Fillable COMMERCIAL ANTI-SWEAT HEATER CONTROLS REBATE APPLICATION (Owatonna Public Utilities)

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COMMERCIAL ANTI-SWEAT HEATER CONTROLS REBATE APPLICATION (Owatonna Public Utilities)

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COMMERCIAL ANTI-SWEAT HEATER CONTROLS REBATE APPLICATION
SECTION A. CUSTOMER INFORMATION (please print)
Account Name Doing Business As (if different from Account Name)
Installation Address City State Zip Code
Mailing Address (if different from above) (rebate check will be mailed here) City State Zip Code
Account Number
o
Send us a rebate check.
o
Apply rebate to our account.
(Rebates $75 and under will be applied to your account. If a box is not checked a bill credit will automatically be issued.)
Type of Business:
o
Church
o
Government
o
Grocery
o
Health
o
Industrial
o
Lodging
o
Multi-family
o
Office
o
Restaurant
o
Retail
o
School
o
Other___________________________
How did you hear about CONSERVE & SAVE
®
?
o
Billboard
o
Chamber of Commerce
o
Contractor
o
Newspaper
o
Radio
o
Retailer/Vendor
o
Social Media
o
TV
o
Utility Newsletter
o
Utility Representative
o
Utility Web Site
o
Other_________________________
SECTION B. CONTACT INFORMATION (please print)/CUSTOMER SIGNATURE
ATTENTION:
ALL INVOICES OR RECEIPTS AND ALL SPECIFICATION SHEETS MUST BE INCLUDED WITH
YOUR FULLY-COMPLETED AND SIGNED APPLICATION OR APPLICATION WILL BE RETURNED.
( )
Contact Name (rebate check will be mailed to contact) Daytime Phone Number
Email
I certify that all the information in the application (including any associated worksheets) is correct to the best of my knowledge. I have read and
agree to the Terms and Conditions on the back of this application booklet. I understand that if any equipment in conjunction with this application
is
ordered, purchased, or installed before approval from The Utility is received, the proposed project may not qualify for a rebate.
Customer’s Signature Date
o
Check here if you DO NOT give us permission to use your business name in advertising our CONSERVE & SAVE
®
programs.
SECTION C. CONTRACTOR/VENDOR INFORMATION (please print)
Company Name Contact Name
Address City State Zip Code
( )
Daytime Phone Number Email
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OFFICE USE ONLY Date Received:____________________
Inspected (Date & Initials): Pre:__________________ Post:___________________
Approval & Date:_____________________________________
Internal Account Number:_____________________________
TOTAL REBATE:
$
MN
MN
MN
MS
click to sign
signature
click to edit
SECTION D. REBATE INFORMATION
Note: The information required to complete this rebate application is available from your contractor.
Please submit a copy of your contractor’s proposal with this rebate application.
Project Type:
o
RETROFIT
o
NEW CONSTRUCTION
TOTAL
(NOT TO EXCEED PROJECT COST IN COLUMN G)
SECTION E. TERMS AND CONDITIONS
1. ELIGIBILITY
Rebates are available to non-residential electric customers of Austin Utilities, Owatonna Public Utilities, and Rochester Public Utilities (herein referred to as
The Utility). All products must be in use in facilities in The Utility service territory.
2. APPLICATION
Program is offered January 1 through December 31 of the respective calendar year. Due to limited funding, this rebate offer can be changed or withdrawn
at any time without notice and is available on a first-come, first-serve basis. The entire rebate application must be read and filled out completely or
application will be returned.
3. INSPECTION AND VERIFICATION
The Utility reserves the right to inspect the customer’s facility through on-site visits before and after new equipment installation to verify rebate eligibility. The Utility
reminds you to follow all local permitting and building code ordinances.
4. INSTALLATION AND REBATE AMOUNTS
Qualifying energy-efficient equipment installed and operational within six (6) months of the date of purchase are eligible for rebate. Additional time may be
granted subject to The Utility’s pre-approval. In no case will the rebate paid by The Utility exceed the purchase price of the equipment. The maximum rebate
amount is $100,000 per customer location per technology per year.
5. INVOICE AND PAYMENT
Following inspection and verification (see #3) and completed installation, the customer must notify The Utility and submit original invoices specifying
the
quantity and price of all materials purchased, the date ordered, installation costs, and applicable taxes. After satisfactory review of the application and invoices
,
a rebate check or bill credit will be issued to the customer. Vendors or contractors are not eligible to receive their customer’s rebate. Please allow 6-10 weeks
from the date of application submission for delivery of rebate check or bill credit. The Utility reserves the right to apply the rebate to past due accounts.
6. EQUIPMENT ELIGIBILITY REQUIREMENTS
Technologies must reduce the energy consumption of the anti-sweat heaters by sensing the relative humidity in the air outside of the display case (Humidity-
Based) or by sensing condensation on the inner glass pane of the display case doors (Conductivity-Based). Controls must automatically reduce the energy
consumption of the anti-sweat heaters by at least 50%.
7. TAX INFORMATION
The Utility will not be responsible for any tax liability imposed as a result of the rebate payment(s). Customers are advised to consult their tax advisors for
details.
8. DISCLAIMER
The Utility does not guarantee that the implementation of energy-efficient measures or use of the equipment purchased or installed pursuant to this program
will result in energy or cost savings. The Utility makes no warranties, expressed or implied, with respect to any equipment purchased or installed including,
but not limited to, any warrant of merchantability or fitness for purpose. In no event shall The Utility be liable for any incidental or consequential damages.
Customers are solely responsible for the proper disposal of existing equipment. Consult the Minnesota Pollution Control Agency (MPCA) office for details at
800.657.3864.
9. ENDORSEMENT
The Utility does not endorse any particular vendor, manufacturer, product, or system in promoting this rebate program. Listing a vendor or product does not
constitute an endorsement, nor does it imply that unlisted vendors or products are deficient or defective in any way.
10. PRIVACY
Information contained in this rebate application may be shared with the Minnesota Department of Commerce and our co-op partners and also may be used in
our advertising efforts with your permission as granted in Section B of this rebate application.
RETURN 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
1908 14th St NE PO Box 800 4000 E River Rd NE
Austin, MN 55912-4904 Owatonna, MN 55060 Rochester, MN 55906-2813
507.433.8886 507.451.2480 507.280.1500
www.austinutilities.com www.owatonnautilities.com www.rpu.org
PLEASE PRINT ON RECYCLED PAPER 1218
A
Case
Temperature
B
Door
Type
C
Quantity of
Affected
Glass Doors
D
Control
Type
E
Control
Manufacturer
F
Control
Model
G
Project
Cost
H
Rebate
per Door
(Table 1)
I
Total
Rebate
(C x H)
Low-Temp
(-35F to 0F)
o Standard
o Conductivity-Based
o Humidity-Based
$ $ $
o Low-heat
o No-heat
Med-Temp
(0F to 20F)
o Low-heat
o No-heat
High-Temp
(20F to 45F)
o Low-heat
o No-heat
TABLE 1 – REBATE SCHEDULE
Description Rebate Per Door
Conductivity-Based Controls $45
Humidity-Based Controls $35
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COMMERCIAL ANTI-SWEAT HEATER CONTROLS REBATE APPLICATION (Owatonna Public Utilities)

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Completed 8 June 2021

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