IEEP

Opportunitiesfor commercialcustomers . . .

• To save energy

• To improve the environment

• To improve your business

Presented by

your municipal electric utility!

Take advantage of these facilityimprovement opportunities . . .

Good EnergyManagement is Good Business!

Commercial Energy Usage:

IEEP Customer Breakdown:

Space Heating29%

Office Equip.13%

Lighting22%

Ventilation11%

Cooling 7%

Refrigeration 3% Cooking 1%

WaterHeating4%

Other 10%

Residential 65,151 / 90%

Commercial6,946 / 9%

Industrial517 / 1%

Making commercial buildingsmoreenergy efficient will help keep electriccosts down for all municipal utilitycustomers. Lighting and motorsaccount for a significant portion ofenergy use in commercial buildings.Upgrading this equipment can helpreduce your electric costs whileimproving the look and operation ofyour facility.

The Ultimate Goal: Environmental Improvement.The Ultimate Goal: Environmental Improvement.

IEEP Commercial Energy Efficiency Program

Qualifying Measures WorksheetThe IEEP has evaluated and qualified the energy saving measures listed on this page. For the measure to be eligible it must meet the min-imum efficiency criteria listed. For projects with a potential rebate over $500, pre-approval is required. Should you require pre-approval,or for more assistance, please contact Honeywell at (315) 463-7208. Incomplete information will delay or disqualify your rebate.

• New Fixture or Retrofit. Lamps and ballasts must be new. Must be upgrading from less efficient measures.

• Fixtures must be new and ENERGY STAR® labeled or on the DesignLights Consortium qualified product list.

• Rebate requests must be submitted to the IEEP within six months of purchase.

TotalApproved Incentive Amount Description of Equipment Installed Qty. IncentiveMeasure Amount

4' Fluorescent 1- or 2-Lamp $16 per fixtureT-8 with ballast

4' Fluorescent 3- or 4-Lamp $32 per fixtureT-8 with ballast

LED interior 1' x 4', 2' x 2' and $32 per fixture2' x 4' panel fixtures, and LED retrofit kits

8' Fluorescent T-8 with ballast, $32 per fixtureor 8' LED fixture

8' LED T-8 tubes for $16 per tuberetrofitting into existingfixtures

4' LED T-8 tubes for $8 per tuberetrofitting into existingfixtures

ENERGY STAR®-labeled LED $10 per fixtureExit Signs or Screw-in R-20,R-30,or R-40 style LED Bulbs

Hardwired interior LED $30 per fixturefixtures: ceiling globe, wall sconce, or recessed can fixture

LED or 4-, 5-, or 6-lamp $75 per fixtureFluorescent T-8, or T-5 High Bay or Low Bay Warehouse-style fixtures

LED Exterior Wall Pack, $50 per fixtureParking Lot, Canopy or Security Fixtures

Variable Speed Drives(VSD) 1-15 HP : $30 per HPfor single-speed motors 20-50 HP : $25 per HP 60-100 HP : $17.50 per HP 125-200 HP : $15 per HP

uGRAND TOTAL:

Incentive amount will notexceed price paid for fixture

IEEP Commercial Energy Efficiency Program

P.O. Box 2489Syracuse NY 13220-2489

Find out more about municipalutilities and energy efficiency.Visit us on the web atwww.ieepny.comIEEP

© 2007 Independent Energy Efficiency Program. Revised May 2017

The Independent Energy Efficiency Program (IEEP) is sponsoring this program to encourage municipal commercial electric customers to upgrade their equipment with energy efficient equipment.

To receive your rebate without delay, please fill out this form completely and mail it to the address below, along with:

u A copy of the dated invoice, clearly showing equipment type and quantity.u A copy of your business’s recent village electric bill.u Sufficient technical product documentation showing that equipment meets specifications (indicated on attached worksheet).

Mail to: IEEP, P.O. Box 2489, Syracuse, New York 13220-2489(Please do not send this form with your utility bill payment)

u Customer Information:

Business Name: ________________________________________________ Tax ID Number: ______________________________

Make Incentive Check payable to: ______________________________________________________________________________

Mailing Address: ___________________________________________________________________________________________

City: _____________________________________________________ State: _____________ Zip Code: ____________________

Contact Name: ____________________________________________________________________________________________

Phone: (____________) _________________________________ Fax: (____________) __________________________________

Name of Municipal Electric Utility _____________________________________________________________________________

Electric Account Number: ___________________________________________________________________________________

u General Terms & Conditions:Rebate requests must be submitted to the IEEP within six months of purchase.

The IEEP may choose to inspect locations to verify satisfactory completion of the projects, and to measure and verify energy savings.Such inspections will be made at a time convenient to the applicant, with advanced notice to the applicant. Misrepresentation of instal-lation location or measure eligibility may result in forfeiture of the incentive award.

Customers are responsible for any such tax implications associated with reimbursement. The IEEP is not responsible for any tax con-sequences associated with any payments. The IEEP assumes no responsibility for performance of equipment and equipment warranty.The equipment must be purchased new and installed within the member utility’s franchise service area within six months of receiptpurchase date. The customer relieves the IEEP of any and all liability associated with this project. The IEEP reserves the right in its solediscretion to terminate or modify this program at any time.

I, the undersigned, agree to the terms and conditions of this document. I understand that I am fully liable for any tax consequence that may arise from this reimbursement.

u Customer Signature: ____________________________________________________

Date (Mo/Day/Year): _____________________________