NewConstruction Incentive

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    IS-1

    Pre-Notification Process

    Sure Bet New Construction Program Instructions and Guidelines2013

    Southern Territory Rate Schedules: Northern Territory Rate Schedules:GS GS-1

    Program Eligibility

    The program is available to applicants that purchase qualified energy efficiency measures and have these measures installed in a facility or campus that receives

    electric distribution services from NV Energy. The facility must have at least one meter on one of the rate schedules listed below. Customers served under other

    rate classes can only apply with authorization from the NV Energy Program Manager.

    Projects should have an estimated total incentive greater than $250

    OGS-TOU GS-2 IS-2

    LGS-1 GS-2-TOU

    LGS-3 GS-3

    OLGS-1 OGS-1-TOU

    LGS-2 OGS-2-TOU

    Application Process - Projects must be completed between January 1, 2013 and November 15, 20131. Submit Transmittal, Project Information & appropriate Technology Forms. (Please fill out Project Information first to populate similar cells

    in transmittal form.)2. Obtain a Consent to Progress Letter and continue with project construction

    LGS-X GS-4

    *See Sure Bet Policies and Procedures for details.

    A Pre-notification Application is required for all projects. Failure to submit a Pre-Notification Application may result in rejection of the application.

    Pre-Notification Application Parts:

    1. Transmittal & Project Information Form (Please fill out Project Information first to populate similar cells in the Transmittal Form)

    3. Funding will be reserved as new construction measures are confirmed

    4. Submit Final Technology Forms with Project Completion Agreement, Third Party Agreement if needed and invoices after completion of project

    5. Provide documentation as directed6. Receive incentive payment within 4-6 weeks of Project Approval by NV Energy

    2. All appropriate Technology Forms

    3. All appropriate back up information such as manufacturer's specification sheets, W-9, data sheets, floor plan drawings, etc.

    Fundin Reservation

    DNV KEMA is under contract to NV Energy to im plement the Sure Bet Commercial Incentive and New Construction Programs.

    All program details and all official Program updates will be posted on the Sure Bet Program website: http://www.nvenergy.com/surebet

    Toll Free Hotline: 1-800-342-6335

    Fax Number: 702-216-2727

    Revised 1/25/13

    2013 Application, Version 2

    Once the incentive measures have been completed, a Project Completion Agreement must be submitted within 30 days after the measures are installed and

    operational. Failure to submit within 30 days could result in disqualification for the incentive. DNV KEMA may request documentation from the applicant to verifymeasure eligibility and costs. Applicant should be prepared to provide a copy of a final invoice that provides sufficient itemization to assess which measures were

    installed and the amount paid for the installed measures. Applicant should also provide copies and product specification sheets when necessary to prove that the

    installed equipment met the required specification for the incentive. Applicant should also expect to provide documentation on assumptions and calculationmethods used to estimate savings for custom incentive projects. DNV KEMA reserves the right to request additional documentation as it deems necessary to

    verify eligibility, costs, and estimated savings.

    For every incentive requested, the appropriate Technology Form must be completed and submitted. Please remember to include all necessary supporting

    documentation including invoices and a signed Project Completion Agreement.

    Project Completion Application Parts:

    1. Transmittal Form and Project Information Form (Please fill out Project Information first to populate similar cells in the Transmittal Form)

    If funding for the incentive is currently available, applicants that submit a completed Pre-notification Application will receive a Funding Reservation Letter that the

    proposed measures are likely to qualify for the proposed incentive. The Funding Reservation Letter may contain various conditions, such as a maximum incentive

    amount and a time limi t to complete the project. The letter does NOT guarantee, in any manner, that the proposed measures will be eligible for an incentive or thata specific incentive amount is guaranteed. The eligibility of each measure and the amount of incentive will be determined only after the Project Completion

    Application is submitted.

    Project Completion Application Process

    Email: [email protected]

    2. Signed Project Completion Agreement

    3. All appropriate Technology Forms

    4. All appropriate back up information i.e., invoices (see Sure Bet Policies for details needed), energy savings analysis, manufacturer's specificationsheets, data sheets, floor plan drawings, etc.

    5. Third Party Incentive Authorization Form, where applicable

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    Tiers & LimitsTier 1 $0 - $100,000 = 100%

    Tier 2 $100,001 - $500,000 = 50%

    Tier 3 $500,001 - $1,000,000 = 20%Tier 4 $1,000,001 - Beyond = 10%

    Tiered incentives are calculated separately for the commercial retrofit and new construction programs, and separately for the NV Energy Southern and Northern service territories.

    Sure Bet Program New Construction Instructions and Guidelines - Page 22013

    Incentive Limits & Tiers

    The total incentive paid for any application cannot exceed 50% of the total cost of the new construction project. For projects that receive stimulus funds, the

    combination of the funds received from the Sure Bet Program and the stimulus funding may not exceed the total project cost. Please see the Sure Bet Policies &

    Procedures for additional details.

    In addition to the above project cost limit, incentive payment rates vary when a customer or facility calculated incentive exceeds the tiers listed below in a calendar

    year. The tables below provide the incentive rates for each tier. Facilities or Customers do not avoid incentive adjustments by submitting multiple applications in acalendar year per program component per territory. The tables below show how the incentive adjustments will be applied.

    ConditionsIncentives are available for projects constructed to be a minimum of 10% better than the code under which the project was permitted. For projects permitted under

    IECC 2006, that code will define the baseline; for projects permitted under IECC 2009, that code will define the baseline. The Project Information Sheet in theApplication has a block to identify the applicable code. Incentives will not be given for projects that are simply built to meet code requirements.

    Measurement and Verification (M&V) activities are a critical part of the energy conservation incentive process. This process allows NV Energy the ability to monitor

    the incentive activities to ensure that measures within a program are stil l cost effective and to continue to provide funding. As a condition of the program

    participation, the customer agrees to allow NV Energy and its subcontractors to perform M&V activities , that include but are not limited to; site inspections,

    spot measurements and the installation of data loggers for up to five (5) years after the project has been completed.

    The customer acknowledges that the energy efficiency credits that may result from the energy efficiency measures for which the rebate is paid inures to the benefit

    of the utility for compliance with the State of Nevadas renewable energy portfolio standard. Credits referenced here refer to the Portfolio Energy Credits authorizedunder the Renewable Energy Act in the Nevada Revised Statutes, chapter 704, sections 7801 through 7828 (NRS 704.7801-.7828). Owners still retain ownership

    of environmental credits, other tax benefits, or other credits not specifically created under NRS 704.7801 - .7828.

    Internal LaborInternal labor costs can only be added to determine the total project cost for certain work that is performed and with the following limitations:

    For measures which involve simple lighting lamp conversion, such as removal of an incandescent lamps and replacement of an alternative lamp or conversion of a

    T-8 lamp to a lower wattage T8 lamp with no ballast change, no internal labor costs can be used.

    All program details and all official Program updates will be posted on the Sure Bet Program website: http://www.nvenergy.com/surebet

    Toll Free Hotline: 1-800-342-6335

    Fax Number: 702-216-2727

    Revised 1/25/13

    2013 Application, Version 2

    For measures which involve significantly more than just a lamp replacement or measures involving HVAC, Commercial Kitchen, Refrigeration or other non-lighting

    equipment being installed or replaced, the internal labor cost claimed cannot exceed 25% of the total documented project cost. The total documented project costincludes materials, shipping, tax, equipment rental, external (contracted) labor, or any other costs associated with the project for which the customer receives and

    pays an invoice. If the submitted internal labor cost is greater than 25% of the total documented project cost, only 25% of the documented project cost will be

    allowed. The 25% limit is the maximum that is allowed, the actual cost to be used will be based on the documentation of labor costs (hours spend and hourly rate)

    provided by the customer. The Sure Bet staff will have the final decision on whether the measure qualifies for the 25% limit. Please see the current Policies andProcedure Manual for additional examples.

    Email: [email protected]

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    Tell us about yourself:

    Please Check if Applicable

    Prescriptive Lighting - 25% Better than IECC 2006/2009

    Projected Completion Date:

    Tell us about your project:

    Prescriptive Lighting - 10% Better than IECC 2006/2009

    Applicant Telephone Number:

    Please fill out the Technology Forms FIRST to populate the incentive values.

    Please fill out the Project Information & Technology Form Tabs FIRST to populate similar cells

    Applicant Mailing Address: Project Address:

    Project Name: Application Date:

    Applicant Contact Name: Applicant Business Name:

    Sure Bet New Construction Program Transmittal

    2013

    New Construction Technology Forms - Click on the form below to go directly to that tab

    in the application.

    Project Information Form (Required For All Projects)

    Third Party Incentive Authorization Form

    Revised 1/25/13

    - -

    Whole Building Based Incentives

    Prescriptive South Cooling and Miscellaneous

    Fax Number: 702-216-2727

    Email: [email protected]

    Total Incentive for New Construction Application

    Toll-Free Hotline: 1-800-342-6334

    Prescriptive Commercial Kitchen & Refrigeration

    Performance Based Incentives

    Complete program details and all official Program updates will be posted on the Sure Bet Program website: http://www.nvenergy.com/surebet

    , - -____________________

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    roject Name

    ompany Name, NV Energy Acct Holder

    ontact Name Title

    Mailing Address

    ity, State, Zip None Groce

    hone # Fax # Office Warehou

    ustomer Email Address Cell Phone # Casino Process Industr

    roject Installation Address Retail Medic

    ity, State & ZIP Code Restaurant Miscellaneo

    V Energy Customer & Premise Number Hotel/Motel

    ustomer Taxpayer ID Number

    ow did you hear about Sure Bet?

    BUILDING CODE INFORMATION

    Please include a copy of your W-9

    when you email this application

    Sure Bet New Construction Program2013

    Project Information

    CUSTOMER INFORMATION

    Business Type (Choose One):

    If more than one type applies, cho

    the type where the majority of

    measures are implemented

    ode Under Which Project was Permitted

    Example IECC 2006 or 2009)

    ompany Name

    ontact Name Phone #

    Mailing Address

    ity, State & ZIP Code

    ontractor Email Address

    ype "Same" only if the payee contact is

    he same as the customer contact above

    ompany Name

    ontact Name

    Mailing Address

    ity, State & ZIP Code

    hone # Fax #

    ayee Email Address

    axpayer ID Number

    evised 1/25/13

    13 Application, Version 2 SB-13-_______________

    PAYEE INFORMATION

    (Checks should be made payable to the party listed below)

    NOTE:

    For payments to parties other than

    customer, a Third Party Incentiv

    Authorization Form must be subm

    CONTRACTOR, ARCHITECT, REBATE ADMINISTRATOR*, ETC. INFORMATION

    * REFER TO THE 2013 SURE BE

    POLICIES AND PROCEDURES F

    REBATE ADMINISTRATOR

    REQUIREMENTS

    Please include a copy of your W-9

    when you email this application

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    Equipment Type Incentive / Unit

    Day Light Dimming System (Connected Watt) $0.10 X

    Example: Retail Sales 100,000 1.35 $ 10,500.00

    Use drop down menu to chose building type 0.00 $0.00

    Use drop down menu to chose building type 0.00 $0.00

    Use drop down menu to chose building type 0.00 $0.00

    Use drop down menu to chose building type 0.00 $0.00

    Use drop down menu to chose building type 0.00 $0.00

    Use drop down menu to chose building type 0.00 $0.00

    Use drop down menu to chose building type 0.00 $0.00

    Use drop down menu to chose building type 0.00 $0.00

    Use drop down menu to chose building type 0.00 $0.00

    Use drop down menu to chose building type 0.00 $0.00

    Use drop down menu to chose building type 0.00 $0.00

    Use drop down menu to chose building type 0.00 $0.00

    Use drop down menu to chose building type 0.00 $0.00

    Use drop down menu to chose building type 0.00 $0.00

    Use drop down menu to chose building type 0.00 $0.00

    Use drop down menu to chose building type 0.00 $0.00

    $350.00

    $350.00

    $350.00

    $350.00

    $350.00

    $350.00

    $350.00

    $350.00

    $350.00

    $350.00

    Incentive/kW Subtotal

    $350.00

    $350.00

    $350.00

    $350.00

    Daylighting Controls

    $0.00

    Interior Lighting - Lighting Power Density Approach - 10% Better than IECC 2006 / 2009

    See Sure Bet Design Maximum and qualifications for lighting power density table on Tab 3. NC 10% Lighting Specs. There is a minimum limit forthe allowed actual lighting density used for this calculation at 50% of the IECC 2006 / 2009 required value.

    Building Area Type

    Occupied Area

    (sq ft)

    Lighting Power

    Density (w/sq. ft)

    Sure Bet Design

    Maximum

    (w/sq. ft) *

    Number Installed Incentive Subtotal

    $350.00

    1.20 $350.00

    New Construction Lighting Technology Form 2013 - 10% Better than IECC 2006 / 2009

    $350.00

    se rop own menu o c ose u ng ype . .

    Use drop down menu to chose building type 0.00 $0.00

    Use drop down menu to chose building type 0.00 $0.00

    Use drop down menu to chose building type 0.00 $0.00

    Use drop down menu to chose building type 0.00 $0.00

    Use drop down menu to chose building type 0.00 $0.00

    Use drop down menu to chose building type 0.00 $0.00

    Use drop down menu to chose building type 0.00 $0.00

    Use drop down menu to chose building type 0.00 $0.00

    Use drop down menu to chose building type 0.00 $0.00

    Use drop down menu to chose building type 0.00 $0.00

    Use drop down menu to chose building type 0.00 $0.00

    Use drop down menu to chose building type 0.00 $0.00

    $0.00

    $0.00

    Revised 1/25/13

    2013 Application, Version 2 SB-13-________________

    Daylighting & 10% Better than IECC Lighting Total

    Click here to return to the Transmittal Form

    $350.00

    LIGHTING PLAN, SCHEDULE, AND COMCHECK REPORT OR EQUIVALENT MUST BE ATTACHED Total

    $350.00

    $350.00

    $350.00

    $350.00

    $350.00

    $350.00

    $350.00

    $350.00

    $350.00

    $350.00

    $350.00

    .

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    Interior Lighting Power Densities IECC

    Standard

    Sure Bet

    Design Max

    Building Area Type Watts/Sq Ft Watts/Sq Ft

    Automotive Facility 0.9 0.81

    Convention Center 1.2 1.08

    Courthouse 1.2 1.08

    Dining: Bar Lounge/Leisure 1.3 1.17

    Dining: Cafeteria/Fast Food 1.4 1.26

    Dining: Family 1.6 1.44

    Dormitory 1 0.9

    Exercise Center 1 0.9

    Gymnasium 1.1 0.99

    Healthcare-Clinic 1 0.9

    Hospital 1.2 1.08

    Hotel 1 0.9

    Library 1.3 1.17

    Manufacturing Facility 1.3 1.17

    Motel 1 0.9

    Motion Picture Theater 1.2 1.08

    Multi-family 0.7 0.63Museum 1.1 0.99

    Office 1 0.9

    Parking Garage 0.3 0.27

    Penitentiary 1 0.9

    Performing Arts Theaters 1.6 1.44

    Police/Fire Station 1 0.9

    Post Office 1.1 0.99

    Religious Building 1.3 1.17

    Retail 1.5 1.35

    School/University 1.2 1.08

    Sports Arena 1.1 0.99

    Daylight Dimming SystemEligible controls shall consist of a photo sensor that controls dimmingballasts. Dimming can be continuous or stepped at four or more levels(including on/off). Systems that allow on/off overrides are not eligible.Each sensor must control a minimum of 4 ballasts.

    For Performance Based Lighting, the energy savings will be based on thecalculated Lighting Power Density (LPD) on a watts per square foot basis.Incentives will be paid only on the square footage of the buildingwhere the lighting installation is completed and is ready foroccupancy. If a portion of a building is not completed such that finallighting installation is not complete and the space ready for occupancythen that portion is not eligible for an incentive. IECC 2006/2009Lighting Standard specifies the allowable light density for each majorbuilding area type. Please see the Sure Bet Policies and ProceduresManual for more detailed information and example qualification calculation.

    The incentive for the lighting performance based approach is $350 per kW

    reduction in connected lighting load below the IECC 2006/2009 standard.The total lighting wattage density must be 10% lower than the IECC2006/2009 standard to qualify for an incentive.The minimum allowedlighting density used to calculate the incentive shall be at50% of theIECC required value. Where an applicant has installed a lighting densityless that 50% of the IECC standard value, projects will be evaluated on acase by case basis to determine the incentive and will use either theperformance based approach (section P.9.8) or the lighting densityapproach; whichever approach is used it will be for the entire incentiverelated to installed fixtures.

    The following documentation is required to support the application:

    Lighting Specifications - 10% Better than IECC 2006 / 2009

    Lighting Controls Lighting Performance Based Approach Cont.

    Lighting Performance Based Approach

    Town Hall 1.1 0.99

    Transportation 1 0.9

    Warehouse 0.8 0.72

    Workshop 1.4 1.26

    Revised 1/25/13

    2013 Application, Version 2

    - Supporting calculations demonstrating building/space area and installedlighting wattage such as ComCheck report or engineering calculations

    - Lighting layout plans

    - Lighting fixtures schedule including fixture counts and manufacturers

    specification sheet including model number and rated wattage

    The required LPD values for IEEC 2006 and 2009 are the same, the onlydifference in the two sets of values are that the Restaurant category hasbeen removed in the 2009 standard (this category is redundant to theDining-Family category). Please review the Sure Bet Policies & Proceduresfor additional information.

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    Example: Retail Sales 100,000 1.13 $23,560.00

    Use drop down menu to chose building type 0.00 $0.00

    Use drop down menu to chose building type 0.00 $0.00

    Use drop down menu to chose building type 0.00 $0.00

    Use drop down menu to chose building type 0.00 $0.00

    Use drop down menu to chose building type 0.00 $0.00

    Use drop down menu to chose building type 0.00 $0.00

    Use drop down menu to chose building type 0.00 $0.00

    Use drop down menu to chose building type 0.00 $0.00

    Use drop down menu to chose building type 0.00 $0.00

    Use drop down menu to chose building type 0.00 $0.00Use drop down menu to chose building type 0.00 $0.00

    Use drop down menu to chose building type 0.00 $0.00

    Use drop down menu to chose building type 0.00 $0.00

    Use drop down menu to chose building type 0.00 $0.00

    Use drop down menu to chose building type 0.00 $0.00

    Use drop down menu to chose building type 0.00 $0.00

    Use drop down menu to chose building type 0.00 $0.00

    Use drop down menu to chose building type 0.00 $0.00

    Use drop down menu to chose building type 0.00 $0.00

    $465.00

    $465.00

    $465.00

    $465.00

    $465.00

    $465.00

    $465.00

    $465.00

    $465.00$465.00

    $465.00

    $465.00

    $465.00

    $465.00

    Incentive/kW Subtotal

    $465.00

    $465.00

    $465.00

    $465.00

    1.00 $465.00

    $465.00

    New Construction Lighting Technology Form 2013 - 25% Better than IECC 2006 / 2009

    Interior Lighting - Lighting Power Density Approach - 25% Better than IECC 2006 / 2009See Sure Bet Design Maximum and qualifications for lighting power density table on Tab 5. There is a minimum

    limit for the allowed actual lighting density used for this calculation at 50% of the IECC 2006 / 2009 required value.

    Building Area Type

    Occupied Area

    (sq ft)

    Lighting Power

    Density (w/sq. ft)

    Sure Bet DesignMaximum

    (w/sq. ft) *

    NOTE: In order to qualify for the Lighting Performance Based Approach - 25% Better than IECC 2006/2009, a Pre-Notification Application is required.Customer or their representative (such as a contractor) must also be working with a Sure Bet Engineer through the design and construction process.

    Use drop down menu to chose building type 0.00 $0.00

    Use drop down menu to chose building type 0.00 $0.00

    Use drop down menu to chose building type 0.00 $0.00

    Use drop down menu to chose building type 0.00 $0.00

    Use drop down menu to chose building type 0.00 $0.00

    Use drop down menu to chose building type 0.00 $0.00

    Use drop down menu to chose building type 0.00 $0.00

    Use drop down menu to chose building type 0.00 $0.00

    Use drop down menu to chose building type 0.00 $0.00

    Use drop down menu to chose building type 0.00 $0.00

    $0.00

    $0.00

    Revised 1/25/13

    2013 Application, Version 2 SB-13-____________________

    TotalLIGHTING PLAN, SCHEDULE, AND COMCHECK REPORT OR EQUIVALENT MUST BE ATTACHED

    Click here to return to the Transmittal Form

    25% Better than IECC Lighting Total

    $465.00

    $465.00

    $465.00

    $465.00

    $465.00

    $465.00

    $465.00

    $465.00

    $465.00

    $465.00

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    Interior Lighting Power Densities IECC

    Standard

    Sure Bet

    Design Max

    Building Area Type Watts/Sq Ft Watts/Sq Ft

    Automotive Facility 0.9 0.68

    Convention Center 1.2 0.90

    Courthouse 1.2 0.90

    Dining: Bar Lounge/Leisure 1.3 0.98

    Dining: Cafeteria/Fast Food 1.4 1.05

    Dining: Family 1.6 1.20

    Dormitory 1 0.75

    Exercise Center 1 0.75

    Gymnasium 1.1 0.83

    Healthcare-Clinic 1 0.75

    Hospital 1.2 0.90

    Hotel 1 0.75

    Library 1.3 0.98

    Manufacturing Facility 1.3 0.98

    Motel 1 0.75

    Motion Picture Theater 1.2 0.90Multi-family 0.7 0.53Museum 1.1 0.83

    Office 1 0.75

    Parking Garage 0.3 0.23

    Penitentiary 1 0.75

    Performing Arts Theaters 1.6 1.20

    Police/Fire Station 1 0.75

    Post Office 1.1 0.83

    Religious Building 1.3 0.98

    Retail 1.5 1.13

    For Performance Based Lighting, the energy savings will be based on thecalculated Lighting Power Density (LPD) on a watts per square foot basis.Incentives will be paid only on the square footage of the buildingwhere the lighting installation is completed and is ready foroccupancy. If a portion of a building is not completed such that finallighting installation is not complete and the space ready for occupancythen that portion is not eligible for an incentive. IECC 2006/2009Lighting Standard specifies the allowable light density for each majorbuilding area type. Please see the Sure Bet Policies and ProceduresManual for more detailed information and example qualification calculation.

    The incentive for the lighting performance based approach is $465 per kWreduction in connected lighting load below the IECC 2006/2009 standard.The total lighting wattage density must be 25% lower than the IECC2006/2009 standard to qualify for an incentive.The minimum allowedlighting density used to calculate the incentive shall be at 50% of theIECC required value. Where an applicant has installed a lighting densityless that 50% of the IECC standard value, projects will be evaluated on acase by case basis to determine the incentive and will use either theperformance based approach (section P.9.8) or the lighting densityapproach; whichever approach is used it will be for the entire incentiverelated to installed fixtures.

    The followin documentation is re uired to su ort the a lication:

    Performance Based Lighting Specifications -25% Better than IECC 2006/2009

    Lighting Performance Based Approach Cont.

    Lighting Performance Based Approach

    PLEASE NOTE: In order to qualify for the LightingPerformance Based Approach - 25% Better than IECC2006/2009, a Pre-Notification Application is required nolater than the schematic phase of the project. Customeror their representative (such as a contractor) must alsobe working with a Sure Bet Engineer through the designand construction process. No final applictions for thismeasure will be accepted without meeting the aboverequirements.

    School/University 1.2 0.90

    Sports Arena 1.1 0.83

    Town Hall 1.1 0.83

    Transportation 1 0.75

    Warehouse 0.8 0.60

    Workshop 1.4 1.05

    evised 1/25/13

    013 Application, Version 2

    .

    The following documentation is required to support the application:

    - Supporting calculations demonstrating building/space area and installedlighting wattage such as ComCheck report or engineering calculations

    - Lighting layout plans

    - Lighting fixtures schedule including fixture counts and manufacturers

    specification sheet including model number and rated wattage

    The required LPD values for IEEC 2006 and 2009 are the same, the onlydifference in the two sets of values are that the Restaurant category hasbeen removed in the 2009 standard (this category is redundant to theDining-Family category). Please review the Sure Bet Policies & Proceduresfor additional information.

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    Equipment

    Incentive

    (per ton (2))

    Efficiency

    Incentive (pe

    unit Eff. over Qual

    Eff. per ton)

    $10.00 $5.00

    $10.00 $7.00

    $15.00 $8.00

    $15.00 $8.00

    $15.00 $6.00

    $35.00 $15.00

    $15.00 per HXTons

    NA

    $45.00 per HP NA

    (1) EER = Energy Efficiency Ratio, SEER = Seasonal Energy Efficiency Ratio

    (2) 1 Ton = 12,000 Btuh (or Btu/hr)

    QuantitySize of Unit

    (tons)

    Unit Efficiency

    (SEER or EER -

    see below**)

    Qualifying

    Efficiency (SEER

    or EER**)

    EER Value for

    Units = 135,000 Btuh to 240,000 Btuh 12 EER

    > 240,000 Btuh 10.8 EER

    Qualifying Efficiency

    SEER/EER (1)

    Northern New Construction Cooling & MiscellaneousTechnology Form 2013

    Water Cooled Units

    (Split System and Single Package Units) All Sizes

    Size CategoryEquipment Type (1)

    14.0 EER

    Air Cooled AC Units

    =< 65,000 Btuh 14 SEER &11.6 EER

    Make and Model #

    Air Cooled AC Units

    Make and Model #

    Packa ed Terminal Units PTAC/PTHP

    Water Cooled Units

    QuantitySize of Unit

    (tons)

    Unit Efficiency

    (EER)

    Qualifying

    Efficiency (EER)Subtotal

    $0.00

    $0.00

    Flat Plate Heat Exchanger

    Heat

    Exchanger

    Tons

    Incentive/Ton Subtotal

    Application

    Code*Qty Motor Size (HP) Incentive/HP Subtotal

    $45.00 $0.00

    $45.00 $0.00

    $45.00 $0.00

    $45.00 $0.00

    * Please see the codes listed under Variable Speed Drives on the Cooling & Misc Spec sheets.

    $0.00

    Click here to return to the Transmittal Form

    Revised 2/4/13

    2013 Application, Version 2 SB-13-________________

    Variable Speed Drives

    $15.00

    Make and Model #

    $0.00

    Description (Make/Model)

    Description

    North Cooling & Miscellaneous Total

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    Equipment

    Incentive

    (per ton (2))

    Efficiency

    Incentive (pe

    unit Eff. over QualEff. per ton)

    $12.00 $8.00

    $12.00 $10.00

    $18.00 $10.00

    $18.00 $10.00

    $25.00 $10.00

    $50.00 $20.00

    $15.00 per HXTons

    NA

    $60.00 per HP NA

    (1) EER = Energy Efficiency Ratio

    (2) 1 Ton = 12,000 Btuh (or Btu/hr)

    QuantitySize of Unit

    (tons)

    Unit Efficiency

    (SEER or EER -

    see below**)

    Qualifying

    Efficiency (SEER

    or EER**)

    EER Value for

    Units = 240,000 Btuh

    NA

    > 135,000 Btuh to 240,000 Btuh

    Flat Plate Heat Exchanger on Chiller Plant

    QuantitySize of Unit

    (tons)

    Unit Efficiency

    (EER)

    Qualifying

    Efficiency (EER)Subtotal

    $0.00

    $0.00

    Flat Plate Heat Exchanger

    Heat

    Exchanger

    Tons

    Incentive/Ton Subtotal

    Application

    Code*Qty Motor Size (HP) Incentive/HP Subtotal

    $60.00 $0.00

    $60.00 $0.00

    $60.00 $0.00

    $60.00 $0.00

    * Please see the codes listed under Variable Speed Drives on the Cooling & Misc Spec sheets.

    $0.00

    Click here to return to the Transmittal Form

    Revised 2/4/13

    2013 Application, Version 2 SB-13-________________

    Variable Speed Drives

    Description (Make/Model)

    South Cooling & Miscellaneous Total

    $15.00 $0.00

    Description

    Make and Model #

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    New air and water cooled air conditioning units or heat pumps that meet or exceed the qualifying efficiency (EER) shown in the Coolingncentive Tech Sheet Table are eligible for an incentive. These units can be either split system or single packaged units. Evaporative cooledo not qualify under the New Construction Prescriptive Air Conditioning Incentive, but may qualify under the New Construction PerformanceBased Program. All packaged and split system cooling equipment must meet Air-Conditioning, Heating and Refrigeration Institute (AHRI)standards (210/240, 320 or 340/360), be UL listed, and use a minimum ozone-depleting refrigerant (e.g., HCFC or HFC). A manufacturer'sspecification sheet indicating the system efficiency must accompany the application.

    The total incentive is determined by two components an equipment incentive and an efficiency incentive. Both the equipment and efficienncentives are applied per ton of cooling installed. The equipment qualifies for an equipment incentive if the qualifying ef ficiency is met for tequipment size category. In addition, the efficiency incentive is added on a prorated basis if the equipment exceeds the minimum qualifyingefficiency for the equipment size category.

    The incentive for air conditioners is calculated as follows:Tons X [Equipment Incentive/ton + Efficiency Incentive/ton X (EER new EER qualifying)]

    For air-cooled units =

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    VSDs on rocess e ui ment is not eli ible for this measure and must utilize the Performance Based Technolo Form.

    Application Code for eligible VSD applications:

    BEF = Building Exhaust FanCTF = Cooling Tower FanCWP = Chilled/Condenser Water PumpFWP = Boiler Feed Water PumpHWP = Hot Water Circulator PumpMAF = Make-up Air FanRFA = Return fan on return air handlerSFA = Su l fan on su l air handler

    For instances where VSDs are installed on redundant/backup systems (such as secondary chilled water pumps) only one unit iseligible for an incentive.

    Variable Speed Drives

    Variable Speed Drives (VSD) offer a method of significantly reducing the energy consumed by fans, centrifugal pumps, and othermotor driven machinery operating under varying loads. VSD must be installed for the primary purpose of reducing energy usage.

    Prescriptive incentives are available for applications 200 HP on qualifying HVAC fans (supply, return, exhaust, make up), single

    speed cooling tower fans, chilled/condenser water circulation pumps (HVAC), hot water circulation pumps (HVAC), boiler feed waterpumps as well as for installations on process related machinery. Integrated VSD applications on new chillers or package units arenot eli ible for this incentive.

    Cooling & Miscellaneous Specifications

    evised 1/25/13

    13 Application, Version 2

    NOTE: VSD applications required by IECC 2006/2009 are not eligible for incentives. VSD's on all VAV fan installations 10 HP

    are not eligible as they are required by IECC 2006/2009. Variable speed fans are required by IECC 2006/2009 on Cooling TowerFans > 7.5 HP and are not eligible for incentives. Hydronic systems greater than or equal to 300,000 btu/h in design output capacitysupplying heated or chilled water to comfort conditioning systems must have flow control capabilities (which can be satisfied with a

    VSD .

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    Unit Quantity Incentive/Unit Incentive

    Vat $200

    Vat $200

    Griddle $300

    Oven $350

    Oven $1,000Steamer $750

    Cabinet $300

    Cabinet $250

    Cabinet $200

    HP $300

    Door $40

    Motor $40

    Motor $30

    Controller $35

    .

    Unit Quantity Incentive/Unit Incentive

    Machine $50

    Machine $75

    Machine $125

    Machine $200

    Machine $250

    < 300

    500-1000

    1,000-1,500

    CEE Tier 2

    300-500

    >1,500

    EC Motors: Refrigerated Cases

    Evaporator Fan Controller

    ENERGY STAR / CEE Tier 1

    Ventilation Control - Exhaust Hood

    EC Motors: Walk-In Boxes

    HE Griddles

    Convection Ovens

    Combination OvensSteam Cookers

    HE Holding Cabinets, Full Size

    Commercial Kitchen/Refrigeration Incentive Worksheet2013

    Measure

    Commercial Kitchen Measures

    HE Holding Cabinets, 3/4 Size

    HE Fryers

    Size (Lbs/Day)

    Anti-Sweat Heater Controls

    Large Vat Fryers

    HE Holding Cabinets, Half Size

    Commercial Kitchen Measures-High Efficiency Ice Machines

    Machine $150

    Machine $250

    Machine $400

    Machine $500

    .

    Unit Quantity Incentive/Unit Incentive

    Refrigerator $50

    Refrigerator $75

    Refrigerator $90

    Refrigerator $125

    Freezer $60

    Freezer $75

    Freezer $80

    Freezer $200

    Refrigerator $50

    Refrigerator $75Refrigerator $90

    Refrigerator $125

    Freezer $60

    Freezer $75

    Freezer $80

    Freezer $200

    $0.00Commercial Kitchen/Refrigeration Total

    Click here to return to the Transmittal Form

    >1,500

    Refrigerator, 15 < V < 30

    300-500

    500-1000

    Refrigerator, 30 < V < 50

    Refrigerator, > 50

    Refrigerator, > 50

    Refrigerator, 15 < V < 30

    Glass Door

    1,000-1,500

    Refrigerator, 0< V < 15

    Type / Size "V" (Cubic Feet)

    Freezer, 15 < V < 30

    Freezer, 30 < V < 50

    Freezer, > 50

    Refrigerator, 0< V < 15

    Commercial Kitchen Measures-Refrigerators/Freezers ENERGY STAR Version 2.0

    Solid Door

    Refrigerator, 30 < V < 50

    Freezer, 0< V < 15

    Freezer, 15 < V < 30

    Freezer, 30 < V < 50

    Freezer, > 50

    Freezer, 0< V < 15

    Revised 1/25/132013 Application, Version 2 SB-13-____________________

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    Only Electric equipment qualifies for incentives. Further information and specifications for many of these measures are given in the Sure Bet Policies andProcedures Manual. Energy Star maintains a list of qualifying products and specifications at www.energystar.gov or www.CEE1.org. To determine if non-Energy Star models meet the ASTM standard, contact your manufacturers representative.

    The commercial fryer shall have a tested heavy load (French fry for large vats) cooking energy efficiency of > 80% utilizing ASTM Standard F2144 forlarge vat fryers. Multiple vat configurations are paid per qualifying vat.

    The griddle shall meet or exceed ENERGY STAR specifications which are a heavy load cooking energy efficiency of > 70% utilizing ASTM StandardF1275 and a normalized idle energy rate 320 watts per ft2.

    The oven shall meet or exceed ENERGY STAR specifications which are a heavy load potato cooking energy efficiency of > 70% utilizing ASTMStandard F1496 and an idle energy rate of 1.0 kW for half size and 1.6 kW for full size.

    Commercial Kitchens/Refrigeration Specifications

    Large Vat Fryers

    Griddles

    Convection Ovens

    Combination Ovens

    The fryer shall meet or exceed ENERGY STAR specifications which are a heavy load cooking energy efficiency of > 80% utilizing American Societyfor Testing and Materials (ASTM) Standard F1361 and a normalized idle energy rate 1,000 watts (based on a 15-inch fryer).

    Fryers

    Pan Capacity Idle Rate (watts)3-pan 4004-pan 5305-pan 6706-pan or larger 800

    Revised 1/25/13

    2013 Application, Version 2

    ~ CONTINUED ~

    8 of 13

    e oven s a mee or excee eavy oa coo ng energy e c ency o > u z ng an ar .

    The commercial steam cooker shall meet ENERGY STAR specifications for energy efficiency or shall have a tested heavy load potato cooking

    energy efficiency of > 50% utilizing ASTM Standard F1484.

    This measure does not include cook and hold equipment. All measures shall be electric hot food holding cabinets that are fully insulated and havesolid doors in full, three-quarter and half sizes respectively. Qualifying cabinets shall not exceed the maximum idle energy rate of 20 Watts per cubicfoot in accordance with the ASTM Standard F2140 test method as stated in ENERGY STAR. Cook and hold equipment and units < size may beeligible and should be applied for as a custom incentive.

    This incentive applies towards the purchase and installation of a new commercial kitchen exhaust hood control system installed in a new dedicatedcommercial kitchen exhaust hood and make-up air system. The incentive is per exhaust fan hp. The control system must be used in conjunction withvariable speed fan motor controls. Only pre-approved control systems will qualify for an incentive. Please see the Sure Bet Program Policies andProcedures for details on approved control systems.

    Steam Cookers

    Holding Cabinets

    Ventilation Control - New

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    This specification covers machines generating 60 grams (2 oz.) or lighter ice cubes, as well as flaked, crushed and fragmented ice makers. Performancedata is based on Air-Conditioning, Heating and Refrigeration Institute (AHRI) Standard 810. Air-cooled (self contained, ice making heads, or remote

    To qualify for this measure, a device that senses the relative humidity in the air outside of the display case and reduces or turns off the glass door (ifapplicable) and frame anti-sweat heaters at low humidity conditions shall be installed. Technologies that can turn off anti-sweat heater based onsensing condensation (on inner glass pane) also qualify.

    This measure refers to the installation of a new Electronically Commutated Motor (ECM) for the evaporator fan motor on walk-in boxes or refrigeratedcases as opposed to a standard-efficiency shaded-pole evaporator fan motor. An ECM is a brushless DC motor with an electronically controlledcommutator that allows the motor to operate much more efficiently than the shaded-pole motors with an electro-mechanical commutator typically usedin refrigeration applications. Permanent split-core (PSC) motors are not eligible for this incentive.

    Commercial Kitchens/Refrigeration - Continued

    Anti-Sweat Heater Controls

    EC Motors on Walk-Ins or Refrigerated Cases

    Ice Machines

    Evaporator Fan Controller

    This measure is for the installation of controls in medium temperature walk-in coolers. The controller reduces airflow of the evaporator fans whenthere is no refrigerant flow. The measure must control a minimum of 1/20 HP where fans operate continuously at full speed. The measure also mustreduce fan motor power by at least 75 percent during the off cycle. This measure is NOT applicable if any of the following conditions apply:

    1) The compressor runs all the time with high duty cycle

    2) The evaporator fan does not run at full speed all the time3) The evaporator fan motor runs on polyphase power4) The evaporator fan motor is not shaded-pole or permanent split capacitor5) Evaporator does not use off-cycle or time-off defrost

    Revised 1/25/132013 Application, Version 2

    NOTE: If a refrigeration measure is required by code, it is not eligible for an incentive.

    condensing) or Water-cooled machines with an independent and isolated compressor and ice formation feeds on a closed-chilled water loop are eligible.The efficiency specifications for the two qualifying tiers are equivalent to ENERGY STAR/or CEE Tier 2. The entire AHRI tested ice making systemmust be purchased to qualify. Remote machines shall be purchased with qualifying remote condenser or remote condenser/compressor unit. Visitwww.ahrinet.org for product information and testing procedures. Specifications are available at www.energystar.gov or www.cee1.org. The test methodmust be in accordance with AHRI Standard 810.

    The refrigeration system shall be a new built-in (packaged) unit. Cases with remote refrigeration systems do not qualify for a prescriptive incentive.Customers shall provide proof that the appliance meets the ENERGY STAR Version 2.0 specifications using ANSI/ASHRAE Standard 72-2005 (38 o F +/-2 oF for refrigerators and 0 oF +/- 2 oF for freezers). Please see the Sure Bet Policy and Procedures for energy usage specifications.

    Refrigerators / Freezers

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    $0.10

    Each On-

    Peak kWh

    Saved

    Each Non

    On-Peak

    kWh Saved

    Each On-

    Peak kWh

    Saved

    Each Non

    On-Peak

    kWh Saved

    7,134

    Annual Energy Savings

    Non On-Peak

    kWh

    On-Peak kWh

    Non On-Peak

    kWh

    Non On-Peak

    kWh

    Performance Based Approach - 10% Better than IECC 2006 / 2009

    Project Description (Please see Specifications Sheet for details)

    $0.10

    Annual Energy Savings

    SubtotalOn-Peak kWh

    Each Non

    On-Peak

    kWh Saved

    $0.06

    $0.00

    Each On-

    Peak kWh

    Saved

    $0.06

    Please attach supporting documents as described in the specifications

    High Efficiency Chiller. The proposed chiller is a nominal 275-ton Carrier water-

    cooled screw chiller. The chiller has a full load efficiency of 0.709 kW/Ton, and an

    IPLV of 0.525 kW/Ton. The baseline chiller is also a 275-ton water cooled screw

    chiller. The baseline has a full load COP of 4.90 (0.718 kW/Ton) and an IPLV COP

    of 4.95 (0.710 kW/Ton). While the full load efficiency is not markedly different than

    the baseline, the IPLV is extremely efficient. The project will achieve a 12.9% annual

    energy reduction with the improved chiller efficiency. Additional information attached.

    Project Description (Please see Specifications Sheet for details)

    Example On-Peak kWh

    31,073

    Performance Based Approach - 10% Better than IECC 2006 / 2009

    Project Description (Please see Specifications Sheet for details)

    Annual Energy Savings

    Subtotal

    $0.00

    Performance Based Technology Form 2013

    Performance Based Approach - EXAMPLE

    Subtotal

    $0.10 $0.06 $2,577.78

    $0.00

    Revised 1/25/13

    $0.00$0.13 $0.07

    Click here to return to the Transmittal Form

    Note: Please see Performance & Whole Building Based Specification Sheet for ALL details required

    Performance Based Total

    On-Peak kWh

    Non On-Peak

    kWh

    NOTE: In order to qualify for the Performance Based Approach - 25% Better than IECC 2006/2009, a Pre-Notification Application is required. Customer or their

    representative (such as a contractor) must also be working with a Sure Bet Engineer through the design and construction process.

    Performance Based Approach - 10% Better than IECC 2006 / 2009

    Project Description (Please see Specifications Sheet for details)

    Non On-Peak

    kWh

    Each Non

    On-Peak

    kWh Saved SubtotalOn-Peak kWh

    Each Non

    On-Peak

    kWh Saved

    $0.10

    Annual Energy Savings Each On-

    Peak kWh

    Saved

    $0.06 $0.00

    Each On-

    Peak kWh

    Saved Subtotal

    Performance Based Approach - 25% Better than IECC 2006 / 2009

    Project Description (Please see Specifications Sheet for details)

    Annual Energy Savings

    2013 Application, Version 2 SB-13-________________

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    NOTE: Additional incentives are available for projects that apply for the Whole Building Based approach and engage the Sure Bet Team

    early in the design process. Please refer to the Performance & Whole Building Specifications to make sure that all requirements are

    met.

    -

    Whole Building Based Approach - 10% Better than IECC 2006 / 2009 and Early Involvement

    Annual Energy Savings Each On-

    Each Non

    -

    $0.10 $0.06

    Refueling Station - LEED Gold Certified. Savings based on Modelsused for LEED certification process.

    LEED Project Access ID, Energy Savings Analysis and Models

    attached.Exterior Lighting kWh savings calculated separately as shown on

    attached worksheet.On-Peak and Non On-Peak kwh calculations attached.

    All applicable specs attached.

    8,257 32,122 $0.10 $0.06

    $0.00

    $2,753.02

    Whole Building Based Approach - 10% Better than IECC 2006 / 2009

    Project Description (Please see Specifications Sheet for details)

    Annual Energy Savings Each On-

    Peak kWh

    Saved

    Each Non

    On-Peak

    kWh Saved SubtotalOn-Peak kWh

    Non On-Peak

    kWh

    Whole Building Based Technology Form 2013Please attach supporting documents as described in the specifications

    Whole Building Based Approach - EXAMPLE

    Project Description (Please see Specifications Sheet for details)

    Example

    Annual Energy Savings Each On-

    Peak kWh

    Saved

    Each Non

    On-Peak

    kWh Saved SubtotalOn-Peak kWh

    Non On-Peak

    kWh

    $0.00

    Revised 1/25/13

    2013 Application, Version 2

    Note: Please see Performance & Whole Building Based specification sheet for ALL details required

    Click here to return to the Transmittal Form

    SB-13-_________________

    $0.00

    Whole Building Based Approach - 25% Better than IECC 2006 / 2009 and Early Involvement

    Project Description (Please see Specifications Sheet for details)

    Annual Energy Savings Each On-

    Peak kWh

    Saved

    Each Non

    On-Peak

    kWh Saved SubtotalOn-Peak kWh

    Non On-Peak

    kWh

    $0.00

    NOTE: Additional incentives are available for projects that apply for the Whole Building Based approach, are 25% better than IECC 2006

    / 2009 and engage the Sure Bet Team early in the design process. Please refer to the Performance & Whole Building Specifications to

    make sure that all requirements are met.

    $0.20 $0.10

    SubtotalOn-Peak kWh

    kWh

    Whole Building Based Total

    $0.17 $0.09

    Project Description (Please see Specifications Sheet for details)

    Saved

    kWh Saved

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    The Performance Based Approach enables the design team to consider a custom approach for individual items, such as a high efficiency chiller. Documentation of savings in the form of abuilding performance model or appropriate engineering algorithms must be provided by the applicant and must show that the annual energy consumption is at least 10% better that theIECC 2006/2009 minimum. The incentive rate is based on kWh savings and varies for on-peak and non on-peak periods. (More detailed information is contained in the Sure Bet Policies andProcedures document.)

    Please refer to the Sure Bet Policies & Procedures Manual Appendix for guidelines on supporting documentation required for different project types. Note, the information below isrequired to confirm kWh savings. Examples of documentation to be included with the application are:

    - A narrative or list of specific energy efficient features of the building and listing the energy efficient system performance and comparing it to IECC 2006/2009 minimum system performance.- A description of the building schedule and major operating assumptions.- The input and output files used for the model annotated to show the base case and where the energy efficient features are included. Industry accepted modeling tools such as e-quest, DOE-2,Trane Trace, etc. can be used for building simulation purposes.- A summary worksheet summarizing the results of the modeling and showing annual energy savings and summer peak demand savings between the high-efficiency case and the IECC2006/2009 minimum.

    By providing as much of the information given in the guidelines as possible, the timeframe for project approval will likely be reduced.

    Performance & Whole Building Based Specifications

    Performance Based Approach - 10% Better than IECC 2006 / 2009

    Whole Building Based Approach - 10% better than IECC 2006 / 2009

    The Whole Building Based Approach enables the design team to consider a custom approach for either the building as a whole such as required for LEED qualifications ora combination of measures on a whole building level. Documentation of savings in the form of a building performance model or appropriate engineering algorithms must beprovided by the applicant and must show that the annual energy consumption is at least 10% lower that the IECC 2006/2009 minimum. The incentive rate is based on kWhsavings and varies for on-peak and non on-peak periods.

    Performance Based Approach - 25% better than IECC 2006 / 2009

    Incentives are available for individual projects that operate at a minimum of 25% better than IECC 2006/2009. In order to qualify for the Performance Based Approach -25% Better than IECC 2006/2009, a Pre-Notification Application is required no later than the scematic phase of the project. The customer or their representative (such as acontractor) must also be working with a Sure Bet Engineer through the design and construction process. Documentation of savings in the form of a performance model orappropriate engineering algorithms must be provided by the applicant and must show that the annual energy consumption is at least 25% lower that the IECC 2006/2009standard. The incentive is based on kWh savings and varies for on-peak and non on-peak periods. No final applictions for this measure will be accepted without meetingthe above requirements.

    ALL OTHER REQUIREMENTS LISTED ABOVE FOR THE PERFORMANCE BASED APPROACH -10% BETTER THAN IECC 2006 / 2009 MUST ALSO BE MET

    Customers may not apply for this incentive AND the Performance Based Approach - 10% Better than IECC 2006/2009 as the incentive for this measure includes buildingto 10% better than IECC 2006/2009.

    These specifications refer to both the 2006 and 2009 versions of the IECC. The code under which a project is permitted will be the applicable code.

    formance-Based Approach

    le Building Based Approach Performance-Based Approach

    Summer On-Peak

    July thru September1PM - 6PM Weekdays Only On-Peak

    June thru September1PM - 7PM 7 Days per Week

    Winter On-Peak

    October thru June5PM - 9PM 7 Days per Week Non On-Peak

    Oct thru May

    All Other

    Hours7 Days per Week

    Summer Non On-Peak

    July thru September6PM - 1PM

    Winter Non On-Peak

    October thru June9PM - 5PM 7 Days per Week

    Revised 1/25/13

    Weekdays AND

    All Weekend Hours

    NOTE: Please contact the Sure Bet team for worksheets that may assist with

    the division of kWh into on-peak and non-on peak time periods.

    Northern NV Energy Time of Use Periods Southern NV Energy Time of Use Periods

    Please refer to the Sure Bet Policies & Procedures Manual Appendix for guidelines on supporting documentation required for this approach. Note, thisinformation is required to confirm kWh savings. Examples of documentation to be included with the application are:

    - A narrative or list of specific energy efficient features of the building and listing the energy efficient system performance and comparing it to IECC 2006/2009 minimumsystem performance.- A description of the building schedule and major operating assumptions.- The input and output files used for the model annotated to show the base case and where the energy efficient features are included. Industry accepted modeling toolssuch as e-quest, DOE-2, Trane Trace, etc. can be used for building modeling purposes.

    - A summary worksheet summarizing the results of the modeling and showing annual energy savings and summer peak demand savings between the high-efficiency caseand the IECC 2006/2009 minimum.

    By providing as much of the information given in the guidelines as possible, the timeframe for project approval will likely be reduced.

    Whole Building Based Approach - 10% or 25% Better than IECC 2006 / 2009 & Early Involvement

    Incentives are available for projects that apply for the Whole Building Based approach and engage the Sure Bet Team early in design. Customers that apply for thisincentive must be building to at least 10% better than IECC 2006/2009 for the energy use of the whole building. Additional incentives are available for building to at least25% better than IECC 2006/2009 for the energy use of the whole building.

    There are two methods that can be used to apply for this incentive. Customers may agree to have a Sure Bet team member participate in the design process OR projectowners agree to have Sure Bet perform the incremental performance modeling of measures being considered based on modeling that will be done to meet IECC 2006or 2009 requirements as applicable. The model used, with inputs needed to meet code, must be provided to the Sure Bet team to perform the incremental modeling ofmeasures.

    In order to participate in this incentive via the design process method, Sure Bet team members must be involved at about 75% into the Schematic Design Stage, just prior tothe Design Development Stage. Team members should also be involved in Energy Design Evaluation and Document Design in order to have the opportunity to proposeenergy efficiency improvements. Sure Bet will also verify installation of improvements in order to validate the incentive.

    Customers may not apply for this incentive AND the Whole Building Approach - 10% Better than IECC 2006/2009 as the incentive for this measure includes building to 10%

    better than IECC 2006/2009.

    2013 Application, Version 2

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    Sure Bet Program Completion Agreement 2013

    This agreement is between DNV KEMA Services, Inc ("DNV KEMA") and a qualified program Applicant ("Applicant"). DNV KEMA is

    under contract to implement the Sure Bet program for NV Energy, Inc. (Applicant is defined as either the NV Energy customer, or incases where the buildin owner is im lementin the measures, the buildin owner can be the a licant.

    Applicant certifies that they have purchased one or more qualified energy efficiency measures that meet the specifications defined inthe appropriate Sure Bet Program application and that these measures have been installed in an eligible facility that purchaseselectricity directly from NV Energy. Applicant also certifies that the energy efficiency measures were installed between the dates of

    Januar 1, 2013 and November 15, 2013.

    Applicant acknowledges that the cash incentive will be paid to applicant (or their designee) only after DNV KEMA has determined thatall program terms and conditions have been met. The complete set of terms and conditions are provided in the 2013 Sure Bet ProgramPolicies and Procedures Manual which can be found at www.nvenergy.com/surebet. Selective terms and conditions include:

    No final a lications will be acce ted without the submittal of a Pre-Notification A lication.

    The applicant may be required to refund some or all of the incentives they receive if the measures do not remaininstalled for a period of five (5) years or the expected life of the measure, whichever is less, or the facility where themeasures are installed ceases to be a distribution customer of NV Ener durin the said time eriod.

    Available funding for incentives is limited. Applicants are strongly encouraged to notify DNV KEMA via the pre-notification process before the measures are purchased and installed to determine if funding is available.The amount of incentive paid cannot exceed 50% of the cost of the measure. Internal labor costs may be consideredwhen determining the incremental measure cost. Please review application to see which costs are accepted. The paid

    incentive amount will vary from the calculated incentive when a facility or NV Energy customer receives total incentivepayments that exceed the tiers stated in the Incentive Limits & Tiers in the Instructions & Guidelines of this applicationwithin a calendar ear for an one ro ram.

    DNV KEMA reserves the right to require that the Applicant provide documentation that established the eligibility andcost of the installed measures. The required documentation may include, but is not limited to, copies of invoices androduct s ecification sheets.

    For certain measures, the incentive amount will be determined based on the estimated amount of energy savings. TheA licant ma be re uired to rovide documentation on ener savin s calculations and assum tions. DNV KEMA will

    .have sole and exclusive rights to determine the estimated savings and thus the incentive amount to be paid.

    In exchange for the incentive payment, Applicant transfers all rights for energy efficiency credits that result from theenergy efficiency measures for which the incentive is paid to the benefit of NV Energy for compliance with the State ofNevada's renewable energy portfolio standard.

    The Applicant acknowledges that the incentive may be taxable and that the Applicant is solely responsible for thea ment of an resultin taxes. DNV KEMA will re ort incentives to the IRS as re uired b IRS re ulations.

    Applicant agrees, for a period of five (5) years, to allow NV Energy or its assigned contractor, to conduct on-site inspections to verify that the qualified measures are installed and to conduct other measurement and

    verification activities to assess the amount of energy savings achieved.

    Final applications received more than thirty (30) days after the installation of the qualified measures are

    subject to disqualification for the incentive.

    DNV KEMA provides no guarantee of energy savings and does not warranty any products or services provided byother arties in an wa .

    Applicant Signature: Date:

    (1) DNV KEMA is under contract to NV Energy to implement the Sure Bet Commercial Incentive and New Construction Programs.

    Applicant Printed Name: Measure Installation/Project Completion Date:

    Applicant Business Name: Total Measure Costs:

    2013 Application, Version 2 SB-13-____________________

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    NV Energy Customer Company Name

    NV Energy Customer Signature

    Sure Bet Program 3rd Party Incentive Authorization Form

    2013

    To authorize us to send your payment directly to the third party referenced on your Sure Bet

    application, please sign this agreement and submit it to our office for processing.

    I HEREBY AUTHORIZE MY INCENTIVE PAYMENT FOR THE PROJECT DESCRIBED BELOW TO

    BE ISSUED DIRECTLY TO THE THIRD PARTY ("PAYEE") NAMED BELOW. I UNDERSTAND THAT IWILL NOT BE RECEIVING AN INCENTIVE PAYMENT FROM NV ENERGY OR THE SURE BETPROGRAM. I ALSO UNDERSTAND THAT MY RELEASE OF THE PAYMENT TO A THIRD PARTYDOES NOT RELEASE ME FROM ANY OF THE REQUIREMENTS OUTLINED IN THE SURE BETPROGRAM APPLICATION AND AGREEMENT.

    CONTRACTOR MUST SIGN THIS FORM FIRST

    Application Number (SB#)

    Payee Company Name

    Payee Signature

    Revised 1/25/13

    2013 Application, Version 2 SB-13-____________________

    Print Name Print Name

    Title Title

    Date Date