Business Energy Rebates Application



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Business Energy s Application Business Energy s make it easy and affordable for you to select energy efficient products for your business. In-store and mail-in rebates are available for energy efficient products purchased and installed in non-residential buildings in Nova Scotia. You may choose to finance your products as 24 interest-free payments on your power bill in lieu of rebates. Please note: Mail-in rebates and financing are not typically available on products where in-store rebates are available at participating distributors. Pre-approval is required for financing and prior to purchase for total rebate amounts greater than $15,000. The following documentation is required to be submitted. If you are a small business, you may qualify for an additional incentive. Complete your Business Profile at efficiencyns.ca to find out if you qualify before completing your application. Required Documentation: Quote or proof of purchase, please refer to the enclosed guidelines. Copy of a recent electric bill Manufacturer product specification sheet(s) Completed application form Submit your application within 90 days of installing your product(s). Please ensure all documentation is sent to Efficiency Nova Scotia by the date on your pre-approval letter. Documentation received by a later date may result in the expiration of your loan pre-approval and you may be required to re-apply. Submit your completed application along with supporting documents to: Email: ber@efficiencyns.ca (Please note that we cannot accept high risk attachments such as ZIP, EXE or files that exceed 10MB.) Company Information Mail: Efficiency Nova Scotia 230 Brownlow Ave., Suite 300 Dartmouth, NS B3B 0G5 Attention: Business Energy s Fax: 902 470 3599 Attention: Business Energy s Company Name: Contact Name: Position: Mailing Address: Installation Address: (if different than above) Phone: Fax: Contact Email: I would like to receive email communications (tips, promotions, etc.) from Efficiency Nova Scotia. (You may withdraw your consent at any time.) Project Type: Date or Expected Date of Installation:

Business Energy s Application Form 2 Complete the following ONLY if applying for financing: Note: Financing is subject to approval by Nova Scotia Power. Nova Scotia Power may carry out a credit check (including Equifax reporting), to determine eligibility for financing. Nova Scotia Power Account Number(s)OR Meter Number(s): Service Address(es): Installer Information Company: Contact Name: Position: Phone: Email: Information Without assistance from Business Energy s, would you have: Installed any energy efficient equipment? Yes No Installed significantly less energy efficient equipment? Yes No Postponed the installation of equipment by more than two years? Yes No Payment Information Total Requested: (total from all worksheets) Choose how you would like to receive your rebate: (check one) Direct Deposit: Cheque: Attach a void cheque or a direct deposit form from your bank to have your rebate deposited directly into your bank account Fill out the information below to have your rebate sent to you as a cheque Make cheque payable to: Mailing address: (if different than previous) Terms and Conditions I hereby consent and acknowledge that: a) s are for new equipment only, cannot be combined with any other Efficiency Nova Scotia offer and are subject to change without notice. b) Program funding is limited and will be allocated by Efficiency Nova Scotia in a manner that best serves the intent of funding. To be eligible for rebates: products must be installed in a non-residential building serviced by a Nova Scotia electric utility and products installed must reduce electrical consumption. c) Efficiency Nova Scotia may at its sole discretion, approve or reject any rebate at any time. d) Cogeneration, self-generation, demand-limiting, power factor correction and fuel switching are not eligible for rebates.

Business Energy s Application Form 3 e) Pre-approval is required for financing and prior to purchase for a total rebate amount greater than $15,000. f) The Applicant must submit the following to be eligible for rebates: (1) Business Energy s Application, (2) Applicable Worksheets, (3) Proof of Purchase, (4) Manufacturer Specification Sheets, (5) A copy of an electric bill showing the Nova Scotia Rate Code and other information deemed necessary by Efficiency Nova Scotia to adequately review the rebate request. g) Proof of Purchase includes invoice(s) indicating the size, type, manufacturer, model or part number, purchase date, and vendor of the efficient equipment. Efficiency Nova Scotia reserves the right to verify sales transactions. h) The Applicant will provide Efficiency Nova Scotia with reasonable access to the Installation Address to inspect the product installation. Efficiency Nova Scotia reserves the right to withhold, revise or reclaim any rebate until it has performed a satisfactory post-installation verification. i) Efficiency Nova Scotia may require the sharing and exchange of information between Efficiency Nova Scotia and third parties such as the Applicant s electricity provider. In applying and receiving rebates, the Applicant hereby irrevocably consents to the release, use, storage and exchange of information between Efficiency Nova Scotia and necessary third parties, including, but not limited to name(s), addresses, electricity usage history, credit reports, and phone number, for the purposes of administering rebates. j) Efficiency Nova Scotia does not guarantee the performance of installed equipment expressly or implicitly. k) Efficiency Nova Scotia does not endorse any particular manufacturers, products, or system designs in promoting this program. l) Allow 60 days for delivery of payment. Submitting an application form with incomplete or missing information will delay processing of payment. m) Maximum payment will not exceed 50 per cent of the equipment purchase price. Applicants and/or contractors are responsible for all costs associated with sales tax, installation, and disposal/recycling. Applicant is responsible for any tax liability of rebate payment. n) s can only be paid directly to the end-user. o) I certify that all equipment for which I am requesting a rebate has been installed within the last 90 days (unless applying for pre-approval), that the products meet the eligibility requirements for rebates, and that all information submitted as part of this application, including proof of purchase, is correct to the best of my knowledge. p) Efficiency Nova Scotia is a franchise operated by EfficiencyOne, official Licensee of the Province of Nova Scotia. By completing and submitting this form, I agree to release my personal information to the current and successive holders of the Efficiency Nova Scotia franchise. q) By completing and submitting this form, I hereby consent to the purposes for which Efficiency Nova Scotia is collecting, using and disclosing personal information as set out in Efficiency Nova Scotia s Privacy Policy. More information on Efficiency Nova Scotia s Privacy Policy can be found online, efficiencyns.ca/privacy-policy or by email, privacy@efficiencyns.ca. By signing below, I agree to the above terms and conditions and confirm the information provided is complete and accurate. X / / Signature DD MM YYYY X Name (Please Print) X Title (Please Print) 1 877 999 6035 ENS-00058-V1-2015

Business Energy s The following tables list the product requirements and rebates available for a range of energy-efficient agriculture technologies. Complete the blank tables and submit with your application. For more information please visit our website www.efficiencyns.ca/ber. High Efficiency Fans Eligible Product Ventilation Fan (Exhaust or Supply Fan) Circulation Fan Diameter (Inches) Minimum Efficiency * (Cfm / Watt) 17 11 $45 18-35 13 $55 36-48 20 $65 > 49 23 $85 18 35 14 $25 36 49 20 $50 > 50 27 $75 Product Requirement Must be BESS or AMCA listed ** CSA / cul rated Must be BESS or AMCA listed ** Must replace existing circulation fans, unless project is new construction CSA / cul rated * Efficiency for ventilation fans may also be known as VER (Ventilating Efficiency Ratio). Efficiency for circulation fans may be known as Efficacy Ratio, measured in thrust-cfm / Watt. Any of these terms are acceptable. ** BESS Bioenvironmental and Structural Systems laboratory, University of Illinois. AMCA Air Movement and Control Association. High Volume Low Speed Fans Eligible Product High Volume Low Speed Fans (HVLS) Size (Feet) Product Requirement 8-12 $400 Must replace existing circulation fans, unless project is new construction 14-24 $1000 CSA / cul rated High Efficiency Fans / High Volume Low Speed Fans Installation Location Product: (Ventilation, Circulation or HVLV) Manufacturer Model Unit Efficiency (cfm / Watt) Airflow (cfm) Annual Operating Hours per Fan x EXAMPLE: Barn2 Existing Circulation ABC Inc. VG00451 13.0-1,200 1 N/A N/A HVLV XZY Co. C123 15.0-1,200 1 $100 $400

Business Energy s High Efficiency Fans / High Volume Low Speed Fans Installation Location Product: (Ventilation, Circulation or HVLV) Manufacturer Model Unit Efficiency (cfm / Watt) Airflow (cfm) Annual Operating Hours per Fan x Dual & Natural Ventilation Facility Type Product Requirement Dairy (year-round) $9 / cow Both natural and dual ventilation systems that meet the Dairy (winter only) $3 / cow following criteria are eligible: Natural Ventilation no mechanical ventilation present. All Swine $2 / pig ventilation provided by chimneys and sidewall openings (with Layers $300 / 1000 birds curtains or panels). Dual Ventilation Mechanical ventilation to modulate exhaust Broilers $400 / 1000 birds in winter months only. Turkeys $500 / 1000 birds construction and retrofits eligible for rebate. Sheep $5 / sheep Note: For facility types not listed, where mechanical ventilation has been or would traditionally be employed, contact Efficiency Nova Scotia for a customized rebate. Dual & Natural Ventilation Installation Location Manufacturer Model Dual or Natural Construction or retrofit Building Capacity x EXAMPLE: Dairy Barn ABC Inc. 123-xxx-01 Dual Construction 40 cows (year round) $9 / cow $360

Business Energy s Livestock Waterers Eligible Product Wattage Product Requirement Low-Energy or Zero-Energy Livestock Waterers 300 $100 Must contain a minimum of 2 inches insulation and an adjustable thermostat CSA / cul rated Livestock Waterers Installation Location Manufacturer Model Unit Watts Annual Operating Hours per Unit x EXAMPLE: Barn2 Existing ABC Inc. YH00371 1000 4 N/A N/A XZY Co. KRS-1 250 4 $100 $400 Agriculture Heat Pads Size Wattage Product Requirement Single Heat Pad < 100 $60 CSA / cul rated Double Heat Pad < 200 $120 Must replace incandescent heat lamps Agriculture Heat Pads Installation Location Manufacturer Model Unit Watts x EXAMPLE: Existing ABC Inc. YH00371 200 5 N/A N/A XYZ Inc. KRS-1 60 5 $60 $300

Business Energy s Agriculture Heat Pads Installation Location Manufacturer Model Unit Watts x Timers Eligible Product Product Requirement Engine Block Heater Timer $40 Must control engine block heater timer of at least 400 Watts Must not replace existing heater timer CSA / cul rated Engine Block Heater Timer Installation Location Manufacturer Model Engine Block Heater Watts x EXAMPLE: Massey Tractor XYZ Co. KRS-1 60 1 $40 $40 Dairy Farm Equipment Eligible Product Product Requirement Dairy Scroll Compressor $50/HP Must replace reciprocating compressor Heat Reclaimer Unit (RHU) $15/ milked cow Must electrically heat water Cannot be replacing existing HRU Milk Pre-cooler $12/ milked cow Cannot be replacing existing milk pre-cooler Dairy Scroll Compressor Installation location Manufacturer Model Compressor HP (C) x x (C) EXAMPLE: Milking Unit #1 XYZ Co. KRS-1 2 5 $50 $500

Business Energy s Milk Pre-Cooler / Heat Recover Unit (HRU) Installation Location Product of cows milked x EXAMPLE: Milking unit 1 HRU 60 $15 $900 Variable Speed Drive (VSD) Equipment Controlled Milking System Product Requirement Milk Vacuum Pump Tie or Stanchion Parlor $115 / HP controlled $160 / HP controlled Must not replace existing VSD Pump motor controlled must be 5 HP or greater Must milk at least 50 cows Note: Not all vacuum pump motors are compatible with VSDs. For more information contact your supplier. Variable Speed Drive (VSD) Installation Location of cows milked Parlor, tie or stanchion Pump type (rotary vane or blower) Pump Motor HP of Units (C) x x (C) Milking Unit #1 60 Parlor 5 1 $160 $800