2016 EXPRESS SERVICE LIGHTING REBATE
FOR COMMERCIAL AND INDUSTRIAL CUSTOMERS
Valid for all Eversource (“Eversource”) and United Illuminating (“UI”) commercial & industrial customers (“Customer”) who purchase and install eligible
lighting (“Lighting”) on or after January 1, 2016 through December 31, 2016. All rebate applications (“Application”) and required documentation must be
received no later than March 31, 2017. All Eversource customers must have a commercial revenue code on their account to be eligible for rebates.
TO APPLY FOR YOUR REBATE, READ THE PROGRAM TERMS AND CONDITIONS ON REVERSE BEFORE PROCEEDING.
Instructions
Required Documents Checklist
Please fill out this Application completely, truthfully and accurately and mail it together with 1) an installation invoice
indicating the date of purchase and itemizing cost, Equipment type, size, make and model of the system(s); 2) an IRS
W9 Form; and 3) the manufacturer’s specification sheet to:
EFI-CT C&I Lighting Rebate Program
40 Washington Street, Suite 2000
Westborough, MA 01581
OR
Apply online at:
EnergizeCT.com
n Signed Application
n Installation Invoice With Make/Model
and Installed Cost(s)
n IRS Form W9
n Specification Sheet
PLEASE READ REQUIREMENTS THAT ARE PART OF THIS FORM. ALL INFORMATION IS REQUIRED FOR PROCESSING REBATE.
PRE- AND POST-INSPECTION OF FACILITY REQUIRED FOR REBATES OVER $5,000
For questions or more information, please call 1-877-WISE-USE (877-947-3873).
Customer Facility Information
Company Name (please print)
Mailing Address
Service Address
City City State Zip
Electric Utility (check one)
State Zip
n Eversource
Electric Account Number (as stated on bill)
n UI
Is your company a corporation, non-profit organization or a state/municipal
government entity?
Contact Person
n Yes
n No
TitleEmail
Facility Type
n Office
n Restaurant
n Retail
n Grocery
n Warehouse
n Elementary or High School n University
n Health Facility n Hotel/Motel
n Industrial/Mfg.
n Multi-family
n Misc. Commercial
n Other (please describe)
TelephoneFax
Federal Tax ID Number
Square Footage
1
Fixtures & Retrofits
Existing Case
Quantity
Description of
Old Fixture
New or Final Case
Watts/
Fixture
Annual
Hours of
Use
Description of
New Fixture
Quantity
Measure
Code
Watts/
Fixture
Rebate
per
Fixture
TOTAL REBATE
Total
Measure
Rebate
$
Customer Certification Agreement (Please Read Carefully)
I certify that I have purchased and installed the indicated energy-saving products on or after January 1, 2016 for use in the business facility listed
above and not for resale. I have attached the itemized proof of purchase (sales slip or invoice, including model numbers of lamps, etc.). I agree to
a verification by a Utility representative of both the sales transaction and product installation and also allow Utility access to pre- and post-monitor
the installation. Falsifying any of the above information will void this rebate application and any future rebate applications. I agree that to qualify for
100% of the rebate or account credit, I must be receiving a substantial amount of electricity needed by the facility where the lighting equipment is
installed, via Utilities’ distribution equipment, otherwise the rebate will be prorated by multiplying the full rebate by the percentage of the facility’s
total electrical needs that is delivered via Utilities’ distribution equipment. Utility shall mean Eversource or UI only.
Customer Signature (required)
Date
Installation Date
Post-Installation Inspection
Date
For Utility Use Only
Pre-Installation Inspection
Material
Date
Labor
Adm
Staff
Invoice No.
Rebate No.
EXAMPLES: How to fill out the Lighting Rebate Application
Example: Lighting Fixtures and Lamps
Write out the lamp description or use fixture codes from the document “Instructions for completing the Retrofit LIGHTING Rebate Worksheet”.
Existing Case
New or Final Case
Annual
Hours of
Use
Quantity
Description of Fixture
Measure
Code
Watts/
Fixture
Rebate
per
Fixture
Total
Measure
Rebate
Quantity
Description of Fixture
Watts/
Fixture
30
3 lamp, 4 foot, T12 fixture
151
2,187
30
3 lamp, 4 foot, T8
re-lamp and ballast
12
95
$25
$750
5
60 Watt Incandescent
60
2,187
5
12 Watt Energy Star LED
33
12
$12
$60
96
2,187
1
Wall Mounted Occ.
Sensor
51A
96
$20
$20
Example: Lighting Controls
1
3 lamp, 4 foot, T8
No Controls
For Existing Case Quantity, enter Annual Hours of
Use.
For New or Final Case Quantity, enter number of fixtures controlled and average
wattage of fixtures controlled.
2
Table A (Section 1): T8 Lighting Systems Rebates
Measure
Code
Measure Description
10
Re-lamp/re-ballast existing T8 fixtures with new
High Performance /Reduced Wattage (HP/RW) T-8
lamps and HP/RW T-8 Electronic Ballasts systems or
T-5 lamp and ballast systems.
11
Per
Fixture
Rebate
Eligibility Criteria
Min.
Watts
Saved
$15
Each fixture is composed of a HP/RW ballast and 1, 2, 3 or 4 HP/
RW lamps. Only one rebate may be counted per fixture. This also
applies to non 4’ lamps (2’, 3’, U bents, cold apps.) HPL additional
rebate does not apply.
11
Re-lamp/re-ballast existing T12 fixtures with 1 or
2 T-8 lamps and T-8 Electronic Ballasts systems
$20
Each T8 fixture is composed of an electronic ballast and 1 or 2
lamps. Only one rebate may be counted per fixture. This also
applies when electronic ballasts are used with non 4’ lamps (2’, 3’, U
bents, cold apps.)
15
12
Re-lamp/re-ballast existing T12 fixtures with 3 or
4 T-8 lamps and T-8 Electronic Ballasts systems
$25
Each T8 fixture is composed of an electronic ballast and 3 or 4
lamps. Only one rebate may be counted per fixture. This also
applies when electronic ballasts are used with non 4’ lamps (2’, 3’, U
bents, cold apps.)
20
13
Re-lamp/re-ballast existing T12 HO (High Output)
fixtures with new T-8 lamps and T-8 Electronic
Ballasts systems
$25
Each T8 fixture is composed of a ballast and 1, 2, 3 or 4 lamps.
Only one rebate may be counted per fixture.
This also applies when HP/RW ballasts are used with non 4’ lamps
(2’, 3’, U bents, cold apps.)
20
Replace older Fixture (any type) with New T8
fixture
(note: HPL additional rebate may apply)
$40
New fixture is composed of an electronic ballast(s) and 1, 2, 3 or
4 lamps. Only one rebate may be counted per fixture. This also
applies to fixtures with non 4’ lamps (2’, 3’, U bents, cold apps.). HPL
additional rebate may apply.
32
*Use High Performance Lamps and High
Performance or Reduced Wattage (HP/RW)
Ballasts
(note: cannot be applied to code 10)
$5
High Performance or Reduced Wattage (HP/RW) lamps & ballast
systems must be used to qualify for this additional rebate. For
detailed eligibility requirements & a list of qualifying lamps and
ballasts, log onto CEE’s web site at www.cee1.org or utility website.
NEWT8
HPL
Table A (Section 2): T5 Lighting Systems Rebates
Measure
Code
Measure Description
Per
Fixture
Rebate
Eligibility Criteria
Min.
Watts
Saved
20
Install new T5 Fluorescent Fixtures for High and
Low Bay Applications
(< 207 W)
$40
Only one rebate may be counted per fixture. This also applies to
non 4’ lamps (2’, 3’, U bents, cold apps.) HPL additional rebate does
not apply.
32
21
Install new T5 Fluorescent Fixtures for High and
Low Bay Applications
(> 207 W)
$70
Only one rebate may be counted per fixture. This also applies when
electronic ballasts are used with non 4’ lamps (2’, 3’, U bents, cold
apps.)
53
*
The * denotes 4 ft straight linear tube T8 lamps and ballasts must meet the Consortium for Energy Efficiency’s High Performance/Reduced Wattage (HP/RW) T8
specifications except where otherwise noted. For eligibility requirements and a list of eligible lamps and ballasts, log onto CEE’s web site at www.cee1.org.
Note: 2 ft, 3 ft and 4 ft non standard linear T8 lamps including U bents when used in combination with CEE’s High Performance/Reduced Wattage (HP/RW) T8 Ballast
Specifications are considered HP/RW systems.
Table A (Section 3): LED Systems Rebates
Measure
Code
Measure Description
Per
Lamp
Rebate
Eligibility Criteria
Min.
Watts
Saved
30
ENERGY STAR® LED Downlight Fixtures
Hard Wired or GU-24 base
$40
This rebate only applies to hardwired or GU-24 base LED fixtures
rated as a commercial LED product by ENERGY STAR. (for more
information see www.energystar.gov)
31
ENERGY STAR LED Directional Replacement
Lamps
(< 20/8 inch)
$12
Eligible for these reflector styles: MR16, PAR16 and PAR20. Eligible
lamps are required to be listed by ENERGY STAR Pre-Qualified list.
(for more information see www.energystar.gov)
9
32
ENERGY STAR LED Directional Replacement
Lamps
(< 20/8 inch and LED Downlight Retrofit Kits)
$22
Eligible LED Directional Integral replacement lamps are for all
reflector styles PAR 30 and larger.
Also Eligible are Screw Base LED Downlight Retrofit Kits.
Eligible lamps are required to be listed by ENERGY STAR PreQualified list. (for more information see www.energystar.gov)
17
33
ENERGY STAR LED Omni Directional
Replacement Lamps (A, BT, P, PS, S, T Edison base
lamps)
$12
ENERGY STAR LED Decorative Replacement
Lamps
(B, BA, C, CA, DC, F, G, Candelabra Edison base
lamps)
$5
34
30
10
Eligible LED Integral replacement lamps. Eligible lamps are
required to be listed by ENERGY STAR Pre-Qualified list. (for more
information see www.energystar.gov)
5
3
Measure
Code
35
36
37A
37B
37C
37D
38A
38B
38C
38D
39
Measure Description
DesignLights™ Consortium (DLC) Qualified LED
Cooler, Freezer Case or Refrigerated Shelving
Fixtures – 3’ & 4’ Fixtures
DesignLights™ Consortium (DLC) Qualified LED
Cooler, Freezer Case or Refrigerated Shelving
Fixtures – 5’ & 6’ Fixtures
DesignLights™ Consortium (DLC) Qualified LED
Interior Fixtures (Tier 1)
DesignLights™ Consortium (DLC) Qualified LED
Interior Fixtures (Tier 2)
DesignLights™ Consortium (DLC) Qualified LED
Interior Fixtures (Tier 3)
DesignLights™ Consortium (DLC) Qualified LED
Interior Fixture
DesignLights™ Consortium (DLC) Qualified LED
Exterior Fixtures (Tier 1)
DesignLights™ Consortium (DLC) Qualified LED
Exterior Fixtures Lighting (Tier 2)
DesignLights™ Consortium (DLC) Qualified LED
Exterior Fixtures Lighting (Tier 3)
DesignLights™ Consortium (DLC) Qualified LED
Exterior Fixture
LED or LEC (Electroluminescence) Exit Fixtures
Per
Fixture
Rebate
$40
$60
Eligibility Criteria
Eligible LED Cooler and Freezer Case fixtures are required to be
listed on DesignLights Consortium or the utility’s websites (for more
information see www.designlights.org) Please specify quantity of
end and/or center mount fixtures.
$30
$60
$120
Min.
Watts
Saved
30
45
40
Only LED Interior fixtures listed on DesignLights Consortium
website are eligible for this rebate.
(for more information see www.designlights.org).
This does not include retrofit kits or lamps.
80
110
$180
140
$30
30
$60
$120
Only LED Exterior fixtures listed on DesignLights Consortium
website are eligible for this rebate.
(for more information see www.designlights.org).
This does not include retrofit kits or lamps.
$180
$10
60
120
180
All materials and assembled units shall comply with all applicable
codes and standards including (but not limited to) Federal/
State/Local building, fire, and electrical codes, and may require
designated egress lighting to comply with such codes. Exit sign
retrofit kits are not eligible.
5
Table A (Section 4): Other Lighting Systems Rebates
Measure
Code
Measure Description
Per
Fixture
Rebate
Eligibility Criteria
Min.
Watts
Saved
40
Compact Fluorescent Fixture
$25
To be eligible for rebates, all fixtures must be hard-wired and have
electronic ballasts. (Retrofit kits and screw-in adapters are not
eligible)
41
Pulse Start Metal Halide Lamp and Electronic
Ballast Kits
$15
All kits must include a new matched Pulse Start Metal Halide Lamp
and Electronic Ballast installed per manufacturer’s specifications and
applicable codes. Indoor and Outdoor fixtures are eligible.
16
42
Pulse Start Metal Halide Fixture with Electronic
Ballast
$15
Only New Metal Halide Pulse Start fixtures with Electronic Ballasts
are eligible. Retrofit of existing metal halide fixture of less than 200
watts with new fixture is not eligible. Indoor and Outdoor fixtures
are eligible.
16
43
Induction Technology Retrofit Kit or Fixture
(Tier 1)
$25
44
Induction Technology Retrofit Kit or Fixture
(Tier 2)
$50
45
Reflector Retrofit Kit
$15
All kits must be installed per manufacturer’s specifications and
applicable codes. Indoor and Outdoor fixtures are eligible. Rebates
are based on a one-for-one replacement of incandescent or high
intensity discharge (HID) lamps including, mercury vapor, high
pressure sodium, and standard metal halide or pulse start metal
halide.
26
27
53
To be eligible for rebate, item must be part of a retrofit kit and
reduce the number of lamps originally installed.
Table A (Section 5): Lighting Controls Rebate
Measure
Code
Measure Description
Per
Sensor
Rebate
Eligibility Criteria
Min.
Watts
Controlled
50
Ceiling Mounted Occupancy Sensor
$20
Ceiling mounted control with no manual “ON” overrides. Comply
with manufacturer’s coverage recommendations and all applicable
codes.
51A
Wall mounted Occupancy Sensors
$20
Occupancy Sensors must operate as Automatic ON and OFF.
Sensors are wall mounted devices only.
Comply with manufacturer’s coverage recommendations and all
applicable codes.
50
51B
Wall mounted Vacancy Occupancy Sensors
$20
Vacancy Sensors must operate as Manual ON, Automatic OFF.
Sensors are wall mounted devices only.
Comply with manufacturer’s coverage recommendations and all
applicable codes.
50
52
High Bay Fluorescent (HIF) Occupancy Control
Systems
$25
Ballasts must be automatically controlled based on occupancy.
Systems with manual “ON” or override switches are not eligible.
Sensors to be mounted on individual fixtures only.
50
(per fixture)
NOTE: FOR ALL LED REBATES A SPECIFICATION SHEET IS REQUIRED WITH REBATE SUBMITTAL.
4
100
TERMS AND CONDITIONS
APPLICATION OFFER: This rebate program covers eligible products
purchased and installed on or after January 1, 2016 through December 31,
2016. Details of the 2016 Express Service Lighting Rebate for Commercial
and Industrial Customers (“Program”) and rebate levels are subject to
change without prior notice. Contact your participating utility representative
for the latest program details. This application form with (“Application”)
required documentation must be received by March 31, 2017. Availability
of funding is not guaranteed. The utilities reserve the right to cap rebate
amounts. For more information, please call 1-877-WISE-USE (877-9473873).
ISO New England, Inc. Forward Capacity Market (“FCM”) or any existing,
successor or replacement markets, (including, but not limited to, any and all
transitional FCM credits or payments or any and all other capacity-related
credits, payments and/or benefits for which such customer is eligible) shall
be deemed as and form capacity payments, credits and/or benefits of The
Connecticut Light and Power Company, doing business as Eversource Energy
(Eversource), or The United Illuminating Company (UI), as applicable. The
customer hereby assigns to Eversource or UI, as applicable, all of its right,
title and interest in and to any and all such capacity payments, credits and/
or benefits, and agrees to take any and all action, including executing and
delivering any and all documentation and/or instruments, as requested
by Eversource or UI, as applicable, to evidence the same. FCM means the
market for procuring capacity pursuant to ISO-NE Tariff, FERC Electric Tariff
No. 3, Section III, Market Rule 1, Section 13, any modifications to the FCM, or
any successor or replacement market/capacity procurement process.
ELIGIBILITY: Rebates are available to industrial, commercial, institutional and
agricultural electric service customers with a commercial rate code on their
electric service. New construction is NOT eligible. For major renovations
and inspections, contact an authorized Draft B Attached/UI representative.
Residential customers may apply for a rebate for common areas of multifamily housing. All residential multi-family CL&P doing business as Eversource
Energy (Eversource), hereinafter referred to as Eversource, customers must
have a commercial revenue code on their account to be eligible for rebates.
CLASS III CONSERVATION CREDITS: Any Class III renewable energy credits
and/or conservation credits received in connection with this program shall be
retained by the Companies pursuant to the laws of the State of Connecticut
and/or applicable PURA decision in effect as of the date hereof.
PAYMENT: Please allow at least 30 days for payment. Payment process may
take longer if information is missing on Application.
PRODUCT REQUIREMENTS
REBATE AMOUNT: In no case will Eversource/UI pay more than 100% of the
purchase price shown on the invoice.
U.L. LISTING: Items eligible for a rebate must be U.L. listed. Reflectors must
be U.L. classified.
PRE-APPROVAL AND VERIFICATION: Rebates exceeding $5,000 must
be pre- and post-inspected by an authorized Eversource/UI representative.
Additionally, Eversource/UI reserves the right to inspect any installation prior
to issuing rebates.
WATTAGE REDUCTION: There must be at least a 10% system wattage
reduction between the old and new system wattage for product to qualify.
FIXTURES: Conversions to T-8 systems can either be total fixture
replacements or simply a lamp plus ballast replacement. Conversions from
T-8 to High Performance T-8 or Low Wattage T-8 systems must include
lamp and ballast replacement to be rebated. Lamp only replacements
do NOT qualify. Contact your Eversource/UI customer support office for
details. The customer has the final responsibility for assuring that the fixture
conversion or installation is suitable for his/her lighting requirements.
REBATE LEVELS: Rebate levels will be confirmed upon receipt of detailed
invoices (stating quantities and part numbers) specifications sheets (if
applicable), along with post-inspection results (if applicable).
TAX LIABILITY: Eversource/UI will not be responsible for any tax liability
imposed on the customer as a result of the rebate payments. All Customers
must supply their Federal Tax Identification Number or Social Security
Number (IRS Form W9) as part of this Application to receive a rebate. We will
issue a 1099 to all unincorporated customers receiving rebates in excess of
$600.00.
ELECTRONIC BALLASTS: Compatible electronic ballasts are required as
part of retrofitting fluorescent fixtures and must be indicated on the invoice
to receive a fixture rebate (T-12 electronic ballasts are not eligible for rebate).
REFLECTORS: It is recommended that a sample area of reflectors be
installed to ensure satisfaction with light output and distribution. Lamps
must be re-centered after original lamps are removed; the reflector must
cover the full face of the fixture. The reflector must have the appropriate
U.L. Classification Marking. These devices have been evaluated by U.L. to
determine that when used in accordance with the manufacturer’s instructions,
they do not adversely affect the operation of the complete fixture. Installation
of the retrofit devices must be approved by the local Building Official to
ensure compliance with the State Building Code. All reflector projects must
be inspected. White or specular metal reflectors must have a minimum
reflectivity rating of 90%. White reflectors will only receive a rebate at fixture
mounting heights of 12 feet or less.
ENDORSEMENT: Eversource/UI does not endorse any particular
manufacturer, product, or system design in promoting this Program.
The website below provides access to the industry standard spec for the
definition of “High Performance” T-8 lighting systems and Reduced Wattage
T-8 lighting systems as well as frequently updated listing of eligible lamp/
ballast combinations by manufacturer: www.cee1.org. All LED fixtures or
lamps must be ENERGY STAR® or DesignLights™ Consortium qualified. The
lists of qualifying products can be found at www.energystar.gov and www.
designlights.org, respectively.
FORWARD CAPACITY MARKET AND CLASS III CREDITS:
ISO-NE CAPACITY PAYMENTS: By signing this document, and as a
condition to receiving a rebate pursuant to this program, the customer
acknowledges and agrees that any and all payments, benefits and/or
credits associated with or applicable to the customer’s participation in
the program that is the subject of this Agreement in connection with the
6607-1 Rev. 01-16
Any questions can be directed to 1-877-WISE-USE (1-877-947-3873)
Energize Connecticut – programs funded by a charge on customer energy bills.
5
C0034 Rev. 01/16