Commercial Heat Pump 2016 - Cedar Falls Utilities

2016 Rebate Application for Commercial & Multifamily Heat Pumps

of 4 (2016)

Customer Signature: Date:

The undersigned agrees that the stated energy efficiency measure(s) was (were) installed and in operation at the job site address listed above as part of the CFU Program and that the information contained in this application is accurate and complete. I have read and agree to the Terms & Conditions within this application. The undersigned agrees to indemnify, defend, and hold harmless and release CFU 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.

Step #4) Read Terms & Conditions and Sign Release

Dealer Agreement

I certify that all equipment and installation information provided on this application is correct and accurate.

Installer/Dealer Signature: Date:

Installing Dealer Information

Dealer/Company:

Mailing Address: City/State:

Contact Person: Mailing Zip:

Phone: Contact Email:

Step #3) Complete Project & Dealer Information Replacement/Retrofit (existing) New Construction (may not be eligible) New Installation

Dealer Installed Customer Installed

Approx. year built: Building Sq. Ft. Owner-occupied Rental Property

Facility InformationConvenience/Grocery/Restaurant Church/Warehouse Industrial/ManufacturingMultifamily (4+ Units)/Lodging Education/Office/Retail Agriculture/Farm Building

Step #2) Complete Customer & Facility Information

Company (Check will be payable to this name):

Installation Address:

Contact Person: Phone:

Mailing Address (if different): City/State:

Contact Email: Mailing Zip:

Website: Fax No:

Is your building newly

constructed (built in 2016)?

No. Go to Step 2.

Yes. Contact CFU at 319-268-5355.

Is it an air source heat pump? Is it a ground source heat pump larger than

300 MBtuh?

No. Go to Step 2.

Yes. Contact CFU at 319-268-5355.

Step #1) Make sure this is the right rebate application for your project.

2016 CFU COMMERCIAL/LARGE MULTIFAMILY HEAT PUMP REBATES, TERMS & CONDITIONS: n Applicant must be a current Cedar Falls Utilities (CFU) customer and CFU must supply electricity to the equipment for which the cash rebate is being paid. This program is intended for multifamily units with more than 4 units per building & nonresidential facilities. Payments will be made to property owners or account holders, not to builders, energy service companies, or contractors. n All heat pumps must serve as a primary source of heating or cooling for the facility or control the primary equipment. Units installed as backup or redundant systems or in control of backup or redundant systems are not eligible. Air-source heat pumps must be pre-approved by CFU. n Incentives are available on a first-come, first-served basis. CFU may modify or end any cash rebate program at any time without notice. Neither pre-approval of a project, nor any other action by CFU, entitles applicant to a rebate payment until and unless this application is approved by CFU. The most current rules of this program are on the application forms posted at www.cfu.net. To evaluate your application, CFU will use the rules listed on the application form that was posted on the day CFU receives your application. n Purchase and installation must be completed between January 1, 2016 and December 31, 2016. Equipment or improvements must be installed and operating on the premises before you apply for a rebate. Submit your application no later than March 31, 2017. Allow 2-8 weeks for application review and rebate funding. Incomplete applications may be delayed or rejected. CFU reserves the right to award rebates in the form of utility bill credits or directly mailed checks. In no event will the rebate award from CFU exceed 50% of the total eligible, reasonable project costs or reduce the simple payback of a project to less than 12 months. n Cedar Falls Utilities: 1) does not endorse any provider, manufacturer, product, labor or system design by offering this program; 2) is not responsible for any tax liability arising from customer's receipt of a rebate payment; 3) does not expressly or implicitly warrant the performance of installed equipment or contractor's quality of work (contact your contractor or vendor for warranty information); 4) is not responsible for the proper disposal/recycling of any waste generated by this project; 5) is not liable for any incidental or consequential damages caused by the installation of the equipment or for any damage caused by the malfunction of the installed equipment; 6) 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. n CFU may inspect and verify the installation; ask you to complete a customer survey; and/or meter the specified equipment or process, at no cost to the customer, to determine the actual energy saved for up to 12 months after the installation. CFU may publicize your participation in this program unless you request otherwise in writing. Rebate application may be shared with state agencies or departments. n Projects must comply with all applicable federal, state, and local codes, standards, and regulatory requirements. Limit one rebate payment per piece of qualifying equipment or project expense. All equipment must be new; used or rebuilt equipment is not eligible. Existing equipment must be removed and may not be resold. n DIRECTIONS: For each project, submit a completed and signed rebate application with receipts and documentation as described below to either [email protected] or Cedar Falls Utilities, Attn: Energy Services, P.O. Box 769, Cedar Falls, IA 50613. Steps: 1) Apply for the correct program: If the heat pump(s) exceed the maximum MBtuh size parameters in this application (300 MBtuh for ground source heat pumps) OR if the unit is an air source heat pump, than the rebate must be pre approved by CFU prior to using this application. Contact CFU at 319-268-5355 for more information. Otherwise, use this application form. 2) Complete application after project completion and attach supporting documentation: Provide an invoice for each each heat pump, including: n Total project costs n Date of purchase n Vendor name & address n Customer name & address of facility at which the new equipment is installed n Make, model, quantity, and pre-tax purchase price of each type of heat pump installed. AHRI numbers are acceptable for each air source heat pump; OR you must show the manufacturer and model numbers for the coil and condenser of each type of heat pump installed.

of 4 (2015)

Step #5) Complete applicable information below AND attach copies of all sales invoices and or receipts.

Air Source Heat Pumps (up to 65 MBtuh) - $300 plus additional $100 per each 1 SEER above 15, up to $600 maximum. 15 SEER and 8.5 HSPF minimum; two-stage systems only.

Air Source Heat Pump Type 1

AHRI Reference Number Coil Make/Model Condenser Make/Model SEER HSPF Quantity

Equipment Cost: Total Btuh (high stage):

Partial Btuh (low stage) :

Project Type (select one):

Replaces broken equipment

New construction

Replaces working equipment

New install or dual-fuel heat pump (supplements another htg system)

Old Heating System Type (select one):

Electric resistance/furnace

Natural gas furnace/boiler Propane Heat Pump Other/NA

Date of project completion:

Old Cooling System Type (select one): None/Window AC Heat Pump/

Central AC Other/NA

Make and model of system removed OR estimated SEER/size:

Air Source Heat Pump Type 2

AHRI Reference Number Coil Make/Model Condenser Make/Model SEER HSPF Quantity

Equipment Cost: Total Btuh (high stage):

Partial Btuh (low stage) :



New construction

Replaces working equipment

New install or dual-fuel heat pump (supplements another htg system)


Electric resistance/furnace Natural gas Propane Heat Pump Other/NA

Date of project completion:


Central AC Other/NA

Make and model of system removed OR estimated SEER/size:

Total Air Source Heat Pump Incentives Requested:

of 4 (2016)

Ground Source Heat Pump 1

Manufacturer Model EER COP Quantity Installation Date

Equipment Cost: Total Heating Btuh: Partial Heating Btuh (if two stage) :

Single stage Two stage Total Cooling Btuh: Partial Cooling Btuh (if two stage) :



New construction

Replaces working equipment New installation





Central AC Other/NA

Open loop system Closed loop system Desuperheater? Yes No Existing

ground loopNew loop system

Resistance backup system size (kW): Water to water unit? Yes No

Make and model of prior HVAC systems removed OR estimated size:

Ground Source Heat Pump 2

Manufacturer Model EER COP Quantity Installation Date

Equipment Cost: Total Heating Btuh: Partial Heating Btuh (if two stage) :

Single stage Two stage Total Cooling Btuh: Partial Cooling Btuh (if two stage) :



New construction

Replaces working equipment New installation





Central AC Other/NA

Open loop system Closed loop system Desuperheater? Yes No Existing

ground loopNew loop system

Resistance backup system size (kW): Water to water unit? Yes No

Make and model of prior HVAC systems removed OR estimated size:

Total Ground Source Heat Pump Incentives Requested:

Ground Source Heat Pumps (up to 300 MBtuh) - $300/ton of new ground loop installed + $300/ton of heating capacity installed. 17.0 EER and 3.6 COP minimum.

of 4 (2016)

Commercial Heat Pump 2016 - Cedar Falls Utilities

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