2019 El Paso Electric - Low Income Residential Energy Efficiency Program STEPS TO SUCCESS: Evaporative Cooling Rebate
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2019 El Paso Electric Low Income Residential Energy Efficiency Program STEPS TO SUCCESS: Evaporative Cooling Rebate 1. Program Overview • El Paso Electric will pay out an incentive to eligible customers within EPE’s service territory that install an eligible evaporative cooler (attached). • Rebate will run for the months of July and August. • Customers will reserve funding with El Paso Electric prior to purchasing the unit and will have 30 days to complete the project (the last day to reserve funding is August 31st and September 30th for project submittal). • Submittals will be made through email at epeincentives@clearesult.com or mail to Clearesult office address (5822 Cromo). • Incentive amount is $700 or up to total project cost if less than $700. 2. Customer Eligibility • Customer must reside in Texas and receive electric service from El Paso Electric. • Single Family Homes only. • Customer must meet low-income requirements and complete the Self-Certification Form of Income Eligibility for approval (attached). 3. To Qualify • Evaporative Air Conditioners MUST be purchased and installed in the current program year and listed on the Evaporative Cooling Unit Eligibility List to be eligible for a rebate. • Must be permanently installed with a single duct or ducted air distribution system (portable units and window units are NOT eligible). • Limit of one (1) rebate per individually metered TX residential account per program year. 4. Reserving Funding • Customer must call El Paso Electric to reserve funding prior to purchase of unit. • This program is limited to 257 units. Once all funding is reserved, a waitlist will be opened. • Customer may choose a contractor of their choice or they may choose to do the work themselves. Contractor must provide the customer with a written quote that includes all work materials before any work is done. http://www.consumer.ftc.gov/articles/0242-hiring-contractor 5. Submit Required Documentation for Payment of Project • Customer must submit the following documents within the 30 period started from when the customer first reserved funding. o Application Form. Manufacturer, model trade/brand name, model and serial numbers must be listed on application form. Release of liability for both El Paso Electric and Clearesult included. o Photographs of installed system, nameplate, and invoice/store receipt 6. Project Notification/Schedule Inspections • Once project is submitted, El Paso Electric and/or Clearesult will perform an inspection to confirm project completion before paying out incentive. 7. Additional Information • Visit NREL Standard Work Specifications at https://sws.nrel.gov for guidelines to ensure quality installations based on national best practices. CLEAResult at epeincentives@clearesult.com or (915) 255-4300 El Paso Electric at joyce.horton@epelectric.com or (915) 351-4268
Evaporative Cooling Unit Eligibility List Manufacturer Brand Name Model Number Rebate Saturation Effectiveness > 85% Essick Air Champion MasterCool AD*C5112 $700.00 Essick Air Champion MasterCool AD*C7112 $700.00 Essick Air Champion MasterCool ADA5112 $700.00 Essick Air Champion MasterCool ADA7112 $700.00 Essick Air Champion MasterCool AS*C5112 $700.00 Essick Air Champion MasterCool AS* C7112 $700.00 Essick Air Champion MasterCool ASA5112 $700.00 Essick Air Champion MasterCool ASA7112 $700.00 Essick Air Champion MasterCool AU*C7112 $700.00 impco LLC Ducted Symphony Premium HD48*UEA $700.00 impco LLC Ducted Symphony Premium HD48EA $700.00 impco LLC Ducted Symphony Premium HD68*UEA $700.00 impco LLC Ducted Symphony Premium HD68EA $700.00 impco LLC Ducted Symphony Premium HS48*UEA $700.00 impco LLC Ducted Symphony Premium HS48EA $700.00 impco LLC Ducted Symphony Premium HS68*UEA $700.00 impco LLC Ducted Symphony Premium HS68EA $700.00 Phoenix Manufacturing,Inc. AeroCool Pro Series PD423* $700.00 Phoenix Manufacturing,Inc. AeroCool Pro Series PD480* $700.00 Phoenix Manufacturing,Inc. AeroCool Pro Series PD623* $700.00 Phoenix Manufacturing,Inc. AeroCool Pro Series PD680* $700.00 Phoenix Manufacturing,Inc. AeroCool Pro Series PH423* $700.00 Phoenix Manufacturing,Inc. AeroCool Pro Series PH480* $700.00 Phoenix Manufacturing,Inc. AeroCool Pro Series PH623* $700.00 Phoenix Manufacturing,Inc. AeroCool Pro Series PH680* $700.00 Phoenix Manufacturing,Inc. AeroCool Trophy Series HH/HD480* $700.00 Phoenix Manufacturing,Inc. AeroCool Trophy Series HH/HD680* $700.00 Phoenix Manufacturing,Inc. AeroCool Trophy Series TD4812 $700.00 Phoenix Manufacturing,Inc. AeroCool Trophy Series TH4812 $700.00 Phoenix Manufacturing,Inc. AeroCool Trophy Series TD6812 $700.00 Phoenix Manufacturing,Inc. AeroCool Trophy Series TH6812 $700.00 Phoenix Manufacturing,Inc. AeroCool Trophy Series TUP6812 $700.00 Phoenix Manufacturing,Inc. AeroCool Trophy Series WCTD4812C $700.00 Phoenix Manufacturing,Inc. AeroCool Trophy Series WCTH4812C $700.00 Phoenix Manufacturing,Inc. AeroCool Trophy Series WCTD6812C $700.00 Phoenix Manufacturing,Inc. AeroCool Trophy Series WCTH6812C $700.00 * Indicates a character position that can be replaced by any value
Texas Low Income Residential 2019 Evaporative Cooling Rebate APPLICATION FORM All applications are due 30 days after initial reservation. Application must include self-certification form of income eligibility. 1 EPE CUSTOMER INFORMATION In order to be eligible for EPE Account Number for Install Location: (10 digits) rebates, rebate forms may be mailed or emailed along with a Customer/Resident Name: copy of receipt or contractor Owner/Landlord Name: (if renter occupied)* invoice to the addresses below. Rebate processing takes Telephone: Applicant’s E-mail: approximately 4–6 weeks. Terms Account Address: and conditions subject to change without notice. City: State: ZIP: CLEAResult Mailing Address: (if different)** 5822 Cromo Dr. Ste #201 El Paso, TX 79912 City: State: ZIP: Property Type: Single Family Duplex Condominium Mobile Home Apartment epeincentives@clearesult.com (Check one) Check one: Owner Occupied Renter Occupied Vacant * Rebate check will be made out to Estimated Annual Gross $0-$24,980 $24,981-$33,820 $33,821-$42,660 landlord if entered Household Income: (Check one) $42,661-$51,500 $51,501-$60,340 $60,341-$69,180 ** Rebate check will be mailed to the $69,181-$78,020 $78,021-$86,860 $86,861 or greater account address unless a different mailing address is provided Number of Occupants in Home: Existing Cooling System Age: Home Existing Cooling Type: Characteristics Refrigerated Air Evaporative Cooling None Please provide photo of heating system Existing Heating Type: Gas Electric Resistance Heat Pump None nameplate for homes with Electric Existing Water Heater Type : Gas Electric Resistance Heat Pump None Resistance or Heat Pump heating 2 INSTALLATION INFORMATION (Must complete all fields) Evaporative Project Completion Date: Reservation Number: Cooling Model Trade or Manufacturer Model # Serial # Brand Name Please provide photo of installed system nameplate or include system model # on invoice 3 CONTRACTOR INFORMATION OPTIONAL Company Name: License #: (if applicable) (Property owner must complete only if rebate is Contact Person: Phone: to be issued to contractor) Page 1
Texas Low Income Residential 2019 Evaporative Cooling Rebate APPLICATION FORM 4 APPLICANT ACKNOWLEDGEMENT Please refer to By signing below, I acknowledge that: (1) the measure installation listed herein has been installed to my satisfaction; www.epelectric.com/tx/ (2) if contacted by EPE or Clearesult, I agree to allow access to my property to inspect the measure installation; residential/energy-efficiency- (3) neither EPE nor Clearesult assumes any liability whatsoever relating to the measure installation or performance; links for additional (4) all information provided in this rebate form is accurate to the best of my knowledge and (5) I acknowledge that information regarding the project would not have been accomplished or would have been completed with a lower level of efficiency eligibility criterea (Signed by without the assistance of the EPE Energy Efficiency Program. EPE customer if owner occupied or Applicant Signature: Date: landlord if renter occupied) 5 PAYMENT RELEASE AUTHORIZATION OPTIONAL By signing below, I am authorizing the payment of the rebate to the contractor (named below), and I understand that I will NOT be receiving the incentive payment from El Paso Electric. (Property owner must complete and sign only if rebate is Applicant Signature: Date: to be issued to contractor) Contractor Company Name: (for payment) Mailing Address: City: State: ZIP: REV. 6/25/2019 Page 2
Public Utility Commission of Texas Self-Certification Form of Income Eligibility for Full Incentive Energy Efficiency Services This statement is made to verify my household income. The Public Utility Commission of Texas has authorized energy efficiency programs to reduce the utility bills of income eligible households. Contractors participating in the programs receive higher incentive payments when you are income eligible. The purpose of the higher payment is to enable the contractor to provide the improvements at very low cost or at no cost to you. Name Street Address Apartment Number City Zip Code TX Phone Number w/Area Code Number of Persons in Household I currently qualify in one of the following categories. Check the appropriate category box. Category 1 I receive benefits from one or more of the programs listed below ( check each box that applies): Food Stamps Temporary Assistance to Needy Families Medical Assistance Children’s Health Insurance Program Supplemental Security Income Qualified Medicare Beneficiary Public Housing, Section 8 Housing, or Other Housing Authority Assistance Participating in this program will not affect your eligibility for other program benefits. If you checked one or more of the boxes in Category 1, please sign and date the form Category 2 My total household income before taxes is at or below the amount shown in the table below as determined by completing the Income Calculation Worksheet below. (Do not check this box before completing the worksheet.) Rev. 02/2019 Page 1 of 2
INCOME CALCULATION WORKSHEET Step 1-Fill out the Income Calculation Worksheet. Instructions: Do not complete this worksheet if you checked any of the boxes in Category 1. To accurately determine your household income you must include the income of all persons residing in your home from all sources. To determine the amount of income in each category enter the amount(s) on the check or benefit statement. Amount per: week month year Wages from full or part-time employment as shown on paystub or W-2 form ______________________ Unemployment or Worker’s Compensation ______________________ Social Security ______________________ Retirement Income ______________________ Child Support and/or Alimony ______________________ All other earnings ______________________ TOTAL HOUSEHOLD INCOME ______________________ (Add the amount entered on each line to figure your total household income.) Step 2. Compare your total household income per week, month or year to the amount shown in the table below for the number of persons in your household. If your total household income is equal to or less than the amount shown in the table you are income eligible. Please check the box next to Category Two and sign and date the form. 200% of HHS Poverty Size of Family Unit Annual Income Monthly Income Weekly Income 1 $24,980 $2,082 $480 2 $33,820 $2,818 $650 3 $42,660 $3,555 $820 4 $51,500 $4,292 $990 5 $60,340 $5,028 $1,160 6 $69,180 $5,765 $1,330 7 $78,020 $6,502 $1,500 8 $84,860 $7,238 $1,670 Each Additional Person Add: $8,840 $737 $170 * Notice: Income ceilings are for February 1, 2019 – January 31, 2020 Annual updates are posted on http://www.puc.texas.gov/industry/electric/forms/ SIGN BELOW: Under penalty of perjury, I certify that the above declaration is true and correct. I understand that the information is subject to audit and investigation by the Public Utility Commission of TX. Applicant signature Date Contractor signature Date The information provided on this form will be used solely for the purpose of determining whether your household is eligible for this program and will be kept confidential by the contractor and by the Public Utility Commission of Texas. It will not be sold or provided to any other party. Keep a copy of this form for your records. Rev. 01/2018 Page 2 of 2
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