84164 161742 / Trane Heat Pumps Windows & Insulation, Ductless Heat Pumps American Standard, Ductless Mini splits, Insulation /Rheem J Co Heating & Air Conditioning Josh Lowe's Dr Energy Saver Kent Witham Air Marshall s Inc. 5729 Main Street #233 PO Box 21337 38320 McKenzie HWY 4110 Olympic St. Springfield, OR 97478 Springfield, OR 97478 Springfield, OR 97477 Phone (541) 746 7065 Phone (541) 485 2282 Phone (541) 543 6580 Phone (541) 747 7445 (541) 688 5816 (541) 485 2292 (541) 741 0821 169209 176741 189283 25790 American Standard Daiken Ductless/ Ruud Heat Pumps/ Windows/ Insualtion Ductless Heat Pumps, Heat Pumps Insulation / Carrier Heat Pumps/Ductless Heat Pumps NuWave Heating & Cooling Pacific Air Comfort Priority One Heating & Air Conditioning The Heat Pump Store 4536 Camelia 4680 Main St 4232 W 7th Ave 1600 Berkeley Lane E. Springfield, OR 97478 Springfield, OR 97470 Monmouth, OR 97361 Phone (541) 525 7214 Phone (541) 342 5300 Phone (541) 689 1004 Phone (503) 606 9165 (541) 744 8887 (541) 607 4457 199906 39237 154686 177229 / Ruud Heat Pumps / Carrier

Low Income Ductless Heat Pump Program Notice of Bid Preference / Income Statement I have chosen the following contractor to perform a ductless heat pump installation: Contractor: Verification of Income I have provided documentation that as of this date my total household income is 60% or less than the median income identified below. I, (print name) am a member of Lane Electric Cooperative and have electric resistance heat in my home at (Address) Account #: 2018 (please circle one) Phone #: Size of Family Annual Income 60% of Median Monthly Income 60% of Median 1 $23,088 $1,924 2 $30,204 $2,517 3 $37,308 $3,109 4 $44,412 $3,701 5 $51,516 $4,293 6 $58,632 $4,886 Note: Income includes all gross wages, tips, rental income, public assistance, Social Security or pensions, income from self- employment, alimony, interest or any other sources of income defined by the IRS on form 1040, line 22. A representative from Lane Electric has reviewed a verifiable source of income documentation and certifies that this household qualifies for assistance. Program Tracking Information: 1. I _own / rent my home. (circle one) 2. Type of heating systems in home 3. Year home was constructed 4. Site built or Manufactured Home_(circle one) LEC representative Date 787 BAILEY HILL ROAD EUGENE, OREGON 97402 541.484.1151 (FAX) 541.484.7316 www.laneelectric.com Owned by those we serve

How a Ductless System works. And why it works better! Ductless Systems Have 3 Main Parts. An indoor unit, mounted on a wall. An outdoor unit, that sits on the ground. A remote control that controls the unit. The indoor and outdoor units are connected by a small bundle of cables including a refrigerant line. These cables only require a 3 inch hole in the wall for installation. How a Heat Pump Works. A heat pump transfers heat using refrigerant expansion and compression within a cycle...what does that mean? It means it takes cold air and makes it warm - and takes warm air and makes it cold, when you want it and where you want it! More Efficient. The diagram below shows how a Ductless System compares with other heating systems. It uses less energy and provides more heat for every dollar you spend - That s technology! More Comfortable. Ductless Systems have an ultraquiet fan that circulates air evenly throughout living areas, eliminating hot and cold spots. Heating Fuel Type Fuel Oil Propane Wood Resistance Electric Heat Pellets (wood) Ductless Heat Pump system Annual Heating Cost* $1,704 $2,502 $867 $984 $771 $328 More Flexible. In addition to lowering your heating bill, and providing air conditioning, adding a Ductless System increases the flexibility of your home s heating system. You can install a Ductless System in your main living area and keep your existing heating system in place to ensure your bedrooms and bathrooms remain at the desired temperature even on the coldest days. *Cost estimates based on average 787 insulated BAILEY home. HILL Fuel ROAD price / P.O. estimates BOX 21410 as of 2/2009 EUGENE, OREGON 97402-0407 541.484.1151 (FAX) 541.484.7316 www.laneelectric.com

Please Return This Form To: Lane Electric Cooperative Attn: Energy Services 787 Bailey Hill Rd. -0407 Ductless Heat Pump (DHP) and Ducted Mini-Split Installation Form All sections must be filled out by the installer at the time of installation. A copy of this completed form and the purchase receipt or invoice must be promptly submitted to the homeowner s utility in accordance with utility policy. Eligibility Guide for DHPs and Ducted Mini-Splits: Ducted Mini-Splits do not include homes with whole house centrally ducted systems. See PTCS Air Source Heat Pumps for further information on whole home centrally ducted systems. Project ID: Select what you are Installing (Select One) Min HSPF 9.0 Single Indoor Head DHP Single Ducted Mini-Split (not whole home centrally ducted) Eligible Home Types (Select One) Existing Single Family Existing Manufactured New Single Family (in all states except WA) New Manufactured Eligible Existing Heating System Being Replaced (Select One) Electric Forced Air Furnace Electric Zonal 1 Min HSPF 8.2 Multi Indoor Head DHPs Multiple Indoor Ducted Mini-Splits (not whole home centrally ducted) Combination DHP/Ducted Mini-Split Min HSPF 11.0 DHP Existing Single Family Note: Multi-head DHPs, multi ducted mini-splits and combination installs in New & Existing Manufactured Homes or New Single Family Homes (in all states except WA) may be eligible for single indoor head DHP or single ducted minisplit incentive (see above). Existing Single Family Existing Manufactured Electric Forced Air Furnace Electric Zonal DHP Household Information Customer Name Customer Electric Utility Installation Address City State Zip Year Built: Total Heated Area of the Home: Sq Ft Customer Phone Mailing Address, if different: Installation Information 1 Zonal heating includes electric, non-ducted: ceiling cable, wall, baseboard, plug-in and an electric boiler/water heater attached to a zoned hydronic floor heating system. Last Updated: October 1, 2017 Page 1 of 3

AHRI Certified Reference #: Outdoor Unit Manufacturer: HSPF Rating: Outdoor Unit Model(s) #: Installation Date: Number of Indoor Units: Associated Indoor Units Indoor Unit Model Number(s) Associated Indoor Units Indoor Unit Model Number(s) Indoor Unit 1: Indoor Unit 2 (if installed): Indoor Unit 3 (if installed): Indoor Unit 4 (if installed): Total Installed Cost (before rebates): $ Additional repair cost (if low income): $ Yes, this DHP is listed on BPAs Qualified Product List. Yes, this DHP has been installed on a dedicated electrical circuit. Yes, I have installed refrigerant line protection on the entire length of exterior, insulated refrigerant lines. Yes, I have installed the system in accordance with manufacturer specifications, including adherence to proper refrigerant charging. If installing a single head DHP, I have received the contractor orientation available at https://goingductless.com/partners. Yes, I have all the required licenses, registrations and permits for the work performed at the site address on this form. Installer Required Signature By signing below, the installer certifies that this form and any accompanying documentation are complete and accurate, and that all measures associated with this project were completed as of the signature date below. The signature certifies that the installer is licensed, bonded, insured, and has been trained by the manufacturer of the installed product and, if installing a single head Ductless Heat Pump, has received the contractor orientation available at https://goingductless.com/partners. This form must be signed by the installer. Installer Name Installation Company Contractor Homeowner/Other Installer Signature Installer Phone # Date *Home type not eligible for rebate: New Construction Site Built in Washington. **Existing Heating system types not eligible for rebate: Air Source Heat Pump, Geothermal Heat Pump, Natural Gas Furnace PRIVACY ACT STATEMENT Basic authority for collecting this information is authorized by 16 U.S.C. 832 et. seq., and 838 et. seq., pursuant to Bonneville Power Administration s Conservation Program system of records established in 46 FR 31700. This information is primarily intended to further, but is incidental to the performance of, BPA s overall Energy Efficiency Program, the objective of which is to acquire energy resources through energy efficiency, to determine what cost-effective conservation and direct application renewable resources measures should be installed or adopted under different circumstances, and to provide incentives for the installation of such measures. Other routine issues of this information include: aggregation into a public database on energy efficiency; furnished to authorized personnel for installation/repair of equipment; aggregated into a database for program publicity; and in some instances information regarding buildings will be made available to subsequent purchasers of the buildings. Your disclosure of the requested information is voluntary; however failure to provide requested information means that it will not be possible for you to participate in this BPA Energy Efficiency program. Last Updated: October 1, 2017 Page 2 of 3