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									Electric Efficiency Program Application (v1.7)
Existing Buildings & Facilities
Page 1: General Customer and Project Information

Approval code:

Complete this application to apply for funding for energy efficiency upgrades to non-lighting equipment replacements. Lighting efficiency upgrade projects
submitted under the LIGHTENUP program may substitute "Page 2-Lighting" of this application. Prescriptive incentives are provided for a variety of building
system upgrades, such as improved insulation, windows, daylight controls, cooling efficiency, and ENERGY STAR or high efficiency equipment. Prescriptive
incentives are based on improving energy efficiency beyond the requirements set by code or typical replacements.

Participant Acknowledgement of Terms and Conditions
By submitting this application, I hereby acknowledge that I have read, understand and agree to be bound by all requirements, terms, and conditions of the Electric
Efficiency Program including, but not limited to, the Terms and Conditions set forth on pages 10a and 10b, Request for Payment Form.

Project Eligibility
A project is eligible for Electric Efficiency Program (EEP) funding if:
                 l    The project is a commercial building served by one of the four following electric utilities: Town of Estes Park Light & Power Department (970-577-
                      3583), Fort Collins Utilities (970-221-6700), Longmont Power & Communications (303-651-8386), Loveland Water & Power (970-962-3000).
                 l     Other terms and conditions apply as stated on pages 10a and 10b, Request for Payment Form.

Steps to Participate
1.      Contact an vendor, contractor, consultant, engineer, or Platte River Energy Services for help with this application if needed.
2.      Complete page 1 and the appropriate worksheets on pages 2 through 9 that apply to your project to determine the potential incentive amount. The
        total incentive amounts are then summarized on page 10a.
          a. Any projects that show a total incentive over $1,000 or include custom incentives (from page 9) require pre-approval, as described in step 3.
            b.       For any other projects, pre-approval is optional. You may proceed to either step 3 or 4, depending on your confidence that you have met the
                     program requirements.
            c.       Total potential incentive listed on Page 10 must be a minimum of $50 to qualify.
3.      To receive pre-approval, submit this unsigned application to Platte River Energy Services*. This may be done via email, fax, or mail. Platte River Energy
        Services will review the application, and if approved, issue you an approval code.
4.      Complete the project. Remember to keep proof of installation as specified on each measure incentive worksheet.

5.      Resubmit the entire completed application along with all required documentation (as described on page 10b) to Platte River with the appropriate
        signatures (also on page 10b). Due to the signature requirement, this must be done via mail.
6.      Receive the incentive check typically in four to six weeks*.
       *Platte River Energy Services may request a site visit at any time to confirm the accuracy of the application and reserves the right to determine the final eligibility and incentive
        amount for all projects.

Company:                                                                                                 Company:

Site Address:                                                                                            Address:

City, state, zip:                                                                                        City, state, zip:

Contact person:                                                                                          Contact person:
Mailing address:                                                                                         Mailing address:
(if different)                                                                                           (if different)

City, state, zip:                                                                                        City, state, zip:

Telephone:                                                       Fax:                                    Telephone:                                                           Fax:

Email:                                                                                                   Email:

How did you hear about EEP?                                                                              Submitting LIGHTENUP Application as well?

Project Site
Serving electric utility:                                                                                Facility Info.:                Facility Type:
IMPORTANT: Site must receive electricity from a listed utility to be eligible for this program                                          Other (describe)

Customer account or meter #:                                                                                              Year Built:                        Year Remodeled?
Rate Schedule (optional)                                                                                       Building (sq ft):                                  Project (sq ft):
Operating Hours (description)                                                                                     Project Type:

Estimated Project Schedule
Start date:                                                                                              Completion date:
Incentive funds are subject to change without notice. Contact Platte River Energy Services to ensure that you have the most recent application and that funds are available.
Contact Information
For questions or to submit an application for approval or payment, please contact Platte River Energy Services:
                                                                                                                                                                Please be sure to direct all
Platte River Power Authority                                 Phone: 970-226-4000                                                                           correspondence to Energy Services.
2000 E Horsetooth Rd                                           Fax: 970-229-5244
Fort Collins, CO 80525-5721                                   Email: electricefficiency@prpa.org                                                                             rev     11/12/2009
                                                                                                                                                           5493483d-b0e0-4978-a97a-ca64c4a5d6e5.xls
Electric Efficiency Program Application (v1.7)
Existing Buildings & Facilities                                                                                            HIGH EFFICIENCY ELECTRONIC BALLASTS ARE REQUIRED FOR ALL T8                                       Approval Code:
                                                                                                                                           FLUORESCENT INSTALLATIONS*
Page 2: Lighting Efficiency
LIGHTENUP Applications may substitute for this page**
                                                                                                                                                     Adding                                                                                                          Total
                                                                                                                                  Enter             Automatic          Existing          Proposed                                                 Total
                                                                                                                Fixture                                                                            Rebate per Potential                                             Annual
        Existing Fixture Equipment                         Proposed High Efficiency System                                       Annual             Controls?          Watts per         Watts per                                               Wattage
                                                                                                                Quantity                                                                             Fixture  Incentive                                              kWh
                                                                                                                                  Hours              Assumes            Fixture           Fixture                                                Savings
                                                                                                                                                   25% reduction                                                                                                    Savings
                      BALLAST FACTORS: LOW < .80, NORMAL = .80 - .95, HIGH > .95

4-ft fluorescents or other linear fluorescents < 8 ft: T8 lamps and electronic ballasts (new fixture or retrofit) replacing T12 and magnetic ballasts

4-lamp F34T12 & magnetic ballast                      2-lamp F32T8 & elec ballast / high efficiency                                                                          144                 55




8-ft fluorescents: T8 lamps and electronic ballasts (new fixture or retrofit) replacing T12 and magnetic ballasts
                                                      4-lamp F28T8 & elec ballast / low ballast factor /
2-lamp F96T12 60-W & magnetic ballast                                                                                                                                        126                 84
                                                      high efficiency




Compact fluorescents/LED/CMH: bulbs, screw-in, or hardwired compact fluorescent, LED, or CMH replacing incandescent or other in permanent fixture
                                                      GU24 based compact fluorescent with conv kit,
65-W incandescent                                                                                                                                                            65                  14
                                                      13/15-W




High-bay & Low-bay lighting: NEW fluorescent fixture replacing high-intensity discharge

400-W high pressure sodium                            70-W Induction                                                                                                         465                 80




Exit sign replacement: LED exit sign replacing incandescent or compact fluorescent exit sign

                                                      LED exit sign                                                                                                                              3

Other fixture retrofits or replacements not listed above. Enter description of old and new fixture types in green cells and wattages in yellow cells.

Write in description and watts in yellow -->          Write in description and watts in yellow -->                                                                            0                  0




Incentive & Savings Calculation (Required)
Project Cost
(includes materials, labor, and other                                                                                0           #DIV/0!                                    800               236            #DIV/0!                 $0                 0                 0
related costs)

100% Project Cost Cap                                                           $0                                                                                Electric Rate Table ($/kWh) (L)
                                                                                                                 Annual           The typical average electric rate for all cities is $0.065/kWh. For a more accurate rate, choose the average electric rate below based on the
                                                                                                                 Lighting                                project's location and annual lighting hours. (average electric rate = energy + demand rate)
Actual Incentive                                                                $0                                Hours
                                                                                                                                           Estes Park                             Fort Collins                         Longmont                             Loveland
                                                                                                                   h/yr
                                      Project Economics                                                            2,000                     $0.103                                 $0.066                              $0.098                               $0.094

Electric cost savings                                                                                              3,000                     $0.083                                 $0.079                              $0.075                               $0.076
                                                                                                                   4,000                     $0.075                                 $0.076                              $0.064                               $0.067

Total kW reduction                                                             0.00                                5,000                     $0.070                                 $0.068                              $0.059                               $0.063

Annual electricity savings, kWh/yr                                               0                                 6,000                     $0.066                                 $0.064                              $0.054                               $0.059

Average electric rate, $/kWh                                                                                       7,000                     $0.061                                 $0.062                              $0.048                               $0.054
                                                                              $0.07
(select from table on the right)

Annual electricity cost savings per yr                                          $0                                 8000+                     $0.058                                 $0.060                              $0.044                               $0.051

Simple Payback with incentive,                                                                                   No Demand
# of years (must be less than 15 years to qualify                                                                Energy Rate                 $0.097                                 $0.072                              $0.069                               $0.072
                                                                                                                    Only
for rebate)
All incentives are based on a Watt reduciton rate and are subject to change without notice and are subject to project limit of $50,000 or less than 15 year simple payback requirment. Rebate must be minimum of $50 listed on Page 10a.
Contact Platte River Energy Services to ensure that you have the most recent application and that funds are available.
REQUIREMENT: (1) ALL T8 ELECTRONIC BALLASTS MUST BE "HIGH EFFICIENCY" that meet or exceed the Ballast Efficacy Factor as described for ballasts in the CEE High Performance T8 specification. High Performance T8 lamp pecifications are
based on "CEE (Consortium for Energy Efficiency) High Performance T8 Specification and are specifications for use in voluntary energy-efficiency programs. For the most recent revised voluntary specifications and a complete list of qualifying High
Performance T8 4' lamps & ballast combinations, visit www.cee1.org/com/com-lt/com-lt-main.php3. (2) All lamps, sockets, and ballasts must be removed when delamping a fixture to qualify for a rebate. (3) Existing wattages enetered above that differ
from selection(s) above must be verified before and after installation. if you have questions contact Platte river Energy Services for more informaiton on these requirements.

Platte River Power Authority                                                                                                                                                                                             (tel) 970-226-4000 / (fax) 970-229-5244
2000 E Horsetooth Rd, Fort Collins, CO 80525-5721                Page 2                                                                                                                                     email: LIGHTENUP@prpa.org / Web: www.prpa.org
Electric Efficiency Program Application (v1.7)
Existing Buildings & Facilities                                                                                                                              Approval Code:

Page 3: HVAC Incentive Worksheet

Effective immediately incentives for split systems and packaged rooftop units have been terminated due to the enactment of the latest DOE manufacturer
requirements which now equal our cost effective standard. However customers may submit such HVAC units that Demonstrate a very high
efficiency under the "Custom" application procedure. As with any EEP "Custom" application proper engineering data must be provided demonstrating the
projected annual kWh savings over that of ths DOE standard. Future HVAC incentives may return so please check this sight periodically or contact Platte
River directly. PTAC/PTHP incentives are still available as before. Any questions or comments can be directed to 970-229-5204 or by e-mail to
rubalam@prpa.org.
Packaged Terminal Air Conditioner or Heat Pump (PTAC/PTHP) Incentive                                                                                                      0 $            -     $             -
                                                           Number              Installed     Rebate
HVAC       Equipment Model       ARI Reference Size in               Installed                           Base Rebate                        Your Total       Annual kWh       Annual Dollars    KW Demand
                                                           of Units              Unit       Based on                    Bonus Rebate
Typea          Number                 No.       Tons                 Unit EER                              Amount                         Rebate Amount        Saved             Saved            Saved
                                                           Installed             SEER        EER or
                                                                               xxxxxxxx       SEER       $         -     $          -    $             -
                                                                               xxxxxxxx                  $         -     $          -    $             -
                                                                               xxxxxxxx                  $         -     $          -    $             -
                                                                               xxxxxxxx                  $         -     $          -    $             -
                                                                               xxxxxxxx                  $         -     $          -    $             -
                                                                               xxxxxxxx                  $         -     $          -    $             -
                                                                               xxxxxxxx                  $         -     $          -    $             -
                                                                               xxxxxxxx                  $         -     $          -    $             -
                                                                               xxxxxxxx                  $         -     $          -    $             -
                                                                               xxxxxxxx                  $         -     $          -    $             -
                                                                                Rebate      Enter # of
PTAC/PTHP Controls Incentive
                                                                                per unit      units
Motion Sensor or Card Lock control with setback capabilities                       $75                   $         -

                                                                                             TOTAL       $          -    $          -     $           -            0          $          -            0.00


PTAC/HP=packaged terminal air conditioner and/or heat pump


Notes:
1. All EER qualifying packaged terminal air conditioner or heat pump (PTAC/PTHP) units can be either 1 or 3 phase electrical rated.
2. The annual dollars saved is based on the estimated kWh's saved pertinant to the efficiencey of the equipment selected and number installed. Your actual savings may be more or less depending on


                                    High      Base     Base          Base
Range        Low Btu/h              Btuh      SEER     EER          Rebate                        Bonus Rebate
Packaged Terminal Air Conditioner or Heat Pump (PTAC/PTHP) Btuh range and associated EER minimum and rebate:
  5              0                 >50000        0      11          $50.00        $4 per ton for each 0.1 EER over 11.0




                                                                                                                                                                                     5493483d-b0e0-4978-a97a-ca64c4a5d6e5.xls
Electric Efficiency Program Application (v1.7)
Existing Buildings & Facilities                                                                                             Approval Code:

Page 4: Building Envelope Incentive Worksheet
Building Envelope

                                                                                                                    Insert Component
  Existing Condition                                                                                                                                         Annual kWh         Annual
                            Measure           Incentive per unit              Criteria (see Notes below)                   Area                 Incentive
(U-values, SHGC, etc)                                                                                                                                          Saved         Dollars Saved
                                                                                                                      Square Footage

                         Window
                                               $0.73 per SF glass                  U value 0.3 or less
                           U-value


                            Window                                       SHGC 0.25 or less for south, east and
                                               $0.73 per SF glass
                             SHGC                                                   west glazing

                                                                         Insulation entirely above deck R-30 c.i.

                         Roof insulation       $0.16 per SF roof               Metal building R-19 + R-19

                                                                             Attic and Other R-38 + R-5 c.i.

                                                                                     Mass R-20 c.i.
                                                                               Metal building R-13 + R-19
                         Wall insulation       $0.03 per SF wall
                                                                             Steel framed R-19 + R-7.5 c.i.
                                                                              Wood framed R-19 + R-4 c.i.

                                                                         ENERGY STAR labeled material and
                            Cool roof          $0.09 per SF roof
                                                                                  application

                                                                     American Air Barrier Association
                         Advanced Air                                specifications
                                               $0.03 per SF building
                           Sealing                                   (http://www.airbarrier.org/specs/index_e.
                                                                     php )
                                                                        Window Film applications are
                                                                        determined according to orientation,
                          Window Film        Custom Incentive
                                                                        window type, and film selected to
                                                                        determine awarded incenitve.


                                                                                                                                                  $0               0                $0


Notes:

1. Insulation and product rating must be met or exceeded to qualify, no partial improvement can be applied.

2. The c.i. designation stands for Continuous Insulation. This is insulated sheathing panels completely covering the exterior side of the steel framing or
   mass wall thus providing a continuous thermal break to the outside.

3. For metal roofs the recommended construction is standing-seam roofs with two layers of blanket insulation. The first layer is draped
   perpendicularly over the purlins with enough looseness to allow the second insulation layer to be laid above it, parallel to the purlins.

4. For steel framed walls the first layer is installed continuously perpendicular to the exterior of the girts and is compressed as the metal
   skin is attached to the girts. The second layer of insulation is installed parallel to the girts within the framing cavity.

5. Savings in energy expressed in kWh and kW amounts are based on energy models for a reference building which may be different from yours. A more
   representative energy savings amount should fall in the range of 80 to 120 percent of the stated energy savings .




                                                                                                                                         5493483d-b0e0-4978-a97a-ca64c4a5d6e5.xls
Electric Efficiency Program Application (v1.7)
Existing Buildings & Facilities                                                                                                 Approval Code:

Page 5: High Efficiency Food Service Equipment


                                                                                                              Total         Minimum Required          Average
                                                                       Rebate per                                                 Citeria             Annual
  New High Efficiency Equipment*                                                            # Units         Potential         (see below for
                                                                          Unit                                                                      Electric Cost
                                                                                                            incentive       qualifying models)       Savings**


High Efficiency Ice Machine (kWh/100 lbs of ice)                            $300                                                CEE Tier 3               $195


High Efficiency Ice Machine (kWh/100 lbs of ice)                            $200                                             ENERGY STAR                 $130


Insulated Hot Food Holding Cabinets (min 7 cu ft)                           $300                                             ENERGY STAR                 $350

Reach-In Refrigerators & Freezers (< 19 ft3)
                                                                            $50                                              ENERGY STAR                 $38
(glass or solid door)

Reach-In Refrigerators & Freezers (19 - 30 ft3)
                                                                            $75                                              ENERGY STAR                 $46
(glass or solid door)

Reach-In Refrigerators & Freezers (31 - 60 ft3)
                                                                            $100                                             ENERGY STAR                 $59
(glass or solid door)

Reach-In Refrigerators & Freezers (61 - 90 ft3)
                                                                            $125                                             ENERGY STAR                 $81
(glass or solid door)

Electric Steamers                                                           $250                                             ENERGY STAR                 $196


Electric Fryers                                                             $75                                              ENERGY STAR                 $47

                                                                                                                             ENERGY STAR
Electric Griddles                                                           $150                                                                         $84
                                                                                                                              (> 70% HL Eff)

                                                                                                                             ENERGY STAR
Combination Ovens - Electric                                              $1,000                                                                         $627
                                                                                                                              (> 70% HL Eff)

                                                                                                                             ENERGY STAR
Convection Ovens - Electric                                                 $225                                                                         $118
                                                                                                                              (> 70% HL Eff)
Vent Hood Controls
Vent Hood Controls with VFD fans & sensors; per hp
                                                                            $200                                             Recommend using
                    (enter total exhaust fan horsepower)
                                                                                                                                                         $119
                                                                                                                              qualified installer
        Are there MUA fans controlled? (select yes or no)                    No
  Total potential incentive on page 10 must be a minimum of $50 to
              qualify. Rebate cannot exceed project cost.
                                                                            Total               0                $0

Minimum Required Citeria Reference                                             Website Links               Description
                                                                                                          Visit the Consortium for Energy Efficiency (CEE)
CEE Tier 2 & 3 Qualifying Model Lists                                   CEE1 Com. Kitchen Equip.
                                                                                                          website for a list of all CEE qualifying kitchen
www.cee1.org                                                                  Homepage
                                                                                                          equipment; including Tiers 2 & 3.
                                                                       ENERGY STAR Commercial
                                                                                                ENERGY STAR website homepage to find ENERGY
ENERGY STAR Qualifying Model Lists                                       Food Service and Other STAR qualifying equipment models
                                                                               Equipment
                                                                                                          Food Service Tech. Center (FSTC) operated by Fisher-
ASTM (American Society of Testing Materials)                          Performance Testing for Food Nickel Inc., performs commercial kitchen appliance
Heavy Load Efficiency Ratings                                              Service Appliances      performance & efficiency testing; including listing
                                                                                                          heavy load efficiency ratings for electric griddles and
                                                                                                          ovens
                                                                                                          Interactive FSTC commercial kitchen equipment
General Energy Savings Calculators                                            Energy Efficient
                                                                         Kitchen Savings Estimator        interactive web-based tool, displaying estimated
www.fishnick.com
* Rebates are avaialable for NEW equipment only. Used or refurbished equipment does not qualify.            savings with energy efficient appliances.
** Annual cost and kWh savings are based on a typical restaurant savings and average energy rate of $0.06 per kWh. Results may vary for your business.
  Electric Efficiency Program Application (v1.7)
  Existing Buildings & Facilities                                                                 Approval Code:

  Page 6: High Efficiency Grocery Equipment

                                                                                                                   Total Annual
                                                               Rebate per              Unit of    Potential
        High Efficiency Equipment Upgrades                                  # Units                                Electric Cost
                                                                 Unit                  measure    Incentive          Savings*


    Tune-up Existing Reach-in or Open Display Cases and Existing Walk-ins Only

  Auto Closer for Walk-in Freezer Door <1>                           $50              door                             $166

  Auto Closer for Walk-in Cooler Door <1>                            $30              door                             $16

  Auto Closer for Reach-in Freezer Door <1>                          $30              door                              $9

  Auto Closer for Reach-in Cooler Door <1>                           $30              door                              $9

  Gaskets for Walk-in Cooler Door <1>                                $40              door                             $42

  Gaskets for Walk-in Freezer Door <1>                               $40              door                             $121

  Gaskets for Reach-in Cooler Door <1>                               $30              door                             $21

  Gaskets for Reach-in Freezer Door <1>                              $30              door                             $61

  Strip Curtain on Walk In Door <1>                                  $30              door                             $53

  Suction line insulation <1>                                        $1               lineal ft                         $1

    Upgrade Existing or New Reach-in or Open Display Cases and Existing Walk-ins Only
    (see below for new walk-ins or refrigerated warehouse rebates)

  Zero Energy Glass Doors w/ No ASH <2a>                             $125             door                             $94

  Low Energy Glass Doors <2b>                                        $75              door                             $53

  Anti-Sweat Heater Controls <3>                                     $75              door                             $53

  Case Lighting Retrofit T12/mag - T8/elec <4>                       $20              lamp                             $27

  LED Case Lighting replacing T8/elec <5a>                           $40              lamp                             $47

  LED Case Lighting replacing T-10/12/mag <5b>                       $60              lamp                             $85

  Occupancy Sensor controlling LED or T8 lamp <5d>                   $8               lamp                              $4

  EC Motors in Display Cases <6>
                                                                     $40              motor                            $20
  (electronically commutated motor)

  EC Motor in Walk-in Cooler/Freezer <7>                             $70              motor                            $39

  EC Motor compressor head cooling fans <8>                          $50              motor                            $51




Continued on next page
    Upgrade Existing or New Reach-in or Open Display Cases and Existing Walk-ins Only (continued)
    (see below for new walk-ins or refrigerated warehouse rebates)

  Night Covers – Vertical or Horizontal                                         $10                       ln ft case                    $13

  Hardwired T8 Fixture in Walk-in cooler/freezer                                $15                       lamp                          $40

  Screw-in CFL for walk-in cooler/freezer                                       $2                        lamp                          $44

  Smart Defrost Control Walk-in Freezer <9>
                                                                               $150                       controller                    $78
  (greater than or equal to 1.5 horsepower)
  Evap Fan Controls Walk-ins <10>
                                                                                $50                       fan motor                     $29
  (controls shaded pole motor only)
  Outside Air Economizers for Walk-ins <11>
                                                                               $1,250                     Unit                         $653
  (walk-in must be ≥ 1,000 cu. ft.)
    Upgrade New Walk-in or Refrigerated Warehouse (see above for existing walk-in or warehouse retrofits)

  Zero Energy Doors w/ No ASH <2>                                               $50                       door                          $41

  LED Case Lighting <5c>                                                        $40                       lamp                          $47

  Occupancy Sensor controlling LED or T8 lamp <5d>                              $8                        lamp                           $4

  Smart Defrost Control Walk-in Freezer <9>                                    $150                       controller                    $78

  Evap Fan Controls Walk-ins <10>                                               $30                       fan motor                     $20

  Outside Air Economizers for Walk-ins <11>
                                                                               $1,250                     Unit                         $653
  (walk-in must be ≥ 1,000 cu. ft.)
        Total potential incentive on page 10 must be a minimum of $50 to
                                 qualify. Rebate cannot exceed project cost.
                                                                               Total             0                             $0
  * Annual cost and kWh savings are based on a typical grocery store savings and average energy rate of $0.065 per kWh. Results may
  vary for your business.

  Custom Incentives may be available for the following measures
  High efficiency compressors, Evaporative & Air Cooled Condensers, Floating Head Pressure and Suction Pressure; Air-Cooled to Evap-
  Cooled Condenser conversion on multiplex or stand alone systems; VFDs for motors and compressors.
  Custom rebates require pre-approval and are based on $0.10 per Annual kWh Savings. Enter custom incentive on "Page 9-
  Custom" of this workbook.
  Required Specifications & Definitions


        <1> Tune-up rebates: Remember that total rebate on Page 10 of this application must be a minimum of $50. AUTO-CLOSERS FOR
        MAIN COOLERS OR MAIN FREEZER DOORS The auto-closer should be applied to the main insulated solid door of a walk-in. The
        auto-closer must be able to firmly close the main door of the walk-in whenever it is closed to within one inch of full closure. Incentive
        is based on equipping each door with a new auto-closer or replacement of a exisitng auto-closer in disrepair. Adjustments of existing
        auto-closers does not qualify for incentives. AUTO-CLOSERS FOR REACH-IN COOLER OR FREEZER DOORS The auto-closer
        should be applied to the glass door of a reach-in case. Reach in door must have a minimum perimeter of 15 feet. Incentive is based on
        each door that is equipped with a closer. Only full replacement or repairs that include replacement of hard parts qualify. STRIP
        CURTAINS for new strip curtains only added to walk in or reach in doors. DOOR GASKETS Must replace a worn or damaged
        gasket. Replacement gaskets must meet the manufacturer’s specifications regarding dimensions, materials, attachment method, style,
        compression, and magnetism. Incentive is based on total linear footage of installed new gaskets.




Continued on next page
        <2> a) Zero Energy Doors w/ No ASH: Triple-pane glass with either heat-reflective treated glass or gas fill and are equipped with no
        anti-sweat heaters for reach-in glass doors coolers and freezer installations. $125 per door rebate only applies to replacement or
        installation of glass doors on existing or new display cases and existing walk-in or warehouse coolers/freezers. A lower $50 per door
        rebate is available for NEW walk-in/warehouse Zero Energy doors. b) Low Energy Doors are new glass doors replacing exisitng
        glass door with an amp draw of less than 0.39 amps per door for rebate. Anti-Sweat Heater Control rebate is not available if Zero or
        Low Energy Door rebate is claimed.

        <3> Anti-Sweat Heater Controls: Must install a controller that reduces the energy use of anti-sweat heater by 50% by sensing
        humidity, dewpoint or condensation. Rebate only applies to adding ASH controls to existing or new display cases and existing walk-
        in or warehouse coolers/freezers doors. No rebate is available for NEW walk-in/warehouse. Zero or Low Energy Door rebate is not
        available if ASH Control rebate is claimed.

        <4> Case Lighting Retrofit: Must retrofit existing case equipped with T12 lamps/magnetic ballasts with T8 lamps/electronic ballasts.
        Rebate only applies to existing or new display cases and existing walk-in or warehouse coolers/freezers. No rebate is available
        for NEW walk-in/warehouse.

        <5> LED Case Lighting: a) LED case lighting must replace existing T12/10 lamps and ballasts in an existing or new display case or
        existing walk-in cooler or freezer. b) LED case lighting must replace existing T8 lamps and ballasts in an existing or new display case
        or existing walk-in cooler or freezer. c) Rebate available for equipping new reach-ins, walk-in or warehouse coolers/freezers with
        LED lighting (instead of the standard T8 lamp equipped units). d) OCCUPANCY SENSOR ADDED TO T8 or LED CASE LIGHTING:
        Occupancy sensor control added to T8 or LED case lighting increases annual kWh savings, and is an added rebate amount based on
        number of lamps controlled.

        <6> EC Motors in Display Cases: Must replace exisiting shaded pole motor with electronically commutated motor (ECM) in display
        case coolers/freezers. Rebate only applies to existing or new display cases for less than one horsepower motors.

        <7> EC Motors in Walk-in Cooler/Freezer: Must replace existing shaded pole motor with electronically commutated motor (ECM)
        in the evaporators used in existing walk-in or warehouse coolers/freezers. Rebate applies to retrofitting existing evaporator with
        new ECM motors or new evaporators supplied with ECM motors. No rebate is available for ECM motors/evaporators used in
        NEW walk-in/warehouse coolers/freezers.

        <8> EC Motors on compressor head fans: Must replace existing shaded pole compressor head-cooling fan motors with electronically
        commutated motors. Motor retrofits must take place on low temperature reciprocating compressor systems with existing 35-55 watt
        output head fan motors. Compressors must be an integral part of a refrigeration system with a remote air cooled or evaporative
        condenser. New ECM motor may not be more than 20 watt output. Must install, or be equipped with, electronically commutated
        motor (ECM) on compressor head fans in walk in coolers.

        <9> Smart Defrost Controls (on Walk-In Freezer Condensing Unit) Eligible technologies will use mini-processors to sense
        temperature and pressure and monitor the system operation to determine the need for a defrost cycle for the evaporative coils and
        provide electric defrost only when necessary. (Systems typically work with existing timed defrost controllers). Eligible technologies
        must be electric defrost controllers and have third party operational verification testing data. Rebate requires controlling a
        condensing unit horsepower rating of 1.5 or greater.


        <10> Evaporator Fan Controls Shaded Pole in Walk-in Cooler/Freezer: Evaporator fan control systems must turn off a evaporator
        fans at least 70% of the time the compressor is not running, must reduce the airflow of evaporator fans in walk-in coolers when
        compressor(s) cycles off while no refrigerant flows through the evaporator, and must control a minimum fan load of 1/20
        horsepower when the fan(s) operate continuously at full speed. NOTE: This measure may not result in significant energy savings if
        the system is undersized or if the evaporator does not use off-cycle or time-off defrost. Rebate only applies to existing or new display
        cases and existing walk-in or warehouse coolers/freezers doors. No rebate is available for NEW walk-in/warehouse. Controls on
        evaporator fans equipped with EC Motors qualify if EC Motor is installed at same time as the new controller(s). EC Motor rebate still
        qualifies.


        <11> Outside Air economizers ≥ 1,000 cu. ft. Outdoor air and exhaust dampers must close automatically for summer isolation.
        Eligible equipment must be capable of using outdoor air of less than 34° F while maintaining the set point of the cooler. Please
        include the walk-in box volume (L x W x H) dimensions. Walk-in coolers smaller than 1,000 cu. ft. are not eligible for rebates.




Continued on next page
Electric Efficiency Program Application (v1.7)
Existing Buildings & Facilities                                                                                                                    Approval Code:

Page 7: High Efficiency Office Equipment & Controls

                                                                                                                                                                     Total           Total
                                                                                                                                    Rebate                                         Annual
                   Existing Equipment                                              High Efficiency Equipment                                          # Unit        Potential
                                                                                                                                    per Unit                                     Electric Cost
                                                                                                                                                                     Rebate        Savings
                                                                        New Compact Fluorescent Desk Lamp
60-100 Watt Incandescent/Halogen Desk Lamp                                                                                              $15                                          $14
                                                                        (32 Watt Max)

60-100 Watt Incandescent/Halogen Desk Lamp                              New ENERGY STAR LED Desk Lamp                                   $15                                          $14

Linear Fluorescent Undercabinet Fixture (with
                                                                        New ENERGY STAR LED Undercabinet Fixture                         $5                                          $2
T12/T8 lamps)

150-300 Watt Incandescent/Halogen Floor Lamp                            New Fluorescent Torchiere - 55 Watt Max                         $20                                          $20

40-100 Watt Incandescent                                                Screw in ENERGY STAR Compact Fluoresent
                                                                                                                                         $1                                          $7
located in plug-in fixture                                              Lamp (CFL)
  Computers & Servers                                                        Proposed New Processing Components

Server Replacement (documents required listed below)                    Server Consolidation by Virtulalization                         $250                                        $262

New or Existing computer replacement                                    New ENERGY STAR v4.0 desktop or side computer                    $5                                          $3

   Existing Equipment                                                        Proposed New Controls
Exterior Lighting > 75 W
                                                                        Exterior photocell                                              $30                                          $21
no automatic control

Office Equipment                                                        Smart Strip Energy Efficient Surge Protector*                    $7                                          $9

Office Equipment                                                        Plug Strip w/ Motion Sensor                                     $15                                          $13

Interior Lights or other < 100 W                                        Occupancy Sensor or Timer Switch                                $12                                          $8

Interior Lights or other > 100 W                                        Occupancy Sensor or Timer Switch                                $17                                          $13

Bathroom Lights or other                                                Motion Sensor Nightlight                                        $15                                          $8

Vending Machine                                                         Occupancy Control                                               $90                                          $47

Total potential incentive on page 10 must be a minimum of $50 to qualify. Rebate cannot exceed project
                                                                                                                                       Totals             0              $0
cost.
* Check manufacturer specifications to verify that surge protector is appropriate for equipment and appliances that will be plugged in and will protect at lower power surges.
** Annual cost and kWh savings are based on a typical office application and average energy rate of $0.05 per kWh. Results may vary for your business.

Server Virtulization requirements: Must submit virtualization software agreement and provide proof the consolidated servers have been removed and fully decommissioned.

Virtualization services hosted off site are not eligible for an incentive.
Electric Efficiency Program Application (v1.7)
Existing Buildings & Facilities                                             Approval Code:


Page 8: Motor Incentive Worksheet

NOTICE:

Effective immediately incentives for motors have been terminated due to the enactment of the latest DOE

manufacturer requirements which now equal Platte River's cost effective standard. However customers

may submit motors that demonstrate a very high efficiency under the "Custom" application Procedure.

As with any "Custom" application proper engineering data must be provided demonstrating the

projected annual kWh savings over that of the DOE standard. Any questions or comments can be

directed to 970-229-5204 or by e-mail to rubalam@prpa.org.




                                                                                       5493483d-b0e0-4978-a97a-ca64c4a5d6e5.xls
Electric Efficiency Program Application (v1.7)
Existing Buildings & Facilities                                                                               Approval Code:

Page 8a-Custom Incentive Worksheet                                              Customer name:
Proposed Efficiency Measures and Installation Schedule

Measure                                         Proposed Measures                                     Projected Installation       Projected Installation
Number                    (select from list and describe in more detail in section below)                  Start Date                Completion Date
     1                                Cooling - Package AC Replacement
     2
     3
     4
     5
     6
     7
     8


Efficiency Measure Description
In this section, please describe the scope of the project in summary form, including the following: a description of each proposed measure, the affected
system(s), the affected facility(ies), what activities will be performed by the Participant, and the estimated energy and demand savings. Add as many
additional lines or attach additional sheets as necessary.




Savings Calculations
Project savings estimates (energy and demand) are used to determine the project incentive (see page 2). Please include documentation that supports
the estimated savings listed for each measure. This should include a list of assumptions, methods, and equations used in the estimate. Attach separate
sheets and/or electronic files as necessary. All savings calculations should include as much of the information listed below as possible, preferably in
electronic format.

Contact Platte River Energy Services if you have questions or need assistance documenting the savings estimates.

Suggested format for presenting peak demand and annual energy usage estimation methods:
     1. Show all formulas                                                               5. Provide all data inputs (raw and summarized)
     2. Identify and describe all dependent variables                                   6. Show energy consumption calculations and results
     3. Identify and describe all independent variables                                 7. Show savings calculations and results
     4. List assumptions (including associated justification)

Please describe supporting documentation being provided:




Project Implementation Cost Estimates
Please include documentation that supports the estimated implementation costs listed for each of the measures. Suitable documentation includes bids
from contractors and/or quotes from equipment suppliers. In-house estimates can be submitted for items that do not have bids or quotes that are readily
available. Such estimates should show costs for equipment and labor separately. These costs should be broken down further by equipment type or
major labor task. Attach additional pages as necessary.

Please describe supporting documentation being provided:




                                                                                                                                   5493483d-b0e0-4978-a97a-ca64c4a5d6e5.xls
Electric Efficiency Program
New Construction/Major Renovation                                                                                  Approval Code:

Page 8b-Custom Incentive Worksheet
Determine the Incentive Based on Project Savings and Project Implementation Cost
Please complete the table below for each measure to be performed under the project. Cells in gray are calculated automatically. The "Measure Number"
and "Proposed Measures" columns reference information page 6. The following program rules must be considered when estimating savings and
incentives:

   1.       The Nominal Incentive is the greater of the Energy Incentive or the Demand Incentive:
            a. The Energy Incentive is $0.10 per annual kWh saved.
            b. The Demand Incentive is $500 per kW saved during the Summer Peak Period (Monday through Friday, 3 to 6 p.m., June through August).
               The demand savings must be the hour-average demand savings that would be measured with a power meter. Therefore, the estimate should
               take into account the actual use of the affected equipment (e.g., duty cycle during, on/off cycling or other forms of capacity modulation, etc.).


   2.       The Actual Incentive is the lesser of the Nominal Incentive and the two following incentive caps:
            a. 60% of project cost: The total project incentive shall not be greater than 60% of the total cost to implement the project.
            b. One-year simple payback period: The total project incentive shall not be greater than that which reduces the simple payback period of the
               project to one year.

   3.       An additional cap of $70,000 per customer, per year may also be applied to ensure the program budget is distributed among several customers
            and to reduce risk that a significant portion of the program's funds fail to be used if the project is not completed. This cap may be waived at
            Platte River's discretion, pending availability of funds. Contact Platte River Energy Services for more information.

   4.       Platte River will not support projects in cases where simple payback between the baseline and the difference in cost to upgrade to the high
            efficiency alternative is greater than the products performance life.



Incentive Determination

                                                                                    Energy Efficient
                                                             Baseline Measure
                                                                                         Measure                              Annual           Cost difference
Measure                    Proposed measures                Average                Average                 Peak-            energy and            between
Number               (from Project Description Form)         peak-    Annual        peak-      Annual     period Annual      demand               baseline
                                                             period electricity     period   electricity demand electricity    cost             measure and
                                                            demand    usage        demand      usage reduction savings       savings           energy efficient
                                                              (kW)    (kWh)          (kW)      (kWh)       (kW)   (kWh)      estimate             measure
        1         Cooling - Package AC Replacement                                                          0.0      0
        2                                                                                                   0.0      0
        3                                                                                                   0.0      0
        4                                                                                                   0.0      0
        5                                                                                                   0.0      0
        6                                                                                                   0.0      0
        7                                                                                                   0.0      0
        8                                                                                                   0.0      0
TOTALS                                                         0.0          0         0.0          0         0.0           0          $0               $0


Demand Incentive ($500/kW)                             $0
Energy Incentive ($/(kWh/yr)                           $0
Nominal Incentive                                      $0
Incentive caps:
                                                                       NOTE: All projects with custom measures require pre-approval. All
  60% of project cost                                  $0              customers are held to a total cumulative annual incentive award
  One-year simple payback cost                         $0              amount of $50,000.
  Per-customer, per-year                          $50,000
ACTUAL INCENTIVE                                       $0




                                                                                                                                     5493483d-b0e0-4978-a97a-ca64c4a5d6e5.xls
Electric Efficiency Program Application (v1.7)
Existing Buildings & Facilities                                                                                       Approval Code:

Page 10a: Request For Payment Form
          Including Terms and Conditions
Incentive Summary

                                                Annual kWh        Annual Electric
          Measure          Your Incentive*
                                                 Savings**         Cost Savings
Efficient Lighting          $              -                                                                     Projects that require pre-approval by Platte
                                                                                                                                  River are:
HVAC                        $              -
Envelope                    $              -                                                                   l Any project with a total potential incentive
Food Service                $              -                                                                     over $1,000
Grocery                     $              -                                                                   l All projects with custom measures
Office Equipment            $              -
Custom Measures             $              -
TOTALS                      $              -          0           $             -
All customers are held to a total cumulative annual incentive award amount of $50,000.
*Incentives are calculated on the worksheets found in this spreadsheet.
** Annual kWh savings are based on typical energy savings for that application. Results may vary for your business.
Required Documentation
     1.        Please provide documentation for measures listed above. This should include associated worksheets if applicable, design drawings and/or
               specifications. Platte River may follow up with requests for documentation showing proper installation and operation of systems and
               equipment, such as a start-up or commissioning report. Custom incentive must be accompanied with engineering data illustrating projected
               energy savings and estimated installation costs.
     2.        Must provide copies of all pertinent sales invoices, as may be requested by Platte River.
     3.        Include a completed IRS W-9 form with application for the payment recipient, found at this website:
               http://www.irs.gov/pub/irs-pdf/fw9.pdf?portlet=3
     4.        Return application materials to:                                    Contact information:
               Platte River Power Authority                                        Telephone:          (970) 226-4000
               Attn: Energy Services                                               Fax:                (970) 229-5244
               2000 E. Horsetooth Rd.                                              Email:             electricefficiency@prpa.org
               Fort Collins, Colorado 80525-5721

Terms and Conditions
     1.        The undersigned hereby certifies that the project has been completed as described in this application. In particular, the equipment is
               operational; the application accurately describes the new equipment; all equipment quantities are correct; and the attached invoices
               accurately reflect the project costs.
     2.        Upon Platte River’s request and reasonable notice, Platte River representatives will be given access to the project site so they may verify
               equipment installation, characteristics, quantities, and performance.
     3.        Incentives are based on the projected energy savings and the estimated installation costs of the project, which may be found by Platte River,
               in its sole discretion, to be different from the values shown in the application. If this occurs, Platte River will provide notification of the
               difference and give the Participant, contractor, or vendor the opportunity to ask for a review of the findings or to remedy the discrepancy
               before adjusting the incentive.
     4.        Platte River does not guarantee the estimated energy cost savings. Furthermore, Platte River makes no warranties for materials provided by
               or work performed by Participant’s contractors, vendors, consultants, or Participant’s own employees. Platte River is not responsible for errors
               in or misrepresentations of the incentive amount by contractors, consultants, or vendors.
     5.        Participant is responsible for securing any permits for work funded through this program as required by local codes. Participant shall comply
               with all applicable federal, state, and local regulations, requirements, ordinances, and statutes.
     6.        Participant agrees to ensure that potentially hazardous or regulated wastes (e.g., PCB-containing ballasts, fluorescent lamps, high-intensity
               discharge lamps, etc.) are handled and disposed of in compliance with applicable federal, state, and local laws and regulations.
     7.        Participant agrees that participation in this program shall impose no liability on Platte River. In consideration of receiving the incentives stated
               herein, Participant hereby RELEASES, WAIVES, DISCHARGES AND COVENANTS NOT TO SUE Platte River, its officers, agents, servants,
               or employees (hereinafter referred to as RELEASEES) from any and all liability, claims, demands, actions and causes of action whatsoever
               arising out of or related to any loss, damage or injury, including death that may be sustained by Participant, or any property belonging to
               Participant, WHETHER CAUSED BY THE NEGLIGENCE OF THE RELEASEES, OR OTHERWISE, relating to the project that is the subject
               of this Agreement, the performance of the Measures, or the provision of assistance and incentive including, but not limited to, anticipated
               loss of profits or revenues, consequential damages, or costs related to the improper handling, storage, disposal of or exposure to substances
               currently or hereafter characterized as hazardous or toxic. Participant further agrees to HOLD HARMLESS RELEASEES from any loss,
               liability, damage or costs, including court costs and attorney fees, that may incur due to Participant’s participation in the Electric Efficiency
               Program, WHETHER CAUSED BY THE NEGLIGENCE OF THE RELEASEES OR OTHERWISE. Participant further hereby affirms that it is
               his or her express intent that this Waiver of Liability and Hold Harmless Agreement shall bind the member of Participant’s family, heirs,
               assigns and personal representatives and shall be deemed their RELEASE, WAIVER, DISCHARGE AND COVENANT NOT TO SUE the
               RELEASEES. By signing below Participant acknowledges that Participant agreed to this Waiver of Liability and Hold Harmless Agreement
               voluntarily as Participant’s own free act, that no oral representations, statements or inducements, apart from this Agreement, have been
               made, and that Participant is at least eighteen (18) years of age and fully competent and intending to be bound by same.

                                                                                                                      5493483d-b0e0-4978-a97a-ca64c4a5d6e5.xls
Electric Efficiency Program
Existing Buildings & Facilities                                                                                                Approval Code:

Page 10b: Request For Payment Form (Continued)
Terms and Conditions (Continued)

         8.            Payments provided by utilities (including Platte River) to Participants for the purchase or installation of energy conservation measures may in
                       some circumstances be considered as (partially) taxable income by the IRS. Participants or their assigns receiving incentive payments
                       totaling $600 or more during a program year and who are not organized as a corporation will receive a 1099-MISC from Platte River in
                       January or February of the subsequent year. Participant, or alternate payment recipient, may wish to consult a tax advisor on this matter.

         9.            In compliance with C.R.S. §24-76.5-101, et seq., as amended, Platte River will require Participants who are individuals or sole proprietors
                       (i.e., not corporations or partnerships) applying for incentives to prove their lawful presence in the United States. To do so, the Participant will
                       be required to provide identification set forth in C.R.S. §24-76.5-103(4), as amended, in addition to a signed affidavit indicating his or her
                       lawful presence. Platte River cannot provide an incentive to a Participant who is unwilling or unable to meet this requirement.
     10.               Incentive funds will be reserved for no later than 45 days beyond the estimated completion date listed in this applicationnor beyond 45 days of
                       building ocupancy for new construction/major renovation projects (specified on page 1). Participant shall notify Platte River immediately if
                       completion of the project is expected to be delayed beyond this time. Platte River will seek to provide funds for projects that are delayed,
                       provided such funds are available, but is under no obligation to do so.
     11.               Participants shall require that all parties implementing the proposals and/or installing the Measures that are the subject to this Agreement
                       maintain comprehensive general liability insurance in amounts not less than $500,000 each person/$1,000,000 each occurrence for bodily
                       injury, and $500,000 each occurrence/$1,000,000 in aggregate for property damage.

PARTICIPANT:

I have read, understood, agree and possess the authority to execute this Request for Payment Form in relation to the terms and conditions listed
above.

  Signature:                                                                                               Date:
         Name:                                                                                           Phone:
              Title:
   Business:
    Address:


Fed. Tax Id.


Alternate Incentive Payment Recipient
Complete this section only if you want the incentive payment to go to someone other than the Eligible Utility Customer listed on Page 1.

Contact Person:
Title:
Company:
Mailing Address:
City and State:
Phone:
Comments:



I authorize Platte River Power Authority to make the incentive payment to the identified party above.
  Signature:                                                                                               Date:
         Name:                                                                                           Phone:
              Title:




                                                                                                                               5493483d-b0e0-4978-a97a-ca64c4a5d6e5.xls

								
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