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2006 Commercial I Industrial <br />Adjustable Speed Drive (ASD) Rebate Application <br />Elk River ^^ Elk River Municipal Utilities <br />~-~ 13069 Orono Parkway <br />MUrilClpal Ut111t1eS Elk River, MN 55330 <br />• • <br />Business Name: <br />Contact Person: <br />Mailing Address: <br />Installation Address: <br />City: <br />Account Number: <br />City: <br />Phone <br /> <br /> <br />State Zip <br /> <br />State Zip <br />The undersigned does hereby certify that 1) The undersigned, and not Elk River Municipal Utilities (ERMU), is solely responsible for the accuracy <br />of the information contained in this application. 2) All rules of the Adjustable Speed Drive program have been followed, and 3) the installation is <br />complete. Further, the undersigned acknowledges that nothing contained in the application shall impose any liability on ERMU for the work <br />performed and information presented by the customer's engineer, contractor, or vendor. <br />Customer Signature: <br />Qualifying Customers <br />This program is applicable to the commercial and industrial customers of ERMU only. <br />Date: <br />Rebate Program Guidelines <br />ERMU offers cash rebates to qualifying customers who purchase and install qualifying adjustable speed drives. <br />Specific Rules and Qualifications <br />1. Rebates will apply only for new adjustable speed drives. <br />2. Rebates apply to adjustable speed drives in systems that: <br />• Be tied to an automated. control system <br />• The ASD True Power Factor of .90 or greater <br />3. Approved applications of ASD's <br />• HVAC fans, pumps, cooling towers, process equipment and industrial fans <br />4. Non-approved applications of ASD's: <br />• Chillers, refrigeration compressors and air compressors. These applications may be submitted for evaluation through the <br />Custom Grant Program. The ASD will be evaluated in conjunction with the equipment operating efficiency and loading: <br />Additional applications not approved for ASD rebates include soft-start, power-factor correction, or related equipment. <br />5. Rebate is based on the rated ASD controlled horsepower or horsepower of motor, whichever is lower. <br />6. Rebates are not available on replacement ASD's. <br />Warranty Information <br />Rebate qualifications do not imply any representation or warranty of such equipment, design, or installation by ERMU. ERMU shall <br />not be responsible or liable for any personal injury or property damage caused by this equipment, nor does not it guarantee that a <br />specific level of energy or cost savings will result from the implementation of energy conservation measures or the use of products <br />funded under this program. In no event shall ERMU be liable for any incidental or consequential damages. <br />Applying for the Rebate <br />1. Installation must be complete before funds will be issued for the rebate. <br />2. Customers and vendors must submit itemized equipment invoices along with rebate applications to ERMU. To ensure that the <br />equipment installed meets ERMU's .performance standards, these invoices must itemize labor charges, quantity and price of the <br />equipment installed, and information regarding the manufacturer and model numbers for all adjustable speed Drives included in <br />the rebate application. <br />3. ERMU will inspect all installations. Call 763/635-1330 when complete. <br />4. The customer should check with ERMU to determine funding availability and to verify program parameters. <br />5. The maximum rebate amount shall be limited to 50% of the project cost up to $10,000 <br />6. Qualifying customers must apply for Year 2006 rebates no later than November 30, 2006. <br />1 of 2 2005 Adjustable Speed Drive Rebate Application 110104 GRE <br />