LIGHTING EQUIPMENT 2017 IOWA FOR YOUR BUSINESS REBATE APPLICATION

LIGHTING EQUIPMENT 2017 IOWA FOR YOUR BUSINESS REBATE APPLICATION Instructions: Fill out form completely and sign. Attach itemized invoices and supporting documentation, if applicable. Failure to complete the required sections and provide documentation will result in denial of claim. must be purchased between Jan. 1, 2017, and Dec. 31, 2017. must be installed and operating prior to submission of final rebate application. Commercial new construction projects are not eligible for prescriptive lighting rebates through this program. All commercial new construction projects must participate in the Commercial New Construction program in order to receive lighting rebates. Industrial new construction projects are eligible. Rebates cannot exceed 70 percent of the installed cost (materials and reasonable labor). You will receive the lesser of the rebate amount listed or 70 percent of installed cost. Installed cost includes contractor labor only and does not include internal labor. Rebate application must be submitted within six months of dealer invoice for the equipment/material purchased. The rebate will be based on the rebate schedule in effect on the date of dealer invoice for the equipment/material purchased. Rebate applications received after six months of dealer invoice are not eligible for rebates. Custom : If specific equipment you intend to purchase and install is not listed, it may qualify under Nonresidential Custom Systems. However, custom projects must be preapproved by MidAmerican Energy prior to purchase and installation of equipment or system. See the Nonresidential Custom Systems application for details. SECTION 1 (REQUIRED) Name on account Installation address Customer Information Self-installed q Yes q No SECTION 2 (REQUIRED) My facility had an energy assessment in the following program (check if applicable): q Industrial q Agribusiness q Commercial q Multifamily Housing q No assessment has been completed Date assessment completed (month/year) Building size [sq. ft. (area)] City State ZIP Phone MidAmerican Energy Company account number (found on bill; first seven digits only) Year building was constructed Do you: q Own q Rent this building The new equipment is for: q Replacement of existing equipment q New installation (new to facility) q New construction Is space where equipment will be installed conditioned? (check one) q Cooled only q Heated only q Not cooled or heated q Both heated and cooled q Other If space is heated, what fuel type is used? (check one) q Natural gas q Electric q Propane q Other Mailing address (if different than installation address) City State ZIP Contact name Title Email address* *This email address only will be used for communication regarding this rebate application. Your email address will never be shared and you can unsubscribe at anytime. Questions about the forms or need assistance with the forms? Call our energy efficiency representatives at 800-894-9599. Page 1 of 12

SECTION 2 CONT. (REQUIRED) installed in what type of facility? (check one) Industrial MEC Use Only Agriculture MEC Use Only q Office - public order and safety - large OL q Apparel manufacturing q Corn farming AG q Pharmacy and drug store RT q Chemical manufacturing q Dairy cattle and milk production DF q Public assembly HY q Computer/electronic product manufacturing q Hog facility HF q Religious worship/church RL q Electrical equipment, appliance/component manufacturing q Food/beverage/tobacco product manufacturing q Furniture and related product manufacturing q Soybean farming q All other animal production q All other miscellaneous crop farming AG AF AG q Restaurant - fast food q Restaurant full service q Retail - small RSF RSS RS q Large refrigerated warehouse q Retail - large RL q Leather and allied product manufacturing q Machinery manufacturing q Nonmetallic mineral product manufacturing q Oil and gas extraction; mining q Paper manufacturing; printing and related support activities q Personal and laundry services q Petroleum and coal products manufacturing q Plastics and rubber products manufacturing q Primary metal/fabricated metal product manufacturing q Textile mill and textile product mill q Transportation equipment manufacturing q Utility q Warehouse and storage q Warehouse - large refrigerated q Wood product manufacturing q Miscellaneous manufacturing q Other WH O Commercial q Apartment, halfway house q Condo q Convenience store/gasoline station q Dealership q Financial institution q Grocery store and supermarket q Healthcare (outpatient) q Healthcare (inpatient) q Health club/exercise facility q Library q Lodging - hotel q Lodging - motel q Mixed use q Office small q Office - government - small q Office public order and safety small q Office large MEC Use Only MF MF CN RS OF GR HC HS FC ED HO MO O OS OS OS OL q Retail department store q Retirement home, nursing home, assisted living q School - elementary q School - jr. high q School - high school q School - college, university and professional school q School - lodging (school/dorm) q Service q Truck stop RL MF SE SJH SJH ED MF RS CV q Office government - large OL Questions about the forms or need assistance with the forms? Call our energy efficiency representatives at 800-894-9599. Page 2 of 12

SECTION 3 (REQUIRED) Complete all fields for each piece of equipment purchased. LED Screw-in Lamps and LED Retrofit Kit Downlights ENERGY STAR certified screw-in LED lamps and LED retrofit downlights are eligible for instant rebates at the time of purchase from participating distributors. For a list of participating retailers and distributors, visit www.iowabebright.com or call 800-339-6856. LED Troffer Fixtures and Retrofit Kits (Design Lights Consortium Qualified Product List Required) Rebates are based on a one-for-one replacement of existing linear fluorescent troffer systems. The Eligible DLC primary use designations: program accepts LED troffer fixtures, wrap fixtures and retrofit kits. Linear ambient (or strip ) fixtures are 1 x 4, 2 x 2 and 2 x 4 luminaires for ambient Lamp-style retrofit kits for linear panels not eligible in this category. With preapproval before purchase or installation, they may qualify through lighting of interior commercial spaces (1 x 4, 2 x 2 and 2 x 4 troffers) the Nonresidential Custom Systems program. Retrofit kits for 1 x 4, 2 x 2 and 2 x 4 Linear retrofit kits for 1 x 4, 2 x 2 and luminaires for ambient lighting of interior 2 x 4 luminaires commercial spaces Integrated retrofit kits for 1 x 4, 2 x 2 and 2 x 4 luminaires Size/ LED Troffer and 2 x 4 New brand/ New model number Wrap Fixture 3,000-7,500 Replace fluorescent T8 and T12 existing fixtures; Troffers must replace like-sized fixtures; for example, a 1 x 4 must replace a 1 x 4. 2 x 2 New brand/ New model number 2,000-5,000 1 x 4 New brand/ New model number 1,500-6,000 Retrofit Kit for LED 2 x 4 New brand/ New model number Troffer Fixtures 3,000- Replace fluorescent 7,500 T8 and T12 existing fixtures. Troffers must replace like-sized fixtures; for example, a 1 x 4 must replace a 1 x 4 2 x 2 New brand/ New model number 2,000-5,000 1 x 4 New brand/ New model number 1,500-6,000 X $60/fixture = X $60/fixture = X $60/fixture = X $40/fixture = X $40/fixture = X $40/fixture = Page 3 of 12

LED Hanging/Suspended Linear Fixtures with Indirect Components (DLC QPL Required) Linear ambient (or strip ) fixtures are not eligible in this category. With preapproval before purchase or installation, they may Eligible DLC primary use designation: qualify through the Nonresidential Custom Systems program. Linear ambient luminaires with indirect component Size/ 3,000-30,000 New brand/ New model number X $60/fixture = Refrigerated LED Case Lighting 5- and 6-Foot Doors (DLC QPL Required) Rebates are based on replacement of T12 or T8 linear 5- to 6-foot fluorescent refrigerated case door lighting with 5- to 6-foot LED Eligible DLC primary use designations: refrigerated case door strip lighting. Rebates are per door, not per lamp. Linear LED tube lights do not qualify for this rebate. With Horizontal refrigerated case luminaires preapproval before purchase or installation, they may qualify through the Nonresidential Custom Systems program. The Vertical refrigerated case luminaires program adopts the DLC definition: Strip lights in refrigerator cases vertically mounted along refrigerator case door mullions. Category Refrigerated case luminaires only covers complete luminaires with all necessary components. Replacement lamps currently are not eligible under this category. Cooler Case New brand/ New model number q 5-foot door q 6-foot door Replace fluorescent T12 or T8 systems with LED case lighting Freezer Case New brand/ New model number q 5-foot door q 6-foot door Replace fluorescent T12 or T8 systems with LED case lighting New Watts Rebate calculation X $75/door = New Watts Rebate calculation X $75/door = Page 4 of 12

LED High- and Low-Bay Fixtures and Retrofit Kits (DLC QPL Required) Rebates are based on a one-for-one replacement of HID equipment. Rebates are available for new LED high- and low-bay Eligible DLC primary use designations: lighting. Strip, wrap or fixtures classified as linear ambient or replaced wattage greater than 400 watts do not qualify for this Low-bay luminaires for commercial and industrial buildings rebate. With preapproval before purchase or installation, they may qualify through the Nonresidential Custom Systems High-bay luminaires for commercial and industrial buildings program. High-bay must be installed 15' or higher. High-bay aisle luminaires Retrofit kits for low-bay luminaires for commercial and industrial buildings This program adopts the DLC definition for high- and low-bay fixtures: Pendant, recessed, or surface-mounted fixtures specific Retrofit kits for high-bay luminaires for commercial and industrial buildings for indoor ceiling spaces. This program adopts the DLC definition for high- and low-bay retrofit kits: Integrated-style kits that replace all reflectors and optical systems of existing luminaires; not screw-in lamps intended as HID replacements. LED Low-Bay Fixtures <10,000 New brand/ New model number HID system replacement < 400 watts LED High-Bay Fixtures HID system replacement < 400 watts Retrofit Kit for LED High- and Low-Bay Fixtures HID system replacement < 400 watts <15,000 New brand/ New model number 15,001- New brand/ New model number 20,000 >20,000 New brand/ New model number <15,000 New brand/ New model number 15,001- New brand/ New model number 20,000 >20,000 New brand/ New model number X $135/fixture = X $135/fixture = X $150/fixture = X $200/fixture = X $40/fixture = X $50/fixture = X $80/fixture = Page 5 of 12

LED Linear Replacement Lamps (DLC QPL Required) Rebates are based on one-for-one replacement of fluorescent lamps with LED linear replacement lamps listed on the DLC QPL. Eligible DLC primary use designations: Two 4' LED lamps cannot replace one 8' lamp. Replacement lamps ( Plug and Play ) (UL Type A) Internal driver/line voltage lamp-style retrofit kits (UL Type B) This program adopts the DLC definitions: Two-lamp external driver lamp-style retrofit kits (UL Type C) Replacement lamps (UL Type A). Products in this category employ lamp holders to connect to the fixture being retrofitted and are Three-lamp external driver lamp-style retrofit kits (UL Type C) designed to be plug and play replacements for fluorescent lamps. That is, products in this category can operate off an existing Four-lamp external driver lamp-style retrofit kits (UL Type C) fluorescent ballast and do not require mechanical or electrical changes to the fixture. Note that due to testing considerations, at Dual mode internal driver (UL Type A or B) this time only products that can operate off electronic instant start ballasts are eligible. Replacement lamps designed to operate off existing magnetic ballasts, or other types of electronic ballasts, are not eligible. Dual mode internal driver lamps (UL Type A/B) are allowed in this category if installed as a plug and play operating off existing fluorescent ballast. Internal-driver/line voltage linear lamp-style retrofit kits (UL Type B) and external-driver lamp-style retrofit kits (UL Type C) must utilize existing pin sockets. /specifications LED Linear Tube New brand/ New model number Type A and Dual Mode Type A/B, 4' 4' T12, T8 and T5 fluorescent replacement fixtures LED Linear Tube New brand/ New model number Type B and Dual Mode Type A/B, 4 4' T12, T8 and T5 fluorescent replacement fixtures LED Linear Tube New brand/ New model number Type C, 4 4 T12, T8 and T5 fluorescent replacement fixtures New Watts Rebate calculation X $12.50/tube = New Watts Rebate calculation X $12.50/tube = New Watts Rebate calculation X $12.50/tube = Page 6 of 12

LED Wall Pack Fixtures (DLC QPL Required) Rebates are based on one-for-one replacement of HID wall packs with LED fixtures rated for exterior use. Replacement LED Eligible DLC primary use designations: wall pack fixtures must be used for building exteriors or inside parking garages and must be attached to a wall. The program Outdoor full cut-off wall-mounted area luminaires adopts this DLC definition: Typically walkway or security lights affixed to building wall. May be box-shaped. Replaced wattage Outdoor noncut-off and semicut-off wall-mounted area luminaires greater than 400 watts does not qualify for this rebate. With preapproval before purchase or installation, they may qualify through the Nonresidential Custom Systems program. Building Exterior Replace HID systems; < 400 watts. Replacement LED wall pack fixtures must be used for building exteriors. must be hardwired and rated for exterior use. <10,000 New brand/ New model number 10,001- New brand/ New model number 15,000 X $50/fixture = X $75/fixture = >15,000 New brand/ New model number X $100/fixture = Parking Garage Replace HID systems; < 400 watts. Replacement LED wall pack fixtures must be used for building exteriors. must be hardwired and rated for exterior use. <10,000 New brand/ New model number 10,001- New brand/ New model number 15,000 X $50/fixture = X $75/fixture = >15,000 New brand/ New model number X $100/fixture = Page 7 of 12

Ceiling-Mounted LED Parking Garage Fixtures (DLC QPL Required) Eligible parking garage structures need to be either underground or semi-enclosed above ground. The lighting within the garage must operate 24 hours a day. Rebates are based on a one-for-one replacement of HID equipment (including mercury vapor, high-pressure sodium, metal halide or pulse-start metal halide). LED retrofit kits are not available for prescriptive rebates. With preapproval before purchase or installation, they may qualify through the Nonresidential Custom Systems program. The program adopts the DLC definitions: Ceiling-mounted luminaires for use outdoors or in locations open to elements in multideck garages. Eligible DLC primary use designation: Parking garage luminaires Ceiling-Mounted LED Parking Garage Fixtures Replace HID systems; parking garage must be illuminated 24/7. <5,000 New brand/ New model number 5,001- New brand/ New model number 15,000 X $135/fixture = X $200/fixture = >15,000 New brand/ New model number X $400/fixture = Exterior LED Fuel Pump Canopy Fixtures (DLC QPL Required) Rebates are based on one-for-one replacement of HID canopy fixtures with LED fixtures rated for exterior use. The program adopts the DLC definition: Ceilingmounted luminaires for use outdoors or in locations open to elements in gas station canopies. must be hard-wired and rated for exterior use. Fixtures can be installed in either the canopy or soffit of the gas station building structure. Replaced wattage greater than 400 watts does not qualify for this rebate. With preapproval before purchase or installation, they may qualify through the Nonresidential Custom Systems program. Eligible DLC primary use designation: Fuel pump canopy luminaires Exterior LED Fuel Pump Canopy Fixtures Replace HID systems; < 400 watts fuel pump canopy must be illuminated 24/7. <5,000 New brand/ New model number 5,001- New brand/ New model number 15,000 X $135/fixture = X $200/fixture = >15,000 New brand/ New model number X $400/fixture = Page 8 of 12

LED Outdoor Area Lighting (DLC QPL Required) Rebates are based on one-for-one replacement of exterior HID fixtures with LED fixtures rated for exterior use. Replaced wattage Eligible DLC primary use designations: greater than 400 watts does not qualify for this rebate. With preapproval before purchase or installation, they may qualify Architectural flood and spot luminaires through the Nonresidential Custom Systems program. Bollards Landscape/accent flood and spot luminaires Outdoor pole/arm-mounted area and roadway luminaires Outdoor pole/arm-mounted decorative luminaires Stairwell and passageway luminaires LED Outdoor Area Lighting Replace HID systems; < 400 watts <10,000 New brand/ New model number 10,001- New brand/ New model number 120,000 X $50/fixture = X $75/fixture = Municipal-Owned LED Roadway Fixtures (DLC QPL Required) Municipal-owned fixtures on a metered or unmetered circuit. SL rate code is not eligible for rebates. Replaced wattage greater than 400 watts does not qualify for this rebate. With preapproval before purchase or installation, they may qualify through the Nonresidential Custom Systems program. Municipalities wishing to replace MidAmerican Energy roadway fixtures can find more information at www.midamericanenergy.com/cityled, email cityled@midamerican.com or call 800-445-1291. Eligible DLC primary use designation: Outdoor pole/arm-mounted area and roadway luminaires Municipal-Owned LED Roadway Fixtures Replace roadway HID systems; < 400 watts <10,000 New brand/ New model number 10,001- New brand/ New model number 120,000 X $50/fixture = X $75/fixture = LED Exit Signs < 2 watts New brand/ New model number Rebate calculation Existing building only replacing incandescent or fluorescent sign X $25/fixture = Page 9 of 12

Occupancy Sensors Occupancy sensors may be wall- or ceiling-mounted, including passive infrared, ultrasonic or dual technology sensors. Occupancy Sensor New brand/ New model number Rebate calculation Minimum 45 watts controlled; rebate level is based on controlled load (watts)/sensor. Total watts controlled $0.10/watt X controlled = Rebate Total Lighting Timer or New brand/ New model number Rebate calculation Clock Commercial-grade only X $35/unit = LED Traffic Lights 12" Red Ball New brand/ New model number New Watts Rebate calculation X $25/unit = 12 Green Ball New brand/ New model number New Watts Rebate calculation X $50/unit = 12 Green Arrow New brand/ New model number New Watts Rebate calculation X $40/unit = 12 Don t Walk New brand/ New model number New Watts Rebate calculation X $25/unit = Page 10 of 12

Specific Terms and Conditions Participants must be commercial or industrial customers with facilities located in MidAmerican Energy Company s Iowa service territory. MidAmerican Energy Company must directly provide the primary electricity to the equipment at the facility for which the rebate is being paid. One-for-one replacement only. Lighting redesigns where the quantity of lamps or fixtures is changed may be eligible for a rebate through Nonresidential Custom Systems. For prescriptive rebates, the rebate payment cannot exceed 70 percent of the installed cost (reasonable labor and material/equipment - reasonableness to be determined by MidAmerican Energy Company). Installed cost includes contractor labor only and does not include internal labor. Wattage and lumen output is based on DesignLights Consortium (DLC) listing. Application must include DLC listing from the Qualified Products List where DLC QPL required as is stated. For more information see www.designlights.org. Commercial new construction projects are not eligible for prescriptive lighting rebates through this program. All commercial new construction projects must participate in the Commercial New Construction program in order to receive lighting rebates. Industrial new construction projects are eligible. must be purchased between Jan. 1, 2017, and Dec. 31, 2017. must be installed and operating prior to submission of final rebate application. Rebate application must be submitted within six months of dealer invoice for the equipment/material purchased. The rebate will be based on the rebate schedule in effect on the date of dealer invoice for the equipment/material purchased. Rebate applications received after six months of dealer invoice are not eligible for rebates. A minimum of 1,000 annual operating hours required. Rebate checks will be issued to the building owner or account holder. Allow 4 6 weeks for rebate processing. General Qualifications and Conditions Important: Before completing and signing this form, please read the General Qualifications and Conditions located in the 2017 Iowa For Your Business rebate booklet or at www.midamericanenergy.com/ee. Disclaimer MidAmerican Energy Company does not guarantee that installation and operation of high-efficiency equipment will result in reduced usage or in cost savings. MidAmerican Energy Company makes no warranties, expressed or implied, with respect to any equipment purchased or installed, including, but not limited to, any warranty of merchantability or fitness for a particular purpose. In no event shall MidAmerican Energy Company be held liable for any incidental or consequential damages or injuries resulting from defective equipment or installation. MidAmerican Energy Company reserves the right to cancel or change these programs at any time. MidAmerican Energy Company s acceptance of this application does not guarantee payment of rebate. SECTION 3 (REQUIRED) Customer Agreement I certify that I have purchased the equipment described on this form and that it has been installed at the service address indicated. I agree to the terms and conditions associated with this form. I understand that MidAmerican Energy Company reserves the right to inspect and verify installation before issuing payment. Customer signature Date SECTION 4 (REQUIRED) Dealer name Contact name Address Installer/Dealer Information City State ZIP Phone Email address SECTION 5 (REQUIRED) Fax Dealer Agreement I certify that all equipment and installation information provided on this application is correct and accurate. Dealer signature Before you submit your form: Send completed forms to: q Fill out this form completely. Mail: MidAmerican Energy Company q Attach a copy of the itemized sales receipt P.O. Box 4628 or invoice. Des Moines, IA 50305-4528 q Include required documentation with Fax: 515-244-8825 each measure. q Sign the Customer Agreement section. Email: rebateapplications@midamerican.com Date Page 11 of 12

Example of DLC Primary Use Designations DLC Product ID Example of DLC Primary Use Designation Sample Invoice Date: January 31, 2017 INVOICE #: 25000 SHIP TO: XYZ Company 234 Jersey St. Des Moines, IA 50309 555-123-4567 TO: XYZ Company 234 Jersey St. Des Moines, IA 50309 555-123-4567 PO number: 17-2500 Terms: Net 25 Include project codes and/or item numbers Specify the quantity for each item Identify s part information List price for each item and total ITEM QTY DESCRIPTION RATE SERVICE DATE AMOUNT LED30WCW 100 Acme 30W LED lamp $35 $3,500.00 DEC27W4000 25 Acme 27W LED lamp $125 $3,125.00 HD 30-072 200 72B blue wire nut $0.16 $32.00 Installed LED lamps and downlights Subtotal $6,657.00 Local sales tax 7.5% $499.28 Labor 1 Labor $448 1/2/2017 $448.00 Total $7,686.39 Travel 0 Travel $64 $0 Environmental Fee Environmental Fee $82.11 1/2/2017 $82.11 Note labor and other expenses separately from material costs Give accurate description of work completed Page 12 of 12