Fillable RESIDENTIAL SOLAR WATER HEATING INCENTIVE APPLICATION ADDENDUM (Salt River Project)

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RESIDENTIAL SOLAR WATER HEATING INCENTIVE APPLICATION ADDENDUM (Salt River Project)

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Page 1 of 4 05/01/18
RESIDENTIAL SOLAR WATER HEATING INCENTIVE
APPLICATION ADDENDUM
INSTRUCTIONS:
Complete Sections I and II and only the relevant sections that are being modified. For
additional instructions and program requirements please visit srpnet.com/solar. Completed applications addendum
packages can be submitted to SRP by email at SolarSWH@srpnet.com
, by fax at (602)629-7979, or by mail at the
following address: SRP Residential Solar Water Heating Program, Mail Stop ISB197, PO Box 52025, Phoenix, AZ
85072-2025. For questions, call (602)236-4662.
SECTION I: APPLICANT
SRP Account Holder:
Name __________________________________________________ Daytime Phone____________________
Email Address ___________________________________________ Evening Phone____________________
Solar Water Heating System Location (the “Property”):
Address (address on SRP Bill) ________________________________________________________________
Gate Code (if applicable)_____________________________________________________________________
City ________________________________________ State ____________ Zip Code+4 __________________
Property Owner (“Applicant”): Same as Above
Name __________________________________________________ Daytime Phone____________________
Email Address ___________________________________________ Evening Phone____________________
Mailing Address ___________________________________________________________________________
City ________________________________________State _____________ Zip Code +4 ________________
Alternate Contact ________________________________________________ Phone____________________
SECTION II: DESCRIPTION OF MODIFICATION
___________________________________________________________________________________________
___________________________________________________________________________________________
___________________________________________________________________________________________
SECTION III: EQUIPMENT DEALER
Name (as listed with the AZROC) ________________________________________________________________
DBA (as listed with the AZROC)__________________________________________________________________
Mailing Address ______________________________________________________________________________
City ______________________________________ State ______________ Zip Code ____________________
Application Contact:
Name __________________________________________________ Phone _________________________
Email ___________________________________________________________________________________
AZROC License Number: (Eligible licenses listed in Section III of Program Requirements)____________________
SRP Residential Solar Water Heating Incentive Application Addendum
Page 2 of 4 05/01/2018
SECTION IV: INSTALLER
( Same as Dealer)
Name (as listed with the AZROC) ________________________________________________________________
DBA (as listed with the AZROC)__________________________________________________________________
Mailing Address ______________________________________________________________________________
City _____________________________________ State ______________ Zip Code _______________________
Contact:
Name ________________________________________________________ Phone ______________________
Email _____________________________________________________________________________________
AZROC License Number: (Eligible licenses listed in Section III of Program Requirements)_____________________
SECTION V: SOLAR WATER HEATING INFORMATION
Only electric backup systems are eligible for this program.
1. Manufacturer: _________________________________ OG-300 Model ______________________________
2. Type: Direct (Open Loop) Thermosyphon Integral Collector Storage (“ICS”)
Closed Loop Glycol Closed Loop Drain-Back
3. Estimated installation date: ___________________ Estimated OG-300 Rating ___________________kWh
4. Azimuth (provide in degrees clockwise from due north): ___________________________________________
5. Tilt angle (provide in degrees, including roof pitch): _______________________________________________
6. Do you anticipate the incentive will be prorated? (See Section II Program Requirements): Yes No
SECTION VI: TO BE COMPLETED BY SRP
OG-300 rating*: ________________________ 1. Incentive Prorating (if applicable):
* Determined based on OG-300 rating date application $_ ____ /kWh Savings X 80% = $ __ /kWh Savings
is processed by SRP. SRP Incentive Prorate % Prorated Incentive
2. Therm conversion 3. Incentive Calculation:
29.3 X = ____________ $ ___ /kWh Savings X = $ __________
Conversion OG-300 rating OG-300 rating SRP Incentive OG-300 rating Total Incentive
factor in therms in kWh
Calculations completed by
_______________________
✔
SRP Residential Solar Water Heating Incentive Application Addendum
Page 3 of 4 05/01/2018
SECTION VII: VENDOR AGREEMENTS AND CERTIFICATION
By signing below, Installer and Dealer each covenant, represent and warrant to Applicant and Salt River Project
Agricultural Improvement and Power District (“SRP”), as follows:
1. At the point of purchase the contractor agrees to lower the installed purchased price of the system by the
amount of the SRP incentive.
2. All equipment to be installed and/or used in connection with the solar water heating system described in this
application was approved by the manufacturer of the solar water heating system for installation or use with the
solar water heating system and will comply with SRP’s Solar Water Heating Program Requirements.
3. No material differences will exist between the solar water heating system, as described in this application,
including any addenda or attachments, and the solar water heating system, as installed.
4. The solar water heating system will be selected and sized according to the geographic location and hot water
needs of the home. The solar water heating system size and collector type will be appropriate for the home.
5. Installer will provide to Applicant a Statement of Performance that provides the expected energy savings of the
solar water heating system and outlines variables that will affect the solar water heating system’s performance
including, but not limited to, general weather patterns, specific site conditions, energy use patterns, and other
conditions not subject to the control of Installer.
6. Installer will provide to Applicant a planned maintenance or equipment replacement schedule for the
operational life of the solar water heating system.
7. Installer will be charged an SRP standard fee for each additional reevaluation, beyond the second evaluation,
per application. This fee will be deducted from the SRP incentive being paid to the installer on the customer’s
behalf. The installer shall not seek reimbursement from the Customer for the cost of any reevaluation.
8. Dealer or Installer will provide to Applicant all warranties required under the Program requirements.
“INSTALLER”: “DEALER”:
By: ___________________________________ By: ___________________________________
Signature Signature
Name: ________________________________ Name: _________________________________
Print Name Print Name
Title: _________________________________ Title: __________________________________
Print Title Print Title
Date: _________________________________ Date: __________________________________
Required Required
APPLICATION CONTINUES ON THE FOLLOWING PAGE
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SRP Residential Solar Water Heating Incentive Application Addendum
Page 4 of 4 05/01/2018
SECTION VIII: APPLICANT ACKNOWLEDGEMENT
By signing below, each of the undersigned acknowledges its understanding of, and agreement with, the following:
1. I have reviewed this Addendum and declare that the information provided is true, accurate, and complete to
the best of my knowledge. The information in this Addendum will be deemed to modify and/or supplement that
provided in the Program Agreement and Bill of Sale.
2. SRP’s supply of electric and related services will be in accordance with and subject to SRP’s Rules and
Regulations, Standard Electric Price Plans and Riders, Residential Solar Water Heating System Program
Requirements, and other SRP terms of service (collectively, the “SRP Terms”), as the same may be
supplemented or amended by SRP from time to time.
3. All of the SRP Terms (including prices) are subject to change. Changes to the SRP Terms may, among other
things, increase or decrease the costs, as well as the potential savings achieved by, and the value of a solar
water heating system. The SRP account holder for the Property will be responsible for the payment of any
increased prices and fees applicable as a result of any changes to the SRP Terms.
4. In choosing to install, or approving the installation of, the solar water heating system described in this
application, Applicant is relying solely on his or her own judgment and the representations of third parties not
affiliated with SRP. SRP does not endorse, and is not bound by, any third party’s representations, warranties,
promises, or other statements, including any projections concerning electricity prices.
APPLICANT:
By: ___________________________________
Signature
Name: ____________________________________
Print Name
Date: _________________________________
Required
PURCHASER OF SOLAR WATER HEATING SYSTEM (if spouse of Applicant):
By: ___________________________________
Signature
Name: ____________________________________
Print Name
Date: _________________________________
Required
Each of the undersigned understands, and has taken into consideration, that many factors (including
changes to the SRP Terms) may change the financial and other benefits of a solar water heating
system. SRP does not make any promises concerning future changes to our prices or the economics
of any purchase, installation, or use of a solar water heating system.
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RESIDENTIAL SOLAR WATER HEATING INCENTIVE APPLICATION ADDENDUM (Salt River Project)

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Completed 22 July 2021

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