Fillable COMMERCIAL VARIABLE SPEED DRIVES REBATE APPLICATION (Owatonna Public Utilities)

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COMMERCIAL VARIABLE SPEED DRIVES REBATE APPLICATION (Owatonna Public Utilities)

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COMMERCIAL VARIABLE SPEED DRIVES 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
OFFICE USE ONLY Date Received:____________________
Inspected (Date & Initials): Pre:__________________ Post:___________________
Approval & Date:_____________________________________
Internal Account Number:_____________________________
TOTAL REBATE:
$
MN
MN
MN
MS
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signature
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SECTION D. REBATE INFORMATION – VARIABLE SPEED DRIVES
A B C D E F G H I J K L M
N = New Est. Annual Rebate
Installation Application Motor Motor Motor VSD VSD VSD VSD Hours of Install VSD (Table 2)
R = Retrofit Code Size Efficiency Qty. Size Qty. Manufacturer Name Model Number Operation Date
2
Cost (not to exceed
I = Inventory (Table 1) (HP) (%) (HP) (Table 1) (a,b,or c) 50% of equip cost)
1.
$ $
2. $ $
3. $ $
4. $ $
5. $ $
1
Other application types may be eligible for rebates through the Custom Efficiency Rebate Program.
2
For inventoried motors only, please insert the estimated installation date: a = 2–12 months, b = 12–24 months, c = over 24 months.
TOTAL VARIABLE SPEED DRIVES REBATE: $
TABLE 1 – APPLICATION CODES & GUIDELINES FOR VSD HOURS
FANS CODE ESTIMATED HOURS
Cooling Tower Fan
F1–14
1032
Constant Volume (no flow control)
F2–14
5236
Backward Curved/Airfoil Fan with Inlet Guide Vanes
F3–14
5236
Forward Curved Fan with Discharge Dampers
F4–14
5236
Forward Curved Fan with Inlet Guide Vanes
F5–14
5236
Unknown HVAC Fan Type
F6–14
5236
TABLE 1 – continued...
PUMPS CODE ESTIMATED HOURS
Chilled Water Pump
P1–14 2170
Condenser Water Pump
P2–14 2170
Heating Hot Water Pump
P3–14 4959
TABLE 2 – VARIABLE SPEED DRIVE REBATE TABLE – REBATE NOT TO EXCEED 50% OF EQUIPMENT COST
Lesser of Motor Size or VSD HP* 1 1.5 2 3 5 7.5 10 15 20 25 30 40 50 60 75 100 125 150 200
New or Retrofit $400 $400 $400 $400 $600 $750 $1000 $1250 $1600 $2000 $2400 $3000 $3500 $4000 $5000 $6000 $7000 $7000 $8000
Inventory $200 $200 $200 $200 $300 $375 $500 $625 $800 $1000 $1200 $1500 $1750 $2000 $2500 $3000 $3500 $3500 $4000
*Incentives are based on the horsepower of the controlled motor or VSD, whichever is less.
For VSDs that control multiple motors, incentive is based on the lesser of the horsepower of the VSD or the sum of the horsepower of the connected motors.
2
3
SECTION E. 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. The applicant shall be an end-user (i.e., not
a variable speed drive wholesaler, distributor, or installer) of either commercial or industrial variable speed drives.
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. 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 new variable speed drives installed and operational within six (6) months of the date of purchase are eligible for rebate under
the NEW or RETROFIT rebate schedule. Additional time may be granted subject to the Utility's pre-approval. Qualifying variable speed drives
being used for replacement of on-site inventory are eligible for rebate under the INVENTORY rebate schedule. In no case will the rebate
paid by the Utility exceed the purchase price of the equipment. The maximum rebate amount may be limited. Variable speed drives that
qualify for Utility rebates under other Utility programs are not eligible for a rebate payment under this program.
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
To be eligible for a rebate, the variable speed drive installation must meet the following conditions:
a. Rebates are limited to HVAC fan and pump installations. Variable speed drives larger than 200 horsepower and installations on other
motor-driven machinery, constant torque loads, and hydraulic pumping may qualify for an incentive through our Custom High-Efficiency
Rebate Program. VSDs used only as a soft-start are not eligible for a rebate.
b. The fan or pump does not require a drive as a standard mode of operation.
c. The drive must contribute energy savings in normal operation.
d. The drive must vary motor speed automatically.
e. The drive must have a true power factor of 0.90 or greater.
f. VSD’s can cause waveform disturbances on the power lines. Therefore, a line reactor between the power source and the drive must
be included. The reactor rating should be as recommended by the VSD supplier but not less than 3 percent impendence of the VSD
rating.
The following new construction VSD installations are not eligible for rebates:
• VAV fan units greater than or equal to 7.5 horsepower without variable pitch fan blades.
• Heat rejection fans greater than or equal to 7.5 horsepower.
• Non-multi-stage hydronic pumping systems with a design output greater than 300,000 Btuh.
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
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COMMERCIAL VARIABLE SPEED DRIVES REBATE APPLICATION (Owatonna Public Utilities)

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Completed 8 June 2021

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