4
HEATING INSTALLED Right-sized Natural gas, forced-air, furnace AFUE Natural gas, boiler AFUE Electric, forced-air, air-source heat pumps AFUE Geothermal - attach completed Option 2, Part II 2 claim form. Manufacturer _________________________________________________________ Model No. __________________________ Serial No. ________________________ COOLING INSTALLED Right-sized Electric, forced-air, central air conditioners SEER Electric, forced-air, air-source heat pumps SEER Geothermal - attach completed Option 2, Part II claim form. Cooling BTUH ___________________ Condensor Serial No. ___________________ ARI Reference No. ____________________ Coil Serial No. ____________________ Clock Programmable Thermostat - set back with two or more temperature settings. Manufacturer ________________________ Model No. _____________________ Water Heating Natural gas - 40-60 gallons (0.62 EF or greater) EF Natural gas - 60-80 gallons (0.85 EF or greater) EF Electric - 40 gallon tank or larger (0.93 EF or greater) EF Manufacturer _________________________________________________________ Model No. __________________________ Serial No. ________________________ Construction Completion Date Energy Supplied by IPL (check each that apply) Tax Status Residential Sole-Proprietor* Partnership* Government Non-Profit Corporation Religious Please Check One: Single-Family Duplex I, the builder, certify that I have built the new home indicated in this claim form to the specifications listed. I, the homeowner, and/or I, the builder, agree to compliance with the Terms and Conditions and Release and Indemnity stated on the back side of this form. Natural Gas Electric *If sole-proprietor/partnership, please provide full legal name above and Social Security/Federal Tax ID number associated with legal name above. M/D/Y _________ / _________ / _________ Federal Tax ID No.* / Social Security No. PARTICIPATION AGREEMENT 2008 REBATE CLAIM — IOWA OPTION 2 - ENERGY STAR ® QUALIFIED HOME IMPORTANT: Please read “Terms and Conditions” and “Release and Indemnity” before completing this form. All references to the utility providing the rebates are to Interstate Power and Light Company (IPL), an Alliant Energy company, hereinafter referred to as IPL. This form must be completed and signed by the installing dealer. Retain a copy for your records. Person or Company Receiving Rebate NEW HOME INFORMATION Mailing Address (if different than installation address) Work Phone No. Name on IPL Acct. New Home Address City IPL Acct. No. (at installation address) Contact Person ( ) State ZIP City State ZIP Sq. Footage (include basement if finished space) Builder Signature Date Homeowner Signature Date 75-2543 ECRM160781 REV. 1 12/07 Part I of II Home Phone No. ( ) AM PM BUILDER RELEASE INFORMATION - PLEASE READ REVERSE AND SIGN BELOW. ( ) City State ZIP Address Builder Name Federal Tax ID No.*/Social Security No. Dealer ID No. (*if a Participating Dealer) Phone No. Best Time To Call DUCTWORK INSTALLED Sheet metal ducts Sheet metal joints All low-pressure supply and return ducts Leakage INSULATION INSTALLED Ceiling, insulation only ___________ R-Value Wood frame wall ___________ R-Value Mass frame wall ___________ R-Value Floor, above unheated space ___________ R-Value Basement wall, insulation covering entire basement walls ___________ R-Value Basement, band/rim joist ___________ R-Value Slab ___________ R-Value Crawl space ___________ R-Value Doors ___________ U-Value WINDOWS Manufacturer ________________________ Model No. _______________________ INFILTRATION INSTALLED Natural air exchanges per hour ___________ NACH Mechanical ventilation BASE REQUIREMENTS REBATE - OPTION 2 REBATE HOMEOWNER BUILDER Heating $ $ Cooling $ $ Heating and Cooling $ $ Construction Start Date (copy of the building permit must be attached to this rebate submission) M/D/Y _________ / _________ / _________ 700 - 1,199 1,200 - 1,799 1,800 + $1,450 $1,600 $1,750 $1,050 $1,150 $1,250 $ 800 $ 900 $1,000 SQ. FOOTAGE HEATING COOLING GEOTHERMAL HEATING & COOLING $400 $450 $500 Certification from a RESNET certified HERS rater stating the home meets or exceeds ENERGY STAR standards must be attached. Supp Response to ELPC DR 1.22 Attachment BO Page 1 of 4

2008 REBATE CLAIM — IOWA Part I of II OPTION 2 ...plainsjustice.org/files/EEP-08-1/ELPC 1.22 SUPP CD/Res...Natural gas, boiler AFUE Electric, forced-air, air-source heat pumps AFUE

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HEATING INSTALLED

Right-sized ❒Natural gas, forced-air, furnace AFUENatural gas, boiler AFUEElectric, forced-air, air-source heat pumps AFUE

Geothermal - attach completed Option 2, Part II 2 claim form.

Manufacturer _________________________________________________________Model No. __________________________ Serial No. ________________________

COOLING INSTALLED

Right-sized ❒Electric, forced-air, central air conditioners SEERElectric, forced-air, air-source heat pumps SEER

Geothermal - attach completed Option 2, Part II claim form.

Cooling BTUH ___________________ Condensor Serial No. ___________________ARI Reference No. ____________________ Coil Serial No. ____________________

Clock Programmable Thermostat - set back with two or more temperature settings.Manufacturer ________________________ Model No. _____________________

Water HeatingNatural gas - 40-60 gallons (0.62 EF or greater) EFNatural gas - 60-80 gallons (0.85 EF or greater) EFElectric - 40 gallon tank or larger (0.93 EF or greater) EFManufacturer _________________________________________________________Model No. __________________________ Serial No. ________________________

Construction Completion Date

Energy Supplied by IPL (check each that apply)

Tax Status

❒ Residential ❒ Sole-Proprietor* ❒ Partnership* ❒ Government ❒ Non-Profit

❒ Corporation ❒ Religious

Please Check One:

❒ Single-Family ❒ Duplex

I, the builder, certify that I have built the new home indicated in this claim form to the specifications listed. I, the homeowner, and/or I, the builder, agree to compliance with the Terms and Conditions and Release and Indemnity stated on the back side of this form.

❒ Natural Gas ❒ Electric

*If sole-proprietor/partnership, please provide full legal name above and Social Security/Federal Tax ID number associated with legal name above. M/D/Y _________ / _________ / _________

Federal Tax ID No.* / Social Security No.

PARTICIPATION AGREEMENT

2008 REBATE CLAIM — IOWAOPTION 2 - ENERGY STAR® QUALIFIED HOME

IMPORTANT: Please read “Terms and Conditions” and “Release and Indemnity” before completing this form. All references to the utility providing the rebates are to Interstate Power and Light Company (IPL), an Alliant Energy company, hereinafter referred to as IPL. This form must be completed and signed by the installing dealer. Retain a copy for your records.

Person or Company Receiving RebateNEW HOME INFORMATION

Mailing Address (if different than installation address)

Work Phone No.

Name on IPL Acct.

New Home Address

City

IPL Acct. No. (at installation address)

Contact Person

( )State ZIP

City State ZIP

Sq. Footage (include basement if finished space)

Builder Signature Date Homeowner Signature Date

75-2543 ECRM160781 REV. 1 12/07

Part I of II

Home Phone No.( )

❒ AM ❒ PM

BUILDER RELEASE INFORMATION - PLEASE READ REVERSE AND SIGN BELOW.

( )

City State ZIPAddress

Builder Name Federal Tax ID No.*/Social Security No.

Dealer ID No. (*if a Participating Dealer) Phone No. Best Time To Call

DUCTWORK INSTALLED

Sheet metal ducts ❒

Sheet metal joints ❒

All low-pressure supply and return ducts ❒

Leakage ❒

INSULATION INSTALLED

Ceiling, insulation only ___________ R-ValueWood frame wall ___________ R-ValueMass frame wall ___________ R-ValueFloor, above unheated space ___________ R-ValueBasement wall, insulation covering entire basement walls ___________ R-ValueBasement, band/rim joist ___________ R-ValueSlab ___________ R-ValueCrawl space ___________ R-ValueDoors ___________ U-Value

WINDOWS

Manufacturer ________________________ Model No. _______________________

INFILTRATION INSTALLED

Natural air exchanges per hour ___________ NACHMechanical ventilation ❒

BASE REQUIREMENTS REBATE - OPTION 2REBATE HOMEOWNER BUILDER Heating $ $Cooling $ $Heating and Cooling $ $

Construction Start Date (copy of the building permit must be attached to this rebate submission)M/D/Y _________ / _________ / _________

700 - 1,1991,200 - 1,7991,800 +

$1,450 $1,600$1,750

$1,050$1,150$1,250

$ 800$ 900$1,000

SQ. FOOTAGE HEATING COOLING GEOTHERMALHEATING & COOLING

$400$450$500

Certification from a RESNET certified HERS rater stating the home meets or exceeds ENERGY STAR standards must be attached.

Supp Response to ELPC DR 1.22Attachment BO

Page 1 of 4

75-2543 ECRM160781 REV. 1 12/07

GENERAL TERMS AND CONDITIONS

IMPORTANT: Please read the following information before completing the Rebate Claim form on the reverse side.

1. Participants must be retail customers of IPL in Iowa.

2. IPL must supply the primary energy to the equipment for which the rebate is being paid.

3. New equipment must be installed on the premises and must not be purchased for resale.

4. IPL reserves the right to inspect and verify the installation.

5. IPL reserves the right to meter the specified equipment or process, at no cost to the customer, to determine the actual energy saved for up to 18 months after installation.

6. Rebates apply to new and replacement installations of qualified equipment. In replacement situations, the efficiency of the equipment installed must be higher than that of the equipment removed.

7. Customers are responsible for ensuring that equipment installed for this program meets all applicable codes, standards, and regulatory requirements.

8. IPL does not guarantee that installation of high-efficiency equipment will result in reduced usage or demand, or in cost savings.

9. IPL makes no warranties, expressed or implied, with respect to any equipment purchased and/or installed including, but not limited to, any warranty of merchantability or fitness for a particular purpose.

10. In no event shall IPL be liable for any incidental or consequential damages.

11. IPL does not endorse any particular manufacturer, product, or system design in promoting this rebate program. Listing a product does not constitute an endorsement, nor does it imply that unlisted products are defective in any way.

12. IPL reserves the right to modify or end this rebate program at any time without prior notice.

13. This program is effective January 1, 2008 through December 31, 2008 and is subject to periodic review by IPL.

14. IPL reserves the right to contact customers who participate in the rebate programs for surveys to monitor and evaluate program performance.

SPECIFIC TERMS AND CONDITIONS

A. If the builder or the homeowner is to receive the entire rebate amount, their information should be listed as the Person or Company Receiving Rebate. If the builder is a Participating Dealer the mailing address for the rebate must match their Participating Dealer address.

B. Rebates and/or bonus options may be designated to both a homeowner and a builder if, the builder is a Participating Dealer. If both parties are to be paid portions on the rebate, then the homeowner should be listed as the Person or Company Receiving Rebate and the Builder’s information should be entered on the Builder Release along with their Dealer ID number. The rebates going to the homeowner and the builder should be indicated accordingly.

C. The home’s square footage should not include the basement unless the basement is finished space.

D. Participants must be residential (single-family or duplex) customers of IPL in Iowa.

E. A federal tax ID number or social security number is required for processing any rebate, except if the tax status of recipient is residential. Under Builder Release, a federal tax ID number or social security number is required for processing any rebate unless the builder is already an IPL Participating Dealer and has supplied their Dealer ID.

F. New home equipment eligible for the New Home Construction rebate must be installed, reported on the New Home Construction rebate claim form and submitted one time only. IPL will not pay rebates for new home equipment submitted on other IPL rebate claim forms.

G. All manufacturer, model number and serial number fields must be completed for IPL to approve the rebate.

H. IPL will pay for a maximum of one heating and/or cooling unit under the New Home Construction program. If multiple heating and/or cooling units are installed, IPL will pay for the first qualifying unit under the New Home Construction program and any additional qualifying units under the respective prescriptive program.

I. Builder must provide certification from a RESNET-certified HERS rater showing the home meets or exceeds ENERGY STAR standards. Builder and/or customer is responsible for the cost of the HERS rating.

J. Eligible ENERGY STAR fluorescent lighting fixtures are hardwired T8 or pin lamp type fixtures, including ENERGY STAR-rated ceiling fans with lighting, and are limited to areas with extensive use. These areas include bedrooms, kitchens, laundry/utility rooms, living rooms, great rooms, hallways, stairways, finished basements and offices. Areas not eligible for fluorescent lighting rebates include bathrooms, garages, closets, pantries, unfinished basements and under-cabinet lighting. Bonus fluorescent lighting rebates apply only to fixtures in addition to fixtures satisfying the base requirements.

K. Bonus rebates for lighting, appliance equipment and heating and cooling are awarded based on higher levels of efficiency as indicated on the form.

L. A maximum quantity of two each for clothes washers and refrigerators will receive a bonus rebate.

M. This program is effective January 1, 2008 through December 31, 2008 for any homes started during this time period.

N. Rebate Claim Forms must be submitted within 30 days of home’s completion date.

Supp Response to ELPC DR 1.22Attachment BO

Page 2 of 4

BONUS OPTION REQUIREMENTSLIGHTING (see note J under specific terms and conditions for restrictions)

$2 per screw-in CFL X _______________ qty. = $ _______________List locations of bonus lighting ____________________________________________________________________ ____________________________________________________________________ ____________________________________________________________________$10 per hardwired CFL fixture X _______________ qty. = $ _______________List locations of bonus lighting ____________________________________________________________________ ____________________________________________________________________ ____________________________________________________________________$10 per linear fluorescent fixture X _______________ qty. = $ _______________List locations of bonus lighting ____________________________________________________________________ ____________________________________________________________________ ____________________________________________________________________

TOTAL LIGHTING REBATE $ _______________

Bonus lighting paid to: ❒ Homeowner ❒ Builder

HeatingNatural gas, forced-air furnace (94% AFUE or greater) AFUE $225.00 ❒ ❒ Homeowner or ❒ BuilderNatural gas boiler (92% AFUE or greater) AFUE $225.00 ❒ ❒ Homeowner or ❒ BuilderElectric, forced-air, air-source heat pump (16.0 SEER, 8.6 HSPF or greater) HSPF $350.00 ❒ ❒ Homeowner or ❒ Builder

Manufacturer _________________________________________________________ Model No. __________________________ Serial No. ________________________

CoolingElectric, forced-air, central air conditioner (16.0 SEER or greater) SEER $225.00 ❒ ❒ Homeowner or ❒ Builder

ARI Reference No. ____________________ Coil Serial No. ____________________ Cooling BTUH ___________________ Condensor Serial No. ____________________

HEATING AND COOLING INSTALLED BONUS AMOUNT BONUS PAID TO (check if satisfied)

2008 REBATE CLAIM — IOWAOPTION 2 CONTINUED - BONUS AND GEOTHERMAL REBATES

IMPORTANT: Please read “Terms and Conditions” and “Release and Indemnity” before completing this form. All references to the utility providing the rebates are to Interstate Power and Light Company (IPL), an Alliant Energy company, hereinafter referred to as IPL. This form must be completed and signed by the installing dealer. Retain a copy for your records.

Person or Company Receiving RebateNEW HOME INFORMATION

Contact Person

IPL Acct. No. (at installation address) Name on IPL Acct.

Part II of II

75-2543 ECRM160781 REV. 1 12/07

Quantity (complete geothermal claim form for each additional unit installed)

GEOTHERMAL INFORMATION (systems < 20 ton total size)

(To qualify for a rebate, equipment MUST be listed in ARI Directory.)

Date Installed

Model No.

Total Heating BTUH

Heating COP

Partial Heating BTUH (if two speed)

$

Manufacturer❒ Single Speed

❒ Variable Speed

Serial No.❒ Open Loop (GWHP)

❒ Closed Loop (GLHP)Total Cooling BTUH (maximum 240,000)

Partial Cooling BTUH (if two speed)

Cooling EER Total Installed Cost

$

Desuperheater($200 per unit)

❒ Yes ❒ No

Total Rebate (see reverse side)

Water-to-water unit?

❒ Yes ❒ No(see note on reverse side)

BONUS AMOUNT BONUS PAID TOCLOTHES WASHER (check if satisfied)

$100.00 ❒ ❒ Homeowner or ❒ Builder

ENERGY STAR® labeled Quantity __________ (max. 2)

Manufacturer _________________________________________________________

Model No. _____________________ Serial No. _____________________________

REFRIGERATOR BONUS AMOUNT BONUS PAID TO (check if satisfied)

$50.00 ❒ ❒ Homeowner or ❒ Builder

ENERGY STAR labeled Quantity __________ (max. 2)

Manufacturer _________________________________________________________

Model No. _____________________ Serial No. _____________________________

Bonus lighting and appliance rebates apply only to measures in addition to the ENERGY STAR products required for the base rebate.

OPTION 2 REBATE TOTALS BUILDER HOMEOWNER $ $Base Rebate

Bonus RebateGeothermal Rebate

TOTAL REBATE

$ $$ $

$ $

Supp Response to ELPC DR 1.22Attachment BO

Page 3 of 4

Note: If geothermal equipment is a water-to-water unit, rebate only applies to tons (Step A), Desuperheater (Step C) and COP (Step D).

RELEASE AND INDEMNITY WHEREAS, IPL has entered into a Dealer Participation Agreement with Dealer on the reverse side of this document;

WHEREAS, the undersigned is Customer of the Participating Dealer and not a Customer of IPL for purposes of any transaction between Participating Dealer and Customer, including purchase and/or installation of equipment;

WHEREAS, it is the intent of IPL and Dealer that no agency, joint venture or partnership between IPL and Dealer or Customer will be created as a result of the sale, construction, installation and rebate on the equipment or materials;

NOW, THEREFORE, for valid consideration, receipt of which is hereby acknowledged:

1. Customer and Dealer hereby agree to assume all risk of loss associated with the equipment and to defend, indemnify and hold harmless IPL, its agents, officers, directors, employees and assigns, and to release same from any and all liabilities, claims, demands, actions and causes of action whatsoever arising out of or related to any loss, damage or injury, including death, injury to persons or property, that may be sustained by the undersigned or a third party in connection with the installation, use or possession of the above-mentioned equipment, or relating in any way to the Dealer Participation Agreement or any Rebate Claim.

2. WARRANTIES AND WAIVER. Customer acknowledges, warrants and agrees that the services, materials and equipment are suitable for its purposes and agrees that it has had the opportunity to inspect said equipment and takes possession of same “AS-IS WHERE-IS without any warranties or representations whatsoever” other than any applicable manufacturer’s warranties.

Customer specifically acknowledges that IPL makes no representations or warranties of any kind as to the merchantability, fitness for a particular purpose, design or condition of the equipment. Any warranty on the equipment shall be provided through the equipment manufacturer. IPL makes no representations or warranties of any kind as to the installation or operation of the equipment by Dealer. IPL shall not be liable, in contract, tort, and strict liability or otherwise, whether or not resulting from any of the foregoing or otherwise on account of any defect, whether hidden, latent or otherwise discoverable or undiscoverable respecting the equipment.

THE SUM TOTAL LIABILITY OF IPL TO CUSTOMER AND DEALER WITH RESPECT TO ANYTHING DONE IN CONNECTION WITH THE DEALER PARTICIPATION AGREEMENT OR THE REBATE CLAIM, WHETHER IN CONTRACT, TORT (INCLUDING NEGLIGENCE), OR UNDER ANY OTHER LEGAL THEORY SHALL NOT EXCEED THE AMOUNT OF THE REBATE.

IPL SHALL NOT IN ANY EVENT BE LIABLE FOR SPECIAL, INDIRECT, INCIDENTAL OR CONSEQUENTIAL DAMAGES, INCLUDING, BUT NOT LIMITED TO, LOSS OF PROFITS OR REVENUE, LOSS OF USE OF SITE SYSTEMS OR PROPERTY, COST OF CAPITAL OR CLAIMS BY CUSTOMER OR DEALER OR DAMAGE TO CUSTOMER OR DEALER’S PROPERTY OR ANY THIRD PARTY’S PROPERTY.

3. Customer and Dealer further acknowledge that IPL will not provide insurance coverage for the Customer or Dealer, and that it is the Customer and Dealer’s responsibility to procure insurance coverage against any hazards relating to the equipment to protect persons and property.

Mail your completed Rebate Claim Form and sales receipts to: Energy Efficiency Programs IPL P.O. Box 351 Cedar Rapids, IA 52406-0351

Or fax to: (319) 786-4746. (If you fax your claim form, please do not mail to avoid possible duplication.)

Please allow six to eight weeks for receipt of your check after IPL has received your properly completed Rebate Claim Form and receipt. If you have any questions, or would like additional forms, call: 1-800-723-7635Visit us on the Web at: www.alliantenergy.com

75-2543 ECRM160781 REV. 1 12/07

Minimum efficiencies:All units must equal or exceed efficiency rating of 14.1 EER (closed loop) or 16.2 EER (open loop). Rebate payment will be based on ARI directory-verified efficiency. Maximum of 20 tons. Rebate: Step A. Cooling BTUH/12,000 (not available for replacement of existing groundloop) = ___________ tons x $300 = $ _____________________ Step B. EER _________ - 14.1 = _________ x $150 (closed loop) = + $ _____________________ or EER _________ - 16.2 = _________ x $150 (open loop) = + $ _____________________ (not available for water-to-water units) Step C. Add $200 if desuperheater installed + $ _____________________ Step D. Add $150 if COP is 3.3 or greater (closed loop) + $ _____________________ or Add $150 if COP is 3.6 or greater (open loop) + $ _____________________ TOTAL REBATE = $ _____________________

GEOTHERMAL REBATES Supp Response to ELPC DR 1.22Attachment BO

Page 4 of 4