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First Name Last Name
Initial
Installation Address City State Zip Code
Day Time Phone
Customer Account Number
Purchase Date(s)
Installation Date(s)
Attic Insulation
Circle items that apply:
Windows Sliding / French Doors Whole House Fan
(For doors & windows see worksheet on page 2)
Attic Insulation:
Rating/Level __________ (i.e. R-19) Total sq. ft installed _____________
Exterior Wall Insulation:
Rating/Level __________ Total sq. ft installed _____________
Whole House Fan
Mfg #_________________
Mfg#_____________
Mfg#_____________
Model#______________________ Qty________________
I certify that I am the owner(s) or tenant(s) of the real property where the improvements have been installed and that I
have not previously received, or applied for, other utility financing or incentives for the improvements on this application.
I also certify that the foregoing information is true and correct. I understand and agree that the choice of improvements,
the selection of contractors, the purchase of items and acceptance of materials used and work performed, and the
payments thereof, is my responsibility. I understand that the City of Banning does not endorse, recommend or make any
representations as to specific brands, products, contractors or dealers; nor does it guarantee material or workmanship. I
also agree to allow the City of Banning Public Utilities to access my premises for verification purposes.
City of Banning
Residential Energy Conservation/
Weatherization Rebate Application
_________________________________________
Applicant Signature
_________________________________________
Property Owner Signature
Date:________________
Date:________________
*If Renter, property owner must sign here to release rebate amount to applicant. For office use only:
_____________________________
Date
_____________________________
Authorization for payment:___________________
Signature_____________________________________
(Public Benefits Coordinator
Signature_____________________________________
(Public Benefits Program Manager)
Date
Audit Completed ______________________Date___________________Cycle____________
City of Banning, Public Benefits, 176 E. Lincoln St., Banning, CA 92220 (951) 922-3260 Banningca.gov
Email: PublicBenefits@banningca.gov
Exterior Wall Insulation
Email Address
click to sign
signature
click to edit
click to sign
signature
click to edit
Page 2 of 4
City of Banning Residential Energy Conservation/Weatherization
Worksheet
*Please include a diagram of house*
Window Replacement: $3.00 sq. ft.
Exterior Wall Insulation: $0.10 sq. ft.
Wall #1 size________________________________________
Wall #2 size________________________________________
Wall #3 size________________________________________
Wall #4 size________________________________________
Wall #5 size________________________________________
Wall #6 size________________________________________
Window #1 size______________________________________
Window #2 size______________________________________
Window #3 size______________________________________
Window #4 size______________________________________
Window #5 size______________________________________
Window #6 size______________________________________
Window #7 size______________________________________
Window #8 size______________________________________
Window #9 size______________________________________
Window #10 size_____________________________________
Window #11 size_____________________________________
Window #12 size_____________________________________
Window #13 size_____________________________________
Window #14 size_____________________________________
Sliding/French Door Replacement: $3.00 sq. ft.
Door #1 size________________________________________
Door #2 size________________________________________
Door #3 size________________________________________
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City of Banning Public Benefits Program Guidelines
Residential Energy Conservation/Weatherization Rebates
Program Description:
This program provides monetary incentives for Residential electric customers to
replace inefficient materials with products that will improve the energy efficiency of their
facility and reduce energy use. Customers can receive rebates for a variety of energy saving
efforts alone or together. They include: Window/Door Replacement, Attic
Insulation, Exterior Wall Insulation, and Whole House Fan.
Qualifying products, ratings and incentives.
Conservation Measure Minimum Rating Rebate
Attic Insulation
R-19
R-30 +
20 cents per sq.
ft. 30 cents per
sq. ft.
Exterior Wall Insulation R-13 + 10 cents per sq. ft.
Door Replacement Energy Star rated $3.00 per sq. ft.
Window Replacement Energy Star rated $3.00 per sq. ft.
Whole House Fan
Upgrades will be paid
for the amount of load
reduced
$300 per kW reduced
on peak demand
Program Guidelines:
This program is available to the City of Banning Residential electric customers.
Applicant must be a City of Banning electric customer. If the applicant is a tenant,
the property owner must sign the rebate application prior to its submission.
The incentive cap is $15,000 per customer per calendar year.
Whole House Fan rebates will be paid for the amount of load reduced, and will be
determined in a case by case basis.
A detailed Energy Savings Calculations report detailing the type of fixtures before and
after used, Watts per fixture, hours per day, days per week, kWh used per year for old
and new fixtures, must be attached to application.
4/2/2020
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Qualified products must be installed and in operation at the customer’s service address.
The level of incentive is based on the qualified product’s rating. Rebate amount cannot exceed
the purchase price of the new product.
Products must meet or exceed ratings, and are subject to approval by the City of Banning.
Energy Star rated products can be found at www.energystar.gov.
New construction does not apply; replacement/retrofits only.
A copy of the original, dated invoice or sales receipt must be provided, and is subject to verification.
The receipt must note the Retailer/Contractor and/or customer name, address, phone, manufacture’s
name, model number type of insulation, energy factor on windows/doors and purchase price for each
product.
A copy of the Certification & Inspection report for insulation installation must be attached to the
application.
Complete and return the application and supporting documentation to: City of Banning, Public
Benefits Department, 176 E. Lincoln Street, Banning, CA 92220 or Email: PublicBenefits@banninga.gov
The application and supporting documentation must be submitted within 180 days of
purchasing and/or installation of the qualifying materials, or completion of the project,
whichever is applicable, in order to qualify for a rebate.
Itemized description of each product, including such information as:
Manufacturer, product make and model number(s) and other identifying information.
• For Insulation need a copy of the Certificate from the contractor and total sq ft. installed.
• For Windows & Doors we need the size of each item replaced on the invoice.
• For Whole House Fan we need a copy of the lighting plans and detailed energy savings
calculations
Rebates will be paid to the electric customer of record only. The name on the invoice must match
the name on the electric customer account.
Rebates will be issued within 4 to 6 weeks after verification of submitted paperwork.
A facility or on-site audit will be conducted within 24 months after the application has been
processed. Disparities discovered during the audit may result in a rebate reversal.
Program will continue provided funds are available.