Energy Efficiency Business Rebates Application Instructions

Transcription

1 E N E R GY E F F I C I E N CY C O M M E R C I A L & I N D U ST R I A L Energy Efficiency Business Rebates Application Instructions SECTION 1 Name of Company San Diego Gas & Electric 2010 Energy Efficiency Cusmer Name as it appears on the SDG&E Bill John Smith Name of Contact Person Telephone # of Contact Person Fax # of Contact Person Address Company Mailing Address City State Zip Installation Address If you have multiple installation addresses, please use the Supplemental Worksheet City State Zip Tax Status: Corporation Partnership Individual/Sole Proprier Exempt Tax ID number: Federal Tax ID SSN Reservation Number Please complete this section only if payment is going someone other than the cusmer as indicated above. SDG&E Account Number SUBMIT APPLICATION Tax Liability: Incentives are taxable and if greater than $600 will be reported the IRS unless you are exempt. San Diego Gas & Electric will report your rebate as income you on IRS Form 1099 unless you have checked corporation or exempt tax status above. You are urged consult you tax advisor concerning the taxability of rebates. San Diego Gas & Electric is not responsible for any taxes that may be imposed on your business as a result of your receipt of this rebate. Attention : Mail : San Diego Gas & Electric P.O. Box San Diego, CA Electronic Fax: (619) RS-ProcessingDepartm@semprautilities.com I AM AUTHORIZING THIS PAYMENT OF MY REBATE TO THE THIRD PARTY NAMED BELOW AND I UNDERSTAND THAT I WILL NOT BE RECEIVING THE REBATE CHECK FROM SDG&E. I UNDERSTAND THAT MY RELEASE OF THE PAYMENT TO THE THIRD PARTY DOES NOT EXEMPT ME FROM THE REBATE REQUIREMENTS OUTLINED IN THIS APPLICATION. I ALSO UNDERSTAND THAT CERTAIN ACCOUNT INFORMATION SUCH AS ACCOUNT NUMBER AND RATE INFORMATION, MAY BE USED BY MY VENDOR AS REQUIRED TO RESOLVE ANY ISSUE PERTAINING TO THIS REBATE. BY USING THE SUPPLEMENTAL WORKSHEET, I UNDERSTAND AND AGREE THAT PAYMENT OF THE REBATE AMOUNTS APPLICABLE TO THE ACCOUNT NUMBERS LISTED IN IT WILL ALSO BE RELEASED TO THE THIRD PARTY SET FORTH BELOW. Name of Company CUSTOMER INFORMATION jsmith@yahoo.com 12 Main Street San Diego CA Main Street San Diego CA 9212 SECTION 2 Company Mailing Address Telephone # Fax # SECTION PAYMENT RELEASE AUTHORIZATION ABC Contracr Jane Smith SECTION 4 BUSINESS PAYEE TAX INFORMATION BUSINESS PROPERTY TYPE DESCRIPTION Education Community College Education Primary School Education Sec ondary School Education University Assembly Grocery Health Medical Hospital Health Medical Clinic Lodging Guest Rooms If not found, please describe: y. All copyright and trademark rights reserved. City State Zip Lodging Hotel Lodging Motel Manufacturing Bio Tech Manufacturing Light Industry Office Large Office Small Retail Singl e Sry Small Retail Single Sry Large Retail Sry Large University Avenue San Diego CA Restaurant Fast Food Restaurant Sit Down Food Pr ocessing and Kindred Products Paper and Allied Products Chemic als and Allied Products Petr oleum and Coal Products Metals Srage Warehouse Conditioned Srage Warehouse Unconditioned Srage Warehouse Refrigerated page 1 (Continued)

2 SECTION 1 CUSTOMER INFORMATION 1 Completely fill out this section with your name, address and contact information. 2 Fill in the Reservation Number (if you called the Energy Information Center make a reservation) and the SDG&E account number for the installation address. Verify that all the information is correct, and that the account number supplied is for the installation address, before submitting your application. SECTION 2 PAYMENT RELEASE AUTHORIZATION 4 Please complete this section if the payment is going someone other than the cusmer listed in Section 1 such as a vendor, contracr, etc. SECTION BUSINESS PAYEE TAX INFORMATION 5 Completely fill out this section with the tax information of the payee whether it is the cusmer, vendor, etc. SECTION 4 BUSINESS PROPERTY TYPE DESCRIPTION 6 Check the box that best describes your type of business. 7 If your business type is not listed, please write it here. 1 SECTION 1 Name of Company Cusmer Name as it appears on the SDG&E Bill John Smith Name of Contact Person Telephone # of Contact Person San Diego Gas & Electric 2010 Energy Efficiency Fax # of Contact Person Address Company Mailing Address City State Zip Installation Address If you have multiple installation addresses, please use the Supplemental Worksheet City State Zip Reservation Number SDG&E Account Number SUBMIT APPLICATION Tax Liability: Incentives are taxable and if greater than $600 will be reported the IRS unless you are exempt. San Diego Gas & Electric will report your rebate as income you on IRS Form 1099 unless you have checked corporation or exempt tax status above. You are urged consult you tax advisor concerning the taxability of rebates. San Diego Gas & Electric is not responsible for any taxes that may be imposed on your business as a result of your receipt of this rebate. Mail : San Diego Gas & Electric P.O. Box San Diego, CA Electronic Fax: (619) RS-ProcessingDepartm@semprautilities.com SECTION 2 PAYMENT RELEASE AUTHORIZATION Please complete this section only if payment is going someone other than the cusmer as indicated above. I AM AUTHORIZING THIS PAYMENT OF MY REBATE TO THE THIRD PARTY NAMED BELOW AND I UNDERSTAND THAT I WILL NOT BE RECEIVING THE REBATE CHECK FROM SDG&E. I UNDERSTAND THAT MY RELEASE OF THE PAYMENT TO THE THIRD PARTY DOES NOT EXEMPT ME FROM THE REBATE REQUIREMENTS OUTLINED IN THIS APPLICATION. I ALSO UNDERSTAND THAT CERTAIN ACCOUNT INFORMATION SUCH AS ACCOUNT NUMBER AND RATE INFORMATION, MAY BE USED BY MY VENDOR AS REQUIRED TO RESOLVE ANY ISSUE PERTAINING TO THIS REBATE. BY USING THE SUPPLEMENTAL WORKSHEET, I UNDERSTAND AND AGREE THAT PAYMENT OF THE REBATE AMOUNTS APPLICABLE TO THE ACCOUNT NUMBERS LISTED IN IT WILL ALSO BE RELEASED TO THE THIRD PARTY SET FORTH BELOW. ABC Contracr Jane Smith Name of Company Attention : 456 University Avenue San Diego CA 9212 Company Mailing Address City State Zip Telephone # Fax # Educ ation Community College Educ ation Primary School Educ ation Sec ondary School Educ ation University Assembly Grocery Health Medical Hospital Health Medical Clinic Lodging Guest Rooms If not found, please describe: CUSTOMER INFORMATION jsmith@yahoo.com 12 Main Street San Diego CA Main Street San Diego CA SECTION BUSINESS PAYEE TAX INFORMATION Tax Status: Corporation Partnership Individual/Sole Proprier Exempt Tax ID number: Federal Tax ID SSN 6 SECTION 4 BUSINESS PROPERTY TYPE DESCRIPTION 2010 San Diego Gas & Electric Company. All copyright and trademark rights reserved. 7 Lodging Hotel Lodging Motel Manufacturing Bio Tech Manufacturing Light Industry Office Large Office Small Retail Singl e Sry Small Retail Single Sry Large Retail Sry Large Restaurant Fast Food Restaurant Sit Down Food Pr oces sing and Kindred Products Paper and Allied Products Chemic als and Allied Products Petr oleum and Coal Products Metals Srage Warehouse Conditioned Srage Warehouse Unconditioned Srage Warehouse Refrigerated page 1 2

3 SECTION 5 ADDITIONAL INFORMATION 8 If you have an Account Executive, provide his/her name. 9 Fill in your Annual Operating Hours (see Section 11). 10 Fill in the square footage of the building located at the installation address. 11 Check here if you are intending use OBF funds, if eligible, for this application. 12 We have included a check box for Proof of Purchase as a reminder please include your invoice/proof of purchase with your rebate application Energy Efficiency SECTION 5 ADDITIONAL INFORMATION 8 9 Name of Assigned Account Executive (if applicable) 11 Check if utilizing OBF Option * Please note: Projects utilizing On-Bill Financing option must submit OBF Application prior installation. 10 SECTION 6 Annual Operating Hours,569.2 *Please use the attached worksheet (Page 4) calculate annual operating hours. Square Footage,000 ENERGY EFFICIENCY REBA TE PRODUCT INFORMATION PROOF OF PURCHASE INCLUDED? YES Please refer your SDG&E bill for your Account #, Energy Efficiency Rebate Product Catalog for Product Code, Unit Measure and Rebate per Unit and your invoice/receipt for manufacturer and model number. For lighting measures, complete and submit lighting worksheet. Important Rebate Notice: The rebate application, paid itemized invoices and the manufacturers specification sheet must be received at San Diego Gas & Electric s Central Processing Center and postmarked no later than December 1, Equipment make and model number are required on all invoices ACCOUNT # 14 PRODUCT CODE # MANUFACTURER MODEL # INSTALL UNIT MEASURE # OF UNITS REBATE PER UNIT REBATE TOTAL GAS/ELEC TRIC (10 DIGITS) ( OR 4 DIGITS) DATE (SQ.FT.,WATTS, T ON) A B A x B = C R-H11 Anthony 956 1/1/10 Ln. Ft. 140 $2.00 $ R-H11 RHS /1/10 Ln. Ft. 16 $2.00 $2.00 SECTION 6 ENERGY EFFICIENCY REBATE PRODUCT INFORMATION (FOR ALL NON-LIGHTING MEASURES) 1 Completely fill out this section for each non-lighting measure installed. 14 Include the account number for each installation address. 15 Fill in Product Code # for each measure, which you can find in the Product Catalog. 16 Make sure include manufacturer name, model number, installation date and unit of measure for each measure installed. 17 Enter quantities and multiply by rebate per unit get the rebate tals. TOTAL REBATE DUE: $ SECTION 7 TERMS AND CONDITIONS: READ, SIGN, AND DATE As a qualified San Diego Gas & Electric cusmer, I certify that I purchased and installed the indicated energy saving products between January 1, 2010 and December 1, 2010 for use in my business facility and not for resale. I have attached documents establishing paid proof of purchase for the items applied for on this rebate application. I agree verification by San Diego Gas & Electric of both the sales transactions and products installation, and I certify that the information on this rebat e application is true and correct, and that the tax ID provided is accurate. I understand that rebate payments are based on related energy benefits over the life of the product. I agree that if: 1. I do not provide San Diego Gas & Electric with 100% of the related energy benefits specified in the rebate application for the life of the product or for a period of five (5) years from receipt of rebate, whichever is less, or 2. I cease be a distribution cusmer of San Diego Gas & Electric during said time period, I shall refund a prorated amount of rebate dollars San Diego Gas & Electric during said time period, I shall refund a prorated amount of rebate dollars San Diego Gas & Electric based on the actual time period of time for which I provided the related energy benefits as an electric cusmer of San Diego Gas & Electric. I understand rebates may be modified or terminated without prior notice. I understand that this rebate application and the paid itemized invoice must be received at San Diego Gas & Electric s Central Processing Center or postmarked no later than December 1, 2010 and that all equipment must be purchased and installed prior submission of rebate application. In the event that I choose use the Supplemental Worksheet, I understand and agree that it shall be incorporated herein by this reference and subject the terms and conditions set forth in this rebate application. On Bill Financing - In the event that I qualify and participate in On-Bill Financing offered by San Diego Gas & Electric Company obtain financing for the energy saving products listed in this rebate application, I understand that the terms and conditions of participation in On-Bill Financing will control (including, without limitation, the calculation of the rebate amount for the energy saving products listed in this rebate application) if there is any conflict between the terms and conditions applicable participation in Energy Efficiency Business Rebates and On-Bill Financing. In no case will the utility pay more than 100% of the actual purchase price of the items be rebated. Energy Efficiency Busine ss Rebates has a limited budget. If no reservation has been made, rebate applications will be accepted on a first-come, first-served basis, until allocated funds are spent, or by December 1, 2010, whichever comes first. I agree that I have not received rebates, incentives or services for the same measure(s) from another utility, state, or local program funded by the Public Purpose Program (PPP) or Public Goods Charge (PGC). I have read and understand the requirements and terms and conditions set forth in this rebate application and agree abide by those requirements. Furthermore, I concur that I must meet all eligibility criteria in order be paid under this program. Lamp Disposal: It is unlawful for California cusmers dispose of any lamps containing mercury in the regular weekly pick-up conducted for homes and businesses. The lamps affected by this new law include fluorescent (full size and compact), metal halide, sodium lamps, and mercury vapor lamps. John Smith 1/1/ /1/10 20 John Smith $2,61.00 Cusmer Signature Date Installation Date Cusmer Name (please print) Total Rebate Amount 18 Add rebate amounts get the tal and fill in the Total Rebate Due. 22 Please make a copy of this document for your records and remember include the lighting worksheet with the rebate application. Proof of purchase and manufacturers specification sheets are included. Product offerings and r ebate amounts ar e subject change during the program term San Diego Gas & Electric Company. All copyright and trademark rights reserved. sdge.com page 2 SECTION 7 TERMS AND CONDITIONS: READ, SIGN, AND DATE 19 Please read though this entire section completely. 20 Print and sign your (cusmer) name. 21 Fill in the date of signature, date of installation and the tal rebate amount. 22 This is a reminder keep copies for your records.

4 SECTION 8, 9, & 10 HOW TO APPLY, ELIGIBILITY, & REQUIREMENTS 2 Please read through these sections completely as they contain important information and requirements regarding your Energy Efficiency including information on the new Benchmarking requirement Energy-Efficiency SECTION 8 HOW TO APPLY Reservations are not required. However, ensure funding availability, you must reserve funds before you purchase and install equipment. Call (800) reserve your funds. Reservations are held for days. Please see the Energy Efficiency Business Rebates Cusmer Handbook for further details Benchmarking is is required for all all commercial business cusmers who participate in in Energy Efficiency programs. In In order meet this requirement visit or or call our Energy Information Center at at For non-lighting products, use the Rebate Product Information table calculate your rebate by by multiplying the quantity purchased (Column A) A) by by the rebate/unit (Column B) B) and record the amount in in Column C. C. Your rebate for each product cannot exceed the price you paid for it, it, including installation. For lighting measures, complete and submit the lighting worksheet Use the attached Annual Hours of of Operation worksheet calculate the annual hours of of operation for all all rebates. The annual hours of of operation will be be verified through post-installation inspection by by San Diego Gas & Electric Include the model number and manufacturer of of the equipment on on the paid, itemized invoice(s) or or receipt(s). Also, please include manufacturers specification sheets that illustrate that the criteria necessary meet the terms and conditions in in the rebate application has been met Complete, sign and date the rebate application. Make and retain a a copy of of all all submitted documents. NOTE: The following guidelines must be be adhered in in order participate in in the program: Applications with any sign of of liquid paper ( white out ) used change information will be be returned the cusmer or or contracr. Pre-made labels with contracr or or cusmer information (name, address, etc.) are not accepted on on rebate applications. However, a a contracr stamp is is acceptable, as as long as as there is is no no possibility of of covering up up existing information beneath the stamp. If If working with a a facring company, the contracr s name must appear as as the payee in in the Payment Information section of of the application. However, if if the contracr and cusmer agree that the rebate can be be mailed directly the facring company, the facring company address can be be listed under the contracr name. See example below. Payment Information ABC Contracr c/o XYZ Facring Company 124 Main St. St. San Diego, CA Also, if if the facring company has any questions regarding rebates, they should contact the contracr directly for information. SDG&E will only supply rebate information the cusmer or or the contracr There are several ways submit your rebate application: Mail : : San Diego Gas & Electric P.O. Box San Diego, CA Electronic Fax: (619) RS-ProcessingDepartm@semprautilities.com Please make sure include with the rebate application the paid, itemized invoice(s), manufacturer's specification sheet (s), and Annual Hours of of Operation worksheet. A rebate check for qualified measures is is generally mailed days after SDG&E receives and approves a a completed application including all all required documentation, and verifies installation. Incomplete or or incorrect applications cannot be be processed and notification will be be mailed out. SECTION 9 ELIGIBILITY Cusmers eligible for the SDG&E Energy Efficiency Business Rebates Program are defined as as nonresidential commercial, industrial and agricultural cusmers. The tal rebate limit is is $50,000 per service account, per fuel, per calendar year. Cusmers with multiple service accounts for multiple projects, qualify provided that each individual service accounts or or chain account cusmers rebates or or site limit $50,000 is is not exceeded. SECTION 10 REQUIREMENTS Rebate items must be be installed and operational at at the San Diego Gas & Electric service account location listed on on the rebate application. All All invoices or or receipts must be be dated between January 1, 1, 2010 and December 1, All All rebate items must be be purchased and installed prior submitting a a rebate form. Cusmers cannot apply other public goods charge rebate or or incentives for the same measure. Lamps purchased at at retail outlets do do not qualify for a a rebate if if the price has been reduced through a a utility buydown program. Equipment must meet the requirements and terms and conditions contained in in this rebate application. All All equipment must be be new. Used or or rebuilt equipment is is not eligible for rebate. Fuel switching and new construction do do not qualify. If If you have questions, call (800) confirm eligibility and reserve funds before purchasing and installing products. San Diego Gas & Electric reserves the right deny payment for products that do do not meet the requirements and terms and conditions and verify installation through onsite inspection. Rebate payments are the property of of the applicant (cusmer). The applicant may assign payment a a third party as as outlined on on the cusmer rebate application. The selection, purchase and ownership of of the equipment are the sole responsibility of of the cusmer. San Diego Gas & Electric makes no no representation as as the safety, performance, reliability and/or efficiency of of the equipment selected or or components thereof. San Diego Gas & Electric makes no no warranty, whether expressed or or implied, including warranty of of merchantability or or fitness for a a particular purpose, use or or application of of selected equipment or or services. Leased equipment may be be eligible for rebate if if the agreement term is is five years or or greater San Diego Gas && Electric Company. All All copyright and trademark rights reserved. page 4

5 SECTION 11 ANNUAL OPERATION HOURS WORKSHEET 24 Please complete all the requested information. 25 Enter the daily hours of operation, then calculate the Weekly Total and the Average Hours per Day. 26 Enter the Total ( obtain this please complete Work Days per Year section the instructions are listed below) and multiply that by the Average Hours per Day get your Annual Operating Hours. 27 Enter the Annual Operating Hours in Section 5 of the Rebate Application. 28 Please sign and date. WORK DAYS PER YEAR INSTRUCTIONS: 29 Complete the (check off the days the business is closed) and calculate the Total Days Closed per Year. 0 Subtract the Total Days Closed per Year from 65 calculate the Total Energy-Efficiency 24 SECTION Account Number Business Name Business Employee Name Day ANNUAL OPERATING HOURS // WORKSHEET John Smith Hours of of Operation* Example Total Monday 9 5 = 9 5 = 8 8 Monday 8:00 = A 6:00 = 10 A Tuesday 8:00 = B 6:00 = 10 B Wednesday 8:00 = C 6:00 = 10 C Thursday 8:00 = D 6:00 = 12 D Friday 8:00 = E 6:00 = 12 E Saturday 8:00 = F 6:00 = 12 F Sunday 8:00 6:00 = G = 5 G Weekly Total Average Hours per Day H H (Add lines A A through G) G) I I (Line H H 77 days = = Average hours per day) J J (Line AA AA = = Complete the section.) Annual Operating Hours 569.2K K (Line I IxxJ J = = Annual Operating Hours) *Hours of of Operation are determined by by the number of of hours all of of the lights are on on in in the facility. 26 (Check off off days the business is is closed. Total the number of of closed days in in line Y) Y) 0 Rebate Reservation Number ABC Contracr Vendor Name LL New Years Day Day M Martin Luther King 29 NN President s Day Day OO Easter Sunday (Do (Do not not subtract if if closed on on Sunday) PP Memorial Day Day QQ Independence Day Day RR Labor Day Day SS Veteran s Day Day TT Thanksgiving Day Day UU Thanksgiving Day Day After VV Christmas Eve Eve W Christmas Day Day XX Plus Additional Days Closed per per Year YY Total Days Closed per per Year (Example: Days between Christmas and New Years, vacations, conferences, etc.) (Add lines LLthrough Y Y ) ) ZZ Days Per Per Year AA AATotal Work Days per per Year (Subtract line YYfrom ZZand enter in in line J J ) ) 27 This worksheet is ismade available for forplanning purposes only and andisisnot not considered official or orbinding in incalculating the theannual operating hours of of the theapplicant's business or orthe therebate amount. San SanDiego Gas Gas && Electric Company shall, at at its itsole discretion, make the thefinal determinations with respect the theannual operating hours and andrebate amount. San SanDiego Gas Gas && Electric Company reserves the theright make appropriate adjustments the thecalculations set set forth in inthis thisworksheet based upon the theresults of of any anyaudit or orinspection deemed necessary in in San San Diego Gas Gas && Electric Company's sole discretion. All All decisions by by San San Diego Gas Gas && Electric Company are are final and and binding. 28 John Smith 1/1/10 Cusmer Signature Date 2010 San San Diego Gas Gas & & Electric Company. All All copyright and and trademark rights reserved. page 4 5

6 SECTION 12 LIGHTING WORKSHEET (FOR ALL LIGHTING MEASURES) 1 Completely fill out this section for each lighting measure installed. 2 Fill in the quantity (# of Units) and multiply that by the rebate per unit ($/Units) get the Rebate Total. Fill in the New Lamp & Ballast Wattage, Existing Lamp & Ballast Wattage, and the Existing Technology information. Abbreviations can be located in Energy-Efficiency This SECTION section must 11 be completed ANNUAL OPERATING and submitted HOURS along with / WORKSHEET application when applying for lighting products. Existing technology, new and existing lamp and ballast wattage must be completed where applicable. Use the existing technology abbreviations provided at the end of the lighting list. For varying wattage and/or technologies for the same product use the table provided at the end of the lighting list. Account Number SECTION 12 LIGHTING WORKSHEET Rebate Reservation Number 1 2 Business Name Vendor Name Existing Existing Technology New Lamp Business Product Employee Name $/Units "# of Units Rebate Total Lamp & (Refer Product Description Units & Ballast Code A B" (A x B = C) Ballast Ts&Cs for Wattage Wattage acceptable options) Day Hours of Operation* Total Fixtures Example Monday 9 5 Compact = Fluorescent 8 Fixtures Monday Interior Compact Fluorescent Fixture 70 watts ( 100 Watts L-C11 = A Fixture $20.00 lamp basecase) Tuesday = B Interior Compact Fluorescent Fixture 128 watts ( Watts L-C21 Wednesday Fixture $5.00 lamp basecase) = C Thursday Interior Compact Fluorescent Fixture 192 watts ( Watts L-C1 = D Fixture $40.00 lamp basecase) Friday = E Interior Compact Fluorescent Fixture 244watts ( 400 Watts L-C41Saturday Fixture $75.00 lamp basecase) Tier I = F Sunday Interior Compact Fluorescent Fixture 60watts ( 400 Watts L-C51 = G Fixture $45.00 lamp basecase) Tier II H (Add lines A through G) Weekly Total Exterior Compact Fluorescent Fixture 70 Watts ( 100 Watts L-C61 Fixture $17.00 I (Line H 7 days = Average hours per day) Lamp basecase) Average Hours per Day Interior Induction Fixtures J (Line AA = Complete the section.) Interior Induction Fixtures 70 Watts ( 100 Watts Lamp K L-D11 Annual Operating Hours (Line I x J = Annual Operating Hours) Fixture $5.00 basecase) Interior Induction Fixtures 120 Watt ( Watt lamp L-D21 *Hours Fixture $60.00 basecase of Operation ) are determined by the number of hours all of the lights are on in the facility. Interior Induction Fixtures 180 Watt ( Watt lamp L-D1 Fixture $75.00 basecase) Interior Induction Fixtures 250 Watt (400 Watt lamp basecase) L-D41 Fixture $ (Check off Tier days I the business is closed. Total the number of closed days in line Y) Interior Induction Fixtures 60 Watt (400 Watt lamp basecase) L-D51 Fixture $60.00 Tier L II New Years Day M Martin Luther King Exterior Induction Fixtures N President s Day Exterior Induction Fixtures 70 Watts ( 100 Watts Lamp L-D61 Fixture $25.00 basecase) O Easter Sunday (Do not subtract if closed on Sunday) Exterior P Memorial Induction Day Fixtures 100 Watt ( Watt lamp L-D71 Fixture $45.00 basecase Q Independence ) Day Exterior R Labor Induction Day Fixtures 120 Watt ( Watt lamp L-D81 Fixture $50.00 basecase S Veteran s ) Day Exterior T Thanksgiving Induction Fixtures Day 180 Watt ( Watt lamp L-D91 Fixture $50.00 basecase) U Thanksgiving Day After L-D01 Exterior V Christmas Induction Eve Fixtures 250 Watt (400 Watt lamp basecase ) Fixture $ W Christmas Day Interior Linear Fluorescent Fixture Interior X Plus Linear Additional Fluorescent Days Fixture Closed 600 per Watts Year (> 400 (Example: Watt lamp Days between Christmas and New Years, vacations, conferences, etc.) L-H11 Fixture $ basecase) Y Total Days Closed per Year (Add lines L through Y ) 65 Interior Linear Fluorescent Fixture 244 Watts (400 Watt lamp L-H21 Z Days Per Year Fixture $ basecase) Tier I AA Total (Subtract line Y from Z and enter in line J ) Interior Linear Fluorescent Fixture Watts (400 Watts L-H1 Fixture $50.00 Lamp basecase) Tier II 10 $1, MH This worksheet is made available for planning purposes only and is not considered official or binding in calculating the annual operating hours of the applicant's business or the rebate Interior Linear Fluorescent Fixture 192 Watts ( Watts amount. L-H41 San Diego Gas & Electric Company shall, at its sole discretion, make the final Fixture determinations $50.00 with respect the annual operating hours and rebate amount. San Diego Gas & Lamp basecase) Electric Company reserves the right make appropriate adjustments the calculations set forth in this worksheet based upon the results of any audit or inspection deemed necessary in Interior Linear Fluorescent Fixture 128 Watts ( Watts L-H51 San Diego Gas & Electric Company's sole discretion. All decisions by San Diego Gas & Fixture Electric Company $5.00 are final and binding. Lamp basecase) Interior Linear Fluorescent Fixture 64 Watts ( 100 Watt lamp L-H61 Fixture $25.00 basecase) Interior Pulse Start / Ceramic Metal Halide Cusmer Signature Date Interior Pulse Start/ Ceramic Metal Halide Fixtures 600 Watt L-F81 Fixture $ (> 400 Watt lamp basecase) Tier I 2010 San Diego Gas && Electric Company. All All copyright and trademark rights reserved. page 54 6

7 4 If you have installed a measure with two different lamp & ballast wattage amounts and/or technologies, please use the blank table on Page 8 enter the additional lamp & wattage/technology information. 5 Add up all the rebate tals and write that in the Rebate Total section on page Energy-Efficiency SECTION 11 ANNUAL OPERATING HOURS / WORKSHEET Product $/Units Product Description Units Account Code Number A Business Name L-N11 LED Channel Signage, Indoor 2ft, Retrofit Foot $4.00 Business L-N21 Employee LED Name Channel Signage, Indoor 2ft, Replacement Foot $4.00 "# of Units B" 5 New Lamp Rebate Total & Ballast Rebate (A x B Reservation = C) Number Wattage Vendor Name Existing Lamp & Ballast Wattage Existing Technology (Refer Ts&Cs for acceptable options) 6 Abbreviations for existing technology. 4 L-N1 LED Channel Signage, Outdoor 2ft, Retrofit Foot $2.00 L-N41 LED DayChannel Signage, Hours Outdoor of 2ft, Operation* Replacement Foot Total$2.00 Example L-N51 LED Channel Signage, Indoor > 2ft, Retrofit Foot $6.00 Monday 9 5 = 8 L-N61 LED Channel Signage, Indoor > 2f, Replacement Foot $6.00 Monday = A L-N71 Tuesday LED Channel Signage, Outdoor > 2ft, = B Retrofit Foot $.00 Wednesday = C L-N81 LED Channel Signage, Outdoor > 2ft, Replacement Foot $.00 Thursday = D Friday = E For each measure with varying new or existing lamp & ballast wattages and/or existing technology use this box Saturday = F Existing Sunday = G Existing Technology Product Weekly Total $/Units "# of Units Rebate Total Lamp & (Refer H (Add lines A through G) New Lamp Product Description Units & Ballast Code A I (Line H B" 7 days = (A Average x B = C) hours Ballast Ts&Cs for Wattage per day) Average Hours per Day Wattage acceptable J (Line AA = Complete the section.) options) L-H21 Int. Linear Fixture < 244W Annual Operating Hours Fixture K $ (Line I 10 x J = Annual $1, Operating Hours) HPS L-E1 *Hours of Operation T8 or T5 Lamp are determined & Ballast -4 by Foot the number of Lamp hours all $5.50 of the lights 2 are on $11.00 in the facility T12 (Check off days the business is closed. Total the number of closed days in line Y) L New Years Day M Martin Luther King N President s Day O Easter Sunday (Do not subtract if closed on Sunday) P Memorial Day Q Independence Day R Labor Day S Veteran s Day T Thanksgiving Day U Thanksgiving Day After Rebate Total $ 2, V Christmas Eve W Christmas Day X Plus Additional Days Closed per Year (Example: Days between Christmas and New Years, vacations, conferences, etc.) Y Total Days Closed per Year 6 (Add lines L through Y ) 65 Z Days Existing Per Year Technology Abbreviations INC AA Incandescent Total (Subtract line Y from Z and enter in line J ) PAR PAR Halogen This MVworksheet is made Mercury available Vapor for planning purposes only and PAR-IR is not considered PAR Halogen official or IRbinding in calculating the annual operating hours of the applicant's business or the rebate amount. San Diego Gas & Electric Company shall, at its sole discretion, make the final determinations with respect the annual operating hours and rebate amount. San Diego Gas & Electric MH Company reserves Standard themetal right Halide make appropriate adjustments BPH thebi-pin calculations Halogen set forth in this worksheet based upon the results of any audit or inspection deemed necessary in San Diego Gas & Electric Company's sole discretion. All decisions by San Diego Gas & Electric Company are final and binding. HPS High Pressure Sodium FL Linear Fluorescent T12HOF T12 High Output Fluorescent T8 T8 Lamp T12VHOF T12 Very High Output Fluorescent T12 T12 Lamp Cusmer Signature Date 2010 San Diego Gas && Electric Company. All All copyright and trademark rights reserved. page 84 * *Pages 6-7 are omitted from this sample. 7

8 P.O. BOX SAN DIEGO, CA SDGE (74) sdge.com This program is funded by California utility cusmers and administered by SDG&E under the auspices of the California Public Utilities Commission. Rebates and incentives are provided on a first-come, first-served basis until program funds are no longer available San Diego Gas & Electric Company. All copyright and trademark rights reserved