Unitary Air Conditioners and Heat Pumps - Sheet A Unitary Air Conditioners and Heat Pumps Application Minimum Efficiency Requirements and Incentive Levels INSTRUCTIONS AND ELIGIBILITY REQUIREMENTS Complete TABLES 1 and 2 of this form. Use TABLE 3 and TABLE 4 to determine the category to which your equipment applies. Complete TABLE 5 to apply for relevant incentives by reporting the required equipment information. Please attach equipment invoices containing purchase price and installation costs (if applicable). Additionally, attach product specifications (cut sheets) that denote product manufacturer and model number. Applications will not be processed without this information. ELIGIBILITY REQUIREMENTS: Qualifying split systems must have both a new condenser and a new coil that meets ARI specifications and where the matched system performance (condenser and coil) meets or exceeds the minimum SEER/EER outlined in the tables below. Proposed equipment ratings shall be taken from the Air Conditioning, Heating and Refrigeration Institute (AHRI) Certification Directory (ref. www.ahridirectory.org). All projects must pass O&R’s cost-effectiveness screening to be eligible for rebates. TABLE 1: APPLICANT INFORMATION – All fields must be completed Who is filling out this application? (e.g. facility staff, Contact Name vendor, installation contractor) Address 1 Day Phone Address 2 Fax ( ( City State Zip ) ) E-mail TABLE 2: VENDOR / INSTALLATION CONTRACTOR INFORMATION – All fields must be completed Vendor / Installation Contractor Company Name Contact Name Address 1 Day Phone ( Address 2 Fax ( City ) State Orange and Rockland Utilities, Inc. Zip ) E-mail 2014 Big Energy Solutions Program Unitary Air Conditioners and Heat Pumps - Sheet B TABLE 3: SPLIT AND PACKAGED AIR CONDITIONERS (AIR COOLED ONLY) Equipment Type Air Conditioners, Air Cooled 3 Cooling Capacity Tons Btu/h <5.4 <65,000 >=5.4 to <11.25 >=11.25 to <20 >=20 to <63 >=65,000 to <135,000 >=135,00 0 to <240,000 >=240,00 0 to <760,000 Tier I Tier II Minimum 3 Efficiency Incentive ($/ton) Minimum 3 Efficiency Incentive ($/ton) 14.0 SEER / 12.0 1 EER $45 15.0 SEER / 12.5 1 EER $95 14.0 SEER / 11.6 2 EER $45 15.0 SEER / 12.0 2 EER $95 11.5 EER $35 12.0 EER $55 11.5 EER $35 12.0 EER $55 10.5 EER $35 10.8 EER $55 1. Split systems only. 2. Single package systems only. 3. Proposed equipment ratings should be per AHRI TABLE 4: HEAT PUMPS, AIR SOURCE (AIR COOLED ONLY) Equipment Type Heat Pumps, Air Cooled 3 Cooling Capacity Tons Btu/h <5.4 <65,000 >=5.4 to <11.25 >=11.25 to <20 >=65,000 to <135,000 >=135,00 0 to <240,000 Tier I Tier II Minimum 3 Efficiency 14.0 SEER / 12.0 1 EER 14.0 SEER / 11.6 2 EER Incentive ($/ton) Minimum 3 Efficiency 15.0 SEER / 12.5 1 EER 15.0 SEER / 12.0 2 EER Incentive ($/ton) 11.5 EER $55 N/A N/A 11.5 EER $65 N/A N/A $50 $50 1. Split systems only. 2. Single package systems only. 3. Proposed equipment ratings should be per AHRI Orange and Rockland Utilities, Inc. 2014 Big Energy Solutions Program $100 $100 Unitary Air Conditioners and Heat Pumps - Sheet C Installation Type N = New R= Replacement Equipment Type S = Split P = Packaged H = Heat Pump Manufacturer and Model Number TABLE 5: HVAC Equipment Information A B Cooling Heating Size Size Efficiency Efficiency 1 (kBtu/h) (tons) (EER (HSPF or 3 (A / 12) and/or COP) 2 SEER) C Incentive ($/ ton) (TABLE 3 or 4) D Incentive $ per Unit (B x C) E Quantity Total Incentive $ (D x E) Total HVAC Incentive Requested 1. For heat pump systems, please report both cooling mode and heating mode capacities and use cooling mode capacity for calculating incentive. 2. Proposed equipment ratings per AHRI. For units with cooling capacities less than 65 kBtu/h, please report both EER and SEER (if available). 3. Heating efficiency is only required for heat pump systems. Orange and Rockland Utilities, Inc. 2014 Big Energy Solutions Program