OPTIONS 2000 

Energy Efficiency Incentive Application

for Residential Customers

 

 

 

 

A Cash Incentive Energy Efficiency Program brought to you by:

 

Text Box:

  

Instructions for Use:

For complete instructions, please refer to the Terms and Conditions on page 2.

 

Step 1: Determine Eligibility. Equipment must be new and installed in a residence or business served by Rock Rapids Municipal Utilities. Only new products which are exact product types listed in this application form are eligible for the prescriptive incentives described in this application.

Step 2: Install Equipment. New equipment must be installed and old equipment properly removed and disposed of. Old equipment must not be installed elsewhere.

Step 3: Complete and sign the application.  Complete the application and attach copies of all project invoices, including labor costs. Include manufacturer’s (OEM) specifications.

Step 4: Submit completed application.  A completed application and all supporting documents must be received within 30 days of installation. Incomplete applications will cause delays in payment or denial of the application. Mail, fax, or e-mail the application and all supporting documentation to:

 

Rock Rapids Municipal Utilities

310 S 3rd Avenue

Rock Rapids, IA  51246-1610

Phone:  712-472-2511

Fax:  712-472-2512

E-mail: customerservice@rockrapids.net

 

 ELIGIBILITY:

•       These incentives are offered by Rock Rapids Municipal Utilities, referred to as The Utility throughout this document. For questions regarding eligibility, call your local utility listed on the cover page of this application.

•        Residential and business customers who purchase electricity or natural gas from The Utility are eligible to participate in the OPTIONS 2000 Energy Efficiency Incentive Program. Please note that some incentives are for residential customers only, as specified. 

•        This program is applicable only to equipment that meets the detailed equipment specifications and requirements described in this application.  The Utility will determine, in its discretion, whether such specifications and requirements are satisfied. 

•        Customers may not receive more than one incentive for each piece of equipment installed under this program.

TERMS AND CONDITIONS:

1.       Incentive Offer:  Projects, including all required installation, must be completed by December 31st of each year.  A signed application and itemized invoices for materials and labor must be submitted to the participating utility at the address located on the cover page of this application within 30 calendar days of project completion.  Please keep a copy for your records.

2.       Proof of Purchase:  This application must have complete information and be submitted with an original invoice(s) itemizing thenew equipment purchased and labor costs. The invoice(s) must indicate date of purchase, size, type, make, model, total project cost, and vendor’s name and address. Manufacturer (OEM) specification sheets must also be included.  

3.       Compliance:

a)       All projects must comply with federal, state, and local 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. Existing equipment must be removed and properly disposed of.

c)       Equipment must meet specification requirements and be purchased, installed and operating prior to submitting an incentive application.

d)       Customers may only receive one incentive per piece of qualifying equipment.

e)       All projects must be a retrofit / replacement installation in an existing residence or installation in new construction. 

f)        All terms and conditions of this application must be satisfied by the customer. 

4.       Payment:  Once completed paperwork is submitted, incentive payments are usually made within 45 days.  Incomplete applications will either delay payments or be denied.  Incentive payments will be made in the form of Community Affairs Corporation (CAC) gift certificates.  The Utility reserves the right to refuse payment and participation if the customer or the customer’s contractor violates program rules and procedures. 

5.       Inspection:  The Utility may conduct an inspection of the customer’s facility to survey any installed projects. The Utility may inspect customer records relating to incentives sought by the customer. 

6.       Information Sharing: The Utility reserves the right to publicize your participation in this program, unless you specifically request otherwise in writing.  Information contained in this application may be shared with state boards, commissions, and departments.   

7.       Program Discretion:  Incentives are available on a first-come, first-served basis. This program and its incentive amounts are subject to change or termination without notice at the discretion of The Utility.  Neither pre-approval of a project, nor any other action by The Utility, will entitle a customer to an incentive payment until the application is finally approved by The Utility. 

8.       Logo Use:  Customers or allies may not use the name or logo of The Utility in any marketing, advertising, or promotional material without written permission.

9.       Disclaimers:  The Utility 

a)       does not endorse any particular manufacturer, product, labor or system design by offering these programs;

b)       will not be responsible for any tax liability imposed on the customer as a result of the payment of incentives;

c)       does not expressly or implicitly warrant the installation or performance of installed equipment or any contractor’s quality of work (contact the equipment manufacturer or contractor for 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, injury, or loss of life arising from or relating to the removal, installation, or operation of any equipment, or any other action taken by the customer or The Utility, in connection with a project undertaken by the customer under the programs described in this application;

f)        does not guarantee that a specific level of energy or cost savings will result from the implementation of energy efficiency measures or the use of products funded under this program.

 

INCENTIVE LIMIT: 

·        Total incentive will not exceed 75 percent of the project cost, including installation. If self installed, incentives for items of equipment can be up to the purchase price of a specific item, but shall not exceed the incentives set by Rock Rapids Municipal Utilities.

·        Incentives for particular items of equipment and/or systems are limited as set forth in this application. 

 

 

Customer Information (Please Print)

Name of Homeowner

Phone

Email Address

Mailing Address

City

State

ZIP Code

Installation Address

City

State

ZIP Code

Utility Account Number (as shown on utility bill)

 

Building Type

___ Existing   ___ New Construction

Building Use

___Single Family    ___Multi-family __ Units

Existing fuel Type for Space Heating:     ___ Natural Gas ____ Electric ___ LP (Propane) ___ Oil  ___ Other ___________________________________________________

How did you learn about the program?  __ My utility  __ Newspaper __ Community Event  __ Mail to my home ___Bill insert    ___Other: __________________________

 

Retailer/Contractor Information

Name of Installing Contractor

Mailing Address

City

State

Phone

 

 

 

 

 

Effective August 1, 2001, vendors within 25 miles of Rock Rapids will be included in the Options 2000 Rebate Program.  If a customer is using an out-of-town vendor, it is the responsibility of the customer to pick up a rebate application and have it completed by the vendor. 

  

  1. Residential Insulation

Equipment Type

Minimum Specifications

Estimated Annual Savings

Incentive

Incentive

Total

Attic Insulation

Must be inspected BEFORE and AFTER installation

Varies by house

$10/ R value

increase to R-49

maximum of $100

$

 
  1. Equipment Available for purchase at RRMU

Equipment Type

Estimated Annual Savings

Price

Water Heater Blanket (insulation)

(residential only)

$9 - $23/year

$5

Low-Flow Showerhead

(residential only)

$35 – $50/year

$3

 

Total Incentive

$

 

Certifications and Signature


I hereby certify that: 1. The information contained in this application is accurate and complete; 2. All installation is complete and the unit(s) is operational prior to submitting application;  3. All rules of this incentive program have been followed; and 4. I have read and understand the terms and conditions included with this document.

 

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 piece of equipment. I agree to indemnify, defend, hold harmless and release The Utility from any claims, damages, liabilities, costs and expenses (including reasonable attorneys’ fees) arising from or relating to the removal, disposal, installation or operation of any equipment or related materials in connection with the programs described in this application, including any incidental, special or consequential damages.

 

Please sign and complete all information below.

 

 

Signature

Print Name

 

Date Equipment Installed

Date Submitted

 

Utility Use Only

Date Received:

 

Initials: 

 

Pre-Inspected?

 

__ Yes  __ No

Date Pre-Inspected:

Initials:

Post-Inspected?

 

__ Yes  __ No

Date Post-Inspected

Initials:

Incentive Approved   __ Yes  __ No

Amount :$

Date Rebate Issued:

Utility Representative

 

Welcome to Rock Rapids Municipal Utilities 

Your Locally Owned Utility Provider of

Natural Gas, Electricity, Water & Sewer