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ElkRiver ---- <br />MunicipalUtilities <br />~ • <br />Business Name: <br />Mailing Address: <br />City, State, ZIP <br />Installation Address: <br />(if different from mailing) <br />Account Number: <br />Contact Name: <br />E-mail address: <br />2006 Commercial /Industrial <br />New and Retrofit Premium Efficiency Motor Rebate Application <br />Elk River Municipal Utilities <br />13069 Orono Parkaway <br />Elk River, MN 55330 <br />Phone: <br />Phone: <br />The undersigned does hereby certify that 1. The undersigned, and not Elk River Municipal Utilities is solely responsible for the accuracy of the <br />information contained in this application, 2. All rules of this Premium Efficiency Motor rebate program have been followed, and 3. the <br />installation is complete. Further, the undersigned acknowledges that nothing contained in the application shall impose any liability on Elk River <br />Municipal Utilities for the work performed and information presented for this program by the customer's engineer, contractor or vendor. <br />Customer Signature: <br />Date: <br />Qualifying Customers <br />This program is applicable to commercial and industrial customers of Elk River Municipal Utilities only. <br />Rebate Program Guidelines <br />EIk River Municipal Utilities offers cash rebates to qualiryirig customers who purchase and install qualifying new motors (not rewound or <br />repaired motors) in new or retrofit applications. <br />Specific Rules and Qualifications <br />1. Rebates will apply only for new premium efficiency motors (not rewound or repaired motors) for new or retrofit installations only. <br />2. Rebates apply to motors from 1 hp to 200 hp when they meet or exceed Premium efficiency standards and offer the following features: <br />• AC Polyphase induction motor <br />• Squirrel cage rotor design <br />• NEMA design B torque characteristics <br />• Synchronous speeds of 3600, 1800, 1200 rpm <br />3. The nameplate of the new motor must clearly state the National Electrical Manufacturers Association (NEMA) nominal premium efficiency <br />in order to quality for rebates. <br />Warranty Information <br />Rebate qualifications do not imply any representation or warranty of such equipment, design, or installation by Elk River Municipal Utilities. Elk <br />River Municipal Utilities shall not be responsible or liable for any personal injury or property damage caused by this equipment, nor does it <br />guarantee that a specific level of energy or cost savings will result from the implementation of energy conservation measures or the use of <br />products funded under this program. Elk River Municipal Utilities will not be liable for any incidental or consequential damaoes. <br />Other Important Rebate Program Rules <br />1. Installation must be complete before funds will be issed for the rebate. <br />2. Customers and vendors must submit itemized equipment invoices along with the New Premium Efficiency Motor Rebate application(s) to <br />Elk River Municipal Utilities. To ensure that the equipment installed meets Elk River Municipal Utilities performance standards, invoices <br />must itemize quantity, make, model numbers, and prices of the motors as well as labor charges for all motors installed and included in the <br />rebate aoolication. <br />3. Elk River Municipal Utilities will inspect all installations. Call 763/635-1330 when complete. <br />4. Customers must apply for Year 2006 rebates no later than November 30. 2006. <br />5. The rebate amount shall be limited to 50% of the protect cost up to $10.000 or as determined by the Elk River Municipal Utilities. <br />6. The customer is responsible for checking with Elk River Municipal Utilities to determine whether funding is available and to verity that the <br />proposed measure qualifies. Call 763/635-1330 before proceedino. <br />Premium Efficienc y Motor Standards <br />Open Drip- Proof (UDP) Totally Enclosed Fan-Cooled (TEFC) <br />HP 1200 RPMs 1800 RPMs 3600 RPMs HP 1200 RPMs 1800 RPMs 3800 RPMs <br />1 82.5 85.5 77 1 82.5 85.5 77 <br />1.5 86.5 86.5 84 1.5 87.5 86.5 84 <br />2 87.5 86.5 85.5 2 88.5 86.5 65.5 <br />3 88.5 89.5 85.5 3 89.5 89.5 86.5 <br />5 89.5 89.5 86.5 5 89.5 89.5 88.5 <br />7.6 90.2 91 88.5 7.5 91 91.7 89.5 <br />10 91.7 91.7 69.5 10 91 91.7 90.2 <br />15 91.7 93 90.2 15 91.7 92.4 91 <br />20 92.4 93 91 20 91.7 93 91 <br />25 93 93.6 91.7 25 93 93.6 91.7 <br />30 93.6 94.1 91.7 30 93 93.6 91.7 <br />40 94.1 94,1 92.4 40 94.1 94.1 92.4 <br />50 94.1 94.5 93 50 94.1 94.5 93 <br />80 94.5 95 93.6 80 94.5 95 93.6 <br />7b 94.5 95 93.6 75 94.5 95.4 93.6 <br />100 95 95.4 93.6 100 95 95.4 94.1 <br />125 95 95.4 94.1 12b 95 95.4 95 <br />150 95.4 95.8 94.1 150 95.8 95.6 95 <br />200 95.4 95.8 95 200 95.8 96.2 95.4 <br />i ~ 2 21105 Naw an0 Retrofit Premium Efficiency Motor Rebate Application 1101p4 GRE <br />