Fillable COMMERCIAL COMPRESSED AIR EQUIPMENT REBATE APPLICATION (Owatonna Public Utilities)

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COMMERCIAL COMPRESSED AIR EQUIPMENT REBATE APPLICATION (Owatonna Public Utilities)

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OFFICE USE ONLY Date Received:____________________
Inspected (Date & Initials): Pre:__________________ Post:___________________
Approval & Date:_____________________________________
Internal Account Number:_____________________________
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COMMERCIAL COMPRESSED AIR EQUIPMENT 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
TOTAL REBATE:
$
MN
MN
MN
MS
click to sign
signature
click to edit
SECTION D. REBATE INFORMATION – VARIABLE SPEED DRIVE (VSD) AIR COMPRESSOR < 50 HP
EXISTING/BASE COMPRESSOR NEW COMPRESSOR REBATE
A
B
C
D E F
G
H
Modulation Type
(check one)
Manufacturer Model
Rated HP
(must be < 50 HP)
Quantity
Total
Equipment Cost
Rebate per HP
Rebate
(D x E x G)
o Inlet Modulating
o Load/No Load
o Variable Displacement
o None (new installation)
$ $30
$
o Inlet Modulating
o Load/No Load
o Variable Displacement
o None (new installation)
$ $30 $
TOTAL VARIABLE SPEED DRIVE (VSD) AIR COMPRESSOR < 50 HP REBATE:
$
SECTION E. REBATE INFORMATION – AIR STORAGE/RECEIVER TANK
EQ
UIPM
EN
T
R
EBATE
A
B
C
D
E
F
G
H
I
To
ta
l
H
P o
f
B
ase
l
o
a
d Co
mpr
e
sso
r
s
(l
oad/
no
l
oad
sy
stems
onl
y
)
To
ta
l
CF
M
o
f
B
a
se
l
o
ad Co
mpr
e
sso
r
s
(C
FM
)
1
Exi
sti
ng
Sto
r
ag
e
V
o
l
ume
(gal
l
ons)
Exi
sti
ng
Sto
r
ag
e
V
o
l
ume
(gal
l
ons/
C
FM
)
2
N
e
w
Sto
r
a
g
e
V
o
l
ume
(gal
l
ons)
N
e
w (e
xi
sti
ng
+ a
dde
d)
Sto
r
ag
e
V
o
l
ume
(gal
l
ons/
C
FM
)
3
To
ta
l
Equi
pme
nt Co
st
Re
ba
te
pe
r
H
P
Re
ba
te
(A
x
H
)
o
Non
e
(
n
e
w
i
n
s
t
allat
i
on
)
o
0
-
1
g
allons
/CF
M
o
2
-
3
g
allons
/CF
M
o
4
-
5
+
g
allon
s
/CF
M
o
5
-
7
g
allons
/CF
M
o
8
+
g
allon
s
/CF
M
$
$
15
$
TOT
AL
AI
R STORAGE
/RE
CEI
VER T
ANK REBATE:
$
1
I
f
a
ct
ua
l
C
F
M
i
s
unk
no
w
n,
e
st
i
ma
te
C
F
M
a
s
f
o
l
l
o
w
s:
T
o
t
a
l
H
P
(
fr
o
m
co
l
umn
A
)
x
5
C
F
M
/H
P
=
_
_
_
_
_
_
_
_
_
_
_
_
_
_
_
C
F
M
(
e
nte
r
v
a
l
ue
i
nt
o
co
l
umn
B
)
2
E
x
i
st
i
ng
S
t
o
ra
g
e
V
o
l
ume
(
g
a
l
l
o
ns/C
F
M
)
=
E
x
i
st
i
ng
S
t
o
ra
g
e
V
o
l
ume
(
g
a
l
l
o
ns)
(
fr
o
m
co
l
umn
C
)
/
C
F
M
(
fr
o
m
co
l
umn
B
)
=
_
_
_
_
_
_
_
_
_
_
_
_
_
_
_
g
a
l
l
o
ns/C
F
M
(
ch
e
ck
ma
t
ch
i
ng
o
pt
i
o
n
i
n
co
l
umn
D
)
3
N
ew
S
t
o
ra
g
e
V
o
l
ume
(
g
a
l
l
o
ns/C
F
M
)
=
N
ew
S
t
o
ra
g
e
V
o
l
ume
(
g
a
l
l
o
ns)
(
fr
o
m
co
l
umn
E
)
/
C
F
M
(
fr
o
m
co
l
umn
B
)
=
_
_
_
_
_
_
_
_
_
_
_
_
_
_
_
g
a
l
l
o
ns/C
F
M
(
ch
e
ck
ma
t
ch
i
ng
o
pt
i
o
n
i
n
co
l
umn
F
)
2
SECTION F. REBATE INFORMATION – PRESSURE/FLOW CONTROLLER
3
A
B
C
D
E
F
G
H
I
Total HP of
Baseload Compressors
Distributing Through
Controller
(must be > 50 HP)
_
Controller
Manufacturer
Controller
Model
Average
System Pressure
Without Controller
(psig)
Average
System Pressure
With Controller
(psig)
Pressure Reduction
(must be > 5 psig)
_
(D - E))
Total
Equipment
Cost
Rebate
per HP
Rebate
(A x H)
$
$5
$
TOTAL PRESSURE/FLOW CONTROLLER REBATE:
$
SECTION G. REBATE INFORMATION – NO LOSS CONDENSATE DRAIN
A
B
C
D
E
F
Dr
a
in
Ma
nu
fa
ctu
rer
Dr
a
in
Model
Quantity
Total Equipment Cost
Rebate per Drain
Rebate
(C x E)
$
$
10
0
$
$
$
10
0
$
$
$
10
0
$
$
$
10
0
$
TOT
AL
NO L
OSS CONDE
NSATE
DRAI
N RE
BATE
:
$
SECTION H. REBATE INFORMATION – LOW PRESSURE DROP FILTERS
A
B
C
D
E
F
G
H
I
To
ta
l
H
P o
f
B
ase
l
o
a
d Co
mpr
e
sso
r
s
D
i
str
i
buti
ng
T
hr
o
ug
h
Co
ntr
o
l
l
e
r
(must
be
>
50
H
P)
_
Fi
l
te
r
M
a
nufa
c
tur
e
r
Fi
l
te
r
M
o
de
l
Ra
te
d I
ni
ti
a
l
Pr
e
ssur
e
D
r
o
p o
f
N
e
w F
i
l
te
r
(must
be
<
1
psi
)
_
Ra
te
d L
i
fe
o
f
N
e
w Fi
l
te
r
(must
be
>
5
y
ears)
_
Q
ua
nti
ty
To
ta
l
Equi
pme
nt
Co
st
Re
ba
te
pe
r
H
P
Re
ba
te
(A
x
F
x
H
)
$
$
5
$
$
$
5
$
$
$
5
$
T
OT
AL
LOW
P
R
ES
S
UR
E
DR
OP
FI
LT
ER
S
R
EBAT
E
:
$
4
SECTION I. REBATE INFORMATION – REFRIGERATED CYCLING AIR DRYER
A
B
C
D
E
F
G
Dryer Manufacturer
Dryer Model
Dryer Rated CFM
Quantity
Total Equipment Cost
Rebate per CFM
Rebate
(C x D x F)
$
$2
$
$
$2
$
$
$2
$
$
$2
$
TOTAL REFRIGERATED CYCLING AIR DRYER REBATE:
$
SECTION J. REBATE INFORMATION – ENGINEERED NOZZLES
A
B
C
D
E
F
G
H
I
N
o
z
z
l
e
D
i
ame
te
r
N
o
z
z
l
e
M
a
nufa
c
tur
e
r
N
o
z
z
l
e
M
o
de
l
M
a
xi
mum
SCFM
@ 8
0
psi
g
Ra
te
d
SCF
M
@ 8
0
psi
g
Q
ua
nti
ty
To
ta
l
Equi
pme
nt Co
st
Re
bate
pe
r
N
o
z
z
l
e
Re
bate
(F
x
H
)
1
/8
”
10
$
$
2
5
$
1
/4
”
18
$
$
2
5
$
5
/1
6
” –
3
/8
”
3
5
$
$
2
5
$
1
/2
”
6
0
$
$
2
5
$
TOT
AL
E
NGI
NEERED NOZ
ZLES REBATE:
$
LEAK CORRECTION
If you are an electric customer of the Utility that has a total of at least 10 HP of air compressors that operate at least 2,000 hours per year, your Utility can provide you the use
of an Ultrasonic Leak Detector for free to locate your leaks without shutting down your processes. Please see our Compressed Air Leak Correction Rebate Application for details.
5
SECTION K. TERMS AND CONDITIONS
1. ELIGIBILITY
Rebates are available to non-residential customers of Austin Utilities, Owatonna Public Utilities, and Rochester Public Utilities (here-in 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 with-
drawn at any time without notice and is available on a first-come, first-serve basis. All projects must be pre-approved by the Utility to qualify for a
rebate. The entire rebate application must be read and filled out completely or the 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 or inventory 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 invoices and on-site
verification, a rebate check will be issued to the Customer. Vendors or contractors are not eligible to receive the rebate. Please allow 6 – 10 weeks from
the date of on-site inspection for delivery of payment. The utility reserves the right to apply rebates to past due accounts.
6. EQUIPMENT ELIGIBILITY REQUIREMENTS
All equipment must be new. Used or rebuilt equipment is not eligible for an incentive. Eligible equipment must meet or exceed the specific requirements
shown below. Usage of the new equipment must be at least 2,000 hours per year. Equipment that does not meet the requirements shown in this application
may be eligible for an incentive under our Custom Program. Please contact the Utility for details.
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 0119
Variable Speed Drive (VSD) Air Compressor < 50 HP:
• VSD compressor must be less than 50 HP.
• VSD compressors purchased for backup do not qualify.
• Adding a VSD to an existing compressor does not qualify.
• Manufacturer specification sheet and CAGI sheet must
accompany this application.
Air Storage/Receiver Tank:
• Applicable to load/no-load compressor systems only.
• New storage capacity (existing + added capacity) must be at least
5 gallons/CFM.
• Manufacturer specification sheet must accompany this application.
Pressure/Flow Controller:
• Controller must reduce average system air pressure by at least 5 psig.
• Total HP of baseload compressors distributing through controller
must be at least 50 HP.
• Controller must be installed downstream from air storage/receiver
tanks.
• Manufacturer specification sheet must accompany this application.
No Loss Condensate Drain:
• No loss/zero loss condensate drains only.
• Manufacturer specification sheet must accompany this application.
Low Pressure Drop Filters:
• New filter must replace standard coalescing filter.
• Total HP of baseload compressors distributing through filter must be
at least 50 HP.
• New filter must have rated initial pressure drop of 1 psi or less.
• New filter must have rated life of at least 5 years.
• Filters purchased for backup do not qualify.
• Manufacturer specification sheet must accompany this application.
Refrigerated Cycling Air Dryer:
• Refrigerated cycling air dryers purchased for backup do not qualify.
• Existing dryer cannot be equipped with feature allowing operation in
cycling mode.
• Installation of controls to existing dryers does not qualify.
• Manufacturer specification sheet and CAGI sheet must accompany
this application.
Engineered Nozzles:
• The rated SCFM of the new nozzles cannot exceed the values shown
in Section J, column D.
• Manufacturer specification sheet for each nozzle must accompany
this application.
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COMMERCIAL COMPRESSED AIR EQUIPMENT REBATE APPLICATION (Owatonna Public Utilities)

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Completed 8 June 2021

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