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2017 Commercial and IndustrialNon-Lighting Application

Instructions for Use:This application is for projects completed between January 1, 2017 and December 31, 2017. Pre-approval is not required for this prescriptive program.Incentives are available on a first-come, first-served basis. For more detailed information, please refer to the Terms and Conditions included with this application. Please call 877.296.4319 or email [email protected] if you have questions about the application or program.

Annual Member Incentive Cap:• Business or farm with a commercial utility rate code – $30,000 cap• Farm with a residential utility rate code – $7,000 cap

Determine Eligibility: Equipment must be new (used equipment is not allowed) and installed in a commercial, industrial or farm facility which is a Cloverland Electric Cooperative member, as well as meet minimum requirements set forth in this document. Applications for other participating electric service providers can be found at michigan-energy.org by selecting the name of your electric service provider. Projects must result in reduced electric energy usage due to improvement in the system efficiency; control upgrades may also qualify. Reduced electric use resulting from peak shaving, demand limiting, power generation renewable energy, or operating schedule changes will not qualify. Equipment must operate a minimum of 1,500 hours per year, unless otherwise specified. Applications with fewer hours may use the custom program. Incentives for prescriptive measures may not exceed 75 percent of the total project cost, unless otherwise specified.

Install Equipment: After ensuring that your project will qualify, purchase and install the equipment. New equipment must be installed and old equipment removed. Only new products which are exact product types listed in this form are eligible for prescriptive incentives.

Submit Application: Application must be submitted with complete information within six months of project completion and include: a) A copy of a recent month’s electric utility bill b) The entire completed application, including the completed incentive worksheets and the signed member information page c) Itemized invoices from the installing contractor(s) and/or vendor(s) for the project which includes a separate line item for each incentive

measure, and includes the date, quantity, unit cost, size, type, make and model of installed items, and labor costs, if applicable. A sample invoice may be found on the program website.

d) Specification/data sheets for all equipment for which an incentive is requested

Applications, required documentation, and all other correspondence must be delivered by one of the following methods: Mail: MECA Energy Optimization Programs, 431 Charmany Drive, Madison, WI 53719 Email: Send files and scanned copies to [email protected] Fax: 608.646.7682

Payment: Once completed paperwork is submitted, your final application will be reviewed and processed for payment. Incentive payments are usually made within 6 to 8 weeks.

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SECTION 1: Utility Member Information (Please Print) 2017 Energy Optimization ApplicationMember Name:

Member Mailing Address: City: State: Zip Code:

SECTION 2: Job Site InformationJob Site Name (if different than member name): Project Contact Person Name:

Project Contact Telephone: Project Contact Email:

Job Site Street Address (physical location): City: State: MI

Zip Code:

Electric Utility Company at Job Site: Electric Utility Acct #: Project Completion Date:

What is the predominant use of the building space where equipment was installed? (Check one) Office Retail Warehouse Restaurant Grocery/Supermarket Manufacturing Lodging School: K-12 School: College Healthcare facility Farm (commercial meter) Farm (residential meter) Other/Miscellaneous__________________________________________________

How did you learn about the program? My Utility Utility Website Newspaper Community Event Mail / Bill insert Contractor Other

SECTION 3: Trade Ally (Contractor) InformationTrade Ally Name (or indicate if self install): Trade Ally Contact Person Name:

Trade Ally Telephone: Contact Email:

Trade Ally Mailing Address: City: State: Zip Code:

SECTION 4: Payment Information and Certification

Make Incentive Check Payable to (payee): Member Trade Ally (by checking this box, member is authorizing payment of incentive to trade ally)

Mail Check to: Member Mailing Address (entered at top of this page) Job Site Address Alternate Pay Address (complete below) Payee Legal Address (complete below)

Alternate Pay Address (optional): City: State: Zip Code:

Payee Legal Name (as shown on income tax return): Payee Business Name (if different than payee legal name):

Payee Legal Address: City: State: Zip Code:

Check the appropriate box for federal tax classification; check only one of the following seven boxes:

Individual/sole proprietor or single-member LLC C Corporation S Corporation Partnership Trust/estate Other tax exempt organization or gov’t agency

Limited liability company. Enter the tax classification (C = C corporation, S = S corporation, P = partnership:_________________ Note. For a single-member LLC that is disregarded, do not check LLC; check the appropriate box in the line above for the tax classification of the single member owner.

Payee Tax Identification Number (TIN) (Complete ONE only. Must match payee legal name above)FEIN #: ____ ____ – ____ ____ ____ ____ ____ ____ ____ OR SSN: ____ ____ ____ – ____ ____ – ____ ____ ____ ____

Certification: the following certifications are required in order for this form to substitute for the IRS form W-9. Under penalties of perjury, I certify that:1. The payee’s TIN is correct2. The payee is not subject to backup withholding due to failure to report interest and dividend income, and3. The payee is a U.S. citizenThe Internal Revenue Service does not require your consent to any provision of this document other than the certifications required to avoid backup withholding.

Payee Signature: Print Name: Title: Date:

SECTION 5: Member Signature (Please Read & Sign)The undersigned agrees that the stated energy-efficient measure(s) was (were) installed at the job site address listed above as part of the Energy Optimization program. I have read and agree to the Terms & Conditions within this application. I agree to verification of equipment installation which may include a site inspection by a program or utility representative. I understand that I am not allowed to receive more than one incentive from this program on any individual piece of equipment. I hereby agree to indemnify, hold harmless and release the utility and program administrator from any actions or claims in regard to the installation, operation and disposal of equipment (and related materials) covered herein, including liability from any incidental or consequential damages. To the best of my knowledge, the statements made on this application are complete, true and correct, and I have submitted the appropriate supporting documentation to receive an incentive.

Member Signature: Print Name: Title: Date:

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2017 Commercial and IndustrialNon-Lighting Application

A. Split System Air Conditioning (including Air Source Heat Pumps) ■ The condenser (outdoor) model, evaporator (indoor) model, and AHRI (Air Conditioning, Heating, and Refrigeration Institute) reference number are required for all installations.

■ ■

■ ■ ■ Through-the-wall and window air conditioners are not eligible. ■ This measure is eligible for new construction projects.

Provide the following required equipment information (attach additional copies of this page if multiple units of different models):Condenser (outdoor) Model #: Evaporator (indoor) Model #: AHRI Reference #:

Size CategoryEquivalent Size

(tons)Minimum AHRI

EfficiencyIncentive per Ton

Incentive per Ton

Tons perA/C Unit

QuantityTotal Incentive

(Incentive Per ton x Tons per Unit x Qty)

Total Incentive(Incentive Per ton x Tons per

Unit x Qty)

<65,000 Btu/hr (1 phase) <5.42 tons 14.0 SEER $10 $

<65,000 Btu/hr (3 phase) <5.42 tons 11.6 EER $10 $

65,000–134,999 Btu/hr 5.42 to <11.25 tons 11.5 EER $10 $

135,000–239,999 Btu/hr 11.25 to <20 tons 11.5 EER $10 $

240,000–759,999 Btu/hr 20 to <63.3 tons 10.5 EER $10 $

TOTAL FOR SECTION A: $

B. Central Packaged, Unitary, and Rooftop Unit Air Conditioning (including Air Source Heat Pumps) ■

■ This measure is eligible for new construction projects.Provide the following required equipment information (attach additional copies of this page if multiple units of different models):

Model #: AHRI Reference #:

Size CategoryEquivalent Size

(tons)Minimum AHRI

EfficiencyTons perA/C Unit

Quantity

<65,000 Btu/hr (1 ph) <5.42 tons 14.0 SEER $10 $

<65,000 Btu/hr (3 ph) <5.42 tons 11.6 EER $10 $

65,000–134,999 Btu/hr 5.42 to <11.25 tons 11.5 EER $10 $

135,000–239,999 Btu/hr 11.25 to <20 tons 11.5 EER $10 $

240,000–759,999 Btu/hr 20 to <63.3 tons 10.5 EER $10 $

≥760,000 Btu/hr ≥63.33 tons 10.2 EER $10 $

TOTAL FOR SECTION B: $

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2017 Commercial and IndustrialNon-Lighting Application

C. Air and Water Cooled Electric Chillers - HVAC Only ■

chiller capacity (tons). Incentives will be based on capacity and performance at AHRI standard rating conditions. ■ Chillers purchased or installed for backup or redundant systems are not eligible. ■ Chiller components, such as motors and VFDs, are considered as part of the chiller package and are not independently eligible for prescriptive incentives during a chiller

■ Electric Chiller incentives are only available for HVAC space cooling applications. Industrial process cooling, ice rinks, and refrigerated warehouses may qualify for a custom incentive only.

■ This measure is eligible for new construction projects.

Manufacturer: Model Number:

Estimated annual chiller operating hours: Check One:o Base load chiller o Trim chiller

Does the system have an air-side or water-side economizer?o Yes o No

Describe the associated HVAC system:o Constant Volume (CV) o Variable Air Volume (VAV) o Other: ___________________________________________________________________________

Chiller SpecificationsAHRI Efficiency of Installed

EquipmentIncentive per Ton

AHRI Capacity(tons)

Quantity Total Incentive(Incentive Per ton x Tons x Qty)

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Rated Capacity: All SizesFull load: ≤1.20 kW/tonPart load: IPLV ≤0.90 kW/ton

Full Load:_______________IPLV: __________________ $20 $

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Rated Capacity: <150 tonsFull load: ≤0.74 kW/tonPart load: IPLV ≤0.58 kW/ton

Full Load:_______________IPLV: __________________ $20 $

Rated Capacity: ≥150 and <300 tonsFull load: ≤0.67 kW/tonPart load: IPLV ≤0.53 kW/ton

Full Load:_______________IPLV: __________________ $20 $

Rated Capacity: ≥300 tonsFull load: ≤0.59 kW/tonPart load: IPLV ≤0.47 kW/ton

Full Load:_______________IPLV: __________________ $20 $

Wat

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Rated Capacity: <150 tonsFull load: ≤0.65 kW/tonPart load: IPLV ≤0.57 kW/ton

Full Load:_______________IPLV: __________________ $20 $

Rated Capacity: ≥150 and <300 tonsFull load: ≤0.58 kW/tonPart load: IPLV ≤0.50 kW/ton

Full Load:_______________IPLV: __________________ $20 $

Rated Capacity: ≥300 tonsFull load: ≤0.53 kW/tonPart load: IPLV ≤0.45 kW/ton

Full Load:_______________IPLV: __________________ $20

TOTAL FOR SECTION C: $

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2017 Commercial and IndustrialNon-Lighting Application

D. Electric Chiller Tune-Up ■ Incentive is available for air-cooled or water-cooled electric chillers used for either space or process cooling. ■ Incentive is available no more than once in a 24-month period. Not eligible for new construction projects. ■ “Economizer” refers to a system economizer on the water-side, air-side, or both. Economizer is not necessarily part of the chiller itself. ■ Submit invoice detailing the work performed and which/how many units were serviced, and on what date. If service was performed under an annual service agreement, send a copy of the contract and latest billing statement.

■ Provide documentation for each unit’s capacity in tons. This can be a manufacturer’s spec. sheet or the service provider’s work order / inspection checklist or invoice. ■ Tune-up service must include the following normal maintenance items (as applicable):

■ Air cooled condenser coil cleaning ■ System pressure check and adjust ■ Filter inspect or replace ■ Belt inspect or replace ■ Economizer condition check & repair ■ Contactors condition ■ Evaporator condition

■ Compressor amp draw ■ Supply motor amp draw ■ Condenser fan(s) amp draw ■ Liquid line temperature ■ Sub-cooling & super heat ■ Suction pressure & temperature ■ Oil level & pressure

■ Low pressure controls ■ High pressure controls ■ Crankcase heater operation ■ Water cooled chiller condenser tube cleaning ■ Water cooled chiller evaporator tube cleaning

UN

IT 1

Equipment Type:o Air-Cooled Chiller with Economizero Air-Cooled Chiller with no Economizero Water-Cooled Chiller with Economizero Water-Cooled Chiller with no Economizer

Manufacturer: Model #:

Date of Previous Service: Current Service Date:

Equipment Capacity in Tons (provide documentation):

UN

IT 2

Equipment Type:o Air-Cooled Chiller with Economizero Air-Cooled Chiller with no Economizero Water-Cooled Chiller with Economizero Water-Cooled Chiller with no Economizer

Manufacturer: Model #:

Date of Previous Service: Current Service Date:

Equipment Capacity in Tons (provide documentation):

UN

IT 3

Equipment Type:o Air-Cooled Chiller with Economizero Air-Cooled Chiller with no Economizero Water-Cooled Chiller with Economizero Water-Cooled Chiller with no Economizer

Manufacturer: Model #:

Date of Previous Service: Current Service Date:

Equipment Capacity in Tons (provide documentation):

UN

IT 4

Equipment Type:o Air-Cooled Chiller with Economizero Air-Cooled Chiller with no Economizero Water-Cooled Chiller with Economizero Water-Cooled Chiller with no Economizer

Manufacturer: Model #:

Date of Previous Service: Current Service Date:

Equipment Capacity in Tons (provide documentation):

UN

IT 5

Equipment Type:o Air-Cooled Chiller with Economizero Air-Cooled Chiller with no Economizero Water-Cooled Chiller with Economizero Water-Cooled Chiller with no Economizer

Manufacturer: Model #:

Date of Previous Service: Current Service Date:

Equipment Capacity in Tons (provide documentation):

Did you indicate equipment type and capacity in tons for each unit above? (required to receive incentive) o Yes

CHILLER TUNE-UP INCENTIVE

A. Total equipment capacity of all units above with economizer (in tons)_________________ X $6 per ton = $

B. Total equipment capacity of all units above without economizer (in tons)_________________ X $12 per ton = $

C. Sum of A and B above = $

D. Cost of Service = $_______________ X 75% = $

TOTAL FOR SECTION D (Lesser of C or D above): $

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2017 C&I • Non-Lighting ApplicationE. Variable Frequency DrivesInstall new variable frequency drives (VFD) that meet the following requirements:

■ Used in conjunction with pumping or air handling (i.e., fan or blower) application only. Other uses may qualify for a custom incentive. ■ The pump or air handling system must operate a minimum of 2,000 hours annually. For agriculture VFDs <2,000 hrs/yr, see Agribusiness Applications. Otherwise, you may apply for a custom incentive.

■ ■ For new construction projects, HVAC pump motors must be <30 hp and HVAC fan motors must be <10 hp. ■ Redundant or back-up units do not qualify. Routine replacement of existing VFDs do not qualify. ■ ■ ■ VFDs added to chillers and air compressors do not qualify for this prescriptive incentive.

system vary over time to take advantage of the savings that a VFD can provide. Be sure to understand these aspects of your system and discuss them with the equipment vendor in advance of applying VFD technology.

If the VFD Is serving an HVAC system, please answer the following:

Indicate type of air conditioning system: o Rooftop unit or split-system o Air-cooled chiller o Water-cooled chiller o Other:_________________________________________________ o None

Does the system have an economizer? o Yes o No

Describe the associated HVAC system: o Constant Volume (CV) o Variable Air Volume (VAV) o Other:_________________________________________

Incentive Rate:

Irrigation Pump $20 per horsepower controlled

Other Well Pump $40 per horsepower controlled

Other Qualifying Uses $60 per horsepower controlled

Enter the information for each new variable frequency drive that you are claiming an incentive on in the table below. Attach additional copies of this page if you are claiming incentives on more than three variable frequency drives.

VFD Application Controls before VFDVFD Manufacturer & Model Number

EquipmentOperating Hours(2,000 hr/yr min)

HP Controlledby VFD

QuantitySUBTOTAL

(Qty x HP x Incentive Rate)

Check one: o Chilled Water Distribution Pumpo HVAC Heating Pumpo Process Pumpo Pool Pumpo Well Pumpo Boiler Draft Fano Cooling Tower Fano HVAC Fano Process Fano Other: ____________________

Check one:o Outlet Control Valveo Bypass Valveo Discharge Dampero Inlet Guide Vaneso On/Offo Other: ___________

$

Check one: o Chilled Water Distribution Pumpo HVAC Heating Pumpo Process Pumpo Pool Pumpo Well Pumpo Boiler Draft Fano Cooling Tower Fano HVAC Fano Process Fano Other: ____________________

Check one:o Outlet Control Valveo Bypass Valveo Discharge Dampero Inlet Guide Vaneso On/Offo Other: ___________

$

Check one: o Chilled Water Distribution Pumpo HVAC Heating Pumpo Process Pumpo Pool Pumpo Well Pumpo Boiler Draft Fano Cooling Tower Fano HVAC Fano Process Fano Other: ____________________

Check one:o Outlet Control Valveo Bypass Valveo Discharge Dampero Inlet Guide Vaneso On/Offo Other: ___________

$

A. Subtotal of Chart Above = $

B. VFD Project Cost = $ _________________ x 75 percent = $

(Lesser of A or B) TOTAL FOR SECTION E: $

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2017 C&I • Non-Lighting ApplicationF. Foodservice, Grocery and Commercial Refrigeration

Measure Incentive Per Unit Quantity SUBTOTAL(Incentive per Unit x Qty)

Vending machine controls for cold beverage machines* ■ Controls must include a passive occupancy sensor to turn off lights and compressor when surrounding area is unoccupied for a preset length of time

■ Controls should periodically power up machine at regular intervals to maintain product temperature and provide compressor protection

■ Controls are for machines containing only non-perishable bottled and canned beverages

$65 percold beverage

machine controlled$

Vending machine controls for snack machines* ■ Controls must include a passive occupancy sensor to turn off lights when surrounding area is unoccupied for a preset length of time

$30 per snackmachine controlled $

ENERGY STAR Commercial Solid Door or Glass Door Refrigerator*†

■ Incentive is based on the internal volume as reported on the ENERGY STAR qualifying list.

■effect at the time of equipment purchase (energystar.gov). Lists change frequently; print a copy of that page of the list and send with your application.

Model Number:_______________________________________

Refrigerator <15 ft3 $75 per unit $

Refrigerator 15-29 ft3 $100 per unit $

Refrigerator 30-49 ft3 $150 per unit $

Refrigerator ≥50 ft3 $200 per unit $

ENERGY STAR Commercial Solid Door or Glass Door Freezer* †

■effect at the time of equipment purchase (energystar.gov). Lists change frequently; print a copy of that page of the list and send with your application.

Model Number:_______________________________________

Freezer <15 ft3 $75 per unit $

Freezer 15-29 ft3 $100 per unit $

Freezer 30-49 ft3 $150 per unit $

Freezer ≥50 ft3 $225 per unit $

ENERGY STAR Ice Machines* †

■ Incentive is based on the harvest rate per the ENERGY STARqualified product list.

■effect at the time of equipment purchase (energystar.gov). Lists change frequently; print a copy of that page of the list and send with your application.

Model Number:_______________________________________

≤499 lbs. per day $150 per unit $

500-999 lbs. per day $250 per unit $

≥1000 lbs. per day $500 per unit $

LED Lighting in Reach-in Vertical Freezer or Cooler Cases with Doors* ■

■ ■ DesignLights Consortium (DLC) Qualified Products are recommended. Refer to designlights.orgManufacturer Name:___________________________________Model Number:_______________________________________

$45 per door $

LED Lighting in Horizontal Freezer or Cooler Cases*■ Retrofit projects must completely remove the existing fluorescent fixture end connectors and ballasts■ Enter the linear feet of fluorescent tube converted to LED lighting, not the number of fixtures■ DLC Qualified Products are recommended

Manufacturer Name:___________________________________Model Number:_______________________________________

$11.25 per linear foot $

Occupancy Sensors for LED Lighting in Reach-in Cases* ■ Sensors for both end-of-aisle and individual cases qualify ■ Enter the quantity of doors controlled by sensors, not the number of sensors

$15 per door $

Walk-in or Reach-in Case Cooler/Freezer ECM Evaporator Fan Motor Replacing Shaded-Pole Motor ■ Incentive not available for equipment in new walk-in or reach-in freezers or coolers $80 per motor $

Walk-in or Reach-in Case Cooler/Freezer ECM Evaporator Fan Motor Replacing PSC Motor* $40 per motor $

Evaporator Fan Demand Controls ■ For the installation of controls in walk-in coolers and freezers ■ ■ Must control a minimum of 1/20 HP where fans operate continuously at full speed ■ Must reduce fan motor power by at least 75 percent during off cycle

$120 per S-P controller $

$120 per PSC controller $

$40 per ECM controller* $

Pre-Rinse Sprayers ≤1.6 gpm (electric water heating required for both primary and booster)*

ENERGY STAR qualified commercial dishwasher* Apply for custom incentive

$50 per sprayer $

* Eligible for new construction projects.†

Incentive is based on the internal volume as reported on the ENERGY STAR qualifying list.

®

®

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2017 C&I • Non-Lighting Application

F. Foodservice, Grocery and Commercial Refrigeration (continued)

Measure Incentive Per Unit QuantitySUBTOTAL

(Incentive per Unit x Qty)

Night Cover for Open Refrigerated Grocery Display* ■ Applies to professionally-installed, “permanent”, night curtain products only. ■ Linear foot measurement is the side-to-side (not top to bottom) measured width of all installed night curtains.

■ The store must have a minimum of six non-operating hours per day to qualify for this incentiveIndicate number of hours per day the cover is in use:________________________

$10 per linear foot $

Anti-Sweat Heater Controls ■ Install equipment that senses the relative humidity in the air outside of the display case and reduces or turns off the glass door (if applicable) and frame anti-sweat heaters at low humidity conditions.

■ Equipment must control heaters on frame and mullion in all instances, and door, if equipped with heater.

$100 perdoor controlled $

Floating Head Pressure Control ■ Install automatic controls to lower the condensing pressure at lower ambient temperature in multiplex refrigeration systems

■ Controls installed must vary head pressure to adjust condensing temperature in relation to the outdoor air temperature

■ Must include balanced-port expansion valves to replace existing constant pressure or manually controlled systems

$80 per ton $

ENERGY STAR Electric Steam Cookers 3 Pan* †

Model #:___________________________________________________________ $1000 $

ENERGY STAR Electric Steam Cookers 4 Pan* †

Model #:___________________________________________________________ $1200 $

ENERGY STAR Electric Steam Cookers 5 Pan* †

Model #:___________________________________________________________ $1500 $

ENERGY STAR Electric Steam Cookers 6 Pan* †

Model #:___________________________________________________________ $1750 $

ENERGY STAR Hot Holding Cabinets Half Size* †

Model #:___________________________________________________________ $300 per unit $

ENERGY STAR Hot Holding Cabinets Three Quarter Size* †

Model #:___________________________________________________________ $400 per unit $

ENERGY STAR Hot Holding Cabinets Full Size* †

Model #:___________________________________________________________ $600 per unit $

ENERGY STAR Electric Fryers* †

Model #:___________________________________________________________ $225 per frypot $

ENERGY STAR Electric Griddles* †

Model #:___________________________________________________________ $200 per griddle $

ENERGY STAR Electric Convection Ovens* †

Model #:___________________________________________________________ $300 per cavity $

Combination Oven/Steamer* ■ Electric only ■ Minimum cooking-energy efficiency in steam mode: 55 percentMinimum cooking energy-efficiency in convection mode: 76 percent

$1500 per oven $

Strip Curtain for Walk-in Cooler/Freezer ■ Must be put in a doorway separating a walk-in cooler/freezer where no curtains previously existed, or current curtains are exceptionally deteriorated

for Walk-in Cooler $4.50 per sq. ft.of doorway $

for Walk-in Freezer $15 per sq. ft.of doorway $

TOTAL FOR SECTION F (up to 75 percent of project cost): $

* Eligible for new construction projects.†

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2017 Commercial and IndustrialNon-Lighting Application

G. Industrial Process Equipment

Measure Quantity

Compressed Air Engineered Nozzle for Blow-off* ■ Nozzle must replace simple open tube assemblies connected to a compressed air system.

Nozzle diameter must be between 1/8” and 1/2” in diameter.Provide nozzle diameter: ___________ inchEstimated annual hours of nozzle use: _____________ hrs per yr

$100 per nozzle $

Barrel Insulation Wraps for Plastic Injection Molding or Extrusion Machine ■ Insulated blankets strapped around the barrel of extruder or injection molder are eligible. Insulation must be installed on previously un-insulated barrels.

$100 persquare foot $

TOTAL FOR SECTION G (up to 75 percent of project cost):

TOTAL FOR SECTION H (up to 75 percent of project cost unless otherwise specified):

$

H. Miscellaneous Equipment

Measure Incentive Per Unit Quantity SUBTOTAL(Incentive per Unit x Qty)

Incentive Per Unit SUBTOTAL(Incentive per Unit x Qty)

PC Network Energy Management Software* ■ Incentive is for sophisticated I.T. environments that dynamically control many computers from one central location. Simply activating the energy saving settings on the computer operating system does not qualify.

■ Must implement power policies for the PCs and attached monitors in your network. Activating power policies for only monitors does not qualify.

■ Laptops, thin clients, and other network devices do not qualify. This incentive is for controlling PCs only. ■ A copy of the software license agreement and a report (print-out) directly from the network energy management software showing the location and number of desktop computers being controlled by the system must be included with the application.

■ The software must collect data over time and offer a system-wide energy savings reporting function. ■ Must certify that policies and procedures are in place to ensure that the installed software remains in place and continues to control the PCs on the network.

■ The Energy Optimization program reserves the right to review software server records to assess the ongoing effectiveness of the installation.

$9 per PCcontrolled up to80 percent of

project cost

$

ECM Furnace Blower Motor* ■ Furnace must vary output by using a variable speed blower motor (ECM or brushless DC) and have

$150 perfan motor $

Hotel Guest Room Energy Management* ■ Incentive is for occupancy-based guest room energy management controls. ■ Occupancy control may be key-activated or sensed due to motion or body heat and must control the HVAC system serving the room. Front-Desk-Only controls are not eligible.

■ Incentive is per-room.

$70 if room haselectric heat

$20 if room hasgas or other

non-electric heat

$

* Eligible for new construction projects.

■■ Usage of the nozzle must be 1,000 hours per year or greater.

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2017 Commercial and IndustrialNon-Lighting Application

Terms and Conditions

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INCENTIVE OFFER: Projects must be implemented (completed) between January 1, 2017 and December 31, 2017. Projects must result in reduced electric energy usage due to improve-ment in the system efficiency; control upgrades may also qualify. Reduced electric use result-ing from peak shaving, demand limiting, fuel switching, power generation, renewable energy, or operating schedule changes will not qualify. This application form is for facilities with a com-mercial or industrial electric meter or rate code. Farms with a residential or commercial meter may also apply. Other businesses with a residential meter must use the residential programs.

COMPLIANCE: a) All projects must comply with applicable federal, state and local laws and building codes. b) All equipment must be new or retrofitted with new components per the program specifications. Used or rebuilt equipment is not eligible for incentives. Leased equip-ment must receive pre-approval BEFORE project initiation or entering into the equipment lease. Existing equipment must be permanently disconnected or removed and not reused elsewhere. c) New equipment must meet specification requirements. d) For prescriptive pro-grams, new equipment must be operational when the application is submitted. e) Only one incentive will be granted for each project. f) Members may submit multiple projects in a cal-endar year; however, the incentive totals may not exceed the annual incentive cap without utility authorization. g) New construction projects will be considered with prior review and au-thorization. Note that the measures and incentives listed on the application form are typically intended for retrofit projects; not all measures listed may be available for new construction projects. h) If the project is in a leased building, the term of the lease must be at least three (3) years and a copy of the lease may be requested. i) Up to 24 months of utility usage infor-mation may be requested.

DELIVERY: Applications must be delivered via mail to MECA Energy Optimization Programs, 431 Charmany Drive, Madison, WI 53719, emailed to [email protected], or faxed to 608.646.7682.

PRESCRIPTIVE APPLICATIONS: Pre-approval is not required for prescriptive incentives unless otherwise specified. However, an incentive will not be provided for projects or equipment that does not precisely meet the requirements provided on the prescriptive application form. Ap-plications must have complete information and be submitted with the supporting documenta-tion specified on the form instructions. Unless otherwise specified, incentives for prescriptive measures may not exceed 75 percent of the total project cost, including materials, sales tax, external labor (i.e. contracted labor), permits, equipment rental and disposal. To qualify, lighting must be used a minimum of 1,800 hours per year and other equipment must operate a minimum of 1,500 hours per year, unless otherwise specified.

CUSTOM APPLICATIONS: Pre-approval is strongly encouraged for all custom projects. If your project does not fit the descriptions on the standard prescriptive incentive application form, it may qualify for a custom incentive. Applications must have complete information and be submitted with the calculations and supporting documentation specified on the form instruc-tions. Unless otherwise specified, incentives for custom measures may not exceed 75 percent of the total project cost, including materials, sales tax, external labor (i.e. contracted labor), permits, equipment rental and disposal. Note: Internal labor (i.e. non-contracted labor) may not be included in the cost of the project.

PAYMENT: Once completed paperwork is submitted, incentive payments are usually made within six to eight weeks. Incentive payments are made by check, and may arrive in multiple checks. Incomplete applications will either delay payments or result in denial of application approval. Cloverland Electric Cooperative reserves the right to refuse payment and participa-tion if the member or contractor violates program terms and conditions. Cloverland Electric Cooperative must receive 100 percent of the energy savings for the rated life of the product(s) or for a period of three (3) years from receipt of incentive, whichever is less. If you do not provide the energy savings, if the facility in which the installed projects are located closes or ceases operation within the three (3) years from receipt of incentive or if you cease to be a member of Cloverland Electric Cooperative during the three (3) years, you shall refund a prorated amount of incentive dollars based on the time installed.

INSPECTION: Program staff reserves the right to conduct pre-inspections and postinspections of proposed and installed projects. PUBLICITY: Cloverland Electric Cooperative reserves the right to publicize your participation in this program, unless you specifically request otherwise.

PROGRAM DISCRETION: Incentives are available on a first-come, first-served basis. Incentives amounts and offerings are subject to change or termination without notice at the discretion of Cloverland Electric Cooperative.

LOGO USE: Members or trade allies may not use the Cloverland Electric Cooperative nor the MECA Energy Optimization name or logo in any marketing, advertising, or promotional mate-rial without written permission.

DISCLAIMERS: Cloverland Electric Cooperative: a) does not endorse any particular manufac-turer, product, labor or system design by offering these programs; b) will not be responsible for any tax liability imposed on the member as a result of the payment of incentives; c) does not expressly or implicitly warrant the performance of installed equipment or contractor’s quality of work (contact your contractor for detailed warranties); d) is not responsible for the proper disposal/recycling of any waste generated as a result of this project; e) is not liable for any damage caused by the installation of the equipment or for any damage caused by the malfunction of the installed equipment; f) is not responsible for items (incentive applications, supporting documentation, and/or incentive checks) lost or damaged in the mail.

ELIGIBILITY: These incentives are offered to Cloverland Electric Cooperative members with electric service in Michigan only. For questions regarding eligibility, call 877.296.4319.

INFORMATION RELEASE: Member requests and authorizes Cloverland Electric Cooperative to release electric usage for the preceding twelve months to Energy Optimization program staff, in order to participate in the program. The authorization to release information expires auto-matically two (2) years after signature date. Member agrees that the Energy Optimization pro-gram and their contractors may include member’s name, address, Cloverland Electric Cooper-ative account number, Cloverland Electric Cooperative services and resulting energy savings (“Information”) in a database hosted by a contractor of the Energy Optimization program and such information may be included in reports or other documentation submitted to Cloverland Electric Cooperative, and their contractors and/or the Michigan Public Service Commission (“Reports”). Such parties will treat such Information as confidential and the Information in the Reports shall only be in the aggregate.

RELEASE/INDEMNIFICATION: Payment of incentives under the Program and/or evaluation of applications for incentives shall not deem the Energy Optimization program or any of its affiliates, employees, contractors or agents (“Energy Optimization Parties”) to be responsible for any work completed in connection herewith. Applicant fully releases Energy Optimization Program Parties from any and all claims it may have against Energy Optimization Program Parties in connection with this application, the incentives or the work performed in connection with them. In addition, applicant agrees to defend, indemnify and hold Energy Optimization Program Parties harmless from and against any and all claims, losses, demands or lawsuits by any third parties arising in connection with this application, the payment or non-payment of incentives, or any work performed in connection with them. The member hereby releases Clo-verland Electric Cooperative from any and all liability arising from or connected with releasing the information to the Energy Optimization program set forth herein.

TRADE ALLY INFORMATION: A trade ally represents the company who provided or installed the equipment for a project for which a customer is seeking an incentive. The member may autho-rize payment of the incentive directly to the trade ally. The FEIN and Business Classification of the trade ally is required IF the incentive was received as a credit on the invoice, whereby the incentive is paid directly to the trade ally. In this scenario, the credit must be clearly labeled as the Energy Optimization program incentive and deducted from the amount due. If the project was completed by more than one trade ally (example: equipment was purchased from one trade ally but installed by another trade ally) and the incentive is being paid to the utility member, please enter the information of the trade ally who installed the equipment in Section 3: Trade Ally (Contractor) Information.

NON-DISCLOSURE: The Energy Optimization program agrees not to disclose project informa-tion such as pricing, proprietary equipment specifications, or other intellectual property. Such information will be used by Energy Optimization program staff only for the purpose of validat-ing and fulfilling incentive applications. Such information will not be shared outside of the Energy Optimization program.

ANNUAL MEMBER INCENTIVE CAP: Incentives are available on a first-come first-served basis; apply early. Incentive budgets are limited, therefore total annual incentive amount per mem-ber may be limited as follows: Business or farm with a commercial utility rate code – $30,000 cap. Farm with a residential utility rate code – $7,000 cap. If a larger incentive amount is needed to enable your project to move forward, please call to request pre-approval prior to beginning your project.


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