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HVAC PY4 - ComEd

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					                                    APPLICANT INFORMATION (REQUIRED)
                             Use for both pre-approval and final application. Keep a copy for your records.

      Pre-Approval                     Date:                                  Final Application              Date
                                                                              Please update project cost and completion date below.
      Attach:                                                                 Attach:
      Incentive worksheet for measures installed                              Incentive worksheet for measures installed
      Specification sheets for new equipment                                  Signed final application agreement (third worksheet)
      Scope of work with type, quantity and wattage                           Updated scope of work (detailed project description)
      of old and new equipment                                                Dated, itemized invoices for the purchase and
                                                                              installation of all equipment
Estimated Project Completion Date:                                            Equipment specification sheets showing that
Estimated Project Cost:                                                       equipment installed meets program specifications

                                                                              Actual Project Completion Date:
                                                                              Actual Project Cost:

NAME OF COMPANY                                                      NAME AS IT APPEARS ON YOUR UTILITY BILL


BUSINESS TYPE (SELECT ONE FROM DROPDOWN LIST)                        Office, School: K-12, Retail/Service, Hotel/Motel, Restaurant, Medical,
                                                                     Grocery, Warehouse, Light Industry, Heavy Industry, College/University, Misc.
NAME OF CONTACT PERSON                                               TITLE


TELEPHONE                                                            FAX


E-MAIL ADDRESS


ADDRESS WHERE MEASURES INSTALLED


CITY WHERE MEASURE INSTALLED                                         STATE ZIP + 4


YOUR MAILING ADDRESS


YOUR CITY                                                            STATE ZIP + 4


TAXPAYER ID NUMBER (SSN/Federal EIN)                                 TAX STATUS FROM W9                              Individual
                                                                              Partnership                            Corporation
COMED ACCOUNT NUMBER (WHERE MEASURES INSTALLED)                               LLC                                    Exempt
                                                                              Enter tax classification: D=disregarded entity C=corporation P=partnership

CONTRACTING COMPANY                                                  CONTRACTOR CONTACT NAME


CONTRACTOR PHONE                                                     CONTRACTOR E-MAIL


CONTRACTOR MAILING ADDRESS


CONTACTOR CITY                                                       STATE ZIP + 4



As an eligible customer, I verify the information is correct and request consideration for participation under this
program.
CUSTOMER SIGNATURE (COMED CUSTOMER)                                  PRINT NAME



TOTAL INCENTIVE REQUESTED*                                           DATE

                                                             $0.00
*Incentive cannot exceed 100 percent of the incremental measure cost and 50 percent of the total project cost and must meet all program term and
conditions.
                                       FINAL APPLICATION AGREEMENT
As an eligible ComEd customer, I certify that work was completed on this project between June 1, 2011, and May 31, 2012. My decision
to acquire and install the energy efficiency measures can be demonstrated by documentation indicating contract dates after March 1,
2011. The energy efficiency measures are for use in my business facility and not for resale.

I understand that project documentation, including product specification sheets and copies of dated invoices for the purchase and
installation of the measures, is required, and I am submitting that documentation with this final application. (Further information on
documentation requirements is available in the Policy and Procedures Manual at www.ComEd.com/BizIncentives, or by calling the
program hotline at 888-806-2273.)

I understand that the location or business name on the invoice must be consistent with the application information. Final applications and
all required supporting documentation must be received by May 15, 2012.

I agree to verification by the utility or their representatives of both sales transactions and equipment installation.
I understand that these incentives are available to all customers who pay into the Energy Efficiency and Demand Response Adjustment
(Rider EDA) and receive their electricity over ComEd wires, regardless of retail electric supplier.
I certify that the information on this application is true and correct, and that the taxpayer ID number and tax status is the applicant’s. I
understand that incentives over $600 will be reported to the IRS unless the applicant is exempt or a corporation.

I agree that if: (1) I do not install the related product(s) identified in my application, or (2) I remove the related product(s) identified in my
application before a period of five years or the end of the product life, which-ever is less, then I shall refund a prorated amount of
incentive funds to ComEd based on the actual period of time in which the related product(s) were installed and operating (or the full
amount if the product was never installed). This is necessary to assure that the project’s related energy benefits will be achieved.
I understand that the program may be modified or terminated without prior notice.
I understand that the final application and all required documentation must be received by the ComEd Smart Ideas for Your Business
program within 60 days of project completion. All equipment must be purchased and installed prior to submitting the final application.
I understand that this project must involve a facility improvement that results in improved energy efficiency. I understand that replaced
equipment must be permanently removed. I also understand that all materials removed, including lamps and PCB ballasts, must be
permanently taken out of service and disposed of in accordance with local codes and ordinances. Resale of replaced equipment is
prohibited. I understand it is my responsibility to comply with any applicable codes or ordinances. (Information about hazardous waste
disposal can be found at: www.epa.gov/epawaste/hazard/index.htm.)

In no case will ComEd pay more than 100 percent of the incremental measure costs and 50 percent of the total cost of the project. I
understand that ComEd or their representatives have the right to ask for additional information at any time. ComEd’s Smart Ideas for
Your Business program will make the final determination of incentive levels for this project.
The program has a limited budget. Applications will be processed until allocated funds are reserved or spent. Final applications must be
received by May 15, 2012, to be eligible for funding in Program Year 4.
I understand that my company may be recognized as a program participant in promotional materials; however, project details will not be
released without prior consent. If I choose to opt out of any recognition, I will indicate my choice in a written letter.
I understand that ComEd does not guarantee the energy savings and does not make any warranties associated with the measures
eligible for incentives under this program, and, further, that ComEd has no obligations regarding and does not endorse or guarantee any
claims, promises, work, or equipment made, performed, or furnished by any contractors or equipment vendors that sell or install any
energy efficiency measures.
I understand that in the event the application received pre-approval and funds were reserved based upon the application, such pre-
approval or reservation, including the specific dollar amount of reservation, did not represent a guarantee that such funds will be paid.
Payment of incentives will be based upon the final application and program terms and conditions, as well as the availability of funds.
I have read and understand the program requirements, measure specifications and terms and conditions set forth in this application and
agree to abide by those requirements. Furthermore, I concur that I must meet all eligibility criteria in order to be paid under this program.


CUSTOMER SIGNATURE (COMED CUSTOMER)                                      PRINT NAME                                           DATE



         FOR FINAL APPLICATIONS, SIGN AND SUBMIT ONLY AFTER ALL EQUIPMENT HAS BEEN
                 INSTALLED. A CUSTOMER SIGNATURE IS REQUIRED FOR PAYMENT.
                      PAYMENT RELEASE AUTHORIZATION (OPTIONAL)
Complete this section ONLY if incentive payment is to be paid to an entity other than the ComEd customer listed on the Applicant
Information page.

I am authorizing the payment of the incentive to the third party named below and I understand that I will not be receiving the incentive
payment from ComEd. I also understand that my release of the payment to a third party does not exempt me from the program requirements
outlined in the measure specifications and Terms & Conditions.
Authorized by:
CUSTOMER SIGNATURE (COMED CUSTOMER)                          PRINT NAME                                                DATE


Check should be made payable to:
PAYEE: COMPANY/INDIVIDUAL NAME


MAILING ADDRESS


CITY                                                         STATE ZIP + 4


TELEPHONE


TAXPAYER ID NUMBER (SSN/Federal EIN)                         TAX STATUS FROM W9                     Individual
                                                                     Partnership                    Corporation
                                                                     LLC                            Exempt
                                                                     Enter tax classification: D=disregarded entity C=corporation P=partnership
                                          HVAC INCENTIVE WORKSHEET
                                                          Air Conditioning Units
                 Equipment Type                               Size Category                   Qualifying Efficiency                Incentive
                                                                                                    14 SEER                       $15 per ton
                                                         <65,000 Btuh (5.4 tons)
                                                                                                    15 SEER                       $30 per ton
                                                       65,000 - 239,999 Btuh (5.4 -
                                                                                                      12 EER*                     $30 per ton
                                                                19.9 tons)
  Unitary and Split Air Conditioning Systems
         and Air Source Heat Pumps                     240,000 - 759,999 Btuh (20 -
                                                                                                    10.8 EER*                     $30 per ton
                                                                63.2 tons)

                                                       ≥760,000 Btuh (≥ 63.3 tons)                  10.2 EER*                     $30 per ton

                                                                                   < 300 tons           0.54 kW/ton-IPLV    $20 per ton
                                                          Centrifugal            300 - 599 tons         0.49 kW/ton-IPLV plus $3.50 per ton
                                                                                   ≥ 600 tons           0.49 kW/ton-IPLV energy efficiency
                                                                                   < 75 tons            0.57 kW/ton-IPLV      bonus***
                                                       Scroll or Helical-        75 - 149 tons          0.55 kW/ton-IPLV
              Water-Cooled Chillers                         Rotary               150 - 299 tons         0.52 kW/ton-IPLV
                                                                                   ≥ 300 tons           0.49 kW/ton-IPLV
                                                                                   < 75 tons            0.57 kW/ton-IPLV
                                                                                 75 - 149 tons          0.55 kW/ton-IPLV
                                                        Reciprocating
                                                                                 150 - 299 tons         0.52 kW/ton-IPLV
                                                                                   ≥ 300 tons           0.49 kW/ton-IPLV
                                                                                                                          $30 per ton plus
                                                                                     < 150 tons         0.86 kW/ton-IPLV
                                                                                                                               $3.50
                Air-Cooled Chillers                           All
                                                                                                                                per ton energy
                                                                                     ≥ 150 tons         0.85 kW/ton-IPLV
                                                                                                                              efficiency bonus***

              Room Air Conditioners                                   All                      See specifications                 $30 per ton
                                                                                          13.08 – (0.2556 x Btuh/1000)
                      PTAC/PTHP                                       All                             EER                         $30 per ton
*Units with electric resistance heating must have EER values 0.2 higher than the efficiencies listed.
**Unit efficiency for chillers should be provided in kW per ton – IPLV (IPLV = Integrated Part Load Value). Unit efficiency in AC units less than
65,000 Btuh should be provided in SEER. Unit efficiency for all other equipment should be provided in EER.
*** Efficiency bonus is paid for an efficiency rating above the qualifying efficiency. The bonus is $3.50 per 0.01 kW/ton IPLV for water- and air-
cooled chillers.
                                                                             Number of
                                      Efficiency of                                                     Efficiency Bonus
                                                    Unit Size in Tons           Units    Incentive                                 Incentive
     Equipment Type Installed              Unit                                                            (See Below)
                                                           (A)                Installed Per Ton (C)                              A x B x (C+D)
                                       Installed**                                                              (D)
                                                                                 (B)
centrifugal chiller                             0.44                200.00       1            $20              $35.00                       $11,000
                                                                                                                                                 $0
                                                                                                                                                 $0
                                                                                                                                                 $0
                                                                                                                                                 $0
                                                                                                                                                 $0
                                                                                                                                                 $0
Total                                                                                                                                            $0
To determine Efficiency Bonus:
           Is unit’s efficiency (kW/ton) less than qualifying efficiency? If so, calculate efficiency bonus:
                                            (Qualifying Efficiency – Unit Efficiency) x 100 x $3.50
                                              Guest Room Energy Management System
                                                                                                            Number of Units     Incentive
Type/Description                                                                  Incentive Per Unit (A)
                                                                                                             Installed (B)     (A x B x C)
Hotel Guest Room Energy Management System
                                                                                       $65 per unit                                          $0
  (Electric Heat/AC)
Hotel Guest Room Energy Management System
                                                                                       $25 per unit                                          $0
  (Non-Electric Heat/AC)
Total                                                                                                                                        $0


                                                 Variable Speed Drive on HVAC Chiller*
                                                                                                Number                         Incentive
                                                                                  Size in                   Incentive per HP
Application Description                                                                         Installed
                                                                                  HP (A)                           (C)         (A x B x C)
                                                                                                   (B)
                                                                                                                  $25                        $0
                                                                                                                  $25                        $0
                                                                                                                  $25                        $0
                                                                                                                  $25                        $0
Total                                                                                                                                        $0
*For VSDs installed on HVAC fans and/or pumps, please use the Prescriptive VSD application.


                                   Demand Control Ventilation for Kitchen Exhaust Hoods
New Hood                                                                        $300 per Exhaust Fan HP
Retrofit Hood                                                                   $400 per Exhaust Fan HP
                                                                                                                               Incentive
                                                                                Size in HP   Number         Incentive per HP
Application Description
                                                                                    (A)    Installed (B)           (C)         (A x B x C)
                                                                                                                                             $0
                                                                                                                                             $0
                                                                                                                                             $0
                                                                                                                                             $0
Total                                                                                                                                        $0

Total HVAC                                                                                                                                   $0
Incentive cannot exceed 100 percent of the incremental measure cost and 50 percent of total project cost.
                           HVAC Equipment Specifications
    Measure                  Definition                        Specifications                     Incentive
Unitary and Split   New unitary air conditioning   The efficiency of split systems is based $15-$30 per ton
Air Conditioning    units or air source heat       on an Air-Conditioning, Heating and      based on size. See
Systems and Air     pumps that meet or exceed      Refrigeration Institute (AHRI) reference worksheet.
Source Heat         the qualifying cooling         number. All packaged and split system
Pumps               efficiency shown in the        cooling equipment must meet AHRI
                    HVAC Incentives                standards (210/240, 320 or
                    Worksheet table are eligible   340/360)and be UL listed. Refrigerant
                    for an incentive. They can     must comply with local codes.
                    be either split systems or
                    single packaged units.         All required efficiencies are based on
                    Water-cooled systems,          the Consortium for Energy Efficiency
                    evaporative coolers, and       (CEE) high-efficiency commercial air
                    water source heat pumps        conditioning and heat pump
                    do not qualify under this      specifications (www.cee1.org).
                    program, but may qualify for
                    a custom incentive.            A manufacturer’s specification sheet
                                                   indicating the system efficiency must
                                                   accompany the application. Disposal of
                                                   the existing unit must comply with local
                                                   codes and ordinances.
Water- and Air-     Chillers are eligible for an   The chiller efficiency rating must be      $20-$30 per ton
Cooled Chillers     incentive if they have a       based on AHRI Standard 550/590-            based on size (see
                    rated kW/ton for the           2003 for IPLV conditions and not           worksheet) plus
                    Integrated Part Load Value     based on full-load conditions. The         $3.50 for every
                    (IPLV) that is less than or    chillers must meet AHRI standards          0.01 kW/ton under
                    equal to the qualifying        550/590-2003 and be UL listed.             the qualifying IPLV
                    efficiency.                    Refrigerant must comply with local
                                                   codes. The AHRI net capacity value
                                                   should be used to determine the chiller
                                                   tons. A manufacturer’s specification
                                                   sheet with the rated kW/ton-IPLV or
                                                   COP-IPLV must accompany the
                                                   application.

Room Air            Room air conditioning units Only Super Efficient Home Appliance $30 per ton
Conditioners        are through-the-wall (or built- (SEHA) Tier 1 standard units qualify
                    in) self-contained units that for an incentive. The minimum
                    are two tons or less.           requirements and eligible equipment
                                                    are listed in the CEE high-efficiency
                                                    room air conditioning specifications
                                                    (www.cee1.org). The qualifying
                                                    efficiencies are provided below.
                                                    Disposal of existing unit must comply
                                                    with local codes and ordinances. (See
                                                    Table 1.)
Package             Package terminal air            Only units that have an EER greater      $30 per ton
Terminal AC and     conditioners and heat           than or equal to 13.08 – (0.2556 x
Heat Pump Units     pumps are through-the-wall      capacity in Btuh/1000) qualify for the
(PTAC/PTHP)         self contained units that are   incentive. All EER values must be
                    two tons (24,000 Btuh) or       rated at 95° F outdoor dry-bulb
                    less.                           temperature.
Hotel Guest         Incentives are available for    Sensors must be controlled by          $65 per unit
Room Energy         sensors that control heat       automatic occupancy detectors or key
Management          pumps and other electric        cards. During unoccupied periods the
System (Electric    heating units for individual    default setting for controlled units
Heat/AC)            hotel rooms. Key cards that     should differ by at least five degrees
                    indicate occupancy also         from the operating set point. The
                    qualify. Sensors controlled     incentive is per guestroom controlled,
                    by a front desk system are      rather than per sensor, for multi-room
                    not eligible.                   suites. Replacement or upgrades of
                                                    existing occupancy-based controls are
                                                    not eligible for an incentive.


Hotel Guest         Incentives are available for    Sensors must be controlled by          $25 per unit
Room Energy         sensors that control natural    automatic occupancy detectors or key
Management          gas heating units for           cards. During unoccupied periods the
System (Non-        individual hotel rooms. Key     default setting for controlled units
Electric Heat/AC)   cards that indicate             should differ by at least five degrees
                    occupancy also qualify.         from the operating set point. The
                    Sensors controlled by a         incentive is per guestroom controlled,
                    front desk system are not       rather than per sensor, for multi-room
                    eligible.                       suites. Replacement or upgrades of
                                                    existing occupancy-based controls are
                                                    not eligible for an incentive.


Variable Speed Variable-speed drives                The installation of a VSD must       $25 per controlled
Drives on HVAC (VSDs) that are installed on         accompany the permanent removal or HP
Chillers       existing chillers are eligible       disabling of any throttling devices.
               for this incentive. New
                                                    For other VSD projects, please use the
               chillers with integrated
                                                    prescriptive VSD application.
               VSDs are eligible under the
               chiller incentive. VSDs on
               new equipment are not
               eligible.
Demand Control    Installing a control system This involves:                            New: $300 per
Ventilation       that varies the exhaust rate    -- Installing a temperature sensor    exhaust fan HP
Kitchen Exhaust   of kitchen ventilation          In the hood exhaust collar an/or an
Hoods             (exhaust and/or makeup air      optic sensor on the end of the hood
                  fans) based on the energy
                  and effluent output from the    –     Installing a variable speed     Retrofit: $400 per
                  cooking appliances (i.e., the   drive on the exhaust fan that will    exhaust fan HP
                  more heat and                   vary the rate of exhaust to what is
                  smoke/vapors generated,         needed
                  the more ventilation
                                                  –     Installing a variable speed
                  needed).
                                                  drive on the makeup air unit if
                                                  applicable
                                              Incentive is based on exhaust fan HP
                                              only (not makeup air fan). VSDs on the
                                              makeup air fan do not qualify for an
                                              additional incentive.

				
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posted:11/11/2011
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