PPL E-power Rebate Program – Phase 2

A Guide to the Rebate Application Process

Users must open applications in Adobe Reader® version 8.0 or later; download the free,

most recent version of Adobe Reader at http://get.adobe.com/reader/otherversions/

Save the application to your computer before entering any information into the form.

Open the saved application file, fill out the form and submit your application to E-power

Solutions.

Steps for Filling Out Your Rebate Application

1. Application

- Lighting Application Cover Page

Make sure eligibility and deadlines are met before beginning the process.

- Lighting Application Checklist

Collect, complete and make sure you have all necessary supporting documents and

that these are legible.

- Customer Information Form & Trade Ally/Contractor FormAll information fields must be completed, paying special attention to ensure areas

highlighted in yellow are correctly filled in. Please make sure the PPL Customer

(Applicant) signature and date is complete.

- Final Application Agreement

All information fields must be completed; the PPL Customer signature, date, and PPL

Account # must be filled in.

- Third-Party Payment Form

Complete this form ONLY if the rebate payment is to be issued to a party other than

the PPL Customer (Applicant).

2. Retrofit Lighting Worksheets

Make sure all fields of the relevant retrofit lighting project are correctly filled in with quantity, pre- and post-fixture type, and rebate/unit/fixture. The “Total Rebate” column will correctly self-populate.

3. PPL Bill – Commercial Customer (Sample)

- PPL Account # - 10-digit

- “Service To” is the correct PPL Customer Name and Address (Address must match the "Installation Address: on the application)- Rate Class – located on second page of bill

4. W-9 (Sample)

A signed copy of this document is required for all rebate applications

5. PA Lighting Form (MUST BE SUBMITTED IN EXCEL FORMAT)

Complete all grey fields in top portion, left side of form; in the body, complete one

line per identical fixture types (pre- and post), making sure all fields in grey (some are

drop-downs) are completed with the correct code (SEE “FIXTURE CODE CHEATSHEETS”).

6. Invoice (Paid)

Make sure the fixture, lamp and ballast (if required) quantity and manufacturer are

clearly called out on the paid invoice.

7. Specification Sheet(s)

Specification (or “cut-sheets”) are required for all retrofit fixtures, lamps and ballasts.

PPL Electric Utilities E-Power RebatesRetrofit Lighting Project Application

Eligibility for E-power Rebates. Eligible projects are completed between June 1,2013, and May 31,2014.

. Only PPL Electric Utilities customers may apply for this rebate.

. lnstall equipment at a site with an active meter using PPL Electric Utilities services.

. Complete installation by May 31,2014, for rebates listed in this application.

, Equipment must meet program requirements (specifications)-

. Submit a final application within 180 days of installation.

npower\*4f PPL ELEcrRrc urr.-rrlEs

Version: June 2O13

Lighting Application Cover Page

Page 2

PPL Electric Utilities offers rebates for qualifying purchases for energy-saving projects installed between June 1, 2013, and May 31, 2014. Some restrictions apply. The rebate may not exceed the total project costs (not including internal labor).

All rebates listed in this application are available through May 31, 2014, and applications must be postmarked by June 30, 2014. Rebates that are paid per kWh saved are paid based on first-year savings. Rebate applications submitted after the deadline may be incented at a different rate.

How to Participate1. Read the Application Checklist to determine what you will need to submit, which includes:

a. A completed, signed rebate application including all inventory worksheets and documentation, asappropriate for the equipment installed.

b. Pre-qualification is strongly encouraged to reserve funds for all projects not yet completed and arerequired for custom rebate projects. Pre-qualification must be received before materials are purchasedto guarantee funding for custom rebate projects.

c. An itemized receipt or invoice with the manufacturer, model number, and purchase price of eachqualifying product (for final application only).

d. Submit a W-9 for the PPL customer and the person or company who will receive the rebate.

2. Make a copy of all submissions for your records and e-mail, mail, or fax submission to the E-power programteam.

3. If you prefer the rebate be sent to someone other than yourself, complete the Third-Party Payment ReleaseAuthorization section found in the Final Application Agreement form. Your rebate will be sent when allcompleted project documentation is received and verified.

FINAL APPLICATIONS LACKING PROPER DOCUMENTATION WILL NOT QUALIFY.

PRE-QUALIFICATION

Required Attachments for All Projects � Signed Application � Copy of PPL Electric Utilities Bill for InstallationAddress

� PA Lighting Form for Retrofit Projects � New Construction Lighting Savings CalculationTool

� Manufacturer’s Specification Sheets

FINAL APPLICATION

Required Attachments for All Projects � Complete Signed Application � Copy of PPL Electric Utilities Bill for InstallationAddress

� W-9 Download (Signed)� Letter from IRS Verifying Tax-Exemption if Non-

Profit � PA Lighting Form for Retrofit Projects � New Construction Lighting Savings CalculationTool

� Manufacturer’s Specification Sheets � Copies of Itemized Invoices

Lighting Application Checklist Lighting Application Checklist

Page 3

Customer Information

Business Name _____________________________________________________________________________________

Project Name (If Applicable)___________________________________________________________________________

PPL Electric Utilities Account Number _________________________ Taxpayer ID (SSN/FEIN) _________________

Installation Address _________________________________________________________________________________

City____________________________________________________________________ State_______ Zip____________

Please indicate the dollar amount of other (non-PPL) rebates you may receive for this purchase.

This information does not change the amount of your E-power rebate. ____________________

Project Information

Customer Contact

First Name ___________________________________ Last Name___________________________________________

Title ___________________________________________ Phone #__________________________ Ext.____________

Mailing Address _____________________________________________________________________________________

City____________________________________________________________________ State_______ Zip____________

Email _______________________________________________________________ Fax #__________________________

How did you initially hear about E-Power rebates? _______________________________________________

Application Type Building Type Business Type

_______________________________ ____________________ ___________ ________________________________

Space Cooling Type Space Heating Type Total Square Footage

_______________________________ _______________________________ ________________________________

Building Age Tax Status Estimated Project Cost

_______________________________ _______________________________ ________________________________

Estimated Material Ordered Date Estimated Start Date of Install Estimated Install & Operational Date

_______________________________ _______________________________ ________________________________

Please read the Terms and Conditions and Final Application Agreement before signing and submitting this application. Complete all information and provide required documentation to avoid processing delays.

Customer Information

Customer Information Form

Page 4

Name of Contracting Company ______________________________________________________________________

Contact Name _____________________________________________________________________________________

Title of Contact ___________________________________________ Phone #____________________ Ext.__________

Email1 __________________________________________________________________ Fax #_______________________

Mailing Address ____________________________________________________________________________________

City ____________________________________________________________________ State_______ Zip____________

¹Email used to send status updates regarding this application and additional information about other PPL programs.

Trade Ally/Contractor Information

Trade Ally/Contractor Information

� I understand PPL Electric Utilities reserves the right to audit my rebate application and, if requested, Iwill allow PPL Electric Utilities’ representatives reasonable access to verify the installation of qualifying product(s) and potentially the removal of older products. I understand PPL Electric Utilities may provide my name and address to PPL Electric Utilities representatives to verify this information and I approve sending the rebate to the address on my W-9.

Customer Signature ____________________________________________ Date ___________________

Customer SignatureDigital Signature Instructions

Trade Ally/Contractor Information Form

Page 10

Final Application Agreement

� I have read and understand the program requirements, measure specifications, and E-power rebatesTerms and Conditions and Final Application Agreement set forth in this application (collectively, the “Requirements”) and agree to abide by the Requirements. Furthermore, I concur that I must meet all eligibility criteria in order to be paid under this program.

For final applications, sign and submit only after all equipment is installed and operational. A customer signature is required for payment. Signed applications received by fax or email will be treated the same as original applications received by mail.

Total Project Cost Total Rebate Requested¹ Actual Installation Date

_______________________________ _______________________________ ________________________________

Customer Signature _________________________________________________________

Print Name _____________________________________________ Date ______________________________

PPL Electric Utilities Account # _______________________________

¹Rebate amount will pay the lesser of 1) The calculated rebate as approved or 2) 100% of the project cost or 50% of the project cost for LED and induction measures.

In-house labor is not considered part of the project cost; only out-of-pocket expenses are eligible.

Digital Signature Instructions

Final Application Agreement

Page 11

Complete this section ONLY if rebate payment should be paid to an entity other than the PPL customer listed on the Customer Information page. Third-party payment requires a W-9 of the payee. The rebate will be sent to the name and address as it appears on the W-9.

Company _______________________________________________ Attention _______________________

Mailing Address _________________________________________________________________________

City ____________________________________________________ State_______ Zip________________

Email __________________________________________ Phone #__________________________ Ext.____________

Tax Status ________________________________ Taxpayer ID# (SSN/FEIN of Payee) ________________

� I authorize this rebate payment to the third party named above and understand that I will not be receivingthe rebate payment check from PPL Electric Utilities. I also understand that my release of payment to the third party does not exempt me from the rebate requirements outlined in the application.

Third-Party Payment Release Authorization (optional)

Customer Signature ____________________________________________________________

Print Name ____________________________________________________ Date ______________________

SUBMIT VIA EMAIL PRINT APPLICATION

Submit Application

Third-Party Payment Release Authorization

When submitting your application, please email it to EpowerSolutions@dnvkema.com, and be sure to attach any applicable documents including TRM worksheets.

Digital Signature Instructions

Third-Party Payment Form

Page 5

Lighting Worksheet

Fluorescent Lighting Retrofits T12 to High Performance/Reduced Wattage T8 FixturesRetrofit existing fixtures with new high performance (HP)/reduced wattage (RW) T8 lamps and ballasts. Installed lamps and ballasts must qualify for the Consortium for Energy Efficiency (CEE) HP/RW T8 specification. Find a list of qualified lamps and ballasts at cee1.org. Rebate is $6 per lamp, not to exceed cost.

32-Watt T8 Lamps to High Performance/Reduced Wattage T8 or T5 LampsRetrofit existing T8 or T5 fixtures with new high performance (HP)/reduced wattage (RW) T8 lamps. Installed lamps must be lower wattage and must qualify for the Consortium for Energy Efficiency (CEE) HP/RW T8 specification. Find a list of qualified lamps at cee1.org. Rebate is $1 per lamp, not to exceed cost.

High Bay T5HO and T8 FixturesNew T5HO and T8 fluorescent fixtures must have a wattage ≥ 100 watts. Must replace ≥ 150 watts. New and retrofit fixtures are eligible. Rebate is $16 per lamp for T5HO and $12 per lamp for T8, not to exceed cost.

T5 and T8 FixturesReplace or retrofit existing fixture with the same number of new T8 or T5 lamps and ballasts. Rebate is $4 per lamp, not to exceed cost.

Pre-Fixture Post-Fixture Measure Type Qty. Rebate/Lamp

Total Rebate

Lighting Worksheet (Sample)

Creating a New Digital Signature When you first click to sign, the program will check your computer to see if you already have a digital signature and offer to use that one. If you choose to create a new signature:

1. Select “A new digital ID I want to create now”

2. Select the first option to save your digital signature to your desktop.

3. Enter your personal information.

4. Enter a file location

5. The signature is created. Clicking the “sign” button will sign the application and save thesigned version on the computer. The next time the signature is needed, the program willfind it on the computer and ask if you want to sign the application using the signature.Then you bypass most of these steps and just enter the password and sign.

pti"i*:/il Questions? Please call -/A Visit us online at\J,,1 our Business Accounts (-l pplelectric.com

help line by Sep 6.1-888-22G991t1businessaccounts@ pplweb.com

Page 1

Sep 6,2012 s27,384.61pft Etdrrlc u$llu€a

Your Electric Usage Profile Billino Summary (Billing details on back)

Citince as of Aug 2r.,20lt2 $0.0o

Charges:Total PPL Electric Utilities Charges

Total First Energy Solutions Charges

Total Charges

DueBySep 6,2012 127,

Account Balance

Your Messaqe Center

527,3W.61

o Peak Demand,687.24 kW.

e With paperless billing, you can receive and pay_yourPPL Eiectric Utilities bills online. The process is free,quick, convenient and secure. To learn more or sign up,visit pplelectric.com.

r Before digging around your home or property, youshould always call the state's One Call notificationsystem to locate any underground utility lines. You cando this by simply dialing 811, which will connect You tothe One Call system. Be safe and call 811 before youdie.

r Save postage and late charges - sign up forAutomatedBill Payment.

Pavment Methods

Service to:

12mO

10000

80m

6{no

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2mo0

900

750

600

450

300

150

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s4,335.97

s23,048.64

Your next meter reading is on or about Sep t9,2Ot2.

This section helps you understand your year-to-yearelectric use by moirth. Meter readings are actual unlessotherwise noted.

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Online at:pplelectric.com

By Mail:2 North 9th StreetCPC-GENN1Allentown, PA 18101-1175

6$1 By phone: I-8O&iJ/l2-5775v or call BillMatrix (service fee applies)at 1{Xl-672-2413 to pay using Visa,MasterCard, Discover or debit card.

Correspondence should be sentto:Business Accounts827 Hausman RoadAllentown, PA 18104-9392

""jri"1+.ppl .itPPL El€dnc UUlltlG.

Retum this part in the enveloPeprovided with a check payableto PPL Electric Utilities.

Other important information on the back of this bill )

Sep 6,2012 $27,384.61

Amount Endosed:

PPL ELECTRIC UTILITIESP.O.BOX25222LEHIGH VALLEY, PA 18002.5222

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PPL Bill - Commercial Customer (Sample)

12345-54321

Joe Customer123 Any StreetPPL Territory, PA

12345-54321

Joe Customer123 Any StreetPPL Territory, PA

*This address MUST match "Installation Address" onapplication

*

Your Supplier Contact lnformationFor questions regarding the generation and transmissionportions of this bill, please contact your supplier at:1g1 First Energy Solutions r,q., Phone:^ Customer Seruices \, 1-800-977-0500

CUSTOMER CARE 413395 GHENT ROADAKRON, OH 44333

Manage YourAccountVisit pplelectric.com for self-service optionsincluding:

-View your bill, payment, and usage history.-Make a payment, set up a payment agreement.-Start/stop service.-Enroll in paperless billing automatic bill pay,budget billing.

-Report an outage, check outage status, and more.View your rate schedule at pplelectric.com/rates orcall 1-8fi1-342-5775to request a copy.

General lnformationGeneration prices and charges are set by the electricgeneration supplier you have chosen. The PublicUtility Commission regulates distribution rates andservices. The Federal Energy Regulatory Commissionregulates transmission prices and services.

PPL Electric Utilities uses about 54.90 of this bill to paystate taxes and about 5241.34 is used to pay the PAGross Receipts Tax.

Understanding Your Bill

Billing Details - (Bin Acct. i) Page2

kWh Use By MeterReading Dates Meter Meter Meter Reading Kilowatt

Previous/Present Number Constant Previous/Present HoursJul 20 Aug 20 600 12523 13003 288000

Total 288000

Previous Balance 527,7A6.52Payment Received Aug 9, 2012 - Thank You! _ -527,706.52

Bolonce as of Aug 27,2072 S0.0C

Charges for - First Energy SolutionsFES 9251STE for Jul 20 - Aus 20

Electric Chs: 288000 KWH @ SO.OzSSOSTATE SALES TAXGROSS RECETPTS TAX 51,317.69

Total First Energy Solutions Charges

2\,744.OOL,304.64

523,048.64

CharC"s for - PPt Etect"'. UtifitiesGeneral Service Rate: GS3 for Jul 2O - Aug 20Distribution Charge:

Customer Charge 30.00687.0 kW at 54.51000000 per kW 3,098.37Smart Meter Rider 74.40Act 129 Compliance Rider 961.92PA Tax Adj Surcharge at -0.3450@00% -74.76

PA Sales Tax 245.44Iotal PPL Electric Utilities Charges 54,335.97

lmount Due By Sep 6 2012 527,184.61

Account Balance SZz,Zgq.Ot

Act 129 Compliance Rider - Charge to recover costs associatedwith Energv Efficiencv and Conse-rvation orograms forcustomers''as approv6d by the Public Utility Commission.Customer Charce - Monthlv basic distribution charse to covercosts for billing,-.meter reT{ing, equipment, maintehance andaovanceo metenng wnen tn use.Distribution Charse - Charee for the use of local wires.transformers, subltations a.-nd other equiDment used tb deliverelectricity. to end-use consumers from thb high voltagetransmrssron lrnes-

kWh {Kllowatt-hour} - The basic unit of electric enersv forwhich most cqs-tomeirs.are c.hqrged, The. amount of el6ctricityused bv ten 100-watt liehts leftbn for t hour. Consumers areusuallycharged for eleclricity in cents per kilowatt-hour.Smart Meter Rider - Charee to recover costs associated withthe Smart Meter Plan for Eustomers as approved by the PUC.

State Tax Adiustment Surcharge - Charee or credit on electricf?.tes_to reflelt changes in variSus..stateiaxes included in yourbill. The surcharge riay vary by bill component.Tvoe(sl of Meter Readines:'Aciu'al - Reading by dislribution company.

*Federal t.D.

$27,384.61

Form W-9(Rev. December 2011)Department of the Treasury Internal Revenue Service

Request for Taxpayer Identification Number and Certification

Give Form to the requester. Do not send to the IRS.

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2.

Name (as shown on your income tax return)

Business name/disregarded entity name, if different from above

Check appropriate box for federal tax classification:

Individual/sole proprietor C Corporation S Corporation Partnership Trust/estate

Limited liability company. Enter the tax classification (C=C corporation, S=S corporation, P=partnership) ▶

Other (see instructions) ▶

Exempt payee

Address (number, street, and apt. or suite no.)

City, state, and ZIP code

Requester’s name and address (optional)

List account number(s) here (optional)

Part I Taxpayer Identification Number (TIN)Enter your TIN in the appropriate box. The TIN provided must match the name given on the “Name” line to avoid backup withholding. For individuals, this is your social security number (SSN). However, for a resident alien, sole proprietor, or disregarded entity, see the Part I instructions on page 3. For other entities, it is your employer identification number (EIN). If you do not have a number, see How to get a TIN on page 3.

Note. If the account is in more than one name, see the chart on page 4 for guidelines on whose number to enter.

Social security number

– –

Employer identification number

–

Part II CertificationUnder penalties of perjury, I certify that:

1. The number shown on this form is my correct taxpayer identification number (or I am waiting for a number to be issued to me), and

2. I am not subject to backup withholding because: (a) I am exempt from backup withholding, or (b) I have not been notified by the Internal RevenueService (IRS) that I am subject to backup withholding as a result of a failure to report all interest or dividends, or (c) the IRS has notified me that I amno longer subject to backup withholding, and

3. I am a U.S. citizen or other U.S. person (defined below).

Certification instructions. You must cross out item 2 above if you have been notified by the IRS that you are currently subject to backup withholding because you have failed to report all interest and dividends on your tax return. For real estate transactions, item 2 does not apply. For mortgage interest paid, acquisition or abandonment of secured property, cancellation of debt, contributions to an individual retirement arrangement (IRA), and generally, payments other than interest and dividends, you are not required to sign the certification, but you must provide your correct TIN. See the instructions on page 4.

Sign Here

Signature of U.S. person ▶ Date ▶

General InstructionsSection references are to the Internal Revenue Code unless otherwise noted.

Purpose of FormA person who is required to file an information return with the IRS must obtain your correct taxpayer identification number (TIN) to report, for example, income paid to you, real estate transactions, mortgage interest you paid, acquisition or abandonment of secured property, cancellation of debt, or contributions you made to an IRA.

Use Form W-9 only if you are a U.S. person (including a resident alien), to provide your correct TIN to the person requesting it (the requester) and, when applicable, to:

1. Certify that the TIN you are giving is correct (or you are waiting for anumber to be issued),

2. Certify that you are not subject to backup withholding, or

3. Claim exemption from backup withholding if you are a U.S. exemptpayee. If applicable, you are also certifying that as a U.S. person, your allocable share of any partnership income from a U.S. trade or business is not subject to the withholding tax on foreign partners’ share of effectively connected income.

Note. If a requester gives you a form other than Form W-9 to request your TIN, you must use the requester’s form if it is substantially similar to this Form W-9.

Definition of a U.S. person. For federal tax purposes, you are considered a U.S. person if you are:

• An individual who is a U.S. citizen or U.S. resident alien,

• A partnership, corporation, company, or association created ororganized in the United States or under the laws of the United States,

• An estate (other than a foreign estate), or

• A domestic trust (as defined in Regulations section 301.7701-7).

Special rules for partnerships. Partnerships that conduct a trade or business in the United States are generally required to pay a withholding tax on any foreign partners’ share of income from such business. Further, in certain cases where a Form W-9 has not been received, a partnership is required to presume that a partner is a foreign person, and pay the withholding tax. Therefore, if you are a U.S. person that is a partner in a partnership conducting a trade or business in the United States, provide Form W-9 to the partnership to establish your U.S. status and avoid withholding on your share of partnership income.

Cat. No. 10231X Form W-9 (Rev. 12-2011)

Pennsylvania Act 129 Lighting Audit and Design ToolLIGHTING FORM

Version 13 Page 1 of 1 10/1/2013

Input Field Computed Field

PRE-INSTALLATION (BASELINE) POST-INSTALLATION (RETROFIT)Line Item Building Address Floor Area Description Usage Group Hours of

Use (HOU)Space

Cooling TypePre

Fixture No.

Pre Fixture Code

Pre Watts / Fixture

Pre kW / Space

Pre Control Post Fixture

No.

Post Fixture Code

Post Watts / Fixture

Post kW / Space

Post Control

Change in Connected

Load

Coincidence Factor

Interactive Factor

(demand)

Interactive Factor

(energy)

Controls Factor

Peak Demand Savings

Annual kWh

Saved

Ex. 200 First Avenue 1 Office N/A 2,567 COOL 3 F44ILL 112 0.34 S LS 3 F42ILL 59 0.18 O OS 0.16 61% 34% 12% 24% 0.13 579

123456789

1011121314151617181920212223242526272829303132333435363738394041424344454647484950

Totals

Facility Type:

Default Hours of Use (HOU):

PPL Project #: (PPL-13-XXXXX)

Applicant Name:

Facility Name:

Facility Address:

PPL Account #: (12345-67890)

Application Submittal Date:

Installation Date:

Default Coincidence Factor (CF):

PY5 PA Lighting Form

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agreement Net 30

RetroKit 8ft 4 lamp tandem TB WreflectorGE 4 lamp T8 MultiVolt (lSH) BallastEiKO 32w TB Lamp B00 Series CRI4100k High Lumenlnstallation - LightingAl Recycle DisposalShipping - Delivery chargeSaies Tax

24

2496

23.27

22.75a -7.7

1,680.0094.0028.69

6.00%

1OB4-W.CS.TL3-TB

GE-432-MV_HF32n8t841ktHL

lnstallationDisposalFreight

558.487

546.007358.087

1,680.0094.0028.6987.75

$-1..i53.00Payments/Credits

Balance Due

Thank you for your business.

s0.00

Joe Customer123 Any StreetPPL Territory, PA

June 1, 2013 100-001

Invoice (Sample)

Specification Sheet (Sample)