Vectren Commercial/Industrial New Construction Incentive Application

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1 Vectren Commercial/Industrial New Construction Application Completing and submitting this application is the first step to apply for incentives through Vectren s Commercial/Industrial New Construction program. To qualify, the building premise must plan to be a Vectren commercial/industrial electric customer on a small general service, demand general service, large power, high load factor, or off-season service rate. Custom projects must be preapproved prior to the project s start to reserve funding and confirm electricity savings. It is also recommended that standard projects are included on the preapproval application to ensure funding will be available upon project completion. s are limited to $100,000 per customer per calendar year. Instructions for Application Submittal All applicable fields must be completed on the form; incomplete forms will not be processed or reviewed. Allow up to four weeks to receive preapproval notice. Custom project(s) may not be initiated prior to preapproval by Vectren. Use the appropriate checklist for either preapproval or final submittal to ensure your form is filled out accurately and completely. Submittal checklists: Mark an X in the appropriate application checkbox and follow instructions. Preapproval Application If you re applying for custom incentives, you must fill out the preapproval application and receive approval from Vectren prior to initiating any projects. If you re applying for standard incentives, preapproval is encouraged but not required. Section I: Customer Contact Information Section II: Facility Information Section III: Trade Ally Contact Information Section IV: Customer Authorization Sections V and/or VI: Applicable Worksheets and supporting documentation Final Submittal Application If you have already submitted a preapproval application and received approval please update all sections as necessary and attach invoices and other required documentation as noted. Please allow up to six weeks to receive your incentive check. Section I: Customer Contact Information Section II: Facility Information Section III: Trade Ally Contact Information Section IV: Customer Authorization Sections V and/or VI: Applicable Worksheets and supporting documentation Detailed invoices with make/model, quantity and unit cost for all equipment Submit completed forms and required documentation by fax: , or mail to ATTN: Vectren, Marketing & Conservation, P.O. Box 513, Evansville, IN New Construction Application

2 I. Customer Contact Information Please list the preferred contact person for questions regarding this application. Contact Name: Contact Phone: Contact Address Contact Title: Contact Address: Street: Mailing Address (for incentive check) Street: II. Facility Information Company Name: Facility Address Where Project will be Installed: Federal Tax : SIC/NAICS Code: Premise and/or Meter Number: Vectren Representative: Installation type: New Construction Major Renovation Estimated Facility Completion Date: Facility Size (sq. ft.) : Number of Floors: Occupants: Business Type (mark an X in the appropriate box): Office Food sales Education Service Bank Convenience store College Post office Government Gas station Elementary Repair shop Mixed-use Grocery store High School Vehicle service Professional Other food sales Preschool Vehicle storage Public assembly Nonrefrigerated warehouse Lodging Public order and safety Entertainment Distribution center Dormitory Fire station/police station Library Non-refrigerated warehouse Hotel Other public order and safety Recreation Self-storage Motel Religious worship Social Food service Retail other than mall Nursing home Outpatient health care Fast food Retail store Enclosed mall Clinic Restaurant Vehicle dealership Other Is business owned or leased (mark X for option that applies)? Owned Leased Business Classification (mark X for option that applies): Corporation Partnership Sole Proprietorship (individual) Limited Liability Co. Exempt Other By checking this box you are confirming the following: I am not subject to backup withholding because: (a) I am exempt from backup withholding,or (b) I have not been notified by the IRS that I am subject to backup withholding as a result of a failure to report all interest or dividends,or (c) the IRS has notified me that I am no longer subject to backup withholding. New Construction Application

3 III. Trade Ally Contact Information If you are currently working with a Trade Ally (contractor) to identify projects, please provide information here. Contractor Business Name: Contact Name: Contact Phone: Contact Mailing Address Contact Title: Contact Address: Street: Who should the program contact with questions on this application? Customer Contact Trade Ally Contact IV. Customer Authorization By checking this box, I am indicating that I have read and accept the terms and conditions listed on this form. I, the undersigned, agree that to the best of my knowledge, the energy-efficiency measure listed on this form is representative of the project I expect to implement as part of the Vectren Conservation Connection Program. I understand that incentive amounts are determined from the Partner-specific data submitted on this application form and that incentives for similar measures may vary from Participant to Participant based on specific cost and savings. Submission of this application does not guarantee that the applicant will receive funding or a specific level of funding. Vectren Energy Delivery may conduct a pre- and/or post-installation inspection to verify savings. I do hereby consent to Vectren Energy Delivery of Indiana disclosing my utility account number, Federal Tax number and consumption data to its subcontractors solely for the purpose of administering Vectren Energy Delivery of Indiana s Conservation Connection Program. I understand that such subcontractors are contractually bound to otherwise maintain my utility account number and Federal Tax number in the strictest of confidence. By my signature, I freely give Vectren Energy Delivery of Indiana permission to release the information designated above. Customer Contact Name Signature Date New Construction Application

4 V. Standard Worksheet Please use the worksheet below to determine your incentive amount by calculating standard incentives in the spaces provided. If the planned efficiency project is not specifically listed below and does not qualify for prescriptive rebates through Energizing Indiana, the project is considered a custom project. Custom projects require preapproval and can include any electric energy efficiency improvement beyond baseline building code. Please use the Custom Worksheet on the last page of this application to submit custom projects for preapproval. Interior 1 Description Power Density Reduction Annual Operating Hours Building Type From Table 1 A. Maximum Allowable Watts per square foot B. Building Area in sq. ft. C. Code Baseline A X B = C D. Facility Demand in Watts E. $0.35 per watt Note: system must exceed the lighting power density requirements as mandated by ASHRAE Table or Table 9.6.1; for space by space application please include table detailing operating hours, area and installed wattage by space type. F. Amount (C-D) x E = F Building Type Watts per square foot Building Type Watts per square foot Building Type Watts per square foot Automotive Facility 0.9 Hotel 1 Police/Fire Station 1 Convention Center 1.2 Library 1.3 Post Office 1.1 Court House 1.2 Manufacturing Facility 1.3 Religious Building 1.3 Dining: Bar Lounge/Leisure 1.3 Motel 1 Retail 1.5 Dining: Cafeteria/Fast Food 1.4 Motion Picture Theater 1.2 School/University 1.2 Dining: Family 1.6 Multi-Family 0.7 Sports Arena 1.1 Dormitory 1 Museum 1.1 Town Hall 1.1 Exercise Center 1 Office 1 Transportation 1 Gymnasium 1.1 Parking Garage 0.3 Warehouse 0.8 Healthcare-Clinic 1 Penitentiary 1 Workshop 1.4 Hospital 1.2 Performing Arts Theater 1.6 Interior Controls 2 3 Equipment Type Annual Operating Hours Connected Watts per Sensor* Mounting Type (select one) Quantity Occupancy sensors wall / ceiling / fixture $50 per sensor Occupancy sensors wall / ceiling / fixture $50 per sensor Occupancy sensors wall / ceiling / fixture $50 per sensor Daylight dimming sensors remote / fixture $50 per sensor Daylight dimming sensors remote / fixture $50 per sensor * Controlled wattage must be greater than 500W Note: controls required by state energy code are not eligible. New Construction Application

5 V. Standard Worksheet (Continued) Exterior Equipment Type Replacing Up to 175 W H fixture 176 W W H fixture W H fixture greater than 400 W H fixture Annual Operating Hours Baseline Lamp Wattage LED Wattage Quantity $45 per fixture $65 per fixture $120 per fixture $200 per fixture Note: Exterior LED and induction lighting must result in a total power reduction of 40% or more.outdoor and garage LEDs must be listed on either the ENERGY STAR or DesignLights Consortium qualifying products lists: or Building Envelope Equipment type Required R-value Actual R-value Roof/Attic sqft per unit 8 Roof insulation $0.01 per sqft Note: Additional increment of R-5 roof/attic insulation above amount required by ASHRAE Equipment Type U-factor SHGC Window sqft per unit 9 Efficient Windows $0.40 per sqft Note: Meet ENERGY STAR requirements for window performance: U-Factor lower than or equal to 0.32 and a SHGC lower than or equal to HVAC Equipment type Unitary air conditioners 135,000 btu/h and <240,000 btu/h Unitary air conditioners 240,000 btu/h and <760,000 btu/h Unitary air conditioners 760,000 btu/h Minimum Efficiency Quantity Make Model EER Unit Size in tons 11.5 EER $40 per ton 10.5 EER $40 per ton 9.7 EER $40 per ton Note: Efficient equipment must be an air water or evaporatively cooled air conditioner that exceeds the energy efficiency requirements of ASHRAE Air cooled heat pump 135,000 btu/h and <240,000 btu/h Air cooled heat pump 240,000 btu/h and <760,000 btu/h 11.5 EER $35 per ton 10.5 EER $35 per ton Note: Efficient equipment must be an air cooled heat pump that exceeds the energy efficiency requirements of ASHRAE New Construction Application

6 VI. Custom Worksheet An energy engineer will review this application for energy impacts, cost-effectiveness and incentive eligibility. Who should the engineer contact with technical questions and project clarifications? Customer Contact Trade Ally Contact Project and equipment information is critical to the accurate review and calculation of eligible incentive and project energy savings; be as complete as possible when completing this section. All energy savings and costs considered for new construction improvements should be in comparison to baseline code requirements. Proposed Improvement: (e.g. demand control ventilation): Baseline Case: (e.g., no controls): Brief description of efficiency improvement over code compliant case: Improvement Cost (total project cost cost of baseline case): Efficient Equipment Description (compressor, chiller, fan, etc.): Quantity: Model/Manufacturer Number: Size (cfm, tons, hp, etc.): Are manufacturer specification sheets attached? Yes No Equipment Operating Conditions and Schedule: Estimated Annual Energy Savings: Custom Guidelines kw kwh Estimated (See Guidelines): Custom projects must be preapproved prior to the project s start. Eligible custom projects earn up to $0.12/kilowatt hour (kwh) saved. s are limited to $100,000 per customer per calendar year. may not exceed 50 percent of the total project cost does not apply to projects with a simple payback less than 1.5 years cannot buy down project below 1.5 years payback Project preapproval subject to cost-effectiveness analysis as determined by Vectren Energy Delivery New Construction Application

7 VIII: Terms & Conditions General Eligibility: This offer provides rebates for the purchase and performance of new qualifying equipment and/or services and is not dependent on the purchase of any other product or service unless indicated. Offer valid only for Vectren Energy Delivery electric customers. Location of installed equipment must have Vectren electric service. Customer must be a US resident (including a U.S. resident alien) and must provide their correct taxpayer identification number. Rebate funds are limited and available on a first-come, first-served basis. Verification: Vectren Energy Delivery of Indiana reserves the right to verify sales receipts of equipment purchased and/or services performed before issuing rebates. A random inspection may be conducted to verify installations. Program Modifications: Vectren Energy Delivery of Indiana reserves the right to alter or discontinue these rebate offers at any time without notice. Rebate funds are limited and are available on a first-come, first-served basis. Disclaimer: Vectren Energy Delivery of Indiana does not guarantee that energy efficiency measures purchased and installed or services provided through this program will result in energy and cost savings. Vectren Energy Delivery of Indiana reserves the right to deny or limit any rebate request. In addition, no warranties on product or service installations are provided by Vectren Energy Delivery of Indiana, nor does the program warranty, guarantee or endorse the energy efficiency services provided by any specific contractor participating in the program. Please allow up to six (6) weeks to receive your rebate. Vectren reserves the right to request additional time for confirmation if additional information is request of the applicant. Incomplete rebate applications will not be processed. Eligibility Dates: This rebate form is only eligible for qualified purchases and installations. Vectren Energy Delivery of Indiana reserves the right to alter or discontinue this program or related rebates at any time without notice. Rebate Application must be postmarked within 90 days of purchase to be considered eligible for rebates. Projects constructed with space heating equipment utilizing an electric fuel source, COP efficiencies below 3.0 and exceeding 10% of total building space heating loads will be ineligible for Heating, Ventilating and Air Conditioning (HVAC) prescriptive and custom incentives. Space heating loads will be defined by equipment capacities. Examples of space heating equipment include electric resistance or heat pump equipment. Once all documentation is received by Vectren Energy Delivery of Indiana (a site inspection may be completed if necessary), Vectren Energy Delivery of Indiana will indicate the anticipated incentive amount in an acceptance letter based on the projected energy savings. Upon completion of the project and verification of installation and operation of the energy saving measures, Vectren Energy Delivery of Indiana will issue an incentive check in the amount indicated in the acceptance letter, or adjusted if the project varies from the information originally submitted. Depending on the scope or cost of your energy efficiency project, Vectren Energy Delivery of Indiana, may conduct an inspection of the facility. The customer agrees to allow subsequent site visits, if needed, to verify installation and operability, prior to Vectren Energy Delivery of Indiana issuing the incentive check. Taxes: s are taxable and if greater than $600 will be reported to the IRS unless you are exempt. Vectren Energy Delivery of Indiana will report your rebate as income to you on IRS Form 1099 unless you have checked corporation or exempt status above. You are urged to consult your tax advisor concerning the taxability of rebates. Vectren Energy Delivery of Indiana is not responsible for any taxes that may be imposed on your business as a result of your receipt of this rebate. Environmental Attributes: Customer agrees to transfer to Vectren all Environmental Attributes attributable to the Energy Efficiency Projects or its operation. Environmental Attributes include any and all credits, benefits, emissions reductions, offsets and allowances, howsoever entitled, resulting from the avoidance of the emission of any substance to the air, soil or water at or by Vectren generating facilities through reduced generation of energy or other savings or offsets on account of the Energy Efficiency Project(s). Customer will not claim ownership of any Environmental Attributes. As long as Customer at the same time states the Energy Efficiency Project(s) was made possible with funding from Vectren, Customer may claim that it is facilitating the production of the Environmental Attributes attributable to the Energy Efficiency Project(s). Contractor Instructions: Verify that customer s electric utility at the installation address is Vectren Energy Delivery of Indiana service rate This form has no cash value. Please retain a copy for your records. New Construction Application

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