HEAT PUMPS/DUCTLESS MINISPLITS

Transcription

1 HEAT PUMPS/DUCTLESS MINISPLITS 2018 IWA FR YUR BUSINESS REBATE APPLICATIN Instructions: Fill out form completely and sign. Attach itemized invoices and supporting documentation, if applicable. Failure to complete the required sections and provide documentation will result in denial of claim. Equipment must be purchased between Jan. 1, 2018, and Dec. 31, Equipment must be installed and operating prior to submission of final rebate application. Rebates cannot exceed 50 percent of the installed (materials and reasonable labor). You will receive the lesser of the rebate amount listed or 50 percent of installed. Installed includes contractor labor only and does not include internal labor. Rebate application must be submitted within six months of dealer invoice, or by Dec. 31, 2018, whichever comes first, for the equipment/material purchased. The rebate will be based on the rebate schedule in effect on the date of dealer invoice for the equipment/material purchased. Rebate applications received after Dec. 31, 2018, are not eligible for rebates. Custom Equipment: If specific equipment you intend to purchase and install is not listed, it may qualify under Nonresidential Equipment Custom Systems. However, custom projects must be preapproved by MidAmerican Energy prior to purchase and installation of equipment or system. Projects must be completed within six months of preapproval. See the Nonresidential Equipment Custom Systems application for details. SECTIN 1 (REQUIR) Name on account Customer Information Self-installed q Yes q No Installation address City State ZIP Phone MidAmerican Energy Company account number (found on bill; first seven digits only) Mailing address (if different than installation address) City State ZIP Contact name Title address* *This address only will be used for communication regarding this rebate application. Your address never will be shared and you can unsubscribe at anytime. SECTIN 2 (REQUIR) Year building was constructed Building size [sq. ft. (area)] Do you: q wn q Rent this building The new equipment is for: q Replacement of existing equipment q New installation (new to facility) q New construction Page 1 of 5

2 SECTIN 2 CNT. (REQUIR) Equipment installed in what type of facility? (check one) Industrial MEC Use nly Commercial MEC Use nly q Apparel manufacturing q Apartment, halfway house q Chemical manufacturing q Condo q Computer/electronic product manufacturing q Convenience store/gasoline station CV q Electrical equipment, appliance/component manufacturing q Food/beverage/tobacco product manufacturing q Furniture and related product manufacturing q Leather and allied product manufacturing q Machinery manufacturing q Nonmetallic mineral product manufacturing q il and gas extraction; mining q Paper manufacturing; printing and related support activities q Personal and laundry services q Dealership small <30k q Dealership large >30k q Financial institution small <30k q Financial institution large >30k q Grocery store and supermarket q Healthcare (outpatient) q Healthcare (inpatient, including hospital, nursing home, senior care facility) q Healthcare senior housing - individual apartment q Health club/exercise facility small <30k GR HC HS q Petroleum and coal products manufacturing q Health club/exercise facility large >30k q Plastics and rubber products manufacturing q Library q Primary metal/fabricated metal product manufacturing q Textile mill and textile product mill q Transportation equipment manufacturing q Utility q Warehouse and storage q Warehouse large refrigerated q Wood product manufacturing q Miscellaneous manufacturing q ther industrial q Lodging hotel q Lodging motel q Mixed use q ther - commercial q ffice small 4 floors q ffice large > 4 floors q ffice government small 4 floors q ffice government large > 4 floors q ffice public order and safety small 4 floors q ffice public order and safety large > 4 floors L L Agriculture q Corn farming q Dairy cattle and milk production q Hog facility q Soybean farming q All other animal production q All other miscellaneous crop farming MEC Use nly DF HF q Pharmacy and drug store small <30k q Pharmacy and drug store large >30k q Public assembly events/conventions/casinos small <30k q Public assembly events/conventions/casinos large >30k q Religious worship/church q Restaurant fast food q Restaurant full service HY HY RE T T q Retail small <30k q Retail large >30k q Retail department store small <30k q Retail department store large >30k q School elementary q School jr. high q School high school q School college, university and professional school q School lodging (school/dorm) q Service small <30k q Service large >30k q Truck stop CV q Warehouse and storage WH-C q Warehouse large refrigerated WH-C Page 2 of 5

3 SECTIN 3 Complete all fields for each piece of equipment purchased and installed. Add-n Desuperheater Include AHRI standard heating capacity and efficiency (HSPF or CP) ratings of GSHP. Rebate: $400 per unit Manufacturer/brand name Ground-source heat pump AHRI reference number Install date Equipment model number Serial number Air-Source Heat Pump Small (< 65 MBtu) Include AHRI standard heating capacity and efficiency (HSPF or CP) ratings. Btuh 65,000 may be reviewed through Nonresidential Equipment Custom Systems. Unit Size (actual cooling tonnage Qualifying Efficiency Equipment Rebate rounded to nearest tenth of a ton) Total Rebate q SEER $150 per ton q SEER $200 per ton q SEER 17 and above $350 per ton Install date AHRI reference number Supplemental heat: q Electric resistance q Natural gas q ther q None Unit Manufacturer Model Number Serial Number Cooling Capacity (MBtuh) Indoor utdoor SEER HSPF Ductless Minisplit Heat Pump Small (< 65 MBtu) Must heat and cool by the heat pump system. Electric resistance heat does not qualify. Btuh 65,000 may be reviewed through Nonresidential Equipment Custom Systems. Unit Size (actual cooling tonnage Qualifying Efficiency Equipment Rebate. rounded to nearest tenth of a ton) Total Rebate q SEER $150 per ton q SEER $200 per ton q SEER 17 and above $350 per ton Install date AHRI reference number SEER HSPF Unit Manufacturer Model Number Serial Number Cooling Capacity (MBtuh) Indoor utdoor Page 3 of 5

4 Ground-Source Heat Pump Include AHRI standard heating capacity and efficiency (HSPF or CP) ratings. Rebates are available for equipment meeting individual or both qualifying efficiencies. Must be AHRI Certified. Documentation of capacities is required in addition to ENERGY STAR listing. The capacity and efficiency rating will be determined using the full heating load and full cooling load for multistage equipment. Use AHRI/IS equipment rating for units < 135,000 Btuh. ENERGY STAR Tier 3, 32 F and 77 F efficiencies for units > 135,000 Btuh. New ground loop rebate is based on equipment capacity, not total loop tons. Install date AHRI reference number Qualifying Efficiency Equipment Rebate Loop Rebate q EER Voltage: if dual voltage q EER $450 per cooling ton $450 per cooling ton Manufacturer/brand name q EER 25 and above $600 per cooling ton $600 per cooling ton Model number q CP $150 per cooling ton $150 per cooling ton Serial number q CP 4.0 and above Heating capacity (MBtu) and CP (full load) Cooling capacity (MBtu) and EER (full load) q pen loop q Closed loop q Water loop q Ground loop q Ground water q Water to air q Water to water q DGX Add-on desuperheater installed q Yes q No Equipment Contractor labor Total installed Total rebate $ Specific Terms and Conditions nparticipants must be commercial or industrial customers with facilities located in MidAmerican Energy Company s Iowa service territory. nmidamerican Energy Company must provide the electricity to the equipment at the facility for which the rebate is being paid. nequipment installed as a replacement unit, retrofit or in new construction is eligible. nchillers functioning as a ground-source heat pump are not eligible for prescriptive rebates. nrebate based on actual equipment rating in Btuh at AHRI-rating conditions. To convert Btuh to tons, divide the Btuh by 12,000. For example, if you are converting 24,000 Btuh into tons, divide by 12,000. The result is 2 tons. nfor prescriptive rebates, the rebate payment cannot exceed 50 percent of the installed (reasonable labor and material/equipment - reasonableness to be determined by MidAmerican Energy Company). Installed includes contractor labor only and does not include internal labor. ncooling capacity, full-load efficiency rating and IPLV rating must be at standard AHRI testing conditions (AHRI standard 550/590). nequipment must be purchased between Jan. 1, 2018, and Dec. 31, Equipment must be installed and operating prior to submission of final rebate application. nrebate application must be submitted within six months of dealer invoice, or by Dec. 31, 2018, whichever comes first, for the equipment/material purchased. The rebate will be based on the rebate schedule in effect on the date of dealer invoice for the equipment/material purchased. Rebate applications received after Dec. 31, 2018, are not eligible for rebates. nallow 4 6 weeks for rebate processing, excluding on-site verification time, if needed. General Terms and Conditions Important: Before completing and signing this form, please read the General Terms and Conditions located in the 2018 Iowa For Your Business rebate booklet or at Disclaimer MidAmerican Energy Company does not guarantee that installation and operation of high-efficiency equipment will result in reduced usage or in savings. MidAmerican Energy Company makes no warranties, expressed or implied, with respect to any equipment purchased or installed, including, but not limited to, any warranty of merchantability or fitness for a particular purpose. In no event shall MidAmerican Energy Company be held liable for any incidental or consequential damages or injuries resulting from defective equipment or installation. MidAmerican Energy Company reserves the right to cancel or change these programs at any time. MidAmerican Energy Company s acceptance of this application does not guarantee payment of rebate. Customer Agreement My signature indicates consent to and agreement with all program terms and conditions. It certifies that all information in this application is correct and equipment installed at the indicated location. I understand that MidAmerican Energy Company reserves the right to inspect and verify installation before issuing payment. Customer signature Date Page 4 of 5

5 Dealer name Installer/Dealer Information Phone Address Fax City State ZIP Contact name address Installer/Dealer Agreement I certify that all equipment and installation information provided on this application is correct and accurate. Installer/dealer signature Date Before you submit your form: oofill out this form completely. ooattach a copy of the itemized sales receipt or invoice. ooinclude documentation listed in the instructions. oosign the Customer Agreement section. Send completed forms to: Mail: MidAmerican Energy Company P.. Box 4628 Des Moines, IA Fax: rebateapplications@midamerican.com For MidAmerican Energy Use Project # Project # Received date Method: E M F I Assessment # Assessment date KAM-BAM Sector type Rebate total amount $ Invoice(s) submitted must include itemized quantity, price, manufacturer s make and model numbers and product codes for each material item and original equipment manufacturer specification sheets. Itemized invoices are the key to fast processing of rebate forms. Specify the quantity for each item Identify manufacturing part information P.. N. TERMS BILL 2% F NET 30 Detailed project codes Note labor and other expenses separately from other materials Item Qty Description Rate Installed Amount GWK500 1 Ground-source heat pump $5,000 6/20/2018 $5,000 HDPE pipe 750 ft. Loop piping $3.00/ft. 6/20/2018 $2,250 Labor 1 Installed ground-source heat pump with closed loop $2,000 6/20/2018 $2,000 Travel Travel $64 $64 Local sales tax 6% $555 Total $9,869 List price for each item and total Good description For more information call or go to Page 5 of 5